Nayak Prajna P, Shetty Vabitha, S Shreya, Zacharias Liza, Gore Isha
Nitte (Deemed to Be University), AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Department of Pediatric and Preventive Dentistry, Deralakatte, Mangalore, 575018, Karnataka, India.
J Oral Biol Craniofac Res. 2025 Sep-Oct;15(5):1134-1140. doi: 10.1016/j.jobcr.2025.07.022. Epub 2025 Jul 29.
The integration of Artificial Intelligence (AI) with paediatric dentistry has unveiled transformative possibilities, particularly in mitigating the global burden of a prevalent yet preventable oral health issue, namely early childhood caries (ECC). ECC affects millions of children worldwide, leading to significant health, developmental, and economic challenges. This paper explores the application of AI-driven technologies, including machine learning and deep learning, in the detection, diagnosis, risk assessment, and management of ECC.
AI models leveraging dental radiographs and intraoral photographs have demonstrated high accuracy in caries detection, while predictive algorithms facilitate the identification of high-risk groups using patient demographics, behavioural data, and even genetic markers. Smartphone applications equipped with AI capabilities, such as AICaries, empower caregivers with tools for at-home caries screening, enhancing accessibility and fostering preventive care.Today, AI's role extends to optimizing healthcare utilization patterns and advancing personalized treatment strategies, particularly in underserved regions where traditional resources are scarce. Efforts to develop diverse training datasets have not eliminated biases leading to concerns about fairness, discrimination and privacy. Further, unregulated AI applications may worsen rather than reduce health disparities.
This review underscores the potential of AI to revolutionize ECC prevention and management, paving the way for equitable oral healthcare globally. It advocates for further interdisciplinary research to refine AI tools, address practical challenges, and support the development of evidence-based policies for widespread implementation. Ultimately, AI emerges as a pivotal advancement in transitioning from disease management to proactive oral health care strategies.
人工智能(AI)与儿童牙科的整合展现出了变革性的可能性,尤其是在减轻一种普遍但可预防的口腔健康问题——幼儿龋齿(ECC)的全球负担方面。ECC影响着全球数百万儿童,带来了重大的健康、发育和经济挑战。本文探讨了人工智能驱动的技术,包括机器学习和深度学习,在ECC的检测、诊断、风险评估和管理中的应用。
利用牙科X光片和口腔内照片的人工智能模型在龋齿检测方面已显示出高准确率,而预测算法则利用患者人口统计学、行为数据甚至基因标记来帮助识别高危人群。配备人工智能功能的智能手机应用程序,如AICaries,为护理人员提供了在家进行龋齿筛查的工具,提高了可及性并促进了预防保健。如今,人工智能的作用扩展到优化医疗保健利用模式和推进个性化治疗策略,特别是在传统资源稀缺的服务不足地区。开发多样化训练数据集的努力并未消除导致对公平性、歧视和隐私担忧的偏差。此外,不受监管的人工智能应用可能会加剧而非减少健康差距。
本综述强调了人工智能在彻底改变ECC预防和管理方面的潜力,为全球公平的口腔医疗保健铺平了道路。它提倡进一步开展跨学科研究,以完善人工智能工具、应对实际挑战,并支持制定基于证据的政策以便广泛实施。最终,人工智能成为从疾病管理向积极的口腔保健策略转变的关键进展。