AI in a real dental practice: what I use, what I refuse
Past the hype — the tools earning their place chairside, and the ones I've switched off.
Topic — The Working Length
The building vertical: where clinical judgment meets intelligent systems. Tested in a working practice, reported honestly, privacy first.
AI can flag patterns such as caries, periapical lesions, and bone loss with useful sensitivity, but it does not diagnose. Diagnosis integrates history, symptoms, testing, and imaging. Treat AI output as a second pair of eyes, never the final word.
Only with explicit safeguards: clear consent, data processing agreements, regional data residency, and ideally tools that never train on patient data. If a vendor cannot answer where data goes, that is your answer.
No, but it will change the job. Pattern recognition and paperwork are increasingly automatable; judgment, dexterity, and the human relationship are not. The dentists at risk are the ones who refuse to learn the tools.
The Working Length — monthly letter
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