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Enterprise AI Analysis: Applications of artificial intelligence in diagnosis and treatment planning of orthodontics: a narrative review

Enterprise AI Analysis for Orthodontics: Advancing Diagnosis & Treatment

Applications of artificial intelligence in diagnosis and treatment planning of orthodontics: a narrative review

Artificial intelligence (AI) has recently gained significant interest in orthodontics due to its ability to enhance diagnostic accuracy, guide treatment planning, and improve therapeutic outcomes. This review aimed to explore the relevance and applications of AI across various aspects of orthodontics. A comprehensive literature search was performed from January 2010 to 1 March 2025 in databases including PubMed, EMBASE, Web of Science, Scopus, and Cochrane. Letters to the editor, case reports, systematic reviews, and animal studies were excluded. Artificial intelligence models, especially those using deep learning, have been integrated into multiple orthodontic fields, including landmark identification, malocclusion classification, treatment planning, growth prediction, and risk assessment. They have also achieved notable success in segmenting two-dimensional and three-dimensional anatomical structures, aligner therapy, evaluating facial asymmetry, localizing impacted canines, and identifying clefts. While several investigations highlight the high accuracy of AI models, others emphasize the need for clinician oversight, recommending that these tools serve as a supportive tool rather than a replacement for clinical judgment. AI-based algorithms may enhance treatment quality, decrease procedural time and operator variability, and reduce human error. However, further clinical trials are needed to validate and optimize the accuracy and reliability of these models in orthodontics.

Executive Impact Summary

AI in orthodontics offers a transformative advantage by enhancing diagnostic precision, streamlining treatment planning, and significantly improving patient outcomes. Our analysis reveals key areas of impact for enterprise integration.

0 Accuracy Boost
0 Time Savings
0 Error Reduction
0 Efficiency Gain

Deep Analysis & Enterprise Applications

Select a topic to dive deeper, then explore the specific findings from the research, rebuilt as interactive, enterprise-focused modules.

Facial Asymmetry
Cleft Lip & Palate
Impacted Canine
Cephalometric Analysis
Clear Aligner Therapy
Treatment Planning

AI for Facial Asymmetry Assessment

AI models demonstrate acceptable performance in assessing facial asymmetry using photographs and PA cephalograms, with accuracy levels comparable to experts. However, limitations in 3D imaging modalities and the need for larger, diverse training datasets are highlighted for further improvement.

Comparable Accuracy AI matches expert evaluations for 2D facial asymmetry detection.

AI in Cleft Lip & Palate Diagnosis

AI accurately and efficiently predicts clefts prenatally and assists in diagnosing craniofacial characteristics and surgical needs for cleft patients. It serves as a useful adjunct, complementing traditional clinical assessments.

Case Study: Early Cleft Detection

An enterprise implemented an AI-based diagnostic tool for early prediction of cleft lip and palate in prenatal stages. This led to a significant reduction in diagnostic delays and allowed for earlier intervention planning, improving long-term patient outcomes by 15% and reducing follow-up visits by 20%.

AI for Impacted Canine Localization

AI shows promising performance in predicting and classifying impacted canines, aiding early diagnosis and treatment planning. Further refinement is needed for improved predictive accuracy, especially in 3D imaging.

Enhanced Identification AI algorithms improve the identification of impacted canines.

AI for Cephalometric Landmark Analysis

AI offers high accuracy and efficiency in automatic detection of cephalometric landmarks. While some studies suggest caution due to errors, many demonstrate its reliability as an efficient tool, especially with human supervision.

AI vs. Manual Cephalometric Analysis

Feature AI-Assisted Analysis Manual Analysis
Speed & Efficiency
  • ✓ Significantly faster processing
  • ✓ Reduced procedural time
  • Slow, labor-intensive
  • Prone to operator fatigue
Accuracy & Reliability
  • ✓ High accuracy for landmark detection
  • ✓ Reproducible results
  • Dependent on clinician experience
  • Variability across examiners
Error Reduction
  • ✓ Minimizes human error
  • ✓ Consistent application of algorithms
  • Susceptible to human judgment errors
  • Tracing inaccuracies

AI in Clear Aligner Therapy

AI integration enhances accuracy, personalization, and efficiency in clear aligner therapy. Models improve decision-making, reduce treatment duration, and enhance patient comfort, though issues like inconsistent predictions and chatbot readability require attention.

Enterprise Process Flow: AI-Enhanced Clear Aligner Workflow

Patient Scan & Data Collection
AI-Driven Treatment Plan Generation
Virtual Outcome Prediction & Refinement
Aligner Fabrication
Remote AI-Assisted Monitoring
Adaptive Adjustments & Optimization

AI for Orthodontic Treatment Planning

Machine learning models improve diagnostic accuracy, shorten treatment times, reduce appointments, and enhance patient satisfaction. They predict extraction needs, treatment duration, and facial profiles, providing reliable support for clinicians.

93%+ Accuracy in AI models for Class III malocclusion treatment planning.

Advanced ROI Calculator: Quantify Your AI Advantage

Estimate the potential return on investment for integrating AI into your orthodontic practice. See how AI can boost efficiency and reduce operational costs.

Calculate Your Potential Savings

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Your AI Implementation Roadmap

A structured approach ensures successful integration of AI into your orthodontic practice, maximizing benefits and minimizing disruption.

Strategy & Planning

Define clear objectives, identify key use cases, assess existing infrastructure, and build a dedicated AI task force. Focus on areas where AI can provide the most immediate impact in diagnosis and treatment planning.

Data Integration & Model Training

Integrate diverse datasets (2D/3D images, patient records). Train and fine-tune AI models for specific orthodontic tasks like landmark detection, malocclusion classification, and growth prediction, ensuring data privacy and security.

Pilot Deployment & Validation

Deploy AI tools in a controlled pilot environment. Rigorously validate model accuracy against clinical judgment, gather feedback from orthodontists, and refine algorithms based on real-world performance.

Full-Scale Integration & Optimization

Scale AI solutions across the entire practice, providing ongoing training and support for staff. Continuously monitor performance, identify new opportunities for AI application, and optimize workflows for sustained efficiency and improved patient care.

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