AI in Dentistry: Imaging, Planning & CAD/CAM for Care

Practical ways clinics use AI in dentistry

Written by Aaron Taylor

Medically reviewed by  Dr. Vidhi Bhanushali Kabade BDS, TCC

Last updated Sep 6, 2025

Written by Aaron Taylor

Medically reviewed by  Dr. Vidhi Bhanushali Kabade BDS, TCC

Last updated Sep 6, 2025

Artificial intelligence in dentistry is moving from concept to chairside value. Clinics are using AI to accelerate diagnosis, streamline treatment planning, and deliver faster, more transparent restorative and orthodontic care. Platforms built by dentists and data scientists, such as scanO, are shaping practical, patient‑centred tools that fit real clinical workflows. See how the mission translates into care on scanO’s.

What AI in dentistry really covers today

AI in oral health care is not a single product. It spans several practical domains that are already in day‑to‑day use practices:

●       Imaging and diagnosis: AI-assisted detection of caries, calculus and periodontal bone loss on bitewings, periapicals, panoramic radiographs and CBCT.

●       Treatment planning: CBCT segmentation for implants and surgery, risk mapping near the inferior alveolar nerve and maxillary sinus, orthodontic planning for clear aligners.

●       Digital impressions and CAD/CAM: Intraoral scanning, margin detection assistance, automated design suggestions, and machine learning toolpaths that improve milling reliability for chairside crowns.

●       Patient communications: Visual explanations with annotated X‑rays, virtual consult triage, recall optimisation, and automated follow ups.

●       Practice operations: Appointment optimisation, no‑show reduction, and nudges that support treatment acceptance including clear finance options such as 0 percent finance where appropriate.

The through line is clinician-in-the-loop decision support. AI highlights, measures and prioritises. Dentists diagnose, plan and consent.

Imaging and diagnosis: quicker clarity, fewer retakes

Dental AI has matured most in radiograph analysis. Clinics this typically looks like:

●       Computer-aided detection that flags potential approximal and occlusal caries, calculus and crestal bone changes on bitewings.

●       Quantified measurements for periodontal review that standardise monitoring and patient education.

●       CBCT tools that segment jaw anatomy, reduce manual contouring, and highlight vital structures to support safer pathway planning.

Benefits for patients include clearer visual explanations, fewer repeat images, and shorter chair time. For clinicians, consistency and triage improve the signal in busy lists. The key is maintaining human oversight. Calibrating thresholds, validating outputs on your equipment, and documenting the final clinical judgment protect quality and governance.

Treatment planning: implants and orthodontics with better foresight

AI now supports both surgical and orthodontic planning:

●       Implants: Automated or semi-automated CBCT segmentation can map the mandibular canal and sinus floor, estimate bone density ranges, and propose sleeve positions within a prosthetic‑driven plan. This helps reduce planning time and highlights risks earlier in the conversation.

●       Orthodontics: AI‑guided 3D simulations can predict tooth movement sequences and aligner staging. In practice this means more realistic timelines, earlier identification of non‑tracking, and targeted refinements rather than guesswork.

The payoff is less trial‑and‑error. Patients see credible scenarios and understand trade‑offs before committing, which supports informed consent and satisfaction.

Digital impressions and CAD/CAM: from scan to same‑day fit

Digital workflows shorten the path from problem to solution:

●       Intraoral scanning removes the discomfort of traditional impressions and reduces remakes by showing live data quality.

●       AI-enabled margin detection and proposal tools speed up crown and on lay design while keeping the clinician in control of occlusion, contacts and emergence profile.

●       Machine learning can optimise milling strategies and bur selection, shrinking the gap between virtual design and physical restoration.

For suitable cases, CEREC‑style same‑day restorations eliminate a second visit, reduce injection events, and cut temporary failures. The net effect is higher convenience with no compromise on fit or function when protocols are followed.

Patient journey and access: triage, recall and communication

AI is increasingly present in the touchpoints around the appointment:

●       Virtual consults and structured photo triage can guide urgent cases to the right slot type and clinician.

●       Smart recall intervals balance clinical risk and capacity, improving preventive attendance without overbooking.

●       Automated pre‑visit prompts, post‑op instructions and satisfaction check‑ins use natural language that patients actually read.

When combined with annotated radiographs and simulations, these tools improve understanding and reduce anxiety. Patients feel informed rather than sold to.

Practice operations: smoother diaries and higher acceptance

On the operational side, dental AI supports:

●       Predictive scheduling that clusters similar treatments and reduces bottlenecks.

●       No‑show reduction through timing‑aware reminders and easy rescheduling links.

●       Treatment acceptance nudges that present clear choices, typical timelines and finance options such as 0 percent finance where compliant with regulations.

These gains show up as steadier utilisation, fewer short‑notice gaps, and more patients completing needed care.

Data, privacy and governance settings

Safety and trust drive adoption. In the clinics should ensure:

●       GDPR compliance with a clear lawful basis for processing, Data Protection Impact Assessment where needed, and data processing agreements with vendors.

●       Informed consent that explains where AI is used, what it does, and that a dentist makes the final decision.

●       CA or appropriate regulatory status for clinical features, plus documented validation on your own image chains and scanners.

●       Attention to dataset quality, potential bias, and explain ability. Keep an audit trail of inputs, outputs and any overrides in the patient record.

Implementation playbook for clinic owners and managers

If you are evaluating AI in dentistry for your practice, a structured rollout helps control risk and maximise benefit:

1.     Map objectives: shorter chair time, fewer remakes, higher acceptance, or better patient education. Choose two to measure.

2.     Shortlist vendors: prioritise tools that integrate with your PMS and imaging stack, and which allow clinician control over thresholds.

3.     Technical readiness: confirm on‑prem or cloud requirements, bandwidth for 3D files, and display quality for chairside co‑diagnosis.

4.     Pilot pathway: start with a single indication such as bitewing caries detection or single‑tooth CAD/CAM. Define inclusion criteria and exclusions.

5.     Training: run scenario‑based training for dentists, nurses and reception teams, covering both clinical use and patient communication.

6.     Governance: update SOPs, consent templates and disclosure language. Document validation, known limitations and escalation steps.

7.     Measure outcomes: track retake rate, planning time, restoration remake rate, chair time per case, acceptance rates and patient‑reported experience.

8.     Iterate and expand: adopt only when metrics improve and team feedback is positive.

Outcome‑focused example pathway from private practice

Consider a composite example that reflects common clinic workflows:

●       Presentation: A patient with a cracked molar attends with sensitivity. A bitewing confirms a large existing restoration with marginal breakdown. AI highlights potential secondary caries, which the dentist verifies on inspection and with vitality testing.

●       Plan and consent: The dentist scans the tooth, shows a chairside proposal for a ceramic onlay, and explains occlusal load considerations. The patient views the annotated images and agrees to restore rather than extract.

●       Same‑day delivery: Margin detection assistance speeds design checks. A chairside mill produces the restoration. After try‑in, fine adjustments and glazing, the onlay is bonded. The patient leaves with the definitive restoration in a single visit.

●       Follow up: Automated post‑op guidance and a 6‑month recall are scheduled. At review, AI‑assisted bitewings help confirm stable contacts and no new lesions.

Patients experience less disruption, fewer injections and a transparent rationale for care. For those considering private treatment routes, it can be helpful to review how modern digital workflows look in practice. 

Future outlook: what is coming next

The near term trajectory for dental AI is practical, not science fiction:

●       Multimodal imaging that combines 2D bitewings, intraoral scans and CBCT into a single visual narrative.

●       Chairside decision support that suggests risk‑based options and flags red‑flag findings for second look.

●       Generative design aids for restorations that respect material science and occlusion rules.

●       Better interoperability so summaries and annotations flow cleanly into the patient record.

Clinics that standardise digital imaging, define clear governance, and track outcomes will be ready to adopt these advances safely.

Bottom line

AI in dentistry is already improving the patient experience through clearer diagnoses, faster planning, and reliable same‑day restorative pathways. Start small, keep the clinician in the loop, measure what matters, and communicate openly with patients. To learn more about clinician‑built approaches to AI dental checkups and digital oral care, see scanO’s background and vision.

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Author Bio: Aaron is a writer passionate about making complex ideas simple, with a strong interest in AI innovation, particularly in healthcare. Outside of writing, he enjoys reading, walking, and crafting the perfect cup of coffee. For those looking for quality dental care, explore Distinctive Dentistry , a trusted private dentist in Tamworth.

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