Ethical Concerns of Artificial Intelligence in Dentistry: A Review

image shows ethical concerns of using AI in dentistry

Written by Dr Aysha Sayed

Medically reviewed by  Dr. Vidhi Bhanushali Kabade BDS, TCC

Last updated Jun 14, 2025

Written by Dr Aysha Sayed

Medically reviewed by  Dr. Vidhi Bhanushali Kabade BDS, TCC

Last updated Jun 14, 2025

Ever since OpenAI released ChatGPT, people have been asking about everything- from playing therapist to boosting their productivity. But have you ever stopped to wonder what happens to the data you feed into these AI tools?

Dentistry hasn’t escaped the AI wave either. From sharper diagnoses to real-time treatment planning, machines are proving to be more reliable than ever. But as these digital tools get smarter, one question keeps getting louder: How safe is our dental data?

Let’s talk about it-because while AI in dentistry offers plenty of perks, it also brings some eyebrow-raising ethical concerns of AI in dentistry that can’t be ignored.

Why Is Privacy a Big Deal for AI in Dentistry?

Here’s the thing: dental data isn’t just about cavities and crowns. It can include full facial scans, health histories, genetic risks and even lifestyle habits. When this data is fed into AI ecosystems for better care, it’s essentially digitized, stored, and often shared across platforms.

That’s where the risk kicks in.

Unlike scribbles in a paper chart, digital dental data is vulnerable to hacking, leaks, and unauthorized access. A compromised database doesn’t just mean exposed X-rays- it could mean real harm, identity theft, or misuse of sensitive health information.

Where AI Meets Risk: The Privacy Pressure Points

Let’s break down where things can get a little complicated.

1. Patient Consent and Data Collection

Many dental AI tools require vast amounts of data to learn and improve. But patients often don’t fully know how their data will be used, where it will be stored, or who’ll have access to it.

Sometimes, the consent forms are more cryptic than clear. And in the age of “agree and continue,” that’s a recipe for uninformed consent. Patients must be made aware of the full scope of data usage in AI systems, including the risks, benefits, and safeguards, so that their consent is truly informed and not just a checkbox.

2. Cloud-Based Storage

Dental imaging and AI often rely on cloud storage- great for access, but not always bulletproof. Even big companies have suffered breaches, and dentistry isn’t immune. Dental professionals and tech experts need to be doing enough to encrypt, protect, and limit who can access these clouds.

3. Third-Party Access

AI tools in dental clinics are often developed by third-party tech companies. That means sensitive patient data may be shared outside the four walls of a dental practice. Who regulates how those third parties use that data?

In some cases, de-identified data is used to train models. But de-identification isn’t foolproof. Cross-referencing datasets can sometimes re-identify individuals. In a 2019 review, Kokaballi pointed out how important it is to hide personal details in patient data- without making the information useless for research and AI training. 

4. Bias and Profiling

Let’s say an AI system predicts treatment outcomes based on patterns; it’s a powerful tool. But if those patterns are shaped by biased data, the results can quietly reflect unintended disparities. Over time, this might influence decisions in ways that subtly align with factors like demographics or socioeconomic status, raising important ethical concerns.

5. Lack of Regulations

In many countries, there’s limited regulation specific to AI in dentistry. HIPAA (Health Insurance Portability and Accountability Act) in the U.S. and Digital Information Security in Healthcare Act (DISHA) in India offer protection, but enforcement in AI applications is still evolving. As creators, our top priority must always be protecting patient confidentiality before anything else.

Real Risks, Real Examples

In 2024, India’s Indian Council of Medical Research (ICMR) suffered one of the country’s largest data breaches, exposing sensitive details of 81 million people, including Aadhaar numbers, passports, and COVID-19 test records. The risk isn’t just theoretical. Even in dentistry, some tools can reconstruct 3D models of a patient’s face. In the wrong hands, that’s not just a privacy issue, it’s a full-on security one.

How Dental Software’s Are Tackling Issues and Making AI in Dentistry Safer

Now to the good part. Because privacy isn’t a lost cause. With the right safeguards, AI in dentistry can stay ethical, effective, and safe- which is what most denta; softwares today aim to do. 

1. End-to-End Data Encryption of Patient Data

Data in modern dental systems is encrypted both in transit and at rest. That means whether it’s a patient’s X-ray being uploaded or an AI-generated treatment plan being stored, it’s shielded from unauthorized access. It’s like having a vault around every single data packet.

2. Clear Consent and Transparency

Patients are clearly informed about how their data is used. For example:

  • What data is being collected
  • Who will have access to it
  • Whether it will be used for training or commercial purpose
  • If it will be stored, and for how long

Moreover, smarter systems now use granular consent models where patients can agree to some uses (e.g., diagnosis) but not others (e.g, training models). This makes your clinic look more trustworthy and shows that you’re not hiding behind legal jargon.

Patients have every right to give or withhold their consent, and to ask questions about the tools being used and how the data is handled. Platforms like scanO take this seriously, with a clear and transparent privacy policy that ensures your information stays safe, secure, and never misused.

3. Multi-Factor Authentication (MFA)

Many platforms now require multi-step logins to access patient information like a password and a verification code. It’s simple for the dentist, but tough for hackers. This added layer ensures only authorized personnel can view or interact with sensitive health data.Emerging technologies like blockchain may help add another layer of protection.

4. Standardized Data Handling

To ensure smoother and safer integration with other health tech, AI dental software uses standardized formats. These standards are essential for seamlessly integrating information into electronic health records (EHRs) and larger health technology ecosystems. With consistent frameworks in place, AI in dentistry can evolve into adaptive, self-learning systems that continuously improve.

5. Role-Based Access Control and Firewalls

Not everyone in a clinic needs access to everything. AI-driven software enforces role-based access, ensuring that front desk staff don’t accidentally see medical records and only clinicians get clinical access. Firewalls and intrusion detection systems further protect networks from breaches.

Developers are actively building privacy into the design, not as an afterthought. That includes using anonymized data responsibly, checking for algorithmic bias, and implementing oversight mechanisms.

6. Stronger Regulations and Oversight

Top dental software vendors run routine audits, test for vulnerabilities, and stay aligned with major regulations like HIPAA (International) and DPDP Act (India). This isn’t just legal formality-it’s about maintaining airtight protocols that evolve with cyber threats.

7. Data Anonymization for AI Training

One common fear is: “Is my patient’s data being used to train AI models?” The truth is, most ethical AI providers anonymize data before using it to improve algorithms. This means names, IDs, or any identifying info is stripped, keeping patient privacy intact while still enabling smarter systems.

Patients Deserve Trust

Dental care is personal. Trust is everything. If patients worry their data might be mishandled, it could undermine the progress we’ve made with digital tools and AI.The goal isn’t to ditch AI, it’s to use it responsibly.

When done right, AI can empower dentists to deliver better, faster, more personalized care. But that only works if patients feel safe. Fortunately, the field is responding with a range of protective strategies. Dental software systems increasingly rely on encryption, tokenization, and de-identification methods to secure sensitive information, ensuring that even if data is accessed, it cannot easily be traced back to an individual.

Clinics and platforms are also moving toward clearer and more transparent consent processes. Instead of vague fine print, patients are being informed upfront about what data is collected, how it’s used, and who has access to it. Alongside this, there’s growing awareness around the ethical use of AI. Developers and dental professionals alike are working to reduce algorithmic bias, while ensuring that AI remains a tool to assist, not replace, human clinical judgment.

Another critical step is the implementation of audit trails in dental record systems, which monitor and log who accessed patient data and when, adding an extra layer of accountability. Altogether, these efforts reflect a broader shift toward responsible digital dentistry, where innovation is balanced with ethical care and patient trust.

Final Floss

AI in dentistry is exciting. It can spot disease before we do, plan surgeries with millimeter precision, and even automate admin work. But with great tech comes great responsibility.

Privacy can’t be an afterthought. As we welcome AI to the chairside, we are making sure we’re protecting the very people it’s meant to serve.

Key Takeaways

  • AI in dentistry brings smarter care, but also real privacy concerns.
  • Risks include cloud breaches, unclear data use, and re-identification.
  • Modern dental software uses encryption, Multi-Factor Authentication, and anonymization to stay secure.
  • Clear patient consent and transparency build digital trust.
  • Responsible design and regulation are crucial for ethical AI adoption.
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Author Bio: Dr. Aysha Sayed is a dentist and freelance writer with a strong passion for public health. She is committed to making healthcare more compassionate, intelligent, and community-focused. By combining her clinical expertise with the power of storytelling, she advocates for change and strives to make dental health more approachable, human, and heard.

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