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Evaluating the Artificial Intelligence Driven Monitoring System Notifications: Clear Aligner and Oral Hygiene
Analia Tahir1, Budi Kusnoto1, Phimon Atsawasuwan1
1Department of Orthodontics, College of Dentistry, University of Illinois Chicago, Chicago, Illinois, USA.
Orthodontics & Craniofacial Research
|April 3, 2026
Summary
Dental Monitoring (DM) using AI is a viable tool for remote orthodontic care, effectively detecting general issues with clear aligners and oral hygiene. However, clinicians must remain vigilant as the AI struggles with localized problem detection.
Area of Science:
- Orthodontics
- Digital Health
- Artificial Intelligence
Background:
- Smartphone applications like Dental Monitoring (DM) enable real-time orthodontic treatment management.
- Artificial Intelligence Driven Remote Monitoring (AIDRM) facilitates sophisticated image analysis in orthodontics.
Purpose of the Study:
- To evaluate the accuracy of DM's AI in identifying unfavorable clinical conditions during clear aligner treatment.
- To assess DM's effectiveness in detecting issues related to clear aligners and oral hygiene.
Main Methods:
- Twenty-three patients undergoing clear aligner treatment with DM were studied.
- DM AI notifications were compared against orthodontist visual examinations of uploaded scans.
- Accuracy, sensitivity, specificity, PPV, and NPV were calculated for generalized and localized detection.
Main Results:
- DM AI demonstrated higher accuracy in the generalized detection of clear aligner and oral hygiene parameters.
- The AI showed lower accuracy in the localized detection of these clinical parameters.
Conclusions:
- Dental Monitoring is a practical option for remote monitoring of clear aligner and oral hygiene during orthodontic treatment.
- Clinicians must be aware of the AI's limitations in identifying specific issues, requiring close oversight.
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