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Technological advances such as cloud computing, artificial intelligence and teledentistry are contributing significantly to improved collaboration, efficiency and patient-centred care. (All images: Dentsply Sirona)

Tue. 17. September 2024

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For over a century, the field of dentistry has evolved, driven by innovations that have reshaped how dentists care for patients. We believe we are now witnessing the dawn of a third era of modern dentistry: the era of connected dentistry, in which technology, collaboration and patient-centred care converge like never before. This new chapter holds significant promise, not just for the technical capabilities it introduces but for the profound impact it will have on how dentistry is practised and how patients experience care.

The foundation: Modern dentistry’s pioneering spirit

To fully appreciate where we are headed, we must first look back to where we have been. The late nineteenth century marked the birth of modern dentistry. With the establishment of the first university dental faculties, dentistry began to take shape, grounded in scientific principles that would guide generations of practitioners.1

“We are now witnessing the dawn of a third era of modern dentistry: the era of connected dentistry.”

The introduction of technologies such as the electric handpiece and analogue radiography revolutionised the field by enabling dentists to work with unprecedented precision, providing care that was faster, more accurate and less painful for patients. The development of integrated dental chair units further streamlined dental procedures, making it possible for practitioners to deliver care more efficiently.2

However, it was not just the tools that transformed dentistry; it was the spirit of innovation. Dentists embraced these new technologies, understanding that to provide the best care, they needed to stay at the forefront of advancements. The successful adoption of these innovations required a willingness to invest in education, training and state-of-the-art equipment. This pioneering spirit laid the groundwork for the next wave of dental advancements.

Digital dentistry, a leap towards precision and efficiency

The year 1985 ushered in the digital age of dentistry with the advent of CEREC, initiating an era that would forever change the landscape of the profession. The shift from analogue to digital technology was not just a technical upgrade; it was a leap forwards in dentists’ ability to deliver care with precision and efficiency.3, 4

The three eras of modern dentistry.

The three eras of modern dentistry.

With CEREC, dentists could create and place ceramic restorations in a single visit for the first time. This was revolutionary: patients who once had to endure multiple appointments and temporary restorations could now leave the office with a permanent solution in just one visit. Laboratories also benefited, as digital impressions led to more accurate and consistent restorations.

The introduction of digital radiography in the mid-1990s further enhanced the diagnostic capabilities of dentists. The ability to capture and analyse images quickly and with reduced radiation exposure allowed for better, faster diagnosis. Laboratories, now working with digital data, could produce restorations and appliances with greater accuracy and speed, leading to improved patient outcomes.

The era of digital dentistry also saw the rise of CBCT and 3D printing. CBCT provided detailed 3D images essential for implant planning and complex procedures, and 3D printing enabled the rapid production of custom dental appliances and surgical guides. Clear aligners emerged as a game-changing innovation in orthodontics, offering patients a more discreet and comfortable alternative to fixed appliances.

For dentists and laboratories, the key to thriving in this digital revolution was embracing these new technologies and reimagining how care could be delivered. Those who invested in digital tools and nurtured collaborative relationships with laboratories were able to elevate their quality of care as well as the growth and efficiency of their practices.

Connected dentistry, a future of collaboration and personalised care

Now, as we stand on the brink of the third era of dentistry—connected dentistry—the possibilities before us are extraordinary. This era is defined by the convergence of cloud computing, artificial intelligence (AI), dental-dedicated MRI (ddMRI) and advanced materials, all working together to create a connected, efficient and patient-centred practice.

Primescan 2 is the first cloud-native intra-oral scanning solution.

Primescan 2 is the first cloud-native intra-oral scanning solution.

Cloud technology is at the heart of this transformation. It goes beyond simple data storage to create a fully integrated ecosystem where devices, software and practitioners are seamlessly connected. Cloud-driven devices automatically update to the latest software versions, ensuring that dentists are always working with the most advanced tools available. This eliminates the need for costly, time-consuming manual updates and reduces dependence on specific, dedicated hardware. For example, Dentsply Sirona recently brought the first cloud-native intra-oral scanner to market: Primescan 2.

For dentists, cloud-based systems simplify the complexities of modern practice management. Having all patient data, diagnostic images and treatment plans accessible from anywhere, at any time, on any device means more efficient workflows, fewer administrative headaches and more time to focus on patient care. Laboratories benefit from the real-time collaboration with dental practices that cloud-based systems enable. Digital impressions, 3D models and treatment plans can be shared and refined instantly, leading to faster turnaround times and greater precision in outcomes.

The COVID-19 pandemic advanced the need for connected dentistry. As dental visits became challenging owing to lockdowns and social distancing measures, the demand for remote dental consultations surged. This not only ensured continuity of care but also highlighted the convenience and accessibility of teledentistry. Patients could receive professional advice, follow-up care and even some diagnostic services from the comfort of their homes. Now, as we have moved beyond the pandemic, the trend of dentistry from anywhere has continued to gain momentum. Advances in technology, such as AI-driven diagnostic tools and improved telecommunication infrastructure, are poised to further enhance the scope and efficiency of teledentistry. This evolution promises to make dental care more accessible, especially for those in remote or underserved areas, and could redefine the future of dental practice.5, 6

“AI tools are not here to replace the dentist’s expertise but to enhance it.”

Perhaps the most exciting development on the horizon is ddMRI, a technology poised to revolutionise diagnostic imaging in dentistry. Unlike traditional imaging methods that rely on ionising radiation, ddMRI can provide detailed images of soft tissue without such radiation exposure. For dentists, this can enable new possibilities for diagnosing conditions that were previously difficult to detect, particularly in the early stages, pushing the boundaries of what is possible in dental care.7

AI is set to play a transformative role in connected dentistry. AI tools are not here to replace the dentist’s expertise but to enhance it. That is why we prefer to call it “assisted intelligence” rather than “artificial intelligence”. By analysing vast amounts of data, AI can help predict outcomes, identify potential issues early and optimise treatment plans. For laboratories, AI-driven design and fabrication processes promise fewer errors, reduced waste and the ability to produce complex restorations with exceptional precision.8, 9

The materials dental professionals use are also evolving; advances in zirconia, resin composite and glass-ceramic offering better durability, aesthetics and biocompatibility. When combined with digital workflows, these materials allow for highly personalised restorations that meet the individual needs of each patient.4

Embracing the future: What is needed for success?

As we embrace the era of connected dentistry, success will hinge on our willingness to adapt and evolve. For dentists, this means investing in technologies that enhance the quality and efficiency of care. It also means staying committed to lifelong learning, as the rapid pace of technological advancement will require continuous education and adaptation.

For laboratories, the key to thriving in this new era will be leveraging the power of cloud computing to foster closer collaboration with dental practices. By integrating advanced AI and digital tools into their workflows, laboratories can provide solutions that offer greater precision and customisation, setting themselves apart in an increasingly competitive market.

Ultimately, the dawn of connected dentistry represents a profound shift towards a more integrated, patient-centred approach to dental care. It is a future where technology serves not just as a tool but as a bridge, connecting dentists, laboratories and patients in ways that were once unimaginable. Let us embrace the pioneering spirit that has driven dentistry forwards for centuries and shape the new era of connected dentistry together.

Editorial note:

A complete list of references can be found here.

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