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                                         AutomAtion in dentistry




                                         In the early 80s, when I started my clini-  More  recently,  digital  work  flow  has
                                         cal  practice,  we  used  manual  hydraulic  transformed the restorative aspect of our
                                         chairs where you pumped on a pedal to  efforts.  Digital  scanning  to  printing  of
                                         get a sitting patient to your working level.  models to digital milling of prosthesis are
                                         We  had  motorised  drills  which  ran  on  amazing gifts of technology to us.
                                         pulleys  which  vibrated  so  intensely  that  The infiltration of artificial intelligence
                                         most  patients  preferred  extraction  over  ‘AI’  into  our  lives  has  been  long  time
              DR. SUSHANT UMRE           restorations! Having an X-ray machine in  coming. There are those who welcome it
                                         the  practice  was  a  big  thing  but  it  was  as the arrival of a new age of prosperity
                                         enormously  challenging  to  develop  the  and  ease  while  others  see  it  with  much
             I STRONGLY BELIEVE THAT     films  flawlessly.  We  Invariably  found  speculation  and  extreme  caution.
             THE DOMAINS OF ART AND      ourselves rubbing one side of the overex-  However,  in  both  cases  the  underlying
             CREATIVE EXPRESSION         posed  film  with  sharp  objects  to  make  belief has been that AI will translate into
             WOULD CONTINUE TO BE        some  appropriate  finding.  High-end  automation that will make human labour
                                         practices  showed  off  with  ultrasonic
                                                                              whether  physical  or  mental  increasingly
             DOMINATED BY HUMAN          scalers and suction machines.        irrelevant.  There  is  a  reason  for  said
             MINDS. AND AS WE KNOW,        Having  seen  all  that,  I  get  amused  expectation. Robots and algorithms have
             DENTISTRY IS AN             when I hear fellow professionals’ debate  been  pushing  human  effort  out  of  the
             AMALGAMATION OF ART         on whether dentistry will be taken over by  mix unavoidably in vast range of sectors.
             AND SCIENCE. OUR JOBS,      robots  and,  if  and  when,  dentists  will  The meaning of the content generated
             ARE NOT GOING AWAY          become  redundant.  Especially  coming  by  AI  is  often  deliberated  upon.  Some
                                                                              people believe that AI generated content
                                         from an era when the only way to locate
             ANYWHERE, ANYTIME SOON.     the root apex was to prick the peri-apical  is worthless and lacks the depth of human
                                         tissue with a file and provoke pain in the  created content. Others argue that AI is
                                         patient to recognize you have reached the  capable of creating meaningful and valu-
                                         apex.                                able content especially as it continues to
                                           The  painful  endodontics  of  the  past  learn and evolve. In my opinion, automa-
                                         have been so traumatising for the patients  tion will take away a lot of human drudg-
                                         that  many  are  scarred  for  life  and  they  ery involved in a routine dental practice
                                         only  associate  agony  with  root  canal  and  help  us  perform  our  work  much
                                         treatments.                          more  satisfactorily.  Machine  learning
                                           Coming from that era to now listening  algorithms  have  already  proved  to  out-
                                         to an apex locator’s beeps, as you are clos-  perform  dentists  in  diagnosing  tooth
                                         ing in to the live tissue sounds like music  decay  or  predicting  whether  a  tooth
                                         to  me.  I  in  fact,  am  looking  forward  to  should  be  extracted,  retained  or  have
                                         robots  performing  endodontic  proce-  restorative treatment.
                                         dures precisely and painlessly.        While  AI  can  substitute  human
                                           Intelligent  automation  or  Artificial  endeavours in many areas it could never
                                         intelligence ‘AI’ has been a real godsend  hope  to  substitute  the  power  of  human
                                         for  us  and  our  patients.  For  example,  imagination. While the common conclu-
                                         aligners have changed the whole percep-  sion is that jobs would be lost in manu-
                                         tion  of  orthodontics.  For  many  years  facturing  and  even  in  some  services,  I
                                         now, thanks to AI there is a predictable  strongly believe that the domains of Art
                                         technique  to  reposition  teeth  for  better  and  creative  expression  would  continue
                                         aesthetics and correct occlusion without  to be dominated by human minds. And
                                         using  un-aesthetic,  unhygienic  brackets.  as we know, dentistry is an amalgamation
                                         What’s  more!  you  can  yourself  see  and  of art and science. Our jobs, are not going
                                         show the expected results to the patient.  away anywhere, anytime soon.




                                                              Dental Practice // November-December 2022 // Vol 18 No 6 77
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