IMP168 - Beyond the Algorithm: How AI Is Reshaping Judgment, Trust and Accountability in Dentistry,-IMP168

IMP168

Pdf Summary

AI is moving beyond administrative support in dentistry and increasingly influences diagnosis, treatment planning, insurance reviews and patient communication. Its value is clearest as a second set of eyes and in tracking changes over time, but performance varies by tooth location, imaging type and patient characteristics. Overall accuracy can conceal serious blind spots, and better detection does not automatically lead to better treatment: one study found AI support increased detection of enamel lesions but also led some dentists to choose more invasive care.<br /><br />The article warns against automation bias—the tendency to trust software too readily. Dentists should weigh AI findings against clinical judgment, patient history and the tool’s known limitations. Human oversight is not merely a safeguard: research and current legal frameworks generally leave responsibility with the treating dentist, while liability for developers remains difficult to establish. Dentists should document the AI system and version used, its inputs and outputs, and why they followed or overrode its recommendation. As AI becomes more established, not using a proven tool could eventually also raise standard-of-care questions.<br /><br />Insurers say AI helps flag claims and process routine cases, but licensed clinicians make final payment decisions. Dentists should seek confirmation that a human reviewed disputed denials and understand the basis for the decision.<br /><br />Patients may find AI-generated visual overlays helpful for understanding radiographs, even as public attitudes toward medical AI are often wary. Dentists should disclose AI use when it meaningfully influences a diagnosis or recommendation, explaining its role, limitations and how its findings are considered.<br /><br />The article concludes that AI should augment—not replace—professional expertise. Dental education and continuing education should prepare practitioners to use these tools critically, while dentists remain accountable for the decisions made with their assistance.

Keywords

dental AI

diagnosis support

treatment planning

automation bias

radiograph analysis

insurance review

clinical judgment

human oversight

patient communication

standard of care