Artificial intelligence and technology in paediatric dentistry: a review
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20262763Keywords:
3D printing, Artificial intelligence, Digital therapeutics, Diagnostics, Pediatric dentistry, RoboticsAbstract
The field of pediatric dentistry is undergoing a paradigm shift, moving from a reactive model to one that embraces precision, prevention and the power of Artificial Intelligence (AI) and Digital Technologies (DT). These innovations offer exciting opportunities to transform diagnosis, management and treatment of paediatric oral health conditions. This study evaluates the role of AI and DT in pediatric dentistry, with emphasis on diagnostics, behavioral management, prevention and orthodontic planning. A thorough evaluation of the literature was carried out using Google Scholar, PubMed, Scopus and the Cochrane Library. A comprehensive review was conducted of peer-reviewed publications, clinical trials and meta-analyses published between 2015 and 2026 and included 38 studies. Four areas of evidence were combined: computer-aided orthodontic planning, digital behavioral therapies, smart preventative tracking and automated diagnostics. Deep learning (DL) models, including convolutional neural network (CNN), you only look once version 8 (YOLOv8) and inception residual network version 2 (Inception-ResNet-v2), demonstrated specialist-level accuracy in early caries detection, pathology mapping and cervical vertebral maturation staging. Virtual reality (VR) reduced procedural anxiety, while social robotics improved patient cooperation. Internet of Things (IoT)-enabled smart toothbrushes and machine learning models (ML) supported remote monitoring and personalized prevention; whereas intraoral scanning combined with three-dimensional (3D) printing enabled rapid fabrication of high-precision pediatric dental appliances. AI and DT are transforming pediatric dentistry by improving diagnostic accuracy, patient engagement, preventive care and treatment efficiency. However, their wider adoption requires robust datasets, standardized validation and multicenter clinical studies to ensure safe and effective implementation.
Metrics
References
American Academy of Pediatric Dentistry. Overview. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2024:7-9
Deaconu, D., Racek, C., Czirfusz, A. Early Intervention in pediatric Dentistry: Nurturing lifelong Oral health Habits. Clin Soc Work Health Interv. 2024;15(3):14–21. DOI: https://doi.org/10.22359/cswhi_15_3_02
Kamalesh R, Thamarai P, Shaji A, Deivayanai VC, Saravanan A, Vickram AS, et al. The Role of Artificial Intelligence in Modern Medicine: Clinical Applications, Economic Implications and Ethical Considerations. Curr Pharm Des. 2026;32(12):918-35. DOI: https://doi.org/10.2174/0113816128388946250717182703
Bhattad PB, Jain V. Artificial Intelligence in Modern Medicine - The Evolving Necessity of the Present and Role in Transforming the Future of Medical Care. Cureus. 2020;12(5):8041. DOI: https://doi.org/10.7759/cureus.8041
Ting Sim JZ, Fong QW, Huang W, Tan CH. Machine learning in medicine: what clinicians should know. Singapore Med J. 2023;64(2):91-7. DOI: https://doi.org/10.11622/smedj.2021054
EIT Health. Machine learning in healthcare: Uses, benefits and pioneers in the field. Available at: https://eithealth.eu/news-article/machine-learning-in-healthcare-uses-benefits-and-pioneers-in-the-field. Accessed on 21 January 2026.
Agrawal A, Soni R, Gupta D, Dubey G. The role of robotics in medical science: Advancements, applications and future directions. J Autonomous Intel. 2024;11;7(3):97. DOI: https://doi.org/10.32629/jai.v7i3.1008
Wah JNK. The rise of robotics and AI-assisted surgery in modern healthcare. J Robot Surg. 2025;19(1):311. DOI: https://doi.org/10.1007/s11701-025-02485-0
Ghabchi B, Uzel İ, Çoğulu D. Artificial Intelligence in Pediatric Dentistry. Int Arch Dent Sci. 2025;46(1):59-63 DOI: https://doi.org/10.5505/iads.2025.71602
Vishwanathaiah S, Fageeh HN, Khanagar SB, Maganur PC. Artificial intelligence its uses and application in pediatric dentistry: a review. Biomedicines. 2023;11(3):788. DOI: https://doi.org/10.3390/biomedicines11030788
Tichý A, Kunt L, Nagyová V, Kybic J. Automatic caries detection in bitewing radiographs—Part II: experimental comparison. Clinical Oral Invest. 2024;28(2):133. DOI: https://doi.org/10.1007/s00784-024-05528-2
Bayati M, Alizadeh Savareh B, Ahmadinejad H, Mosavat F. Advanced AI-driven detection of interproximal caries in bitewing radiographs using YOLOv8. Sci Rep. 2025;15(1):4641. DOI: https://doi.org/10.1038/s41598-024-84737-x
Lee S, Oh SI, Jo J, Kang S, Shin Y, Park JW. Deep learning for early dental caries detection in bitewing radiographs. Sci Rep. 2021;11(1):16807. DOI: https://doi.org/10.1038/s41598-021-96368-7
Shindé M. Evaluation of Performance of Deep Learning Algorithms in Detecting and Diagnosing Dental Carious Lesions Using Intraoral Radiographic Imaging: A Systematic Review and Meta-Analysis (Master's thesis, The University of Iowa).
F, Kiswanjaya B. Evaluating Deep Learning AI for Periapical Lesion Detection Across Panoramic, Periapical and CBCT Radiographs: A Systematic Review. Open Dent J. 2026;20:91708. DOI: https://doi.org/10.2174/0118742106391708260406104035
Uzel İ, Ghabchi B, Çoğulu D. Deep learning-based automated detection of supernumerary teeth in pediatric panoramic radiographs. PLoS One. 2025;20(11):335845. DOI: https://doi.org/10.1371/journal.pone.0335845
Zheng J, Li H, Wen Q, Fu Y, Wu J, Chen H. Artificial intelligent recognition for multiple supernumerary teeth in periapical radiographs based on faster R-CNN and YOLOv8. J Stomatol Oral Maxillofac Surg. 2025;126(4):2293. DOI: https://doi.org/10.1016/j.jormas.2025.102293
Makrygiannakis MA, Giannakopoulos K, Kavadella A, Paraskevis D, Kaklamanos EG. Diagnostic accuracy of an artificial intelligence-based software in detecting supernumerary and congenitally missing teeth in panoramic radiographs. Eur J Orthod. 2025;47(4):54. DOI: https://doi.org/10.1093/ejo/cjaf054
Issa J, Jaber M, Rifai I, Mozdziak P, Kempisty B, Dyszkiewicz-Konwińska M. Diagnostic Test Accuracy of Artificial Intelligence in Detecting Periapical Periodontitis on Two-Dimensional Radiographs: A Retrospective Study and Literature Review. Medicina (Kaunas). 2023;59(4):768. DOI: https://doi.org/10.3390/medicina59040768
Kavasoglu N, Ertugrul OF, Kotan S, Hazar Y, Eratilla V. Artificial Intelligence-Assisted Wrist Radiography Analysis in Orthodontics: Classification of Maturation Stage. Applied Sciences. 2025;15(21):11681. DOI: https://doi.org/10.3390/app152111681
Kazimierczak W, Jedliński M, Issa J, Kazimierczak N, Janiszewska-Olszowska J, Dyszkiewicz-Konwińska M, et al. Accuracy of Artificial Intelligence for Cervical Vertebral Maturation Assessment-A Systematic Review. J Clin Med. 2024;13(14):4047. DOI: https://doi.org/10.3390/jcm13144047
Sadeghi TS, Ourang SA, Sohrabniya F, Sadr S, Shobeiri P, Motamedian SR. Performance of artificial intelligence on cervical vertebral maturation assessment: a systematic review and meta-analysis. BMC Oral Health. 2025;25(1):187. DOI: https://doi.org/10.1186/s12903-025-05482-9
Alfawzan AA. Assessment of Skeletal Maturity in a Sample of the Saudi Population Using Cervical Vertebrae and Frontal Sinus Index: A Cephalometric Study Using Artificial Intelligence. Cureus. 2023;15(7):41811. DOI: https://doi.org/10.7759/cureus.41811
Acharya S, Godhi BS, Saxena V, Assiry AA, Alessa NA, Dawasaz AA, et al. Role of artificial intelligence in behavior management of pediatric dental patients-a mini review. J Clin Pediatr Dent. 2024;48(3):24-30. DOI: https://doi.org/10.22514/jocpd.2024.055
Kalikanov S, Baizhanova A, Tungushpayev M, Viderman D. Virtual reality for the management of musculoskeletal pain: an umbrella review. Front Med (Lausanne). 2025;12:1572464. DOI: https://doi.org/10.3389/fmed.2025.1572464
Ciubean AD, Popa T, Ciortea VM, Dogaru GB, Ungur RA, Borda IM, et al. Digital therapeutics” in musculoskeletal pain management: a narrative review of Gamification, Virtual Reality and Augmented Reality approaches. Balneo and PRM Res J. 2024;15(2):691. DOI: https://doi.org/10.12680/balneo.2024.691
Akyazi KG, Baştemur Ş. Interactive Robots: therapy robots. Psikiyatride Guncel Yakasimlar - Current Approaches in Psychiatry. 2023;16(1):16–30. DOI: https://doi.org/10.18863/pgy.1242958
Ferrari OI, Zhang F, Braam AA, Van Gurp JaM, Broz F, Barakova EI. Design of Child-robot Interactions for Comfort and Distraction from Post-operative Pain and Distress. Data Archiving and Networked Services (DANS). 2023;13;686-90. DOI: https://doi.org/10.1145/3568294.3580174
Wu RY, Li XH, Li YC, Ren ZH, Yang BX, Liu ZT, et al. The effect of social robot interventions on anxiety in children in clinical settings: a systematic review and meta-analysis. J Affect Disord. 2025;1;382:304-15. DOI: https://doi.org/10.1016/j.jad.2025.04.102
Jeong, S, Logan, DE, Goodwin, MS, et al. A Social Robot to Mitigate Stress, Anxiety and Pain in Hospital Pediatric Care. HRI’15 Extended Abstracts. 2025;2:103–4. DOI: https://doi.org/10.1145/2701973.2702028
Franconi I, Faragalli A, Palego G, Canonici S, Gatti L, Simonini A, et al. Preoperative anxiety management in children. Benefits of humanoid robots: an experimental study. Front Surg. 2023;10:1322085. DOI: https://doi.org/10.3389/fsurg.2023.1322085
Maini V, Roy R, Gandhi G, Chopra A, Bhat SG. Artificial-Intelligence-Based Smart Toothbrushes for Oral Health and Patient Education: A Review. Hygiene. 2025;4;5(1):15-9. DOI: https://doi.org/10.3390/hygiene5010005
Adeghe EP, Okolo CA, Ojeyinka OT. Integrating IoT in pediatric dental health: A data-driven approach to early prevention and education. Int J Front Life Sci Res. 2023;6(1):22–35. DOI: https://doi.org/10.53294/ijflsr.2024.6.1.0027
Goodwin M, Kitsaras G, Muzammil M, Boothman N, Gomez J, Gangaraju BA, et al. Exploring brushing and questionnaire data from a feasibility randomised control trial of a school-based smart, connected toothbrushing program. BMC Oral Health. 2025;25(1):1330. DOI: https://doi.org/10.1186/s12903-025-06581-3
Choi Y, Kim J, Song Y, Park W. Perceptions and telemonitoring potential of smart toothbrushes among dental professionals and the public: A cross-sectional survey. Digit Health. 2025;3;11:82816. DOI: https://doi.org/10.1177/20552076251382816
Bhatia S, Gupta VK, Kumar S, Mishra G, Malhotra S, Arif K, et al. Artificial intelligence-based techniques for caries risk prediction and assessment: A scoping review. J Oral Biol Craniofac Res. 2025;15(6):1497-507. DOI: https://doi.org/10.1016/j.jobcr.2025.08.027
Abbott LP, Saikia A, Anthonappa RP. Artificial Intelligence Platforms in Dental Caries Detection: A Systematic Review and Meta-Analysis. J Evidence-Based Dental Pract. 2024;25(1):102077. DOI: https://doi.org/10.1016/j.jebdp.2024.102077
Bahammam SA. Prediction of dental caries in children through machine learning. J Clinical Pediatric Dentistry. J Clin Pediatr Dent. 2025;49(5):158-67. DOI: https://doi.org/10.22514/jocpd.2025.110
Ramos-Gomez F, Marcus M, Maida CA, Wang Y, Kinsler JJ, Xiong D, et al. Using a machine learning algorithm to predict the likelihood of presence of dental caries among children aged 2 to 7. Dent J (Basel). 2021;9(12):141. DOI: https://doi.org/10.3390/dj9120141
Yuan X, Chu Y, Cai W. Developing an Interpretable Machine Learning Framework to Predict and Analyse Early Childhood Caries in Children Aged 2 to 6 Years: A Single-centre Observational Study. Int Dent J. 2026;76(2):109419. DOI: https://doi.org/10.1016/j.identj.2026.109419
Divya R, Diva Dharani R, Rathna Piriyanga RS, Anand Sherwood I. Digital Impressions in Dentistry - A Comprehensive Review. Shanlax Int J Arts, Sci Humanities. 2024;12(2):1-7. DOI: https://doi.org/10.34293/sijash.v12iS2-Oct.8201
Shah N, Thakur M, Gill S, Shetty O, Alqahtani NM, Al-Qarni MA, et al. Validation of Digital Impressions' Accuracy Obtained Using Intraoral and Extraoral Scanners: A Systematic Review. J Clin Med. 2023;12(18):5833. DOI: https://doi.org/10.3390/jcm12185833
Palomino-Granados RC, Solar C, Mas J. Dental digital impressions with intraoral scanners: a review of the literature. Rev Estomatol Herediana. 2024;34(1):67-72. DOI: https://doi.org/10.20453/reh.v34i1.5332
Virk RK, Bhullar KK, Singh SJ, Arora S, Dhillon JK, Jyotika. Intraoral Scanners in Contemporary Dental Practice: Recent Advances, Diagnostic Capabilities and Clinical Integration. Int Clinc Med Case Rep J. 2025;4(5):1-14.
Zarean P, Zarean P, Sendi P, Neuhaus KW. Advances in the Manufacturing Process of Space Maintainers in Pediatric Dentistry: A Systematic Review from Traditional Methods to 3D-Printing. Applied Sciences. 2023;13(12):6998. DOI: https://doi.org/10.3390/app13126998
Trivedi AV, Aduri R, Khan R, Pande MS. Three-Dimensional Printed Lingual Arch Space Maintainer: A Game Changer in Pediatric Dentistry. Cureus. 2024;2;16(7):63680. DOI: https://doi.org/10.7759/cureus.63680
Pawar BA. Maintenance of space by innovative three-dimensional-printed band and loop space maintainer. J Indian Soc Pedod Prev Dent. 2019;37(2):205-8. DOI: https://doi.org/10.4103/JISPPD.JISPPD_9_19
Whitley D, Eidson RS, Rudek I, Bencharit S. In-office fabrication of dental implant surgical guides using desktop stereolithographic printing and implant treatment planning software: A clinical report. J Prosthetic Dentistry. 2017;118(3):256–63. DOI: https://doi.org/10.1016/j.prosdent.2016.10.017