Dental AI achieves 95% detection accuracy
Where AI shines today
1. Caries detection – Convolutional-neural-network (CNN) models reached up to 95% accuracy on bitewings, periapicals, panoramics, and even optical-coherence-tomography scans. Early lesions—especially interproximal or non-cavitated ones—were flagged reliably, enabling preventive care instead of drilling.
2. Endodontic support – CNN ensembles logged 92 – 93% accuracy in apical-lesion detection. I Other models predicted post-operative pain after root-canal therapy and trimmed pulp-cavity segmentation time by using automated CBCT analysis (Dice similarity 88 – 93%).
3. Restoration & implant workflows – Object-detection networks now identify crowns, fillings, bridges, and implants at near-human performance. A 3-D CNN prototype even generated partial-crown designs straight from intra-oral scans with about 60% first-pass accuracy.
4. Tooth surface loss & shade – Early machine-learning tools are predicting high tooth-surface-loss risk and standardising digital shade matching. Research is still sparse but trending positively.
5. Predictive analytics – Models that blend radiographs, demographics, and behaviour data already forecast early-childhood caries and distal caries behind impacted third molars, giving clinicians a head-start on preventive scheduling.
2. Challenges the papers flagged
The review repeatedly called out five bottlenecks that must be solved before AI can reach its full potential in everyday restorative care:
- Data bias and scarcity. Many models are trained on small or geographically narrow datasets. When those algorithms meet new populations, accuracy can drop.
- Privacy and security concerns. Handling radiographs and protected health information (PHI) demands rigorous HIPAA/GDPR compliance, encryption, and audit trails.
- Black-box explanations. Clinicians hesitate to trust a model unless they understand why it marked tooth #30 or suggested a certain treatment.
- Lack of standard benchmarks. Studies use different imaging modalities, metrics, and reporting styles, making cross-paper comparisons—and regulatory approval—difficult.
- Training gaps. Dental schools rarely teach AI workflows, and continuing-education options are still limited, slowing mainstream adoption.
3. Trends to watch next
- Multi-modal fusion – Research groups are combining 2-D radiographs, 3-D scans, clinical notes, and behavioural data into unified risk scores, aiming for truly personalised treatment.
- AI-powered robotics – Early prototypes are experimenting with automated tooth preparation and cavity filling, though ethical and safety questions remain.
- Conversational assistants – Natural-language chatbots are being tested for oral-hygiene coaching, intake triage, and post-op follow-up, freeing clinical staff for higher-value tasks.
- 3-D-printing synergy – AI-generated crown or inlay designs could soon feed directly into chair-side printers, shaving days off the lab cycle.
Regenerative forecasts – New models predict pulp-stem-cell viability, hinting at AI’s long-term role in biologic and regenerative solutions.
Conclusion

The 2025 evidence base shows AI already matching—and sometimes surpassing—human skill in key restorative tasks such as caries detection and apical-lesion diagnosis. It also highlights the need for larger, unbiased datasets, transparent algorithms, and formal clinician training.
Denti.AI embraces these peer-review insights by focusing on validated accuracy, privacy-first Iarchitecture, and user education—turning cutting-edge research into practical chair-side tools that help dentists deliver faster, more precise, and more patient-centred care.
👉 Ready to see how Denti.AI works in real time? Book a 10-minute demo and discover what AI-powered efficiency feels like.
This article is based on findings from: Najeeb M, Islam S.Artificial intelligence (AI) in restorative dentistry: current trends and future prospects. BMC Oral Health. 2025;25:592.
Read the full study on BMC Oral Health.