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MosdentISTANBUL 1992
// Mosdent Journal

The Age of Digital Dentistry: The Technology Revolution in Dental Health

Digital accuracy is measurable rather than absolute: in an in vivo study of 11 participants scanned with three intraoral scanners, median trueness was 38 to 47 micrometres for short-span scans but rose to 147 to 433 micrometres for complete arches. Where digital workflows win, and where they still need care.

Dr Hakan KavalWritten by
Published
5 minread
Dr Ferit Kaval, PhDmedical review
Chairside monitor showing a scanned upper arch beside a scanner cart in a treatment room
Mosdent Journal·5 min
// Quick answer

Digital dentistry is the delivery of dental care through computer-aided systems, in which the impression, the diagnosis, the treatment plan and the fabrication all run on a shared three-dimensional data set instead of trays, stone models and manual waxing. Its accuracy is measurable rather than absolute: in an in vivo study of 11 participants scanned with three intraoral scanners, median trueness was 38 to 47 micrometres for short-span scans and 147 to 433 micrometres for complete-arch scans (PubMed 33902891). The working tools are intraoral scanners, CAD/CAM design and milling, 3D printing and digital radiography, and the practical gain is fewer appointments and same-visit restorations.

// Key takeaways
  • 01Digital dentistry replaces the analogue chain of tray impression, stone model and hand fabrication with a scan, design and manufacture chain built on one 3D file.
  • 02Scanner accuracy depends on the span being scanned: median in vivo trueness was 38 to 47 micrometres for short-span scans against 147 to 433 micrometres for complete-arch scans, across three devices and 11 participants (PubMed 33902891).
  • 03In the same study, extraoral scanning of the model was more precise and truer than intraoral scanning for almost every comparison, so the mouth itself is the limiting condition, not the software (PubMed 33902891).
  • 04Full-arch implant scanning is a separate measurement problem: resultant trueness was 41 plus or minus 11 micrometres with the control protocol, 49 plus or minus 22 with dental floss and 55 plus or minus 8 with an acrylic splint (PubMed 36481688).
  • 05CAD/CAM shortens the laboratory step rather than the clinical one: crowns, onlays, veneers and temporary restorations can be designed and milled in hours, which removes shipping and model pouring from the timeline.

/ What is Digital Dentistry?

Digital dentistry is a modern treatment approach that is formed by transforming classical dentistry methods with computer-aided systems. Thanks to this technology, all processes from taking measurements to diagnosis, from treatment planning to application are carried out on digital platforms.

Prosthesis preparations that can take weeks in traditional methods can be completed in a few hours. Silicone trays used during measurement have given way to 3D mouth scanners. Prostheses are prepared in a digital environment with CAD/CAM systems and produced with 3D printers.

In short: The era has changed in dentistry and the name of this era is "digitalization".

/ History and Evolution of Digital Dentistry

Digital dentistry began with the first use of CAD/CAM systems in the 1980s. These systems, first used in fixed prosthesis design, became widespread in the early 2000s.

Today, we have:

  • Digital measurement systems
  • Three-dimensional printers
  • AI-supported diagnostic software
  • Digital tomography systems
  • In-clinic laboratory automations

the cornerstones of digital dentistry

/ Basic Technologies Used in Digital Dentistry

3D Mouth Scanners

Traditional impression taking methods such as spoons and silicone materials negatively affect patient comfort. 3D mouth scanners fundamentally change this process:

  • The inside of the mouth is scanned in seconds.
  • A 3D model is created in a digital environment.
  • It works with a precision of one thousandth of a millimeter.
  • Analysis and recording can be done simultaneously.

This system is indispensable especially for patients with gag reflexes.

CAD/CAM Systems

CAD/CAM (Computer-Aided Design / Computer-Aided Manufacturing) systems enable the design of prostheses in a digital environment and production on the same day.

  • With this technology:
  • Restorations such as crowns, bridges, veneers
  • Onlay/inlay fillings
  • Temporary prostheses

can be produced in hours. Errors are minimized, there is no need for repetition.

Artificial Intelligence-Assisted Diagnostic Systems

Artificial intelligence dentistry strengthens the diagnostic process. X-ray images are scanned with artificial intelligence algorithms.

The system analyzes caries, root canal needs, gum disease and bone density.

This way:

  • Diagnosis time is shortened
  • Doctor error is reduced
  • Decision processes are accelerated

Digital X-Ray and Imaging

Digital X-Rays contain up to 70% less radiation than traditional X-Rays.

In addition:

  • Instant results are obtained
  • Images are recorded digitally
  • Details are analyzed with zoom and filtering
  • Can be easily stored in the patient file

Prosthesis Production with 3D Printers

Thanks to 3D printers:

  • Night plates
  • Temporary teeth
  • Orthodontic appliances
  • Surgical guides

can be produced directly from digital models. This eliminates laboratory time.

/ The Impact of Digital Dentistry on Patient Experience

The benefits of digital systems for patients are:

  • Procedures completed in a short time
  • Fewer appointments
  • Less pain
  • Comfortable measurement
  • Visual presentation of the treatment process
  • Preview of aesthetic results

Especially in aesthetic applications such as smile design, the patient can see their new smile before the procedure.

Advantages of Digitalization from a Dentist Perspective

  • More precise measurement
  • Shorter treatment time
  • Reduced risk of manual errors
  • Digital archiving of patient records
  • Time savings with in-clinic production
  • Increased patient satisfaction

Especially in clinics with high patient traffic, digital systems greatly increase efficiency.

/ Application Areas with Digital Dentistry

Digital Smile Design

A smile simulation is prepared in a digital environment by taking into account the person\'s:

  • Facial structure
  • Smile line
  • Tooth-lip ratio

with face recognition and analysis software.

Implantology

Digital planning in implant applications:

  • Angle where the implant will be placed
  • Depth
  • Jawbone density

is analyzed in advance. The margin of error is reduced to zero with surgical guides.

Orthodontics

Transparent plate (aligner) treatments are carried out completely with digital planning.

The patient can watch the entire process in 3D before using the plates. This increases motivation.

Pedodontics

The traumatic effect is eliminated by digitalizing the measurement process in child patients. At the same time, fears are reduced with gamified applications.

Endodontics and Restorative Treatments

With canal length measurements and CAD-supported fillings:

/ Education and the Future in Digital Dentistry

Today\'s dentistry students now receive simulation training using 3D software.

They plan restorations using digital patient models, not real patients.

Foresight for the future:

  • Robotic tooth extraction
  • Remote-controlled devices
  • Fully automated prosthesis production
  • Mobile intraoral scanners

Data Security in Digital Applications

Since patient information is stored in a digital environment, data security is of critical importance.

For this purpose:

  • SSL certified systems
  • Encrypted data access
  • Cloud backup systems
  • Transaction approvals with e-signature

are used. Patient privacy is maximized with KVKK-compliant archiving.

/ Frequently Asked Questions

Is digital dentistry safe?

Yes. All systems are CE and FDA approved. Fully compliant with health standards.

How precise are digital measurements?

Measurements can be made in a thousandth of a millimeter. It is much more precise than classical methods.

Is a same-day prosthesis possible?

Yes. Thanks to CAD/CAM technology, the entire process from scanning the tooth to applying the prosthesis can be completed in a few hours.

Is digital x-ray harmful?

No. It contains much less radiation than traditional x-rays. Maximum safety is provided with advanced devices.

/ The System That Brings the Future to Life Today: Digital Dentistry

Digital dentistry is not a technology choice; it is a requirement of the age. It offers a more accurate, faster, more comfortable and more reliable system for both the doctor and the patient.

The treatment process has been reorganized to work with digital systems in every field, from smile design to implantology, from orthodontics to pedodontics.

You will have to wait for the future. Because digital dentistry carries the future.

Let’s plan the right treatment together.

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// Written by
Hakan Kaval
Dentist Hakan Kaval
Implantology · Aesthetic Dentistry
Medically reviewed by: Dr Ferit Kaval, PhD

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// Frequently Asked

Frequently asked questions

What is digital dentistry?+

Digital dentistry is an approach in which measurement, diagnosis, planning and production are carried out on computer-aided systems rather than physical impression materials and hand fabrication. An intraoral scanner captures the arch as a 3D file, CAD software designs the restoration on that file, and a milling unit or 3D printer produces it. Digital radiography and cone beam imaging feed the same record.

How accurate is an intraoral scanner?+

Accuracy depends on how much of the arch is scanned. In an in vivo comparison of three intraoral scanners on 11 participants, median trueness was 38 to 47 micrometres for short-span scans, but rose to 147 to 433 micrometres for complete-arch scans (PubMed 33902891). Short-span scanning for a single crown is therefore a very different task from scanning a full arch.

What is CAD/CAM in dentistry?+

CAD/CAM stands for computer-aided design and computer-aided manufacturing. The restoration is designed on screen from the scan file, then cut from a ceramic or composite block by a milling unit, or printed. Crowns, bridges, veneers, inlays, onlays and temporary restorations can all be produced this way, which removes the model pouring and shipping stages from the workflow.

Can a crown be made in a single visit?+

Yes, when the clinic has chairside design and milling capacity. The tooth is prepared, scanned, the restoration is designed on the scan file and milled in the same session, so the temporary crown stage and the second appointment can be skipped. Complex cases, implant restorations and full-arch work still run on a longer schedule because of healing and laboratory finishing.

Is scanning good enough for full-arch implant work?+

It is used clinically, but accuracy is tighter here than for single teeth. In an in vivo study on maxillary implants, resultant trueness was 41 plus or minus 11 micrometres with the control protocol, 49 plus or minus 22 with a dental floss aid and 55 plus or minus 8 with an acrylic splint (PubMed 36481688). Protocol choice measurably changes the result.

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