journal article·2026-05-02Open access

Current Evidence of Artificial Intelligence Tools Applied in Pediatric Dentistry: A Narrative Review

Antonino Lo Giudice

Applied Sciences· Volume 16· Issue 9

Abstract

Background. Artificial intelligence (AI) is increasingly recognized as a transformative technology in healthcare, with growing interest in its applications within pediatric dentistry. Given the unique clinical, developmental, and behavioral characteristics of pediatric patients, AI-based systems may offer valuable support in improving diagnosis, prevention, and treatment planning. Methods. A narrative review was conducted to synthesize current evidence on AI applications in pediatric dentistry. A comprehensive search strategy, including predefined keywords and free terms, was applied across multiple databases (Embase, Scopus, PubMed, and Web of Science) up to 1 January 2026. Reviews addressing AI-based technologies in pediatric dental care were selected and analyzed. Results. The available literature indicates that AI is being progressively applied across multiple domains of pediatric dentistry, although with varying levels of evidence. More extensively investigated areas include diagnostic imaging, caries detection, orthodontic assessment, and growth evaluation, where AI systems—particularly those based on machine learning and deep learning—have demonstrated high accuracy and reproducibility. Other emerging fields, such as remote monitoring, behavioral management, preventive strategies, and patient education, show promising potential but remain less explored. Overall, AI-based tools appear to enhance diagnostic support, enable early detection of oral conditions, and contribute to more personalized and efficient clinical workflows. Conclusions. AI represents a rapidly evolving adjunct in pediatric dentistry with the potential to improve clinical decision-making, preventive care, and patient management. Despite encouraging results, further validation in real-world settings, along with careful consideration of ethical, legal, and data-related challenges, is required to support its responsible integration into routine clinical practice.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Dental Radiography and Imaging · Dental Research and COVID-19 · Artificial Intelligence in Healthcare and Education

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Section of Pediatric Dentistry, Department of Medical-Surgical Specialties, School of Dentistry, University of Catania, Via Santa Sofia 78, 95123 Catania, Italy

References (68)

Show source-provided references
1. Detecting the presence of supernumerary teeth during the early mixed dentition stage using deep learning algorithms: A pilot study10.1111/ipd.12946 ↗
2. AI Glossary: Artificial intelligence, in so many words10.1126/science.357.6346.19 ↗
3. Use of Artificial Intelligence in Dentistry: Current Clinical Trends and Research Advances
4. La Rosa, S., Quinzi, V., Palazzo, G., Ronsivalle, V., and Lo Giudice, A. (2024). The Implications of Artificial Intelligence in Pedodontics: A Scoping Review. Healthcare, 12.10.3390/healthcare12131311 ↗
5. Anil, S., and Anand, P.S. (2017). Early Childhood Caries: Prevalence, Risk Factors, and Prevention. Front. Pediatr., 5.10.3389/fped.2017.00157 ↗
6. A deep learning approach to submerged primary tooth classification and detection
7. Gomez-Rios, I., Egea-Lopez, E., and Ortiz Ruiz, A.J. (2023). ORIENTATE: Automated machine learning classifiers for oral health prediction and research. BMC Oral Health, 23.10.1186/s12903-023-03112-w ↗
8. SANRA—A scale for the quality assessment of narrative review articles10.1186/s41073-019-0064-8 ↗
9. Role of artificial intelligence in behavior management of pediatric dental patients: A mini review10.22514/jocpd.2024.055 ↗
10. Application of Artificial Intelligence in Pediatric Dentistry: A Literature Review10.4103/jpbs.jpbs_74_24 ↗
11. AI-Driven Innovations in Pediatric Dentistry: Enhancing Care and Improving Outcome
12. Naeimi, S.M., Darvish, S., Salman, B.N., and Luchian, I. (2024). Artificial Intelligence in Adult and Pediatric Dentistry: A Narrative Review. Bioengineering, 11.10.3390/bioengineering11050431 ↗
13. Current Applications of Artificial Intelligence for Pediatric Dentistry: A Systematic Review and Meta-Analysis
14. Artificial Intelligence in Early Childhood Caries Detection and Prediction: A Systematic Review and Meta-Analysis
15. Harnessing Artificial Intelligence for Pediatric Oral Health: A Scoping Review10.5005/jp-journals-10005-2971 ↗
16. Vishwanathaiah, S., Fageeh, H.N., Khanagar, S.B., and Maganur, P.C. (2023). Artificial Intelligence: Its Uses and Application in Pediatric Dentistry. Biomedicines, 11.10.3390/biomedicines11030788 ↗
17. Improving accuracy of early dental carious lesion detection using deep learning10.1007/s00784-023-05355-x ↗
18. MBL2, MASP2, AMELX, and ENAM gene polymorphisms and dental caries in Polish children10.1111/j.1601-0825.2011.01887.x ↗
19. Ramos-Gomez, F., Marcus, M., Maida, C.A., Wang, Y., Kinsler, J.J., Xiong, D., Lee, S.Y., Hays, R.D., Shen, J., and Liu, H. (2021). Using a machine learning algorithm to predict dental caries among children aged 2–7. Dent. J., 9.10.3390/dj9120141 ↗
20. Artificial Intelligence in Dentistry: A Narrative Review of Diagnostic and Therapeutic Applications10.12659/MSM.946676 ↗
21. Surlari, Z., Budală, D.G., Lupu, C.I., Stelea, C.G., Butnaru, O.M., and Luchian, I. (2023). Current Progress and Challenges of Using Artificial Intelligence in Clinical Dentistry-A Narrative Review. J. Clin. Med., 12.10.3390/jcm12237378 ↗
22. Park, Y.H., Kim, S.H., and Choi, Y.Y. (2021). Prediction Models of Early Childhood Caries Based on Machine Learning Algorithms. Int. J. Environ. Res. Public Health, 18.10.3390/ijerph18168613 ↗
23. You, W., Hao, A., Li, S., Wang, Y., and Xia, B. (2020). Deep learning-based dental plaque detection on primary teeth: A comparison with clinical assessments. BMC Oral Health, 20.10.1186/s12903-020-01114-6 ↗
24. Artificial intelligence in dentistry: Chances and challenges10.1177/0022034520915714 ↗
25. Deep learning for caries detection: A systematic review10.1016/j.jdent.2022.104115 ↗
26. AI-Assisted Diagnosis of Molar-Incisor Hypomineralization
27. Xiong, Y., Zhang, H., Zhou, S., Lu, M., Huang, J., Huang, Q., Huang, B., and Ding, J. (2024). Simultaneous detection of dental caries and fissure sealant in intraoral photos by deep learning: A pilot study. BMC Oral Health, 24.10.1186/s12903-024-04254-1 ↗
28. Caries detection and diagnosis: Novel technologies10.1016/j.jdent.2006.06.001 ↗
29. American Academy of Pediatric Dentistry (2022). Policy on Teledentistry, American Academy of Pediatric Dentistry.
30. Diagnostic accuracy and feasibility of artificial intelligence-driven smartphone imaging for dental caries detection: A systematic review10.1016/j.jdsr.2025.11.001 ↗
31. Evaluating Maternal Accuracy in Smartphone-Based Tele-Dentistry for Early Childhood Caries Detection10.1002/cre2.70231 ↗
32. The Role of Tele-Orthodontics in Enhancing Patient Compliance and Treatment Monitoring10.4103/jpbs.jpbs_368_24 ↗
33. The Role of Teledentistry in Improving Pediatric Oral Health Care: A Systematic Review of Interventions in Rural and Low-Access Settings10.1111/ipd.70055 ↗
34. AI-driven approaches in the management of early childhood caries: A path toward global oral health10.1016/j.jobcr.2025.07.022 ↗
35. Teledentistry: A systematic review of the literature10.1177/1357633x13479704 ↗
36. Reliability of panoramic radiographs for identifying supernumerary teeth in children10.1111/j.1365-263X.2011.01155.x ↗
37. Uzel, İ., Ghabchi, B., and Çoğulu, D. (2025). Deep learning-based automated detection of supernumerary teeth in pediatric panoramic radiographs. PLoS ONE, 20.10.1371/journal.pone.0335845 ↗
38. Deep learning-based identification of mesiodens using automatic maxillary anterior region estimation in panoramic radiography of children10.1259/dmfr.20210528 ↗
39. Automated permanent tooth detection and numbering on panoramic radiograph using a deep learning approach10.1016/j.oooo.2023.06.003 ↗
40. A deep-learning system for diagnosing ectopic eruption10.1016/j.jdent.2024.105399 ↗
41. Detecting the presence of taurodont teeth on panoramic radiographs using a deep learning-based convolutional neural network algorithm10.1007/s11282-022-00622-1 ↗
42. Arslan, C., Yucel, N.O., Kahya, K., Sunal Akturk, E., and Germec Cakan, D. (2024). Artificial Intelligence for Tooth Detection in Cleft Lip and Palate Patients. Diagnostics, 14.10.3390/diagnostics14242849 ↗
43. Automated identification of cephalometric landmarks: YOLOv3 vs SSD10.2319/022019-127.1 ↗
44. Lee, J.-H., Yu, H.-J., Kim, M.-J., Kim, J.-W., and Choi, J. (2020). Automated cephalometric landmark detection with confidence regions using Bayesian CNN. BMC Oral Health, 20.10.1186/s12903-020-01256-7 ↗
45. Machine learning in orthodontics10.2319/012919-59.1 ↗
46. Murata, S., Lee, C., Tanikawa, C., and Date, S. (2017). Towards a fully automated diagnostic system for orthodontic treatment. 2017 IEEE 13th International Conference on e-Science (e-Science), IEEE.10.1109/eScience.2017.12 ↗
47. Use of artificial intelligence in determination of bone age of the healthy individuals: A scoping review
48. Zughair, S.A.K., Ishaq, R.A.R., Al-Dossary, O.A.I., Aldhorae, K., Saber, N.H., and Elayah, S.A. (2025). Evaluation of artificial intelligence-based cephalometric tracing versus semi-automatic and manual tracing. BMC Oral Health, 25.10.1186/s12903-025-06765-x ↗
49. Fully automated quantitative cephalometry using CNN10.1117/1.JMI.4.1.014501 ↗
50. Automated identification of cephalometric landmarks: Better than humans?10.2319/022019-129.1 ↗
51. Influence of head positioning errors on AI-based cephalometry
52. Applications of artificial intelligence in orthodontics10.1186/s40510-021-00361-9 ↗
53. AI algorithms for cervical vertebrae stages
54. Maturation indicators and pubertal growth spurt10.1016/0002-9416(82)90464-X ↗
55. Cervical vertebral maturation method: A user’s guide10.2319/111517-787.1 ↗
56. Zaborowicz, M., Zaborowicz, K., Biedziak, B., and Garbowski, T. (2022). Deep Learning Neural Modelling as a Precise Method in the Assessment of the Chronological Age of Children and Adolescents Using Tooth and Bone Parameters. Sensors, 22.10.3390/s22020637 ↗
57. Artificial intelligence based techniques for caries risk prediction and assessment: A scoping review10.1016/j.jobcr.2025.08.027 ↗
58. Exploring the potential of ChatGpt in addressing parental concerns on primary tooth eruption10.4103/jisppd.jisppd_243_25 ↗
59. Performance of Artificial Intelligence Chatbots in Responding to Patient Queries Related to Traumatic Dental Injuries: A Comparative Study10.1111/edt.13020 ↗
60. Gökcek Taraç, M., and Nale, T. (2025). Artificial intelligence in pediatric dental trauma: Do artificial intelligence chatbots address parental concerns effectively?. BMC Oral Health, 25.10.1186/s12903-025-06105-z ↗
61. Performance of artificial intelligence chatbots in the diagnosis and management of simulated dental trauma cases: An evaluation based on IADT guidelines10.1007/s00784-025-06716-4 ↗
62. Accuracy of artificial intelligence responses on antibiotic use in endodontics10.5577/intdentres.681 ↗
63. Gamification and Oral Health in Children and Adolescents: Scoping Review10.2196/35132 ↗
64. Artificial intelligence in healthcare and medicine: Clinical applications, therapeutic advances, and future perspectives10.1186/s40001-025-03196-w ↗
65. Artificial Intelligence and Ethics in Dentistry: A Scoping Review10.1177/00220345211013808 ↗
66. Development of an AI integrated virtual reality system for reducing dental anxiety among pediatric patients10.6026/973206300212992 ↗
67. Rosa, A., Pujia, A.M., Docimo, R., and Arcuri, C. (2023). Managing Dental Phobia in Children with the Use of Virtual Reality: A Systematic Review of the Current Literature. Children, 10.10.3390/children10111763 ↗
68. Sensors for in situ monitoring of oral and dental health parameters in saliva10.1007/s00784-023-05206-9 ↗