Ethical considerations on artificial intelligence in dentistry: A framework and checklist

Abstract

Objective: Artificial Intelligence (AI) refers to the ability of machines to perform cognitive and intellectual human tasks. In dentistry, AI offers the potential to enhance diagnostic accuracy, improve patient outcomes and streamline workflows. The present study provides a framework and a checklist to evaluate AI applications in dentistry from this perspective.

Methods: Lending from existing guidance documents, an initial draft of the checklist and an explanatory paper were derived and discussed among the groups members.

Results: The checklist was consented to in an anonymous voting process by 29 Topic Group Dental Diagnostics and Digital Dentistry, ITU/WHO Focus Group AI on Health's members. Overall, 11 principles were identified (diversity, transparency, wellness, privacy protection, solidarity, equity, prudence, law and governance, sustainable development, accountability, and responsibility, respect of autonomy, decision-making).

Conclusions: Providers, patients, researchers, industry, and other stakeholders should consider these principles when developing, implementing, or receiving AI applications in dentistry.

Clinical significance: While AI has become increasingly commonplace in dentistry, there are ethical concerns around its usage, and users (providers, patients, and other stakeholders), as well as the industry should consider these when developing, implementing, or receiving AI applications based on comprehensive framework to address the associated ethical challenges.

Keywords: Artificial intelligence; Bioethics; Deep learning; Dentistry; Machine learning.