Dental Asia May/June 2018

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Under the Spotlight across it in an orthodontic conference a c o u p l e y e a r s a g o . D M i s t h e b r a i n c h i l d o f Mr. Philippe Salah, a French innovator and entrepreneur. Dr. Duncan believes that everyone should be thankful to Mr. Salah for coming up with DM. DM uses articial intelligence (AI) and deep learning to monitor orthodontic tooth movement, archwire passivity, tooth movement velocity, and aligner t, amongst a myriad of other intra oral observations. DM is divided into three integrated platforms: a mobile application for patients, a patented movement tracking algorithm, and a webbased Doctor Dashboard where practitioners receive updates of patient’s progress. The DM application for patients is a revolutionary tool designed to help patients capture dental pictures easily and efficiently. DM is developed for Android and iPhones, making it accessible to everyone. The app guides the patient through the process of taking the pictures on a regular schedule suggested by the orthodontist according to the treatment plan. From a patient’s perspective, they use a smartphone app and video camera to record necessary data for analysis. As a result, patients only need to be seen by their orthodontist when a clinical action (broken archwire, dislodgment of bracket, or aligner t issues) is required. Dental Monitoring in the practice Dr. Duncan has been using DM in his practice since July 2017. Subsequently, all his aligner cases are managed using DM on a weekly basis. “It has been the most radical change in my practice since introducing Invisalign in 2000. It is a game change and will continue to evolve rapidly.” he remarked. In addition, Dr. Duncan has been running a trial on doing an entire aligner treatment with as few appointments as possible. Currently, this trial (with 20 patients) is tracking about three to five appointments in total including i n s e r t i o n , p l a c e m e n t a t t a c h m e n t s , interproximal reduction (IPR) and nishing. He believes that this is a ground-breaking success in Invisalign treatment and will make orthodontics more accessible to the public. “In the last few months, I am starting to move selected patients into this format. We oer patients the opportunity to only come as needed when using DM. Hence, our appointment schedules, sta time and my time are all rapidly changing,” he continued. The basis of DM is improving quality treatment outcomes. Dr. Duncan shared that with the help of DM, he could see clinical problems and issues within a few days of it occurring, and at a pixel level, which is clearly far higher than the human eye can detect. As a result, his patients are more compliant, treatments track better, and fewer and less complicated treatment renements are needed. “Anything the human eye can see, DM can do it better and it is denitely capable of learning from any recorded data,” he added. In addition, patients get a quality outcome and they also appreciate the reduction of appointments with improved digital communication. Dr. Duncan considers time to be one of a person’s most valuable commodities and DM respects this to eectively manage patient appointments. 26 DENTAL ASIA MAY / JUNE 2018
He sees DM being integrated into other elds of dentistry. According to him, it will be useful for oral hygiene and periodontal concerns. DM will also be helpful in diagnostic dentistry. Words of advice Dr. Duncan strongly regards education as a valuable part in being successful in this industry. He shared that going to meetings, talking to people, visiting other practices and businesses, engaging with Key Opinion Leaders (KOL), keeping an open mind, being innovative and entrepreneurial and saying “yes” will truly be helpful to one’s growth. “You have to decide if you are a follower or a leader. During one of my presentations, I was asked: ‘Will AI replace orthodontists?’. I answered no. It would not replace orthodontists but it will replace those orthodontists who don’t use AI. The same will hold in any part of dentistry – examination, diagnostic or treatment planning,” he stressed. He mentioned that being true to oneself, helping others, giving back and being prepared to fail are all part of learning and building oneself. Moreover, Dr. Duncan wished that he had come across Schopenhauer’s three stages of truth (ridicule, violent opposition and self evidence) earlier in his career. It would have given him some inner peace and guided him in helping others to reach the self-evident stage of truth earlier. “Time and time again, I have seen and started something new that tests the status quo. I teach my children to welcome failure. If you are not failing you are not learning and will not try new things. I believe in helping others and giving back in everything and at every opportunity. It is far more rewarding and one of life’s greatest joy. Start today,” Dr. Duncan rmly concluded. DA Extreme flexibility, precise results. Reliable model production thanks to the ingenious AUTO spin system. AUTO spin Model System Precise working models made easy: The AUTO spin model system ensures highly precise acrylic plate drilling holes with optimal working comfort. High flexibility through compatible components with other model systems such as Giroform ® or Zeiser ® . + For more information renfert.com/autospin DENTAL ASIA MAY / JUNE 2018
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Dental Asia May/June 2018

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