Digitalization Trends in Periodontal Practice: An Analysis of Modern Concepts and Clinical Implementation

Authors

DOI:

https://doi.org/10.33295/1992-576X-2026-2-CTDN-1

Keywords:

periodontology, digital dentistry, digitalization, clinical practice, artificial intelligence, patient-centered care, evidence-based medicine

Abstract

Background. The capabilities of modern computational algorithms integrated into dedicated software solutions—whether standalone or coupled with specific hardware components such as intraoral scanners, cone-beam computed tomography, and automated periodontal diagnostic systems—are transforming the paradigms of digital technology implementation in periodontal practice.

Objective. To analyze current digitalization trends in periodontal practice, with a focus on modern concepts of big data processing and the individualization of comprehensive diagnostic and treatment approaches.

Materials and Methods. Dedicated search for relevant publications was conducted within the PubMed/MEDLINE and Scopus databases, as well as using the Google Scholar search engine, applying Boolean operators (AND, OR, NOT) and combinations of relevant keywords. During the process of content analysis with corresponding results’ structuring and grouping, all selected sources were categorized into the following analytical domains: level of actual clinical integration of digital technologies; role of artificial intelligence algorithms in periodontal-oriented diagnosis and prediction; multimodal data integration as a key trend in digitalization; barriers to implementation, prospects for development, and translation of digitalization into clinical periodontal practice.

Results. The current state of digitalization in periodontal practice is characterized by an imbalance between the rapid development of technological capabilities and the limited level of their clinical implementation. Despite the proven potential of artificial intelligence algorithms for processing multimodal data, improving diagnostic accuracy, risk stratification, and treatment outcome prediction in periodontology, their widespread implementation is limited by insufficient external validation, the heterogeneity and limited size of available datasets, variability in model performance depending on input data modalities, and the lack of standardized protocols for integration into clinical practice.

Conclusions. Digitalization in periodontal practice is characterized by a cluster pattern of implementation, primarily covering the diagnostic component and the initial classification of clinical cases. This is associated with both the statistical “maturity” of verification algorithms and the experience of their integration into relevant hardware and software systems. At the same time, the prognostic component, represented by algorithms for processing primary digital or digitized data obtained during patient diagnostics, remains the subject of ongoing validation studies, the number of which is steadily increasing.

Downloads

Download data is not yet available.

References

Revilla-León, M., Gómez-Polo, M., Barmak, A. B., et al. (2023). Artificial intelligence models for diagnosing gingivitis and periodontal disease: A systematic review. J Prosthet Dent, 130(6), 816–824. DOI: https://doi.org/10.1016/j.prosdent.2022.01.026.

Polizzi, A., Quinzi, V., Lo Giudice, A., et al. (2024). Accuracy of artificial intelligence models in the prediction of periodontitis: a systematic review. JDR Clin Trans Res, 9(4), 312–324. DOI: https://doi.org/10.1177/23800844241232318.

Zhang, J., Deng, S., Zou, T., et al (2025). Artificial intelligence models for periodontitis classification: A systematic review. J Dent, 156, 105690. DOI: https://doi.org/10.1016/j.jdent.2025.105690.

Patil, S., Joda, T., Soffe, B., et al. (2023). Efficacy of artificial intelligence in the detection of periodontal bone loss and classification of periodontal diseases: a systematic review. J Am Dent Assoc, 154(9), 795–804. DOI: https://doi.org/10.1016/j.adaj.2023.05.010.

Reddy, M. S. (2026). The future of periodontology: Emerging technologies and conceptual shifts. J Periodontol, online ahead of print. DOI: https://doi.org/10.1002/jper.70079.

Di Spirito, F., Giordano, F., Di Palo, M. P., et al. (2025). Sustainable dental and periodontal practice: A narrative review on the 4R-Framework—Reduce, Reuse, Rethink, Recycle—And waste management rationalization. Dent J, 13(9), 392. DOI: https://doi.org/10.3390/dj13090392.

Herrera, D., Tonetti, M. S., Chapple, I., et al. (2025). Consensus report of the 20th European workshop on periodontology: contemporary and emerging technologies in periodontal diagnosis. J Clin Periodontol, 52, 4–33. DOI: https://doi.org/10.1111/jcpe.14152.

Hashim, N. T., Ahmed, A., Abushama, A. A., et al. (2026). Next-Generation S3-Level Clinical Practice Guidelines in Periodontology: Methodology, Current Evidence, and Future Directions. Dent J, 14(1), 58. DOI: https://doi.org/10.3390/dj14010058.

Youssef, M., Tatakis, D. N., Demko, C., & Schincaglia, G. P. (2025). Knowledge and use of digital technologies in periodontal practices in the United States: A survey study. J Periodontol, 96(8), 944-952. DOI: https://doi.org/10.1002/JPER.24-0306.

Bhandary, R., Simha, U., Bhat, A. R., et al. (2025). Digital Innovations in Periodontics: Transforming Periodontal and Implant Health With Advanced Dentistry Technologies. J Health Allied Sci NU, 15(4), 439–443. DOI: https://doi.org/10.25259/JHS-2024-5-32-(1315).

Dipalma, G., Inchingolo, A. M., Inchingolo, F., et al.(2025). The precision paradigm in periodontology: a multilevel framework for tailored diagnosis, treatment, and prevention. J Pers Med, 15(9), 440. DOI: https://doi.org/10.3390/jpm15090440.

Pitchika, V., Büttner, M., & Schwendicke, F. (2024). Artificial intelligence and personalized diagnostics in periodontology: A narrative review. Periodontol 2000, 95(1), 220–231. DOI: https://doi.org/10.1111/prd.12586.

Farina, R., Simonelli, A., Trombelli, L., et al. (2025). Emerging applications of digital technologies for periodontal screening, diagnosis and prognosis in the dental setting. J Clin Periodontol, 52, 211–245. DOI: https://doi.org/10.1111/jcpe.14156.

Peikert, S. A., Mittelhamm, F., Frisch, E., et al. (2020). Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN): a proof of concept. BMC Oral Health, 20(1), 297. DOI: https://doi.org/10.1186/s12903-020-01284-3.

Tan, M., Cui, Z., Li, Y., et al. (2025). PerioAI: A digital system for periodontal disease diagnosis from an intra-oral scan and cone-beam CT image. Cell Rep Med, 6(6). DOI: https://doi.org/10.1016/j.xcrm.2025.102186.

Chung, H. M., Park, J. Y., Ko, K. A., et al. (2022). Periodontal probing on digital images compared to clinical measurements in periodontitis patients. Sci Rep, 12(1), 1616. DOI: https://doi.org/ 10.1038/s41598-021-04695-6.

Laugisch, O., Auschill, T. M., Heumann, C., et al. (2021). Clinical evaluation of a new electronic periodontal probe: a randomized controlled clinical trial. Diagnostics, 12(1), 42. DOI: https://doi.org/10.3390/diagnostics12010042.

Icen, M., Orhan, K., Şeker, Ç., et al. (2020). Comparison of CBCT with different voxel sizes and intraoral scanner for detection of periodontal defects: an in vitro study. Dentomaxillofac Radiol, 49(5), 20190197. DOI: https://doi.org/10.1259/dmfr.20190197.

Elashiry, M., Meghil, M. M., Arce, R. M., & Cutler, C. W. (2019). From manual periodontal probing to digital 3‐D imaging to endoscopic capillaroscopy: Recent advances in periodontal disease diagnosis. J Periodontal Res, 54(1), 1–9. DOI: https://doi.org/10.1111/jre.12585.

Li, W., Xu, T., Zhang, H., Lü, Y., et al. (2025). Digital analysis of periodontal phenotype in the maxillary anterior region. Clin Adv Periodontics, online ahead of print. DOI: https://doi.org/10.1002/cap.10353.

Kaya, S., & Alkan, M. (2025). Diagnostic accuracy of a novel non-invasive digital technique for assessing gingival phenotype: an area under the curve analysis. BMC Oral Health, 25(1), 1024. https://doi.org/10.1186/s12903-025-06390-8.

Li, W., Li, L., Xu, W., et al. (2025). Identification of gingival inflammation surface image features using intraoral scanning and Deep learning. Int Dent J, 75(3), 2104–2114. DOI: https://doi.org/10.1016/j.identj.2025.01.002.

Hassan, M. A., Silva do Amaral, G. C. L., Saraiva, L., et al. (2025). Colorimetric analysis of intraoral scans: A novel approach for detecting gingival inflammation. J Periodontol, 96(8), 848–857. DOI: https://doi.org/10.1002/JPER.24-0389.

Jung, K., Ganss, C., Korbmacher-Steiner, H., & Jablonski-Momeni, A. (2026). Planimetric quantification of plaque in patients with multibracket appliances using an intraoral scanner–proof-of-concept. Clin Oral Investig, 30(4), 130. DOI: https://doi.org/10.1007/s00784-026-06809-8.

Jung, K., Giese-Kraft, K., Fischer, M., et al. (2022). Visualization of dental plaque with a 3D-intraoral-scanner—A tool for whole mouth planimetry. PLoS One, 17(10), e0276686. DOI: https://doi.org/10.1371/journal.pone.0276686.

Doi, K., Yoshiga, C., Oue, H., et al. (2024). Comparison of plaque control record measurements obtained using intraoral scanner and direct visualization. Clin Exp Dent Res, 10(1), e852. DOI: https://doi.org/10.1002/cre2.852.

Zhang, J., Huang, Z., Cai, Y., & Luan, Q. (2021). Digital assessment of gingiva morphological changes and related factors after initial periodontal therapy. J Oral Sci, 63(1), 59-64. DOI: https://doi.org/10.2334/josnusd.20-0157.

Fons‐Badal, C., Alonso Pérez‐Barquero, J., Martínez‐Martínez, N., et al. (2020). A novel, fully digital approach to quantifying volume gain after soft tissue graft surgery. A pilot study. J Clin Periodontol, 47(5), 614–620. DOI: https://doi.org/10.2334/10.1111/jcpe.13235.

Goncharuk-Khomyn, M., Krasnokutskyy, O., Boichuk, M., et al. (2023). Spontaneous recession repair after orthodontic treatment: case report with the use of digital approach for quantification of soft tissue changes. Case Rep Dent, 2023(1), 1831125. DOI: https://doi.org/10.1155/2023/1831125.

West, N. E., Wright, M., Daly, S., et al. (2026). Diagnostic accuracy of on-scan assessments compared to clinical assessments using a periodontal probe for detecting gingival recession: A cross-sectional study. J Dent, 106504. DOI: https://doi.org/10.1016/j.jdent.2026.106504.

Kuralt, M., & Fidler, A. (2022). Methods and parameters for digital evaluation of gingival recession: a critical review. J Dent, 118, 103793. DOI: https://doi.org/10.1016/j.jdent.2021.103793.

Caron, T., Decup, F., Grosgogeat, B., & Chacun, D. (2025). The relevance of intraoral scanner (IOS) for periodontal diagnosis: A scoping review. J Dent, 160, 105824. DOI: https://doi.org/10.1016/j.jdent.2025.105824.

Nalbantoğlu, A. M., & Yanık, D. (2023). Revisiting the measurement of keratinized gingiva: a cross-sectional study comparing an intraoral scanner with clinical parameters. J Periodontal Implant Sci, 53(5), 362. DOI: https://doi.org/10.5051/jpis.2204320216.

Lee, J. S., Jeon, Y. S., Strauss, F. J., et al. (2020). Digital scanning is more accurate than using a periodontal probe to measure the keratinized tissue width. Sci Rep, 10(1), 3665. DOI: https://doi.org/10.1038/s41598-020-60291-0.

Meirelles, L., Siqueira, R., Garaicoa‐Pazmino, C., et al. (2020). Quantitative tooth mobility evaluation based on intraoral scanner measurements. J Periodontol, 91(2), 202–208. DOI: https://doi.org/10.1002/JPER.19-0282.

Palkovics, D., Mangano, F. G., Nagy, K., & Windisch, P. (2020). Digital three-dimensional visualization of intrabony periodontal defects for regenerative surgical treatment planning. BMC Oral Health, 20(1), 351. DOI: https://doi.org/10.1186/s12903-020-01342-w.

Chatzopoulos, G. S., Koidou, V. P., Tsalikis, L., & Kaklamanos, E. G. (2025). Clinical applications of artificial intelligence in periodontology: A scoping review. Medicina, 61(6), 1066. DOI: https://doi.org/10.3390/medicina61061066.

Goncharuk-Khomyn, M. Y., Bohdan, O. M., Boychuk, M. M., Melnyk, L. V. (2024). Algorithms of artificial intelligence for the evaluation of gingival conditions. Intermed J., 2, 15–23. [Гончарук-Хомин М. Ю., Богдан О. М., Бойчук М. М., Мельник Л. В. (2024). Алгоритми штучного інтелекту для оцінки стану ясен. Intermedical journal, (2), 15–23]. DOI: https://doi.org/10.32782/2786-7684/2024-2-3.

Goncharuk-Khomyn, M. Y., Tarasovska, Y. Y., Konko, Y. V., Cherkashyn, O. O. Analysis of artificial intelligence and machine learning models’ effectiveness in regards to bone loss verification as a criterion for assessing the state of periodontal tissues based on orthopantomography data. Intermed J., 2, 37–43. [Гончарук-Хомин М. Ю., Тарасовська У. Є., Конько Ю. В., Черкашин О. О. (2025). Аналіз ефективності моделей штучного інтелекту та машинного навчання для верифікації втрати кісткової тканини як критерію оцінки стану тканин пародонта за даними ортопантомографії. Intermedical journal, (2), 37–43]. DOI: https://doi.org/10.32782/2786-7684/2025-2-7.

Al-Sharqi, A. J., Baban, M. T. A., Imran, N. K., et al. (2025). Comparison of Supervised Machine Learning Models to Logistic Regression Model Using Tooth-Related Factors to Predict the Outcome of Nonsurgical Periodontal Treatment. Diagnostics, 15(18), 2333. DOI: https://doi.org/10.3390/diagnostics15182333.

Montero, E., Sánchez, N., Sanz‐Sánchez, I., et al. (2025). Emerging Technologies and Algorithms for Periodontal Screening and Risk of Disease Progression in Non‐Dental Settings: A Scoping Review. J Clin Periodontol, 52, 246–291. DOI: https://doi.org/10.1111/jcpe.14168.

Tao, L. R., Li, Y., Wu, X. Y., et al. (2026). Deep learning photo processing for periodontitis screening. J Dent Res, 105(2), 226–235. DOI: https://doi.org/10.1177/00220345251347508.

Lee, J. E., Choi, E., & Park, J. B. (2025). Radiographic diagnosis of periodontitis using artificial intelligence: a meta-analysis comparing binary and staging classifications across imaging modalities. BMC Oral Health, 25(1), 1921. DOI: https://doi.org/10.1186/s12903-025-07171-z.

Zhu, Z. X., Furquim, C. P., & Teles, F. (2026). Artificial Intelligence Applications in Periodontology: Enhancing Diagnosis, Monitoring, and Treatment in Clinical Practice. Dent Clin North Am, 70(2): 445–469. DOI: https://doi.org/10.1016/j.cden.2025.11.014.

Published

2026-05-25

How to Cite

Shekera О., Palchykov А., & Goncharuk-Khomyn М. (2026). Digitalization Trends in Periodontal Practice: An Analysis of Modern Concepts and Clinical Implementation. Actual Dentistry, (2), 81–92. https://doi.org/10.33295/1992-576X-2026-2-CTDN-1

Issue

Section

CONTEMPORARY TECHNOLOGIES IN DENTISTRY