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Towards precision dentistry through artificial intelligence and blockchain-based digital Twins: Investigating challenges and solution strategies

Author

Listed:
  • Erol, Ismail
  • Peker, Iskender
  • Medeni, Ihsan Tolga
  • Yuce, Fatma

Abstract

The integration of artificial intelligence (AI), blockchain, and digital twins (DT) in dentistry is essential to meet evolving patient expectations and global healthcare challenges. However, realizing their full potential requires addressing significant adoption barriers. While conceptual studies have explored challenges to implementing AI, blockchain, and DT in dentistry, no prior research has systematically analyzed the interrelationships among these obstacles using a structured decision framework. This study employs pentagonal fuzzy (PF) DEMATEL to investigate the connections among challenges to effectively implementing AI and blockchain-based DT in dentistry. Expert opinions highlight ethical considerations and bias and fairness in AI-based DT as the most critical causal challenges. We propose an AI and blockchain-based DT architecture that enables human doctors to leverage DT-based decision support, while AI-driven systems execute high-precision procedures with blockchain-verified workflows. This framework enhances treatment accuracy and personalization in dentistry and offers a scalable model for addressing societal concerns, such as privacy, fairness, and labor dynamics, in technology-driven ecosystems. A pilot study framework is proposed to validate diagnostic accuracy, data security, and treatment customization. Accompanied by stakeholder guidelines, this research bridges dentistry with broader discussions on technology's societal impact, emphasizing the need for interdisciplinary strategies to ensure equitable and trustworthy innovation.

Suggested Citation

  • Erol, Ismail & Peker, Iskender & Medeni, Ihsan Tolga & Yuce, Fatma, 2025. "Towards precision dentistry through artificial intelligence and blockchain-based digital Twins: Investigating challenges and solution strategies," Technology in Society, Elsevier, vol. 83(C).
    • Handle: RePEc:eee:teinso:v:83:y:2025:i:c:s0160791x25002416
    DOI: 10.1016/j.techsoc.2025.103051
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    References listed on IDEAS

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    1. Hung, Hsin-Ling & Altschuld, James W. & Lee, Yi-Fang, 2008. "Methodological and conceptual issues confronting a cross-country Delphi study of educational program evaluation," Evaluation and Program Planning, Elsevier, vol. 31(2), pages 191-198, May.
    2. Emrah Bulut & Okan Duru, 2018. "Analytic Hierarchy Process (AHP) in Maritime Logistics: Theory, Application and Fuzzy Set Integration," International Series in Operations Research & Management Science, in: Paul Tae-Woo Lee & Zaili Yang (ed.), Multi-Criteria Decision Making in Maritime Studies and Logistics, chapter 0, pages 31-78, Springer.
    3. Braga, Irina F.B. & Ferreira, Fernando A.F. & Ferreira, João J.M. & Correia, Ricardo J.C. & Pereira, Leandro F. & Falcão, Pedro F., 2021. "A DEMATEL analysis of smart city determinants," Technology in Society, Elsevier, vol. 66(C).
    4. Divya Sharma & Dinesh C. S. Bisht & Pankaj Kumar Srivastava, 2024. "Solution of fuzzy transportation problem based upon pentagonal and hexagonal fuzzy numbers," International Journal of System Assurance Engineering and Management, Springer;The Society for Reliability, Engineering Quality and Operations Management (SREQOM),India, and Division of Operation and Maintenance, Lulea University of Technology, Sweden, vol. 15(9), pages 4348-4354, September.
    5. Wang, Kuan-Chung & Huang, Po-Sen & Wang, Yu-Lin & Hoe, Zheng-Yu & Noor, Afaq Ahmed & Chen, Peng-Ting, 2025. "Bridging the gap: Healthcare practitioners' insights on overcoming Telemedicine barriers and optimal strategies for implementation," Technology in Society, Elsevier, vol. 82(C).
    6. Aghaei Chadegani, Arezoo & Salehi, Hadi & Md Yunus, Melor & Farhadi, Hadi & Fooladi, Masood & Farhadi, Maryam & Ale Ebrahim, Nader, 2013. "A Comparison between Two Main Academic Literature Collections: Web of Science and Scopus Databases," MPRA Paper 46898, University Library of Munich, Germany, revised 18 Mar 2013.
    7. Chia-Chi Chang & Po-Yu Chen, 2018. "Analysis of critical factors for social games based on extended technology acceptance model: a DEMATEL approach," Behaviour and Information Technology, Taylor & Francis Journals, vol. 37(8), pages 774-785, August.
    8. Alzahrani, Ahmed Ibrahim & Al-Samarraie, Hosam & Eldenfria, Atef & Dodoo, Joana Eva & Alalwan, Nasser, 2022. "Users’ intention to continue using mHealth services: A DEMATEL approach during the COVID-19 pandemic," Technology in Society, Elsevier, vol. 68(C).
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