26 DENTAL ASIA MAY / JUNE 2018 Under the Spotlight across it in an orthodontic conference a couple years ago. DM is the brainchild of 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 artiƤcial intelligence (AI) and deep learning to monitor orthodontic tooth movement, archwire passivity, tooth movement velocity, and aligner Ƥt, amongst amyriadof other intraoral observations. DM is divided into three integrated platforms: a mobile application for patients, a patented movement tracking algorithm, and a web- basedDoctorDashboardwherepractitioners 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 t h r o u g h t h e process of taking the pictures on a regular schedule s u g g e s t e d b y the orthodontist according to the treatment plan. Fromapatient’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 Ƥt 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 insertion, placement attachments, interproximal reduction (IPR) and Ƥnishing. 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 o ơ er patients the opportunity to only come as neededwhen usingDM. Hence, our appointment schedules, sta ơ 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 reƤnements are needed. “Anything the human eye can see, DM can do it better and it is deƤnitely 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. Duncanconsiders time to be one of a person’s most valuable commodities and DM respects this to e ơ ectively manage patient appointments.