## 4 Discussion
In some scans, we noticed significant non-tracking of the aligners, but the artificial intelligence evaluated that the condition was fine [39]. Conversely, for some patients, when there is minimal non-tracking, the AI will stop them for longer periods. An advantage of DM for frequently traveling patients lies in their phones. The comfortable usage of their mobile phone app provides an adequate image of patients progress without using the DM scan box. The retractor is also used in the standard scanning procedure, helping to keep the lips and cheeks out of the frame. Without a scan box, we are comfortable scanning by holding the phone in one hand and turning our heads to the side [40]. Another advantage of the DM app is direct communication between office and patient to provide orthodontic care and patient education without physical contact with the dentist. Although DM does not necessarily decrease or even increase the frequency of appointments, the Gaussian distribution of these appointments is concentrated in the first weeks of treatment, when attachment debonding is more common, which is related to patients learning proper habits of using aligners, including correct removal routines and others. Although a more controlled treatment requires more attention initially, reducing the overall treatment time with better finishing and stability should be the dentist's priority. In terms of shifting the proportions between communication and the hands-on work of the dental assistant, DM opens a new communication channel in the dental clinic that should not be ignored. Patients observed at the DM are assessed not only by the AI but also by orthodontists. The AI makes it possible to strictly stop the treatment progress in cases of insufficient fit of aligners, insufficient hygiene, detachment of attachments, or other problems defined by the orthodontist. Patients have a natural tendency to communicate these issues with the office. This is leading to a significant increase in communication about identified clinical problems and treatment recommendations by phone, chat, or directly through the messaging system of DM. Insightful patients who understand the problem are always better than those who must blindly obey instructions. Most of this new burden of additional communication is handled by dental assistants and nurses, who consult with physicians as needed. Frequently asked questions from patients can already be answered semi-automatically by other AI algorithms, and it is hard to imagine these digital AI-enabled workflows without them. Already, the way staff communicate with patients can be automatically used to train a dedicated AI communication module that would be available to the clinic through available AI algorithms such as www.personal.ai and the like. The DM software critically evaluates even the slightest deviation of the aligners and allows the patient to sit on the current number of aligners until the aligners fit perfectly. As the aligners fit better, a proper force system is applied to the teeth. The software requires patients to scan their teeth with each aligner and maintains control of the entire treatment. Doctors are alerted to monitor problematic patients for a lack of tracking, missing fixtures, inadequate dental hygiene, and other issues that can negatively impact treatment outcomes, making it easier to take care of patients who need acute intervention. On the other hand, perfect cooperation from the patients is required for the software to work accurately. Fortunately, we find only in a few cases that patients forget or ignore the set time of the scans or make the decision from DM to wear the same aligner longer if needed. In these cases, the treatment may fail more easily [10]. The proper execution of dental scans is crucial for accurate evaluation. Incorrect holding or phone angulation, as well as insufficient soft tissue retraction, can lead to errors in assessment.