## 4 Discussion  
This paper describes the digital concept of an AI-powered telehealth workflow with novel characteristics for dental assistant and nurse responsibilities. The advantages described correlate with the current scientific reports on Dental Monitoring(r) (Dental Monitoring Co., Paris, France). It is promising tele-dentistry software that accurately tracks a patient's clear aligner treatment. It brings many benefits to orthodontic practice, but also many issues and new responsibilities. As shown, it does not necessarily represent less chair time in the short term, although it increases the treatment effectiveness by a significant increase in permanent control over the treatment [43]. The introduction of DM can significantly change the workflow in dental practices. It can lead to a significant reduction in the average number of treatment refinements and, thus, a reduction in the overall duration of treatment. However, it does not necessarily reduce the average number of appointments per year, as the AI in DM quickly detects dropped attachments from patients' home video scans or damage to other orthodontic accessories, requiring nurses to call the patient back to the dental office to reattach in this situation. Implementing DM into workflows may even double the number of forced revisions to treatments for non-compliant patients. In orthodontic workflows without dental supervision, such cases were often overlooked and arrived at the final scheduled aligners with major fitting discrepancies associated with comfort and speech impairments and a further reduction in patient compliance. By using traditional methods, dentists face unnecessary issues such as a prolonged time between each monitoring session or wearing an aligner, which has no added value to our treatment, but because there is no short-term monitoring, this cannot be ascertained. For many people, the discovery and spread of the printing press was an overhyped discovery. However, the moment of diffusion of information and skills that had previously been trapped and slowed down by the need to rewrite a particular book was a turning point for humanity. In a similar way, the first forms of autonomously trained broad-spectrum AI at the frontier of AGI today suggest a similar moment, where a hyper-intelligent tool trained in one place will be able to be deployed in many different places in many different services, with unprecedented impact on many professions, including nurses in dental clinics. Figure 5: The proportion of direct chair assistance from the nurse/dental assistant was reduced in comparison to the amount of communication after DM implementation. Additional communication with the patient in the dental office was brought in by DM, as it often prevented the patient from moving to the next aligner when a problem was observed. (**a**) Prior to DM implementation, dental nurses mainly communicated with patients via email and SMS, mostly regarding appointment times and dates; (**b**) DM has shifted the amount of necessary communication that can be semiautomated later by AI. The limitation of this preliminary report is the pace at which the field is changing. While analytical AI has not yet penetrated all tools in dentistry, generative AI is already introducing forms of communication with patients. The current practical limitations and drawbacks of DM, as we discovered, are imperfections in its application during daily use. Although AI mainly focuses on attachment tracking and aligner tracking if attachments change during treatment (some are removed, others are added), it happens that it cannot track them, does not report dropped attachments, or reports them as dropped attachments [38]. This means that we cannot rely 100% on AI alone. Therefore, the scans also need to be checked by health professionals/ doctors. In addition, after comparing individual scans, we concluded that AI judges some photos more harshly than others. If a patient has a badly fitting aligner in a certain place, the DM app will stop it and give them two days to fix the problem.