###### Abstract  
This paper explores the impact of Artificial Intelligence (AI) on the role of dental assistants and nurses in orthodontic practices, as there is a gap in understanding the currently evolving impact on orthodontic treatment workflows. The introduction of AI-language models such as ChatGPT 4 is changing patient-office communication and transforming the role of orthodontic nurses. Teledentistry is now heavily reliant on AI implementation in orthodontics. This paper presents the proof of a novel concept: an AI-powered orthodontic workflow that provides new responsibilities for an orthodontic nurse. It also provides a report of an assessment of such a workflow in an orthodontic practice that uses an AI solution called Dental Monitoring over a period of three years. The paper evaluates the benefits and drawbacks of daily automated assessments of orthodontic treatment progress, the impact of AI on personalized care, and the new role of a dental assistant. The paper concludes that AI will improve dental practice through more precise and personalized treatment, bringing new roles and responsibilities for trained medical professionals but raising new ethical and legal issues for dental practices. Keywords:dental nurse; dental monitoring; AI; telemedicine; teledentistry; chatGPT; communication; AI-telehealth; quality assessment; practice; dentistry; personalized care; ethical issues +
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Dental Monitoring(r) (DM) (Dental Monitoring Co., Paris, France) is used in patients' home environments, and communication between nurse and patient does not theoretically always require nurses' physical presence in the dental office. The study by [PERSON] et al. (2022) highlights the importance of developing and validating a virtual reality simulation program for nursing students and the importance of education in this area [8]. Currently, it is possible to easily and effortlessly train a personalized AI using AI technology to create one's own AI module easily and effortlessly (e.g., www.personal.ai accessed on 21 April 2023), which would perfectly mimic the way the nurse or assistant communicates based on the knowledge you would provide, with the possibility of specialized training. Such a virtual meta-human or chatbot, trained on extensive datasets of, for example, nurse-patient communication, could become an effective helper in everyday clinical care, supporting the nurse or dental assistant and preserving their capacity for more complex problems. In dental applications of AI technologies, patients frequently showed a positive attitude towards AI in dentistry [9; 10; 11]. Digital technology in the dental field has created new opportunities for orthodontists to connect their practices and collect patient data through teledentistry. Dental Monitoring(r) (Dental Monitoring Co., Paris, France) is an orthodontic software that uses AI and knowledge-based algorithms to provide accurate treatment tracking. Developed in Paris by CEO [PERSON], it is the first SaaS for dental treatment monitoring. DM's device is programmed to take control of positive movements, and AI software analyzes the aligners' fit and retention to ensure proper biomechanics. It improves interaction between the clinician and the patient and is suitable for all clear orthodontic treatment modalities, even in critical situations, for cases with gold standard compliance and correct device use [10; 11; 12]. Telemedicine enhances communication between specialists, for example in cases where a multidisciplinary approach is required, and allows patients to quickly refer to a specialist for a preliminary consultation, clinical follow-up, or follow-up treatment [13]. Telemonitoring aims to replace face-to-face visits with virtual visits for regular monitoring of treatment results and disease progression [14]. Mobile applications and technology play an increasingly important role in daily life and the daily practice of orthodontics.