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From Pixels to Pulp: How AI-Powered Robotics Is Redefining Restorative Dentistry
Article Type: Research Article
Author: Qin Long, Omid Panahi
Volume: Volume 1
Issue: Issue 1
Year: 2026
Keywords
Restorative Dentistry
Ai-Powered Robotics
Tooth Preparation
Digital Dentistry
Cad/Cam
Autonomous Surgery
Computer Vision
Abstract
Restorative dentistry is undergoing a fundamental transformation driven by the convergence of artificial
intelligence, computer vision, and robotic actuation. This review examines how AI-powered robotics is redefining
the entire restorative workflow from digital impression and treatment planning to tooth preparation, crown
fabrication, and cementation. We analyze three key domains: (1) AI-driven digital dentistry, where deep
learning automates margin detection, crown design, and occlusion analysis from intraoral scans, achieving
accuracy comparable to expert technicians in seconds rather than hours; (2) robotic tooth preparation, where
autonomous systems perform crown preps, inlays, and onlays with sub 100 µm precision, eliminating human
tremor and fatigue; and (3) robotic crown placement, where computer vision and force torque sensing enable
precise seating and cementation with real time feedback. We present the current state of robotic systems for
restorative dentistry, including the Cerec system (intraoral scanning and chairside milling), the Yomi and Neocis
platforms (implant focused, with restorative applications emerging), and research prototypes for autonomous
crown preparation. While robotic preparation has been demonstrated in ex vivo studies, clinical translation
remains limited by regulatory approval, cost, and the inherent complexity of restorative procedures (which
require handling soft tissue, hemostasis, and unpredictable patient anatomy). We conclude that AI-powered
robotics will initially augment, rather than replace, the restorative dentist handling preparation and fabrication
while the clinician manages treatment planning, patient communication, and quality assurance. The transition
from pixels (digital scans) to pulp (vital tissue) represents the next frontier in restorative dentistry.