Big Data and Digitalization in Dentistry: A Systematic Review of the Ethical Issues
Open accessAbstract
Big Data and Internet and Communication Technologies (ICT) are being increasingly implemented in the healthcare sector. Similarly, research in the field of dental medicine is exploring the potential beneficial uses of digital data both for dental practice and in research. As digitalization is raising numerous novel and unpredictable ethical challenges in the biomedical context, our purpose in this study is to map the debate on the currently discussed ethical issues in digital dentistry through a systematic review of the literature. Four databases (Web of Science, Pub Med, Scopus, and Cinahl) were systematically searched. The study results highlight how most of the issues discussed by the retrieved literature are in line with the ethical challenges that digital technologies are introducing in healthcare such as privacy, anonymity, security, and informed consent. In addition, image forgery aimed at scientific misconduct and insurance fraud was frequently reported, together with issues of online professionalism and commercial interests sought through digital means.
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When previous evidence suggests a new therapy is superior, it may not be ethically justifiable to expose patients to an older, potentially less effective standard treatment.
“When previous evidence suggests a new therapy is superior, it may not be ethically justifiable to expose patients to an older, potentially less effective standard treatment (Favaretto et al. 2020).”
From Dental Research in the Digital Age: The Registry-Based Clinical Trial. (2026) · cites this paper as Favaretto et al. 2020
The Discussion (section 4; page unavailable) addresses consent for dental data and trials using Big Data technologies, but does not discuss whether prior evidence of a new therapy’s superiority makes an older standard treatment ethically unjustifiable. Searches for superior therapies, less effective treatments, and clinical equipoise found no passage addressing that comparison. (LLM, conf=0.74)
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Dentistry in digital world: A conspectus
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How can digital dentistry affect geriatric patient’s treatment?
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Teledentistry in the Malaysian Context: Are We There Yet?
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Impact of Artificial Intelligence and Human Factors in Hybrid Intelligence Dentistry
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Importance of Training in Digital Dentistry for Improving Oral Health in Remote and Rural Areas
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Ethical Dilemmas in Social Science Research
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DIGITAL TRANSFORMATION OF THE IMPLANT SUPPORTED PROSTHODONTIC REHABILITATION
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Validity of Arch Relationship Measurements in Digital Dental Models
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Three dimensions of printing – deleting pitfalls in endodontic practice
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Between Digital Dentistry and Geriatric Care in Sub-Saharan Africa
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- Authors
- Favaretto, M., Shaw, D., De Clercq, E., Joda, T., & Elger, B. S.
- Affiliations
- University of Basel (CH)
- Institute for Biomedical Ethics, University of Basel, 4056 Basel, Switzerland
- Corresponding author
- Favaretto, Maddalena
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-04-06
- Volume
- 17
- Issue
- 7
- Pages
- 2495
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7177351
- OpenAlex
- W3014412695
- Cited by
- 94
- References
- 76
- Citations by year
- 2026: 8 · 2025: 19 · 2024: 25 · 2023: 15 · 2022: 11 · 2021: 12 · 2020: 4
- FWCI
- 1.75
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- edoc (University of Basel) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Social Sciences › Safety Research › Ethics and Social Impacts of AI
- Keywords
- big data, digital dentistry, ethics, privacy, anonymity, data security, informed consent, image tampering, research misconduct, insurance fraud, online professionalism, business interests, internet and communication technology
- MeSH terms
- Big Data, Dentistry, Humans, Informed Consent, Physician-Patient Relations, Privacy
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