Education innovation award supports study on AI use in dentistry

May 02, 2025
Image of teeth with a blue overlay. Two areas of teeth are highlighted.
Second Opinion is billed as "the first real-time dental AI platform that automatically detects numerous conditions in dental X-rays to give dentists a second set of eyes for superior radiologic accuracy" on hellopearl.com.

Artificial intelligence (AI) has the potential to revolutionize the practice of dentistry, from real-time diagnostics to enhanced treatment planning, and MUSC’s Sonali Rathore, BDS, isn’t alone in this belief. The American Dental Association agrees, noting the rapid rise of AI in the field and even investing in its future. At the Medical University of South Carolina's James B. Edwards College of Dental Medicine, Rathore is putting that potential to the test in the classroom and beyond.

Rathore, an associate professor and director of Oral and Maxillofacial Radiology in the CDM, is evaluating an AI-powered dental software platform known as Second Opinion to determine its effectiveness in identifying and diagnosing dental caries, commonly known as cavities or tooth decay.

Second Opinion, developed by dental AI company Pearl, states on its website that it offers dentists “a second set of eyes.” Rathore said the technology is a valuable tool for dentists and patients alike – and it not only enhances clinical accuracy, but it improves the patient experience.

“AI has been shown to function as a supportive aid, offering real-time diagnostic assistance while the patient is still in the chair,” she said. “Additionally, patients appreciate being able to visualize their proposed treatment plans, including annotated images of their teeth and dental conditions.” 

Headshot of smiling woman with long dark hair wearing a white coat. 
Sonali Rathore

Rathore was recognized with MUSC’s 2024 Education Innovation Award for her year-long project, which she began last fall. The $15,000 award, which was granted by the MUSC Education Innovation Cabinet, overseen by Executive Vice President of Academic Affairs and Provost Lisa Saladin, PT, Ph.D., recognizes faculty members engaged in research that creates innovation in the education space. 

“We look forward to the results of Dr. Rathore’s innovative pilot project, exploring the applications of AI in dentistry as well as the development of simulated learning environments and personalized learning experiences for students,” said Saladin. “The EIC seeks to fund novel projects that encourage student learning by looking at learning through a different lens – one that promotes exploration, resourcefulness and creativity to answer questions and find solutions. It’s always exciting to see our faculty members innovative approaches to learning.”

Rathore’s pilot study, titled “Transforming Dental Education through AI,” builds on the exponential growth of AI in dentistry by comparing the diagnostic accuracy of second- and third-year dental students with that of the AI software. Using de-identified bitewing radiographs, or X-rays, that show the various stages of proximal (between the teeth) caries, students will then document their findings, using a standardized form. Their results will then be compared to a gold standard reference to evaluate both the student and AI’s performance.

“If this pilot study shows that the AI software performs on par with the gold standard, it could serve as a valuable supplemental learning tool in both didactic and clinical dental education,” she said. “Students are enthusiastic about the software’s potential, and it could significantly enhance how they learn to diagnose.”

For Rathore, preparing students for that future is essential. “AI is poised to transform dental practice, and many clinicians have already begun integrating it into their workflows. As AI continues to advance, it's critical that our students are well-versed in the latest digital tools shaping modern dental care.”

Rathore’s work reflects the CDM’s broader commitment to integrating innovation into dental education. As her project continues, she believes it will serve as a model for how technology can empower today’s dental students while also supporting an increasingly digital and patient-centered care environment.

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