Tracing the future: artificial intelligence and cephalometrics

This narrative review describes the role of artificial intelligence (AI) in cephalometric tracing, comparing its accuracy, efficiency, and limitations to manual methods. AI significantly reduces analysis time, especially for novice tracers, and demonstrates high accuracy overall. However, the literature shows that errors persist, reflecting algorithmic and dataset biases. While AI can enhance clinical efficiency, presently it should complement, not replace, orthodontic expertise. Future development and improvements in the use of AI in orthodontics are required. Incorporating AI awareness into orthodontic training programmes is recommended for preparing clinicians for evolving digital workflows. CPD/Clinical Relevance: It is important for clinicians to be aware of the evolving role of artificial intelligence in orthodontics.

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Publication Details

Journal
Orthodontic Update
Published
2026-02-02
DOI
https://doi.org/10.12968/ortu.2026.19.1.36
Primary Topic
Dental Radiography and Imaging
Type
article
Field-Weighted Citation Impact
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article

Tracing the future: artificial intelligence and cephalometrics

Manpreet Kaur Gakhal, Nabeela Caratela, Emily Gray, Mr Naeem Adam
Orthodontic Update
Dental Radiography and Imaging
article

Tracing the future: artificial intelligence and cephalometrics

Manpreet Kaur Gakhal, Nabeela Caratela, Emily Gray, Mr Naeem Adam
article en

Abstract

This narrative review describes the role of artificial intelligence (AI) in cephalometric tracing, comparing its accuracy, efficiency, and limitations to manual methods. AI significantly reduces analysis time, especially for novice tracers, and demonstrates high accuracy overall. However, the literature shows that errors persist, reflecting algorithmic and dataset biases. While AI can enhance clinical efficiency, presently it should complement, not replace, orthodontic expertise. Future development and improvements in the use of AI in orthodontics are required. Incorporating AI awareness into orthodontic training programmes is recommended for preparing clinicians for evolving digital workflows. CPD/Clinical Relevance: It is important for clinicians to be aware of the evolving role of artificial intelligence in orthodontics.

Orthodontic UpdateVol. 19(1)
University Dental Hospital of Manchester (GB), Birmingham Dental Hospital (GB), Leeds Dental Hospital (GB)
Openalex Percentile: Top 65%
Dental Radiography and Imaging
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Tracing the future: artificial intelligence and cephalometrics — Manpreet Kaur Gakhal, Nabeela Caratela, et al. · Orthodontic Update (2026) | TGRS Research Map | TGRS