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The dentist has the final say, every single time

Every AI finding sits behind three actions — confirm, dismiss, or modify. Nothing reaches the patient chart unreviewed. This is the feature that makes every other feature safe to ship.

Dental team member holding up a monitor showing four panoramic and periapical radiograph panels.
Why this exists

A model that's usually right still isn't always right

Research into AI-assisted caries detection is genuinely promising, but performance still varies across systems, image quality, and clinical context. That's not a reason to withhold the tool — it's a reason to make sure a human decision sits between every AI output and the patient record.

Dentist review and approval is that decision point. It isn't a settings toggle or an optional step someone can configure away. It's built into the pipeline itself: a finding is not clinical data until a dentist has acted on it.

The three actions

Every finding, every time

  1. Confirm

    The finding stands as written

    It's saved to the chart as a confirmed finding. The confidence score and the dentist's confirmation are both part of the permanent record.

  2. Dismiss

    Not clinically relevant

    Common for candidates that turn out to be existing restorations, imaging artifacts, or anatomy the model hasn't seen enough of. Dismissed candidates are logged, not deleted — useful for understanding model performance over time.

  3. Modify

    Close, but needs a correction

    The dentist edits the finding directly — changing "possible caries" to "existing restoration," or narrowing a description before it's saved.

Dentist showing a patient a printed radiograph and explaining a finding.
What gets recorded

The audit trail behind every decision

Every confirm, dismiss, and modify action is timestamped and logged, stored separately from clinical content in its own operational record. If a finding is ever questioned later — by the practice, by a patient, or in a compliance review — there's a clear answer for who decided what, and when.

This audit layer runs on Amazon RDS, kept deliberately separate from the encrypted image storage in S3. Metadata about a decision and the clinical image itself never live in the same place.

See the infrastructure
The principle behind the feature

AI assists. Dentist decides. Read more about how this shows up across the rest of the product on the trust & review page.

Common questions

Common questions about review and approval

Can a practice bulk-approve findings to save time?
No. Every finding requires its own individual decision — there's no bulk-accept action that skips per-finding review, by design.
Who can perform the confirm, dismiss, or modify action?
This is a practice-level configuration decision made during onboarding — typically the treating dentist, though some practices extend it to associate dentists reviewing under supervision.
Can a decision be reversed after the fact?
A confirmed or modified finding can be corrected later, and that correction is logged as a new entry — the original decision stays in the audit trail rather than being overwritten.
See the review queue

Watch confirm, dismiss, and modify on a real study

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