Telemedicine in Orthodontics: A Literature Review
Sair Salma*, Essalem Ibrahim and EL Quars Farid
Senior Lecturer, Department of Periodontology, Maharana Pratap College of
Dentistry and Research Centre, Gwalior, MP, India
*Corresponding Author: Sair Salma, Orthdontics Department, Faculty of Dentistry,
University Hassan II, Casablanca, Morocco.
Received:
January 30, 2026; Published: February 20, 2026
Abstract
Telemedicine has increasingly transformed healthcare delivery by improving access to care and continuity of treatment,
particularly in specialties requiring long-term follow-up such as orthodontics. The aim of this literature review was to evaluate the
current applications of telemedicine in orthodontics, with a focus on its clinical effectiveness, patient and practitioner acceptance,
benefits, and limitations. A narrative review of the literature was conducted using PubMed, Scopus, the Cochrane Library, and Google
Scholar databases, including studies published between January 2015 and May 2025 that assessed telemedicine or teledentistry
in orthodontic clinical practice. Data extraction was performed according to the PICOT framework, and the methodological quality
of observational studies was assessed using the STROBE checklist. A total of 46 articles were included in the analysis, of which 18
met strict PICOT eligibility criteria. The findings indicate that teleorthodontics is particularly effective for remote monitoring of
orthodontic treatment, especially in clear aligner therapy and during retention phases, demonstrating high accuracy in the assessment
of tooth movement, aligner fit, and appliance integrity. High levels of patient satisfaction and improved treatment compliance were
consistently reported, along with positive effects on oral hygiene when remote monitoring was combined with educational reminders.
However, teleorthodontics remains limited in its ability to replace in-person clinical examinations, particularly for the diagnosis
of caries, periodontal diseases, and complex biomechanical issues, and concerns persist regarding ethical, legal, and data security
aspects. In conclusion, telemedicine represents a valuable adjunct to conventional orthodontic care, enhancing monitoring efficiency
and patient engagement, but it should be integrated within a regulated, clinician-led framework and not considered a substitute for
face-to-face orthodontic treatment.
Keywords: Telemedicine; Teleorthodontics; Teledentistry; Remote Patient Monitoring; Orthodontic Treatment
References
- Ryu S. “Telemedicine: Opportunities and Developments in Member States: Report on the Second Global Survey on eHealth 2009 (Global Observatory for eHealth Series)”. Healthcare Information Research2 (2012): 153‑155.
- Jampani ND., et al. “Applications of tele dentistry: A literature review and update”. Journal of International Society of Preventive and Community Dentistry 1 (2 (2011): 37‑
- Kayalar E and Küçükkurt B. “Applications and effectiveness of teledentistry in orthodontic practice during the COVID-19 restrictions”. Journal of the World Federation of Orthodontists 12 (2023): 118‑1
- Peanchitlertkajorn S., et al. “The implementation of teledentistry training in orthodontic practice: an explanatory sequential mixed-methods study”. BMC Medical Education1 (2024): 1555.
- Khamlich K., et al. “THE MERITS OF TELEDENTISTRY: A NARRATIVE REVIEW”. International Journal of Medical Reviews and Case Reports12 (2022): 1.
- Kumar G., et al. “Global Scenario of Teledentistry during COVID-19 Pandemic: An Insight”. International Journal of Clinical Pediatric Dentistry 3 (2021): 426‑429.
- Abu Arqub S., et al. “Perceptions and utilization of tele-orthodontics: a survey of the members of the American Association of Orthodontists”. Progress in Orthodontics1 (2024): 16.
- Rouanet F. “Télémédecine en orthodontie: revue de la littérature et mise en place d’un protocole d’étude Clinique”. (2021).
- Alshammery D., et al. “Non-surgical correction of gummy smile using temporary skeletal mini-screw anchorage devices: A systematic review”. Journal of Clinical and Experimental Dentistry7 (2021): e717‑23.
- Venugopal A., et al. “The World Wide Web of orthodontics- A comprehensive narrative on teledentistry pertaining to the orthodontics of the 21st century”. Journal of Orthodontic Sciences 11 (2022): 1.
- Von Elm E., et al. “The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies”. The Lancet9596 (2007): 1453‑1457.
- Adly MS., et al. “Assessment of early orthodontic treatment on functional shifts by telemonitoring mandibular movements using a smart phone”. Journal of Telemedicine and Telecare 26 (2020): 150‑1
- Mheissen S., et al. “Global survey to assess preferences when attending virtual orthodontic learning sessions: optimising uptake from virtual lectures”. Progress in Orthodontics1 (2021): 47.
- Moylan HB., et al. “Accuracy of a smartphone-based orthodontic treatment-monitoring application: A pilot study”. Angle in Orthodontics5 (2019): 727‑733.
- Sangalli L., et al. “Remote digital monitoring during the retention phase of orthodontic treatment: A prospective feasibility study”. Korean Journal of Orthodontics 2 (2022): 123‑130.
- Homsi K. “Accuracy of Remote Dental MonitoringTM Tooth Tracking Technology in Orthodontics”. University of Illinois at Chicago (2022).
- Sangalli L., et al. “Effects of remote digital monitoring on oral hygiene of orthodontic patients: a prospective study”. BMC Oral Health 21 (2021): 435.
- Putrino A., et al. “Impact of the SARS-Cov2 Pandemic on Orthodontic Therapies: An Italian Experience of Teleorthodontics”. Pesqui Bras Odontopediatria Clín Integr 20 (2000): e0100.
- George PP., et al. “Knowledge, Awareness, and Attitude among Practicing Orthodontist on Teledentistry during COVID Pandemic in Kerala: A Cross-Sectional Survey”. Journal of Pharmacy and Bioallied Sciences1 (2021): S846‑850.
- Saccomanno S., et al. “Utility of Teleorthodontics in Orthodontic Emergencies during the COVID-19 Pandemic: A Systematic Review”. Healthcare (Basel)6 (2022): 1108.
- Caruso S., et al. “A Knowledge-Based Algorithm for Automatic Monitoring of Orthodontic Treatment: The Dental Monitoring System. Two Cases”. Sensors (Basel) 7 21 (5 (2021): 1856.
- Bianco A., et al. “COVID-19 and orthodontics: An approach for monitoring patients at home”. (2021).
- Job S. “La télé-expertise appliquée à l’orthodontie: enjeux et possibilités”.
- Kui A., et al. “Is teledentistry a method for optimizing dental practice, even in the post-pandemic period? An integrative review”. International Journal of Environmental Research and Public Health13 (2022): 7609.
- Morris RS., et al. “Accuracy of Dental Monitoring 3D digital dental models using photograph and video mode”. American Journal of Orthodontics and Dentofacial Orthopedics 3 (2019): 420‑428.
- TORRES DKB., et al. “Is teledentistry effective to monitor the evolution of orthodontic treatment? A systematic review and meta-analysis”. Dental Press Journal of Orthodontics4 (2012): e2322195.
- Li X., et al. “Effect of intervention using a messaging app on compliance and duration of treatment in orthodontic patients”. Clinical Oral Investigation8 (2016): 1849‑1859.
- Thurzo A., et al. “Artificial Intelligence in Orthodontic Smart Application for Treatment Coaching and Its Impact on Clinical Performance of Patients Monitored with AI-TeleHealth System”. Healthcare 12 (2021): 1695.
- Scheerman JFM., et al. “The effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene: A randomized controlled trial”. International Journal of Dental Hygiene1 (2020): 73‑83.
- Borujeni ES., et al. “Effect of teledentistry on the oral health status of patients undergoing fixed orthodontic treatment at the first three follow-up visits”. Dental and Medical Problems3 (2021): 299‑304.
- Park JH., et al. “Teledentistry Platforms for Orthodontics”. Journal of Clinical Pediatric Dentistry1 (2021): 48‑53.
- Dunbar AC., et al. “The influence of using digital diagnostic information on orthodontic treatment planning - a pilot study”. Journal of Healthcare Engineering4 (2014): 411‑427.
Citation
Copyright