Advancing Oral Health and Craniofacial Science through Microchip Implants

Microchip implants have emerged as transformative tools in the realm of oral health and craniofacial science, offering novel solutions to longstanding challenges. This paper aims to explore the diverse applications of microchip technology in dentistry and craniofacial medicine, envisioning a future where these implants play a pivotal role in diagnostics, treatment modalities, and ongoing patient care. The integration of microchips enables real-time monitoring of oral conditions, facilitating early detection of dental issues and providing personalized treatment strategies. Additionally, these implants open avenues for smart prosthetics and orthodontic devices, optimizing patient comfort and treatment outcomes. However, ethical considerations, patient perceptions, and the societal impact of such technology should also be addressed. By examining the multifaceted implications and applications of microchip implants in oral health and craniofacial science, this research overview seeks to contribute valuable insights to the intersection of technology and healthcare in the dental domain.

Advancements in technology have sparked significant transformations in healthcare, particularly in the field of dentistry and craniofacial medicine [1]. Among these innovations, microchip implants, utilizing Radio Frequency Identification (RFID) technology, have emerged as promising tools for enhancing diagnostics, treatment, and patient care [2,3]. By embedding microchips into dental structures and orthodontic devices, real-time monitoring of oral health conditions becomes possible [4], facilitating early detection of issues and personalized treatment approaches [5]. However, ethical considerations and technical challenges must be addressed to ensure responsible deployment and maximize the potential benefits of this technology [6-8].

This article begins with a description of Human Tooth Microchip and research methodology. It is then followed by an overview of existing Applications of Microchips in Dentistry and Craniofacial Medicine. The last sections are the discussion and conclusion.

Human tooth microchip

A human tooth microchip implant is a miniature Radio Frequency Identification (RFID) transponder operating at 13.56 MHz and was specifically designed to fit within the pulp chamber of a human tooth following endodontic treatment. This adaptation minimized its size while maintaining optimal functionality. The reduced-size transponder demonstrated a maximum communication range of 30 mm [9,10].

We conducted an extensive literature search across multiple databases, including PubMed, Scopus, Web of Science, and Google Scholar, to identify relevant articles on the applications of microchip technology in dentistry and craniofacial medicine published since 2010. This search yielded a comprehensive selection of studies highlighting seven key applications of microchip implants in oral healthcare. Among the major applications identified were real-time monitoring and diagnostics, drug delivery systems, and preventive dentistry. Using targeted keywords such as “microchip implants”, “oral health monitoring”, “RFID technology in dentistry” and “smart dental prosthetics”, we focused on retrieving articles that specifically addressed these areas of interest. The inclusion criteria ensured that selected studies were peer-reviewed, written in English, and directly relevant to the identified applications of microchip technology in improving dental diagnostics, treatment, and preventive care. This systematic approach allowed us to gather valuable insights and analyze the current state of research in leveraging microchip implants to advance oral healthcare practices.

Applications of microchip in dentistry and craniofacial medicine

The applications of microchip technology in dentistry and craniofacial medicine are anticipated to revolutionize diagnostics, treatment methods, and ongoing patient care, highlighting the pivotal role these implants may play in the future and are as follows:

1-Real-time monitoring and diagnostics:

Cavity Detection: Microchips embedded in dental structures can continuously monitor tooth health, detecting early signs of cavities or enamel deterioration [11-14]. Gum Disease Monitoring: Implants can track changes in gum health, providing real-time data on conditions like gingivitis or periodontitis.

Smart prosthetics and orthodontics: [15]

Orthodontic implants: Microchips incorporated into orthodontic devices can monitor tooth movement, optimizing orthodontic treatment plans and reducing treatment duration [16].

2-Smart dentures: Implants in dentures can enhance fit and comfort, adapting to the wearer’s oral dynamics for a more natural feel [17].

3-Drug delivery systems: [18]

Local anesthesia control: Microchips can enable precise control over local anesthesia delivery, minimizing discomfort during dental procedures.

Medication release: Implants may serve as controlled-release platforms for medications to manage oral infections or pain, ensuring sustained therapeutic effects.

4-Patient records and treatment planning: [19]

Digital patient records: Microchips could securely store patient records, facilitating seamless access to treatment history and aiding in personalized care.

Treatment planning support: Implants may contribute to comprehensive treatment planning by providing real-time data on oral conditions and responses to interventions [12].

5-Teledentistry and remote monitoring:

Remote consultations: Microchip technology can support teledentistry by enabling remote consultations, where dentists can monitor patients’ oral health in real-time [12].

Post-treatment monitoring: Implants allow for continuous monitoring post-treatment, ensuring optimal healing and early detection of any complications [14].

6-Preventive dentistry:

Oral hygiene tracking: Microchips embedded in toothbrushes or floss can monitor oral hygiene practices, providing personalized feedback to encourage preventive measures [16].

Nutritional monitoring: Implants may contribute to monitoring nutritional aspects impacting oral health, supporting holistic preventive approaches [18].

7-Patient education:

Informed decision-making: Microchip technology can be utilized to educate patients about their oral health status, enabling informed decisions regarding treatment options [18].

Various challenges have been identified in the realm of dental microchip technology, among which ethical considerations [20] stand out prominently. This challenge is closely intertwined with data security measures, highlighting the imperative need for implants to integrate robust security protocols to safeguard sensitive patient data [21]. Furthermore, in a study by [16], the authors underscored chemistry as a significant hurdle in the development of Smart-tooth technology aimed at detecting specific diseases in high-risk patients. They explore solutions to the query of how to refresh these sensors, reflecting the complexity of overcoming this obstacle. The allowance for precise adjustments and personalized treatment approaches represents a significant advantage of utilizing microchip technology in smart prosthetics and orthodontics [13,22]. This personalized approach enhances treatment effectiveness and efficiency, leading to improved outcomes for patients undergoing orthodontic interventions.

While microchip implants offer exciting possibilities in the realm of smart prosthetics and orthodontics, there are also several disadvantages and challenges associated with their diverse applications in dental care. It’s important to consider these drawbacks to ensure responsible and informed use of this technology. Some potential disadvantages are as follows:

Cost

The integration of microchip technology into dental prosthetics and orthodontic devices may increase the overall cost of treatment. The manufacturing and implementation of smart devices with embedded chips can be more expensive than traditional alternatives, potentially limiting access for some patients.

Complexity and maintenance

Smart prosthetics and orthodontics utilizing microchips introduce complexity in terms of maintenance and repair. The electronic components within these devices require specialized care and may be susceptible to malfunction or damage over time. Regular maintenance and skilled technical support may be necessary, adding to the overall treatment burden.

Risk of malfunction

Microchip implants can experience technical issues, such as sensor malfunction or communication errors. In orthodontic applications, a malfunctioning chip could compromise the accuracy of treatment monitoring and adjustments, potentially affecting treatment outcomes.

Privacy and security concerns

The use of microchip implants raises privacy and security concerns related to patient data. Electronic health records stored or transmitted by these devices may be vulnerable to unauthorized access or cyber-attacks. Ensuring robust data encryption and adherence to privacy regulations is crucial to mitigate these risks [6].

Patient acceptance and comfort

Some patients may have reservations or concerns about the use of microchip implants in dental prosthetics or orthodontic devices. Issues related to comfort, perceived invasiveness, or fear of technology could impact patient acceptance and willingness to undergo treatment with smart devices [6].

Compatibility and interoperability

Integrating microchip technology into existing dental infrastructure and workflows may require compatibility with different systems and devices. Ensuring interoperability between microchip-enabled devices and other dental equipment or software can pose technical challenges.

Ethical considerations

The ethical implications of using microchip implants in dental care should be carefully evaluated. Questions related to informed consent, data ownership, and long-term implications of implantation require ethical reflection and transparent communication with patients.

Regulatory approval and standards

Microchip implants used in dental applications must adhere to regulatory standards and undergo rigorous testing for safety and efficacy. Compliance with regulatory requirements adds complexity to the development and deployment of smart prosthetics and orthodontics.

Health risk

While dental implants are increasingly favored as restorative solutions for missing teeth due to their high success rate, they are not without risks. One significant health concern [23] associated with dental implants is periimplantitis, which can lead to complications in some patients [5]. Peri-implantitis is characterized by inflammation around a dental implant, involving both soft tissue inflammation and the gradual loss of supporting bone beyond normal bone remodeling [2]. This condition poses a challenge in implant dentistry and underscores the importance of careful patient selection, regular monitoring, and proactive management to minimize the risk of peri-implant complications and ensure long-term implant success and patient satisfaction.

In conclusion, while microchip implants offer innovative solutions in dental prosthetics and orthodontics, careful consideration of the associated disadvantages and challenges is essential. Addressing these concerns through comprehensive risk assessment, patient education, and regulatory oversight can help maximize the benefits of this technology while minimizing potential drawbacks.

The integration of microchip technology into dentistry and craniofacial medicine offers a transformative opportunity to revolutionize patient care. Through real-time monitoring and diagnostics, smart prosthetics and orthodontics, drug delivery systems, digital patient records, and teledentistry, microchip implants hold the potential to enhance various aspects of oral health and well-being. However, ethical considerations regarding data security and patient education are paramount to ensure the responsible deployment of this technology. By addressing these concerns and leveraging the diverse applications of microchip technology, dentistry, and craniofacial medicine can witness a paradigm shift toward more personalized, efficient, and patient-centric care, ultimately advancing oral health outcomes on a global scale.

1. Nayyar N, Ojcius DM, Dugoni AA. The Role of Medicine and Technology in Shaping the Future of Oral Health. J Calif Dent Assoc. 2020 Mar;48(3):127-130. PMID: 32189957; PMCID: PMC7080193.
2. Eltorai AE, Fox H, McGurrin E, Guang S. Microchips in Medicine: Current and Future Applications. Biomed Res Int. 2016; 2016:1743472. doi: 10.1155/2016/1743472. Epub 2016 Jun 7. PMID: 27376079; PMCID: PMC4914739.
3. Shekufeh S, Moalla CB, Mona M. Modeling subcutaneous microchip implant acceptance in the general population: A crosssectional survey about concerns and expectations, Informatics. 2022; 9(1):24
4. Marc L. Method for using radio frequency identification microchips in orthodontic brackets, Google Patents, US Patent. 2012; 8:235; 716.
5. Kim JJ, Stafford GR, Beauchamp C, Kim SA. Development of a Dental Implantable Temperature Sensor for Real-Time Diagnosis of Infectious Disease. Sensors (Basel). 2020 Jul 16;20(14):3953. doi: 10.3390/s20143953. PMID: 32708671; PMCID: PMC7412512.
6. Khorshidi H, raoofi S. Dental implants: ethical issues and considerations. IJMEHM. 2016; 9(2):38-41. URL: http://ijme.tums.ac.ir/article-1-5771-en.html
7. Naidoo S, du Toit J. Ethical issues in replacing a single tooth with a dental implant. SADJ. 2014 May;69(4):176-7. PMID: 24984394.
8. Hansson SO. Implant ethics. J Med Ethics. 2005 Sep;31(9):519-25. doi: 10.1136/jme.2004.009803. PMID: 16131553; PMCID: PMC1734218.
9. Ishihata H, Tomoe T, Takei K, Hirano T, Yoshida K, Shoji S, Shimauchi H, Horiuchi H. A radio frequency identification implanted in a tooth can communicate with the outside world. IEEE Trans Inf Technol Biomed. 2007 Nov;11(6):683-5. doi: 10.1109/titb.2007.891926. PMID: 18046943.
10. Randerson J. Chip in tooth - scientists point way to new identity tag. The Guardian. 2017, February 22. https://www.theguardian.com/science/2006/feb/28/uknews. Last accessed 6 Feb 2024
11. Moreno F, Vallejo D, Garzón H, Moreno S. In vitro evaluation of a passive radio frequency identification microchip implanted in human molars subjected to compression forces, for forensic purposes of human identification. J Forensic Dent Sci. 2013 Jul;5(2):77-84. doi: 10.4103/0975-1475.119766. PMID: 24255554; PMCID: PMC3826047.
12. Dental DG. New year, New Smile: Embracing 5 innovative trends in dental implants for 2024. Do Good Dental. Tempe, AZ. 2024, January 2. https://dogooddental.com/new-year-new-smile-embracing-5-innovative-trends-in-dental-implants-for-2024/. Last accessed 10 Feb 2024
13. Researchers are putting the human mouth onto microchips. DrBicuspid.com. 2022, March 24. https://www.drbicuspid.com/dental-specialties/smiledesign/restorations/article/15379260/researchers-are-putting-the-human-mouthonto-microchips
14. Dental Chips: What are their uses and how they can help improve oral health? Dentaltix - Dental Supplies Distributor. 2020, March 17. https://www.dentaltix.com/en/blog/discover-dental-chip-revolution
15. Baumann M, Woll S, Jo˜aoMaia M. INOPRO–IntelligentOrthoticsandProsthetics, Coenen, Christopher (Project leader), KIT - ITAS - Organization - Projects - INOPRO – Intelligent Orthotics and Prosthetics. 2022. https://www.itas.kit.edu/english/projects_coen16_inopro.php. Last accessed 10 Feb 2024
16. Smart-tooth technology shows promise in detecting certain diseases in high-risk patients, Date: 13 February 2019, https://www.implantdentist.co.nz/news/smart-tooth-technology-shows-promise-in-detecting-certain-diseases-in-high-risk-patients.html. Last accessed 10 Feb 2024
17. Writer. A brief guide to the latest technology used in prosthetics and orthotics. Prothotic Laboratories, Inc. 2021 July 20. https://prothotic.com/2021/07/a-brief-guide-to-the-latest-technology-used-in-prosthetics-and-orthotics/. Last accessed 10 Feb 2024
18. Your mouth on a chip. National Institute of Dental and Craniofacial Research. 2022, March 7. https://www.nidcr.nih.gov/news-events/nidcr-news/2022/your-mouth-chip. Last accessed 20 April 2024
19. Nuzzolese E, Marcario V, Di Vella G. Incorporation of radio frequency identification tag in dentures to facilitate recognition and forensic human identification. Open Dent J. 2010 Apr 29; 4:33-6. doi: 10.2174/1874210601004010033. PMID: 20657641; PMCID: PMC2885600.
20. Mensvoort KV. NNN. Excuse me, is Your Tooth Ringing? Next Nature Network, June 16th 2006. https://nextnature.net/story/2006/excuseme-is-your-tooth-ringing. Last accessed 10 Feb 2024
21. Kulkarni PG, Paudel N, Magar S, Santilli MF, Kashyap S, Baranwal AK, Zamboni P, Vasavada P, Katiyar A, Singh AV. Overcoming Challenges and Innovations in Orthopedic Prosthesis Design: An Interdisciplinary Perspective. Biomed Mater Devices. 2023 May 12:1-12. doi: 10.1007/s44174-023-00087-8. Epub ahead of print. PMID: 37363137; PMCID: PMC10180679.
22. Hussein N. Artificial intelligence in dentistry: current issues and perspectives. Artificial Intelligence and Computational Dynamics for Biomedical Research. 2022 Nov 7; 8:229. Walter de Gruyter GmbH & Co KG
23. Shafeie S, Mohamed M, Issa TB, Chaudhry BM. Using Machine Learning to Model Potential Users with Health Risk Concerns Regarding Microchip Implants. In International Conference on Human-Computer Interaction. Cham: Springer Nature Switzerland. 2023 Jul 9; 574592.