Providers22 August, 2025

Untreated Dental Caries - How AI Helps Avoid and Improve Patient Care

Balaji Mahanam
Balaji Mahanam
Head of Product, Practice
Untreated Dental Caries - How AI Helps Avoid and Improve Patient Care
Balaji Mahanam
Balaji Mahanam
Head of Product, Practice
Providers22 August, 2025

Dental caries, commonly known as cavities, are among the most common chronic diseases worldwide. They affect people of all ages and, if left untreated, can quickly escalate into more serious problems.

The risks of untreated caries include:

  • Pain and discomfort that affect daily life

  • Infection, abscesses, and eventual tooth loss

  • Links to systemic conditions like heart disease, diabetes, and pregnancy complications

  • Higher treatment costs as decay progresses

For dental professionals, catching caries early is critical, but not always easy.

Challenges include:

  • Subtle signs on radiographs that are easy to miss

  • Variability in interpretation from provider to provider

  • Time pressures in busy practices that can lead to overlooked lesions

This is where artificial intelligence (AI) in dentistry steps in.

AI-powered technology enhances radiograph analysis with greater accuracy and consistency.

With AI, clinicians can:

  • Detect and diagnose caries earlier

  • Intervene before small lesions progress to advanced decay

  • Improve patient trust and case acceptance through clear visual evidence

Overjet’s FDA-cleared dental AI is a leader in this space. By combining clinical precision with seamless integration into everyday workflows, Overjet empowers dental professionals to deliver better outcomes while building stronger patient relationships.

This guide will explore how untreated dental caries impact patients, and why Overjet is a leading solution for prevention and detection.

Explore Overjet's Dental AI Software

Understanding Untreated Dental Caries

Dental caries, commonly known as cavities, form when bacteria in dental plaque produce acids that break down tooth enamel and dentin. Over time, this process leads to permanent damage to the tooth structure.

Key facts about dental caries:

  • They are the most common noncommunicable disease worldwide.

  • More than 2 billion people are affected globally.

  • Many cases remain undiagnosed or untreated until the disease has advanced.

Why so many caries go untreated:

  • Missed or delayed diagnosis: Caries can be difficult to detect on radiographs, especially in early stages.

  • Patient barriers: Limited access to care, cost concerns, and fear of dental treatment often delay visits.

  • Limited technology: Many practices still rely on traditional diagnostic tools that are less effective at detecting early lesions.

The risks of untreated caries:

  • Small, early-stage lesions can progress into deep decay.

  • Advanced caries often require invasive treatments such as root canals, crowns, or extractions.

  • Untreated decay leads to pain, infection, and higher treatment costs for patients.

By recognizing the challenges of early detection and the high prevalence of untreated caries, dental professionals can better appreciate the importance of tools, like AI-powered detection, that make identifying and addressing caries earlier easier and more consistent.

The Impact of Untreated Dental Caries on Patients

When dental caries are not detected and treated early, the damage can extend far beyond a single tooth. Untreated decay impacts oral health, overall well-being, and even financial stability.

Oral health consequences

  • Ongoing pain and tooth sensitivity

  • Infections or abscesses that require urgent care

  • Tooth loss if decay continues to progress

Systemic health connections

  • Increased risk of cardiovascular disease

  • Complications for patients managing diabetes

  • Potential adverse effects during pregnancy

Quality of life effects

  • Difficulty eating and chewing comfortably

  • Challenges with clear speech

  • Reduced self-confidence due to visible decay or missing teeth

Financial burden

  • Small lesions are less costly to treat when caught early

  • Advanced cases often require crowns, root canals, or implants, much more expensive options

  • Many patients delay care until pain forces treatment, which increases costs and complexity

By addressing caries at the earliest stages, dental professionals can protect patients from unnecessary pain, prevent systemic complications, and avoid expensive restorative procedures.

Early detection is the key to breaking this cycle. With modern tools like AI-assisted radiograph analysis, dentists now have a way to spot decay sooner, communicate findings more clearly to patients, and provide proactive care that safeguards both health and finances.

Challenges for Dental Professionals in Detecting Caries Early

Detecting dental caries at the earliest stages is essential for preventing disease progression, but even skilled clinicians face significant challenges. Small lesions are often subtle, and without the right tools, they can be overlooked.

Key challenges include:

  • Radiograph interpretation variability
    Caries may appear faint or unclear on radiographs. What one provider sees as early decay, another may consider within normal limits. This variability can lead to inconsistent diagnoses and treatment plans.

  • Time pressures in practice
    In busy dental offices, providers must review radiographs quickly while managing a full schedule of patients. Under these conditions, subtle signs of decay can be missed, especially when they don’t yet cause visible or symptomatic problems.

  • Limitations of traditional tools
    Standard diagnostic methods, such as visual inspection, explorer probing, and conventional radiography, are not always sensitive enough to detect caries early. These tools often identify decay only once it has already progressed and requires more invasive treatment.

  • Patient-related factors
    Caries may remain undetected if patients delay routine exams or avoid X-rays due to cost concerns, anxiety, or lack of access to care. This increases the likelihood of discovering cavities only after they have advanced.

These challenges highlight why early detection remains difficult in everyday practice. Without support, clinicians risk missing opportunities to intervene conservatively, leaving patients at risk for pain, infection, and costly restorative care.

That’s why many practices are turning to advanced technologies, like AI-assisted radiograph analysis, that improve detection accuracy, support consistency across providers, and give dentists the confidence to catch caries sooner.

How AI is Transforming Caries Detection and Prevention

Artificial intelligence (AI) is reshaping dental diagnostics by directly addressing the challenges clinicians face with caries detection. Traditional tools often fall short in identifying early lesions, but AI-powered systems, trained on millions of annotated radiographs, bring a new level of accuracy, consistency, and efficiency to dentistry.

Key ways AI is transforming caries detection and prevention include:

  • Enhanced radiographic analysis
    AI algorithms can highlight areas of concern with greater sensitivity than human interpretation alone. This reduces variability between providers and ensures that subtle caries are not overlooked.

  • Clinical decision support
    By flagging early-stage lesions, AI enables dentists to prioritize treatment before decay progresses. This makes it possible to intervene conservatively, preserving tooth structure and reducing costs for patients.

  • Improved patient communication
    AI-generated overlays on radiographs provide patients with clear, visual evidence of caries. These visuals make diagnoses easier to understand, build trust between dentist and patient, and increase case acceptance for recommended treatment.

  • Population-level insights
    For dental service organizations (DSOs) and group practices, AI offers the ability to track oral health trends across large patient populations. This data can reveal at-risk groups, support preventive initiatives, and improve overall patient care outcomes.

By integrating AI into daily workflows, dental professionals gain a powerful tool to detect disease earlier, communicate more effectively, and deliver higher-value care. Ultimately, AI helps shift dentistry toward a more preventive model, protecting patients’ health while supporting efficient, consistent practice performance.

Why Overjet is the Best Solution for Caries Detection with AI

Not all dental AI solutions are the same. Overjet stands out as the only FDA-cleared AI technology capable of detecting and quantifying both caries and bone levels, raising the standard for accuracy, reliability, and patient care.

Here’s why leading DSOs and dental practices choose Overjet:

  • FDA-cleared technology
    Overjet’s AI has undergone rigorous clinical validation, making it the trusted solution for accurate caries detection.

  • Unmatched accuracy
    Trained on millions of expertly annotated radiographs, Overjet’s algorithms deliver highly precise results that minimize subjectivity and variability across providers.

  • Seamless integration
    Designed to work smoothly with existing imaging systems and workflows, Overjet makes it easy for practices to adopt AI without disrupting day-to-day operations.

  • Boosts patient trust
    AI-driven visualizations overlayed directly on radiographs give patients clear, easy-to-understand evidence of their condition. This transparency strengthens trust and increases case acceptance rates.

  • Scalable for DSOs
    Overjet provides centralized dashboards and analytics, enabling multi-location practices to track performance, identify trends, and standardize care across providers.

  • Proven results
    Real-world case studies show measurable improvements, including higher rates of early detection, fewer untreated caries, and better long-term patient outcomes.

By combining advanced technology with practical usability, Overjet empowers dentists to diagnose more confidently, communicate more effectively, and treat patients more proactively. For practices committed to excellence, Overjet is more than a tool; it’s a partner in delivering superior dental care.

The Future of AI in Preventing Untreated Caries

AI in dentistry is already improving how clinicians detect caries, but its future impact goes even further. The next stage of innovation focuses on predicting risk, personalizing prevention, and supporting a shift toward more proactive, value-based care.

How AI is shaping the future of caries prevention:

  • Predictive analytics
    AI will not only detect decay but also evaluate patient-specific risk factors—such as age, medical history, diet, and past oral health patterns. By predicting which patients are more likely to develop caries, dentists can intervene earlier with preventive treatments like sealants, fluoride, or lifestyle guidance.

  • Personalized prevention
    Every patient’s risk profile is different. AI can analyze vast amounts of data to recommend tailored prevention strategies that fit individual needs. For example, one patient may need more frequent cleanings, while another may benefit from dietary changes or targeted fluoride use. Personalized care plans improve adherence and outcomes.

  • Value-based care
    As dentistry increasingly moves toward value-based models, prevention becomes a key focus. AI enables practices and DSOs to monitor outcomes across large patient populations, track improvements, and demonstrate measurable results. This helps reduce costs associated with advanced restorative treatments while improving patient health.

By moving beyond detection into prediction and prevention, AI has the potential to transform dentistry into a more proactive, patient-centered field. With innovations led by companies like Overjet, the future of caries prevention is becoming smarter, more accurate, and more effective.

Ready to Prevent Untreated Caries with Dental AI?

Untreated dental caries are one of the most common yet preventable oral health issues.

When left unaddressed, they can cause:

  • Pain, infections, and eventual tooth loss

  • Systemic health concerns that extend beyond the mouth

  • Reduced quality of life, affecting eating, speaking, and confidence

  • Significant financial strain from advanced, costly treatments

The solution lies in early detection. But spotting caries at the earliest stage is not always simple.

Challenges include:

  • Subtle lesions that may appear faint on radiographs

  • Variability in how different providers interpret images

  • Time pressures in busy practices that make subtle findings easy to miss

This is where dental AI is transforming care.

With powerful algorithms trained on millions of radiographs, AI delivers:

  • Greater accuracy and consistency in detecting early caries

  • Support for clinical decisions that preserve tooth structure and reduce costs

  • Clear visualizations that make it easier to explain diagnoses and build patient trust

Why Overjet stands apart:

  • The only FDA-cleared AI that detects and quantifies both caries and bone levels

  • Seamless integration into daily workflows and imaging systems

  • Scalable dashboards for DSOs to monitor performance across locations

  • Proven results showing improved detection rates and better patient outcomes

By adopting AI now, dentists can protect patients from untreated caries, strengthen practice performance, and lead the way toward preventive, patient-centered dentistry.

Overjet is at the forefront of this transformation**.** Take the next step today and see how Overjet can improve caries detection and prevention in your practice.

Ready to See Overjet's Dental AI in Action?

Frequently Asked Questions (FAQ)

What happens if dental caries are left untreated?

Untreated caries can progress from small cavities into serious oral health issues, including pain, infections, abscesses, and tooth loss. They can also contribute to systemic health problems, reduced quality of life, and higher financial costs when advanced treatment becomes necessary.

Why is early detection of caries so difficult?

Caries can be subtle in the early stages and often appear faint on radiographs, making them easy to miss. Interpretation varies from provider to provider, and time pressures in busy practices add to the challenge. Traditional tools like visual exams and manual probing are not always sensitive enough to detect decay early.

How can AI help dentists detect caries more effectively?

AI enhances radiograph analysis by highlighting areas of concern with greater accuracy and consistency than human interpretation alone. It supports clinical decision-making, helps dentists prioritize early treatment, and provides clear visualizations that patients can easily understand. This leads to improved case acceptance and better outcomes.

What makes Overjet different from other dental AI solutions?

Overjet is the only FDA-cleared dental AI capable of detecting and quantifying both caries and bone levels. It integrates seamlessly into practice workflows, scales across DSOs with centralized reporting, and has been clinically validated for accuracy. Real-world results show improved early detection and stronger patient trust.

What does the future of dental AI look like?

The next step for dental AI is predictive and preventive care. With predictive analytics and personalized prevention strategies, AI will help dentists stop cavities before they form, supporting a more proactive, patient-centered approach to dentistry.

Balaji Mahanam

Balaji Mahanam

Balaji Mohanam is the Head of Product at Overjet, where he leads the development of AI-powered dental solutions that improve patient outcomes and operational efficiency. He brings over 18 years of experience in product and engineering leadership across enterprise SaaS, cloud platforms, and, more recently, healthcare AI. Prior to Overjet, Balaji held key roles at Rippling, Google, eBay, and Oracle. He holds an MBA from Duke University and is passionate about applying technology to solve complex problems in healthcare.