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DentalMonitoring

Dental Monitoring SAS • Dental • 05/17/2024

De NovoIEC 62304 Class B§524B Cyber Device
FDA Summary PDF

Device Purpose

DentalMonitoring aims to enhance orthodontic treatment management by enabling remote oversight through a smartphone application and AI-powered analysis of patient-captured intraoral images. The system utilizes image-processing algorithms and convolutional neural networks to detect clinical characteristics such as tooth alignment, bracket positioning, and gum health, offering early issue identification and potentially improving patient engagement despite moderate sensitivity for some conditions.

Summary

DentalMonitoring is a software system designed to provide remote oversight for orthodontic treatments. Patients or clinicians utilize a smartphone application along with cheek retractors to capture standardized intraoral photographs. These images are then analyzed by an artificial intelligence system, which is programmed to identify various clinical characteristics, including tooth alignment, the positioning of orthodontic brackets, levels of plaque accumulation, and overall gum health. The system compiles a report for the orthodontist, highlighting potential misalignments or hygiene issues that require attention, thereby complementing traditional in-office appointments and facilitating continuous monitoring. The underlying technology of DentalMonitoring integrates sophisticated image-processing algorithms with convolutional neural networks (CNNs). These neural networks have been extensively trained on large datasets of dental images to accurately recognize crucial indicators relevant to orthodontic progress and periodontal health. Clinical studies have demonstrated the system's high specificity, indicating its effectiveness in minimizing false alarms for non-existent issues. While its sensitivity for detecting certain conditions was reported as moderate, the system is still regarded as a beneficial tool for the early identification of potential problems, potentially reducing the frequency of necessary in-office visits and enhancing patient engagement in their own orthodontic care by providing them with regular feedback.

AI Regulatory Concerns

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Jev reads the full FDA letter and returns calibrated concern probabilities per regulatory category. These are AI estimates, not regulatory advice.

Keywords

DentalMonitoringOrthodontic treatmentsRemote oversightArtificial intelligenceIntraoral photographsImage-processing algorithmsConvolutional neural networksTooth alignmentPlaque accumulationGum health

Device Metadata

Submission Number
DEN230035
Company
Dental Monitoring SAS
Panel
Dental
Product Code
N/A
Data Type
Images
Clinical Function
Assessment
AI Function
Analysis
AI Subclass
diagnosis

Relevant Clinical Questions

  • Q1. For which specific orthodontic or periodontal conditions does the system exhibit moderate sensitivity, and what are the implications for relying on it for comprehensive monitoring?; How does the variability in image quality captured by patients using different smartphones and lighting conditions affect the AI's diagnostic accuracy and consistency?; What is the learning curve for patients and clinicians to effectively use the smartphone application and cheek retractors to capture images of sufficient diagnostic quality for AI analysis?; Can the AI differentiate between urgent orthodontic issues (e.g., a fully debonded bracket, a significantly bent archwire) versus more subtle, non-urgent changes in tooth movement or gingival inflammation, and with what level of accuracy for each?; How does the system's performance in identifying early signs of plaque accumulation and gum inflammation compare to traditional clinical visual examination by a dental professional, particularly in terms of inter-observer variability?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via De Novo pathway; IEC 62304 Class B (software safety classification); Qualifies as a cyber device under §524B (post-Dec 2023, networked)

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Cybersecurity Evidence

Powered by SBOMator™

Based on AI-generated device summaries, not the full FDA submission. Items not detected here may still be present in the complete submission package.

Cyber Score25/100
SBOM Evidence⚠ Not in summary - likely in full submission per §524B
Cyber Risk Assessment⚠ Not in summary - likely in full submission per §524B
Postmarket Plan✓ Detected in Summary
§524B ApplicableYes

Supply Chain BOM Evidence

Based on the CycloneDX / OWASP ECMA-424 xBOM ecosystem. Detection is from the AI-generated summary.

SBOMSoftware Bill of Materials
- Not detected
ML-BOMMachine Learning Bill of Materials(neural network, algorithm, dataset)
✓ Detected
SaaSBOMSoftware-as-a-Service Bill of Materials(server, remote, network)
✓ Detected
HBOMHardware Bill of Materials
- Not detected
CBOMCryptography Bill of Materials
- Not detected
VDR/VEXVulnerability Disclosure Report / Vulnerability Exploitability eXchange
- Not detected
OBOMOperations Bill of Materials
- Not detected

Analysis:

• Analysis is based on the AI-generated device summary, not the full FDA submission package. Click "Analyze Full FDA PDF" below to scan the actual submission document.

• Evidence of ML-BOM, SaaSBOM detected in AI-generated device summary.

• SBOM not mentioned in AI-generated device summary. Under §524B (effective Oct 2023), cyber devices must provide a SBOM.

• Cybersecurity risk assessment not referenced in AI-generated device summary. FDA cybersecurity guidance (2023) expects this for cyber devices.

• Not detected in AI-generated device summary: SBOM, HBOM, CBOM, VDR/VEX, OBOM. These may be present in the full FDA submission.

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DentalMonitoring - Dental Monitoring SAS | ESL FDA AI Device Intelligence