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Custom LLMs for Chairside Assistants: A New Era of Conversational Dentistry

Vuk Dukic profile picture
Vuk Dukic
Founder, Senior Software Engineer
May 30, 2025
Custom LLMs for Chairside Assistants: A New Era of Conversational Dentistry

dental-chair-with-medical-tools

Key Points

  • Custom LLMs (Large Language Models) are transforming dental practices by enabling intelligent, real-time support during patient interactions.
  • Transparency and explainability in AI-driven recommendations can increase patient trust by up to 25%.
  • Demonstrated accuracy in AI-assisted diagnosis and patient education helps reduce skepticism.
  • Patients prefer AI tools that assist dentists rather than replace them—68% show more comfort when clinicians remain central.
  • Over 70% of patients express concern about data privacy in AI applications, highlighting the need for secure data practices.
  • Trust in AI varies with demographics, older adults and underserved communities tend to be more cautious.
  • LLMs must be designed to convey empathy and adapt to patient tone and mood for better engagement.
  • Accessible, easy-to-use AI interfaces can greatly enhance trust and patient satisfaction.
  • Dentist and staff endorsement of AI tools heavily influences patient acceptance.

Overview

Conversational AI, especially in the form of custom large language models (LLMs), is ushering in a new era of chairside assistance in dentistry. These advanced systems help dental professionals by streamlining workflows, improving patient communication, and supporting clinical decisions in real time. However, successful integration relies heavily on both patient and provider trust.

To embrace these tools, patients must perceive them as accurate, transparent, and secure. This blog post by Anablock explores the key elements influencing trust in chairside LLMs and outlines strategies to build confidence in this evolving dental technology.

Detailed Analysis

Trust as a Foundation for LLM Integration

Trust is the linchpin in the adoption of AI at the dental chairside. Traditional dentist-patient relationships are built on face-to-face rapport, but AI introduces algorithmic decision-making, which many patients don’t fully understand. A 2023 survey found that 60% of individuals were wary of clinicians relying on AI. In dentistry, where comfort and reassurance are critical, addressing trust becomes even more important.

Factors Influencing Trust in Chairside LLMs

Transparency and Explainability

Patients are more likely to accept AI-generated suggestions if they understand how they were made. Opaque "black-box" decisions reduce confidence. Custom LLMs tailored for dentistry can be equipped with explainable AI features—for example, clarifying why a specific treatment is recommended based on symptoms or records. Transparent tools have been shown to boost trust by 25%.

Accuracy and Reliability

Patients must believe that AI recommendations are based on proven data. Dental LLMs trained on validated clinical guidelines and real patient data can support high accuracy in suggesting diagnoses, treatment plans, and follow-up questions. Studies in related fields show that when AI achieves accuracy rates above 90%, trust increases significantly.

Human-AI Collaboration

Patients generally prefer AI as an assistant rather than a replacement. LLM-powered chairside assistants can handle patient queries, record notes, and suggest treatment options—but final decisions remain with the clinician. According to AMA data, 68% of patients are more comfortable with AI when used under clinician supervision.

Privacy and Data Security

Over 70% of patients express concern about sharing personal health data with AI. Dental software leveraging LLMs must prioritize HIPAA compliance, encrypted storage, and clear consent processes. These efforts are critical to reassuring patients their sensitive dental and health records are safe.

Cultural and Demographic Sensitivity

Trust in AI varies significantly among populations. Older patients or those from historically underserved communities may be more skeptical, especially if the technology lacks language inclusivity or cultural relevance. Custom LLMs can address this by incorporating multilingual support and being trained on diverse data sets.

Empathy and Emotional Intelligence

Dentistry is often anxiety-inducing, and patients value empathy. While LLMs lack emotions, they can be fine-tuned to deliver responses in a calm, supportive tone. For example, conversational models can be trained to detect stress in a patient's voice or phrasing and respond accordingly, enhancing the sense of care.

Accessibility and Usability

LLM interfaces need to be simple, intuitive, and inclusive. Patients and staff alike benefit when digital tools are easy to understand. For example, AI chatbots or voice assistants in dental offices can streamline appointment scheduling, post-op care instructions, and education, fostering greater trust and satisfaction.

Patient Expectations in the Dental Setting

Patients often arrive with preconceptions about AI shaped by media or prior experiences. Unrealistic expectations, such as flawless performance, or fears about depersonalization must be managed. Providing clear communication about what the AI can and cannot do helps build realistic, positive engagement.

Provider Influence on Patient Trust

Dentists and hygienists play a vital role in shaping perceptions. When dental staff confidently use chairside LLMs and explain their benefits, patients are more likely to feel comfortable. Training programs for providers can enhance fluency with these tools and ensure smoother integration into everyday practice.

Strategies to Build Trust

Patient Education

Use simple explainer videos or brochures in waiting areas to help patients understand how LLMs assist their care. For example, animated clips could show how AI helps detect issues early or suggests questions for follow-up.

Ethical AI Design

Adhere to frameworks like the ADA’s guidance on digital health tools to ensure fairness, privacy, and patient-centricity in AI design.

Inclusive Development

Involve dental patients in beta testing AI tools. Feedback from real users can improve relevance and trustworthiness.

Bias Audits and Training Data Diversity

Custom dental LLMs should be trained on datasets that reflect demographic diversity to minimize bias in care suggestions or communication styles.

Highlighting Success Stories

Showcase how LLMs improve efficiency and outcomes, for example, by reducing chair time, enhancing documentation accuracy, or helping identify oral health risks earlier.

Robust Security Policies

Clearly display privacy policies and consent forms outlining how AI interacts with patient data. Transparency builds reassurance.

Conclusion

The integration of custom LLMs as chairside assistants marks a pivotal advancement in the field of dentistry. These intelligent, conversational tools hold the potential to enhance patient experiences, optimize clinical workflows, and support informed decision-making in real time. However, their success hinges on more than just technical capabilities, it requires building and maintaining patient trust.

By prioritizing transparency, ensuring reliability, safeguarding data, and designing with empathy and inclusivity, dental practices can foster greater acceptance of AI at the chairside. As this technology continues to evolve, a collaborative approach, where AI empowers clinicians rather than replaces them, will be key to ushering in a new era of compassionate, efficient, and patient-centered dental care.

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