Publication Type

PhD Dissertation

Version

publishedVersion

Publication Date

3-2026

Abstract

The gap existing between the uneven global distribution of oral health resources and the rising demand for diagnostic and therapeutic services requires accelerated technological advancements. The challenges of traditional telemedicine, characterized by network latency and a lack of trust between patients and clinicians, hindered the applicability of traditional telemedicine for scaling up complex dental care, especially for orthodontic care. Based on the specific case of the AI SMILE system, which incorporates Edge Computing and Generative AI (AI-Generated Content, AIGC), the current study aims to quantify the benefits of AI-assisted remote orthodontic care, as well as shed more light on the mechanisms of the specific technology at the micro level. Methodologically, the current study follows a Mixed Methods Research approach. Quantitatively, a Quasi-Experimental Design and a Cost-Benefit Analysis (CBA) model were formulated, relying on data from 50 clinics, 50 orthodontists, 100 patients, and 500 de-identified medical records. For the qualitative approach, Grounded Theory was adopted for the analysis of in-depth interviews. The findings of the current study are as follows:

1) Edge Computing technology reduced the average turnaround time for orthodontic treatment plans from 18.6 days to 2.08 days, a reduction of 88.8%, thus allowing for a shift from asynchronous to near-real-time collaboration. The visualization of Generative AI substantially reduced the level of asymmetry, with patient satisfaction rated at 8.30/10, which correlated well with technical transparency, thus creating a new explainability-trust contract.

2) Economic Value: The technological investment process showed that it was economically viable. AI saved 68% of doctors’ non-core working time, resulting in a 98.2% increase in per capita case processing volume by means of the Time Displacement Effect. The 5-year NPV for a single clinic was 4.125 million RMB, and the dynamic payback period was 0.42 years.

3) Social Value: The analysis of heterogeneity verified that the Knowledge Spillover Effect occurred in this study. The growth rate in revenue for clinics in lower-tier markets reached 36.8%, just surpassing that in tier-1 cities at 30.7%, and junior doctors gained more efficiency than experts in using AI, which proves that AI indeed drives the process of standardization and “downward diffusion” of high-quality medical resources.

According to these results, this study suggests a AI-Driven Telemedicine Dual Loop Model and provides policy suggestions in technological governance and reform in the payment system from a technological perspective based on technological equity to solve problems in the fair distribution of medical resources.

Keywords

Artificial Intelligence; Tele dentistry; Edge Computing; Generative AI; Cost-Benefit Analysis (CBA); Knowledge Spillover; Value-based Healthcare

Degree Awarded

Doctor of Bus Admin (CKGSB)

Discipline

Business | Health Information Technology | Technology and Innovation

Supervisor(s)

FANG, Xin

First Page

1

Last Page

155

Publisher

Singapore Management University

City or Country

Singapore

Copyright Owner and License

Author

Available for download on Monday, July 12, 2027

Share

COinS