Knowledge, Attitude, and Practice of Digital Dentistry Among Dental Professionals in India, Pakistan, and Ecuador: A Cross-Sectional Survey

Dr. Gul Afshan Syed¹, Dr. Sandeep Singh^2, , Dr. Karen Ojeda Carrillo³, Dr. Yug Jitendra Mistry⁴, Dr. Latifa Elbanna⁵, Dr. Alasifa Arshad⁶ and Dr. Ridhi Bhola⁷

¹BDS, Peshawar Dental College, Warsak Road, Peshawar, Pakistan

²MDS (Prosthodontics), Post Graduate Institute of Dental Sciences, Rohtak, India

³Universidad Católica Santiago de Guayaquil, Guayaquil-Ecuador

⁴BDS, A.M.C. Dental College and Hospital, Ahmedabad, Gujarat, India

⁵(PhD, Prosthodontics) Faculty of Dental Medicine - AlAzhar University, Cairo, Egypt

⁶BDS, RDH, Baqai Medical & Dental College, 51 Deh Tor Gadap Road, Karachi, Pakistan

⁷MDS, Post Graduate Institute of Dental Sciences, Rohtak, India

Cite this paper:
Dr. Gul Afshan Syed, Dr. Sandeep Singh, Dr. Karen Ojeda Carrillo, Dr. Yug Jitendra Mistry, Dr. Latifa Elbanna, Dr. Alasifa Arshad and Dr. Ridhi Bhola. Knowledge, Attitude, and Practice of Digital Dentistry Among Dental Professionals in India, Pakistan, and Ecuador: A Cross-Sectional Survey. American Journal of Public Health Research. 2026; 14(1):7-12. doi: 10.12691/ajphr-14-1-2

Abstract

Background: Digital dentistry has emerged as a transformative force, reshaping diagnosis, treatment planning, and clinical outcomes. Understanding the knowledge, attitude, and practice (KAP) of dental professionals toward digital dentistry is essential for its successful integration into routine care. Objective: To evaluate the KAP of digital dentistry among dental professionals from India, Pakistan, and Ecuador. Methods: A cross-sectional, self-reported questionnaire-based survey was conducted among 109 dental professionals. Data on demographics, awareness, attitudes, and practice patterns were analyzed to assess the integration of digital technologies into dentistry. Results: Of the 109 respondents, most were aged 25–30 years (39.8%), with nearly equal gender distribution. The majority were from India (55%), followed by Ecuador (26%) and Pakistan (19%). Awareness of digital technologies was high (93.5%), with intraoral scanners (86.9%), CBCT (83.2%), and CAD/CAM (72%) being most familiar. Prosthodontics (73.6%), diagnosis (70.8%), and implantology (70.8%) were the main application areas. Most participants (90.8%) agreed that digital technologies enhance clinical efficiency, and 93.5% viewed them as the future of dentistry. Although nearly all supported incorporating digital dentistry into undergraduate curricula, only 36.2% of respondents felt their undergraduate training had adequately prepared them for digital dentistry. Conclusion: Dental professionals across India, Pakistan, and Ecuador exhibit high awareness and positive attitudes toward digital dentistry, particularly in prosthodontics and implantology. However, limited undergraduate exposure underscores the need for curriculum integration. As a cross-sectional, self-reported study, findings reflect perceptions at a single time point and may be influenced by response bias.

Keywords:
Digital dentistry Dental professionals India Pakistan Ecuador CAD/CAM Intraoral scanners 3D printing Dental education

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References:

[1]	Khurshid Z. Digital dentistry: Transformation of oral health and dental education with technology. Eur. J. Dent. 2023; 17(4): 943–944.
[2]	Kothapalle J, Vangapalli V, Ajayi A, et al. Artificial intelligence and digital dentistry: Bridging innovation and clinical outcomes. EAS J Dent Oral Med. 2025; 7(5): 192–198.
[3]	Tian Y, Chen C, Xu X, et al. A review of 3D printing in dentistry: Technologies, affecting factors, and applications. Scanning. 2021; 2021: 9950131.
[4]	Elbanna L, Rahimi H, Mohammadi M, et al. Integration of digital technologies in implant dentistry: Workflow, challenges, and opportunities. Eur. J. Dent. Oral Health. 2026; 7(1): 22–28.
[5]	Alyami DA, Alrasheedi AN, Alrashidy NN, Alrashidy AN. Dentists’ knowledge, usage and barriers to computer assisted technologies in oral and maxillofacial surgery: A cross sectional study in Saudi Arabia. J Pioneering Med Sci. 2025; 14(4): 98–105.
[6]	Tariq K, Tahir H, Malik U, et al. Attitudes and readiness to adopt artificial intelligence among healthcare practitioners in Pakistan’s resource limited settings. BMC Health Serv Res. 2025; 25(1): 1031.
[7]	Borges do Nascimento IJ, Abdulazeem H, Vasanthan LT, et al. Barriers and facilitators to utilizing digital health technologies by healthcare professionals. npj Digit. Med. 2023; 6(1): 161.
[8]	Annamma LM, Varma SR, Abuttayem H, et al. Current challenges in dental education: A scoping review. BMC Med Educ. 2024; 24(1): 1523.
[9]	Falah TM, Alshatrat SM, Sabarini JM, et al. Teledentistry in Jordan: Assessing knowledge and attitudes among dentists. Front. Oral Health. 2025; 6: 1619119.
[10]	Subhan R, Ismail WA, Musharraf S, et al. Teledentistry as a supportive tool for dentists in Pakistan. Biomed Res Int. 2021; 2021: 8757859.
[11]	Umer MF, Faheemuddin M, Alshehri YA, et al. Assessment of digital dentistry knowledge and practices among dental students at King Faisal University, Saudi Arabia. Med Sci Monit. 2024; 30: e944692.
[12]	Elbanna L, Singh S, Kalakota S, et al. Intraoral scanners in dentistry: Principles, workflow, and clinical applications – A comprehensive review. Indian J Conserv. Endod. 2025; 10(3): 146-154.
[13]	Zitzmann NU, Hagmann E, Weiger R. What is the prevalence of various types of prosthetic dental restorations in Europe? Clin. Oral Implants Res. 2007; 18(Suppl 3): 20-33.
[14]	Schlenz MA, Michel K, Wegner K, et al. Undergraduate dental students’ perspective on the implementation of digital dentistry in the preclinical curriculum: A questionnaire survey. BMC Oral Health. 2020; 20(1): 78.
[15]	Hall MA, Mahmoud AZ, Mohamed OS, Karawia I. Knowledge, awareness, and perception of dental students regarding digital dentistry in Egypt: A cross sectional study. Cureus. 2024; 16(10): e71061.
[16]	Anas M, Ullah I, Sultan MU. Embracing the future: Integrating digital dentistry into undergraduate dental curriculum. J Calif Dent Assoc. 2024; 52(1).
[17]	Zitzmann NU, Matthisson L, Ohla H, Joda T. Digital undergraduate education in dentistry: A systematic review. Int. J. Environ. Res. Public Health. 2020; 17(9): 3269.
[18]	Alghazzawi TF. Advancements in CAD/CAM technology: Options for practical implementation. J Prosthodont Res. 2016; 60(2): 72–84.
[19]	Zimmermann M, Mehl A, Mörmann WH, Reich S. Intraoral scanning systems: A current overview. Int. J. Comput. Dent. 2015; 18(2): 101–129.
[20]	Alotaibi N, Wilson CB, Traynor M. Enhancing digital readiness and capability in healthcare: A systematic review of interventions, barriers, and facilitators. BMC Health Serv Res. 2025; 25(1): 500.
[21]	Schnitzler C, Bohnet Joschko S. Technology readiness drives digital adoption in dentistry: Insights from a cross sectional study. Healthcare (Basel). 2025; 13(10): 1155.
[22]	Elbanna L, et al. Fundamentals of dental implantology: A comprehensive review. Saudi J Oral Dent Res. 2025; 10(8): 308–315.
[23]	Schlenz MA, Schmidt A, Wöstmann B, et al. Students’ and lecturers’ perspective on the implementation of online learning in dental education due to SARS CoV 2 (COVID 19): A cross sectional study. BMC Med Educ. 2020; 20(1): 354.
[24]	Dashti M, Londono J, Ghasemi S, et al. Attitudes, knowledge, and perceptions of dentists and dental students toward artificial intelligence: A systematic review. J Taibah Univ Med Sci. 2024; 19(2): 327–337.
[25]	Schwendicke F, Samek W, Krois J. Artificial intelligence in dentistry: Chances and challenges. J Dent Res. 2020; 99(7): 769–774.