{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T22:50:59Z","timestamp":1771455059760,"version":"3.50.1"},"reference-count":48,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Virtual Worlds"],"abstract":"<jats:p>Industries are increasing their adoption of digital twins for their unprecedented ability to control physical entities and help manage complex systems by integrating multiple technologies. Recently, the dental industry has seen several technological advancements, but it is uncertain if dental institutions are making an effort to adopt digital twins in their education. In this work, we employ a mixed-method approach to investigate the added value of digital twins for remote learning in the dental industry. We examine the extent of digital twin adoption by dental institutions for remote education, shed light on the concepts and benefits it brings, and provide an application-based roadmap for more extended adoption. We report a review of digital twins in the healthcare industry, followed by identifying use cases and comparing them with use cases in other disciplines. We compare reported benefits, the extent of research, and the level of digital twin adoption by industries. We distill the digital twin characteristics that can add value to the dental industry from the examined digital twin applications in remote learning and other disciplines. Then, inspired by digital twin applications in different fields, we propose a roadmap for digital twins in remote education for dental institutes, consisting of examples of growing complexity. We conclude this paper by identifying the distinctive characteristics of dental digital twins for remote learning.<\/jats:p>","DOI":"10.3390\/virtualworlds1010003","type":"journal-article","created":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T20:50:27Z","timestamp":1662670227000},"page":"20-41","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Applications of Digital Twins in the Healthcare Industry: Case Review of an IoT-Enabled Remote Technology in Dentistry"],"prefix":"10.3390","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5180-782X","authenticated-orcid":false,"given":"Yaser","family":"Maddahi","sequence":"first","affiliation":[{"name":"Digital Twins Advisory Board, Next Generation Manufacturing Canada, Hamilton, ON L8P 0A1, Canada"},{"name":"Department of Research and Development, Tactile Robotics, Winnipeg, MB R3T 6A8, Canada"}]},{"given":"Siqi","family":"Chen","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada"},{"name":"School of Academic Studies, Communication Department, Technical Writing Program, British Columbia Istituite of Technology, Burnaby, BC V5G 3H2, Canada"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.1016\/j.ifacol.2018.08.474","article-title":"Digital Twin in manufacturing: A categorical literature review and classification","volume":"51","author":"Kritzinger","year":"2018","journal-title":"IFAC-PapersOnLine"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.ergon.2019.02.001","article-title":"Digital twins to enhance the integration of ergonomics in the workplace design","volume":"71","author":"Caputo","year":"2019","journal-title":"Int. J. Ind. Ergon."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Sivalingam, K., Sepulveda, M., Spring, M., and Davies, P. (2018, January 24\u201326). A Review and Methodology Development for Remaining Useful Life Prediction of Offshore Fixed and Floating Wind turbine Power Converter with Digital Twin Technology Perspective. Proceedings of the 2018 2nd International Conference on Green Energy and Applications (ICGEA), Singapore.","DOI":"10.1109\/ICGEA.2018.8356292"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.mfglet.2018.02.006","article-title":"Digital twin\u2013Proof of concept","volume":"15","author":"Haag","year":"2018","journal-title":"Manuf. Lett."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Boschert, S., and Rosen, R. (2016). Digital twin\u2014the simulation aspect. Mechatronic Futures, Springer.","DOI":"10.1007\/978-3-319-32156-1_5"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Grieves, M., and Vickers, J. (2017). Digital twin: Mitigating unpredictable, undesirable emergent behavior in complex systems. Transdisciplinary Perspectives on Complex Systems, Springer.","DOI":"10.1007\/978-3-319-38756-7_4"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"3563","DOI":"10.1007\/s00170-017-0233-1","article-title":"Digital twin-driven product design, manufacturing and service with big data","volume":"94","author":"Tao","year":"2018","journal-title":"Int. J. Adv. Manuf. Technol."},{"key":"ref_8","first-page":"1","article-title":"Digital Twin: Manufacturing excellence through virtual factory replication","volume":"1","author":"Grieves","year":"2014","journal-title":"White Pap."},{"key":"ref_9","unstructured":"Clark, A.S., Schultz, E.F., and Harris, M. (2022, July 21). What Are Digital Twins? Technical Report, IBM. Available online: https:\/\/developer.ibm.com\/articles\/what-are-digital-twins\/."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/j.promfg.2017.07.198","article-title":"A Review of the Roles of Digital Twin in CPS-based Production Systems","volume":"11","author":"Negri","year":"2017","journal-title":"Procedia Manuf."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.apmt.2018.11.003","article-title":"A digital twin for rapid qualification of 3D printed metallic components","volume":"14","author":"Mukherjee","year":"2018","journal-title":"Appl. Mater. Today"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.procir.2018.03.103","article-title":"Digital Twin Service towards Smart Manufacturing","volume":"72","author":"Qi","year":"2018","journal-title":"Procedia CIRP"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.compag.2018.08.001","article-title":"Computer vision and artificial intelligence in precision agriculture for grain crops: A systematic review","volume":"153","author":"Rieder","year":"2018","journal-title":"Comput. Electron. Agric."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.agsy.2017.01.023","article-title":"Big data in smart farming\u2013a review","volume":"153","author":"Wolfert","year":"2017","journal-title":"Agric. Syst."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"3758","DOI":"10.1109\/JIOT.2018.2844296","article-title":"An Overview of Internet of Things (IoT) and Data Analytics in Agriculture: Benefits and Challenges","volume":"5","author":"Elijah","year":"2018","journal-title":"IEEE Internet Things J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.agsy.2016.09.017","article-title":"Towards a new generation of agricultural system data, models and knowledge products: Information and communication technology","volume":"155","author":"Janssen","year":"2017","journal-title":"Agric. Syst."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"616059","DOI":"10.3389\/fpsyg.2021.616059","article-title":"The Transformation of Higher Education After the COVID Disruption: Emerging Challenges in an Online Learning Scenario","volume":"12","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"612740","DOI":"10.3389\/frobt.2021.612740","article-title":"RoboEthics in COVID-19: A Case Study in Dentistry","volume":"8","author":"Maddahi","year":"2021","journal-title":"Front. Robot. AI"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.ece.2021.01.008","article-title":"Transforming traditional teaching laboratories for effective remote delivery\u2014A review","volume":"35","author":"Bhute","year":"2021","journal-title":"Educ. Chem. Eng."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"100014","DOI":"10.1016\/j.cmpbup.2021.100014","article-title":"Is human digital twin possible?","volume":"1","author":"Shengli","year":"2021","journal-title":"Comput. Methods Programs Biomed. Update"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"108952","DOI":"10.1109\/ACCESS.2020.2998358","article-title":"Digital Twin: Enabling Technologies, Challenges and Open Research","volume":"8","author":"Fuller","year":"2020","journal-title":"IEEE Access"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Erol, T., Mendi, A.F., and Do\u011fan, D. (2020, January 22\u201324). Digital Transformation Revolution with Digital Twin Technology. Proceedings of the 2020 4th International Symposium on Multidisciplinary Studies and Innovative Technologies (ISMSIT), Istanbul, Turkey.","DOI":"10.1109\/ISMSIT50672.2020.9254288"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Grieves, M.W. (2019). Virtually Intelligent Product Systems: Digital and Physical Twins. Complex Systems Engineering: Theory and Practice, American Institute of Aeronautics and Astronautics.","DOI":"10.2514\/5.9781624105654.0175.0200"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.procir.2019.04.219","article-title":"Challenges and Potentials of Digital Twins and Industry 4.0 in Product Design and Production for High Performance Products","volume":"84","author":"Wagner","year":"2019","journal-title":"Procedia CIRP"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Boulos, M.K., and Zhang, P. (2021). Digital Twins: From Personalised Medicine to Precision Public Health. J. Pers. Med., 11.","DOI":"10.3390\/jpm11080745"},{"key":"ref_26","unstructured":"Miskinis, C.M. (2022, March 10). The Mysterious History of Digital Twin Technology and Who Created It. Challenge Advisory. Available online: https:\/\/www.challenge.org\/insights\/digital-twin-history\/."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.procs.2018.08.269","article-title":"Data-Driven Identification of Hypertensive Patient Profiles for Patient Population Simulation","volume":"136","author":"Semakova","year":"2018","journal-title":"Procedia Comput. Sci."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"3040","DOI":"10.1016\/j.procs.2021.09.076","article-title":"Non-invasive devices for respiratory sound monitoring","volume":"192","author":"Troncoso","year":"2021","journal-title":"Procedia Comput. Sci."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"105942","DOI":"10.1016\/j.compag.2020.105942","article-title":"Introducing digital twins to agriculture","volume":"184","author":"Pylianidis","year":"2021","journal-title":"Comput. Electron. Agric."},{"key":"ref_30","unstructured":"Jeske, S.J. (2021, December 17). Digital Twins in Healthcare. Available online: https:\/\/projekter.aau.dk\/projekter\/files\/360456256\/Jeske_MasterThesis.pdf."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.promfg.2018.04.006","article-title":"The FMS Training Center-a versatile learning environment for engineering education","volume":"23","author":"Toivonen","year":"2018","journal-title":"Procedia Manuf."},{"key":"ref_32","first-page":"051016","article-title":"Online (Remote) Teaching for Laboratory Based Courses Using \u201cdigital Twins\u201d of the Experiments","volume":"144","author":"Deniz","year":"2021","journal-title":"J. Eng. Gas Turbines Power"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"012190","DOI":"10.1088\/1742-6596\/2069\/1\/012190","article-title":"Digital Twins of Building Physics Experimental Laboratory Setups for Effective E-learning","volume":"2069","author":"Johra","year":"2021","journal-title":"J. Phys. Conf. Ser."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Harichandran, A., Johansen, K.W., Jacobsen, E.L., and Teizer, J. (2021, January 2\u20134). A Conceptual Framework for Construction Safety Training using Dynamic Virtual Reality Games and Digital Twins. Proceedings of the 38th International Symposium on Automation and Robotics in Construction, Dubai, United Arab Emirates.","DOI":"10.22260\/ISARC2021\/0084"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s40504-021-00113-x","article-title":"The use of digital twins in healthcare: Socio-ethical benefits and socio-ethical risks","volume":"17","author":"Popa","year":"2021","journal-title":"Life Sci. Soc. Policy"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1136\/medethics-2021-107449","article-title":"Near-term ethical challenges of digital twins","volume":"47","author":"Mittelstadt","year":"2021","journal-title":"J. Med. Ethic"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"669811","DOI":"10.3389\/fimmu.2021.669811","article-title":"Digital Twins for Multiple Sclerosis","volume":"12","author":"Voigt","year":"2021","journal-title":"Front. Immunol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e33081","DOI":"10.2196\/33081","article-title":"Ethical Issues of Digital Twins for Personalized Health Care Service: Preliminary Mapping Study","volume":"24","author":"Huang","year":"2022","journal-title":"J. Med Internet Res."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Singh, M., Fuenmayor, E., Hinchy, E.P., Qiao, Y., Murray, N., and Devine, D. (2021). Digital Twin: Origin to Future. Appl. Syst. Innov., 4.","DOI":"10.3390\/asi4020036"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"105201","DOI":"10.1016\/j.landusepol.2020.105201","article-title":"Future (post-COVID) digital, smart and sustainable cities in the wake of 6G: Digital twins, immersive realities and new urban economies","volume":"101","author":"Allam","year":"2021","journal-title":"Land Use Policy"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1109\/MC.2021.3055683","article-title":"The Economics of Digital Twins","volume":"54","author":"Kshetri","year":"2021","journal-title":"Computer"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Nativi, S., Mazzetti, P., and Craglia, M. (2021). Digital Ecosystems for Developing Digital Twins of the Earth: The Destination Earth Case. Remote Sens., 13.","DOI":"10.3390\/rs13112119"},{"key":"ref_43","unstructured":"Maddahi, A., Bagheri, S., Mardan, M., Kalvandi, M., and Maddahi, Y. (2019). Vibrotactile Method, Apparatus, and System for Training and Practicing Dental Procedures. (17,271,470), U.S. Patent."},{"key":"ref_44","unstructured":"Maddahi, Y., Kalvandi, M., Maddahi, A., and Dhannapuneni, P. (2021). Automated Apparatus and Method for Quantifying Dimensions of Dental Preparations. (63,164,759), U.S. Patent."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"611424","DOI":"10.3389\/frobt.2020.611424","article-title":"Application of DenTeach in Remote Dentistry Teaching and Learning During the COVID-19 Pandemic: A Case Study","volume":"7","author":"Cheng","year":"2021","journal-title":"Front. Robot. AI"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Hartmann, D., and Van der Auweraer, H. (2021). Digital twins. Progress in Industrial Mathematics: Success Stories, Springer.","DOI":"10.1007\/978-3-030-61844-5_1"},{"key":"ref_47","unstructured":"(2022, February 23). NGen\u2019s Digital Twins Advisory Board: Expert Opinions Survey. (2022). Available online: https:\/\/f.hubspotusercontent20.net\/hubfs\/5005023\/Documents\/TAP\/NGen_Digital-Twin%20Report_0218.pdf?utm_medium=email&_hsmi=204855561&_hsenc=p2ANqtz-9Uxrjef7F0HEtrK5FLB6-sHRqPCsrN4T0pYegMramNAi0LFwoFNb1jZCscLM2XzXLA2iv8QDV4vRubraN6_3zmxFx3vaZjwPq3QZQ5CXa0n5jBARI&utm_content=204855561&utm_source=hs_email."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1109\/MIM.2021.9436090","article-title":"The potential of digital twins","volume":"24","author":"Laamarti","year":"2021","journal-title":"IEEE Instrum. Meas. Mag."}],"container-title":["Virtual Worlds"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2813-2084\/1\/1\/3\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:22:22Z","timestamp":1760142142000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2813-2084\/1\/1\/3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,2]]},"references-count":48,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,9]]}},"alternative-id":["virtualworlds1010003"],"URL":"https:\/\/doi.org\/10.3390\/virtualworlds1010003","relation":{},"ISSN":["2813-2084"],"issn-type":[{"value":"2813-2084","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,2]]}}}