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The Dawn of Chairside Intelligence

World‑First AI Supercomputer‑Assisted Dental Implant Planning in Vienna

When you sit down in a dental chair, you usually expect one thing: your dentist’s expertise.

At our practice in Vienna, you now get something more.

You get the combined insight of thousands of specialists, textbooks, scientific papers, and clinical guidelines – delivered in seconds by an AI supercomputer that sits right next to the dental chair and works together with Dr. Michael Truppe.

This is not science fiction. It’s already in daily use in our office.

From Pioneering AR Surgery to AI at the Dental Chair

Thirty years ago, at the University Clinic for Oral and Maxillofacial Surgery in Vienna, our team helped develop the ARTMA Virtual Patient system – the world’s first augmented‑reality–based, image‑guided surgery platform.

Back then, surgeons wore special headsets that could overlay 3D CT and MRI data directly on the patient during surgery. Invisible structures like nerves, blood vessels, and tumors could be “seen” in real time, right where the surgeon was working.

That work:

  • Introduced one of the first true augmented reality applications in medicine
  • Led to hundreds of scientific publications and thousands of citations
  • Proved that bringing knowledge directly into the operating field changes everything

Today, we’re taking that same idea to the next level – not just showing anatomy, but bringing intelligence to the chairside.

What Is Chairside AI Supercomputing?

In simple terms:

We have a medical AI supercomputer inside the practice that analyzes your case in real time while you’re in the chair.

This system:

  • Runs locally on an NVIDIA petaflop‑class AI supercomputer
  • Uses advanced AI models similar to those in big tech data centers – but all on‑site
  • Processes:
    • Your medical history
    • Dental and radiographic findings
    • Bone quality and anatomy
    • Systemic conditions (e.g., diabetes, osteoporosis, medications)
    • Biomechanics (bite forces, implant positioning, prosthetic design)
    • Evidence from medical literature and guidelines

All of this happens within seconds, while you and Dr. Truppe discuss your treatment options.

We call this system MedlibreGPT – a locally running, medically specialized AI assistant designed for safe, private, high‑quality clinical decision support.

What This Means for You as a Patient

Instead of relying only on one clinician’s experience, your case is evaluated as if you had consulted:

  • An implantologist
  • A periodontist
  • A prosthodontist
  • A radiologist
  • A biomechanics specialist
  • And a medical librarian with instant access to all relevant literature

…all at the same time.

Chairside AI Support Helps With:

  • Differential Diagnosis
    The AI suggests possible causes for your dental situation (e.g., bone loss, infection, implant failure risk) and weighs their likelihood.
  • Therapy Planning
    It helps design optimal implant placement, prosthetic concepts, and alternative treatments (bridges, removable solutions, staged therapy, etc.).
  • Risk Assessment
    It considers systemic diseases, smoking, medications, bone quality, and bite forces to estimate risk profiles for different treatment options.
  • Cost Planning
    For selected patients in our clinical study, the system also helps generate detailed, transparent treatment cost estimates.

The final decisions are always made by you and Dr. Truppe together.
The AI is a powerful second opinion, not a replacement for human judgment.

Why We Keep AI Local – Not in the Cloud

Most people are familiar with cloud‑based AI tools – you ask a question, a remote server somewhere in the world thinks, and you get an answer.

For healthcare, that model has serious problems.

1. Privacy and Data Protection

To do real medical reasoning, an AI system needs complete information:

  • Full medical history
  • Medication list
  • Radiographs and scans
  • Photos and intraoral scans
  • Lab values and previous treatment records

Sending all of this to a commercial cloud service is not compatible with strict European data protection and medical device regulations. Even partial uploads can be risky.

With our local supercomputer:

  • No patient data leaves the building
  • No external provider can access, store, or mine your information
  • We remain fully compliant with European privacy and medical device regulations

2. Speed and Workflow

Cloud AI can be fast, but it still involves:

  • Uploading data
  • Network delays
  • Remote processing
  • Downloading answers

For real‑time chairside use, even a few seconds of delay can disrupt the consultation flow.

Our petaflop system processes your data directly at the chair. Responses arrive in milliseconds, which allows:

  • Interactive questioning (“What if we choose a shorter implant?”)
  • On‑the‑spot comparisons of treatment options
  • Smooth conversation between you, Dr. Truppe, and the AI

3. Quality and Completeness of Reasoning

Many cloud tools are essentially very clever search engines. They retrieve information quickly, but they don’t always reason like a specialist – and they usually work on partial, de‑identified cases.

Our local system can:

  • Work on the full complexity of your case
  • Combine images, text, and numerical data
  • Provide reasoning chains (“We recommend option A because…”)
  • Be interrogated and challenged by Dr. Truppe

The result: holistic, patient‑specific analysis, not just generic textbook answers.

From IBM Watson to MedlibreGPT: Our Research Journey

Our work in clinical AI didn’t start yesterday.

Early Phase: IBM Watson Experiments

Years ago, our team experimented with the IBM Watson framework to see how advanced AI systems could support complex clinical reasoning. These early projects demonstrated that AI could:

  • Digest large volumes of medical literature
  • Support doctors in complex decision scenarios
  • Help standardize care across different clinicians

But they were limited by cloud infrastructure, cost, and regulatory hurdles.

Today: MedlibreGPT on Local Supercomputers

MedlibreGPT is our next‑generation system:

  • Built on open‑source technology
  • Specifically adapted to medical and dental content
  • Uses retrieval‑augmented generation (RAG), meaning:
    • It searches trusted medical literature
    • Pulls in the most relevant evidence
    • Then generates answers with references in mind

It also uses the concept of digital twins:

  • Patient digital twin:
    A structured representation of your dental and medical situation across time – ideal for tracking outcomes and predicting risks.
  • Physician digital twin:
    A model of how clinicians like Dr. Truppe think and decide, which helps the system align its reasoning with expert behavior.

All of this runs locally on our NVIDIA‑based supercomputing platform – no internet required.

Research Project 1: Early Detection of Oral Cancer

At the Clinic for Oral and Maxillofacial Surgery at the University of Vienna, a pilot study called “Early Detection of Oral Malignant Disorders” is underway.

What the Study Does

When a patient presents with a suspicious lesion (e.g., a patch, ulcer, or color change):

  1. High‑quality images are taken.
  2. A local petaflop supercomputer analyzes the images using advanced vision models.
  3. The AI:
    • Flags suspicious patterns
    • Proposes possible diagnoses
    • Cross‑checks them against risk factors and medical history
  4. All of this happens chairside, in seconds.

Why This Matters

  • Faster answers
    Instead of waiting days or weeks for specialist appointments and reports, clinicians get AI‑supported feedback immediately.
  • Better triage
    High‑risk lesions can be fast‑tracked. Low‑risk findings can be monitored more confidently.
  • Efficient use of resources
    Clinics can focus specialist time where it’s needed most.

The study is designed to generate peer‑reviewed scientific evidence showing that chairside AI supercomputing can reach clinical‑grade accuracy for something as serious as oral cancer screening.

Research Project 2: Clinical Study in Dr. Truppe’s Practice

In our own practice, we are launching a clinical validation study on:

AI‑assisted therapy planning and cost estimation for dental implants

What Selected Study Participants Receive

For a limited number of patients:

  • AI‑assisted differential diagnosis and therapy planning
  • Detailed, AI‑supported cost estimates
  • Significantly reduced overall treatment costs in exchange for participation

There is no extra fee for the AI planning itself.

What We Are Studying

We will systematically measure:

  1. Clinical Accuracy
    • Does the AI change the initial diagnosis?
    • Does it suggest treatment options the clinician hadn’t considered?
  2. Planning Efficiency
    • Does AI make the consultation longer or shorter?
    • How do patients feel about spending more time discussing options?
  3. Financial Impact
    • How close are AI‑predicted costs to actual costs?
    • Does better cost transparency reduce cancellations or delays?
  4. Patient Outcomes & Satisfaction
    • Do patients with AI‑assisted plans experience fewer complications?
    • Do they feel more informed and confident in their decisions?
  5. Workflow Integration
    • How well does the system fit into real‑world practice routines?
    • What training and adjustments are needed?

All data is:

  • Collected prospectively
  • Anonymized before analysis
  • Handled under strict GDPR‑compliant procedures

The study results will be submitted to peer‑reviewed journals to help guide dentists and clinics worldwide.

What to Expect During an AI‑Assisted Implant Consultation

Here’s how a typical AI‑supported visit in our practice might look:

  1. Initial Conversation
    You explain your concerns, wishes, and medical background. We review existing records and, if needed, update your medical history.
  2. Clinical and Radiographic Examination
    We perform a thorough examination and imaging (e.g., 3D CBCT scans, photos, intraoral scans).
  3. AI Analysis (Chairside, in Real Time)
    • Your data is securely processed by MedlibreGPT on our local supercomputer.
    • The system analyzes diagnoses, risks, and therapy options.
    • It may generate multiple plans (e.g., different implant numbers, bone augmentation vs. no augmentation, fixed vs. removable solutions).
  4. Discussion of Options
    Together, you and Dr. Truppe review:

    • Proposed treatment plans
    • Expected outcomes and risks
    • Time frames and cost ranges

    If questions arise, we can ask the AI directly during the appointment:

    • “What does the literature say about this approach for smokers?”
    • “How does success rate change with shorter implants in this bone type?”
  5. Shared Decision‑Making
    You choose the option that best fits your health, preferences, and budget – fully informed and supported by both human expertise and AI analysis.

Why This Is a “Gutenberg Moment” for Medicine

In medieval times, medical knowledge was locked away in handwritten manuscripts controlled by a few institutions. The printing press changed that forever by democratizing access.

Today, many powerful AI tools are again centralized – controlled by a few large cloud platforms. They decide who can access advanced medical AI, at what price, and under what data conditions.

Chairside supercomputing flips that model:

  • The computing power is in the practice, not in distant data centers
  • The knowledge and algorithms are open‑source and transparent
  • You, as the patient, directly benefit from this intelligence during your appointment
  • Your data stays under local, medical control – not in the hands of tech corporations

This is why we call it a Cambrian revolution or a Gutenberg moment for medical AI.

In Summary: What You Gain as a Patient

By choosing a consultation at our Vienna practice, you benefit from:

  • World‑first AI supercomputer‑assisted implant planning
  • Real‑time, chairside analysis of your individual situation
  • Higher diagnostic depth, combining decades of human experience with the full breadth of medical literature
  • Stronger privacy, because all computation is local and fully under European medical standards
  • The chance (for selected patients) to participate in research studies that:
    • Reduce your overall treatment cost
    • Contribute to the global future of dental and medical care

If you’d like to:

  • Learn more about AI‑assisted dental implant planning
  • Ask whether you might qualify for participation in our clinical validation study
  • Experience chairside supercomputing as part of your consultation

…please contact our practice or visit smile.wien.

Welcome to the future of medicine.
Welcome to chairside intelligence.

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