It's reduced the time an orthodontist spends per patent and allowed non orthodontists to do simple things that used to involve an orthodontist. But, it has also convinced a lot of adults to get dental work. So, in the short term it's fairly neutral, but in the long term we are going to need fewer orthodontists.

As to programming; I don't know a lot about how the software works, but advanced users in front of really complex software like Excel and Photoshop tend to blur the line between a Specialist and Programmer.