搜索结果：Oral

The capacity of dental clinicians and researchers to assess oral health and to advocate for dental care has been hampered by limitations in measurements of the levels of dysfunction, discomfort and disability associated with oral disorders. The purpose of this research was to develop and test the Oral Health Impact Profile (OHIP), a scaled index of the social impact of oral disorders which draws on a theoretical hierarchy of oral health outcomes. Forty nine unique statements describing the consequences of oral disorders were initially derived from 535 statements obtained in interviews with 64 dental patients. The relative importance of statements within each of seven conceptual subscales was assessed by 328 persons using Thurstone's method of paired comparisons. The consistency of their judgements was confirmed (Kendall's mu, P < 0.05). The reliability of the instrument was evaluated in a cohort of 122 persons aged 60 years and over. Internal reliability of six subscales was high (Cronbach's alpha, 0.70-0.83) and test-retest reliability (intraclass correlation coefficient, 0.42-0.77) demonstrated stability. Validity was examined using longitudinal data from the 60 years and over cohort where the OHIP's capacity to detect previously observed associations with perceived need for a dental visit (ANOVA, p < 0.05 in five subscales) provided evidence of its construct validity. The Oral Health Impact Profile offers a reliable and valid instrument for detailed measurement of the social impact of oral disorders and has potential benefits for clinical decision-making and research.

A case-control study of oral and pharyngeal cancer conducted in four areas of the United States provided information on the tobacco and alcohol use of 1114 patients and 1268 population-based controls. Because of the large study size, it could be shown that the risks of these cancers among nondrinkers increased with amount smoked, and conversely that the risks among nonsmokers increased with the level of alcohol intake. Among consumers of both products, risks of oropharyngeal cancer tended to combine more in a multiplicative than additive fashion and were increased more than 35-fold among those who consumed two or more packs of cigarettes and more than four alcoholic drinks/day. Cigarette, cigar, and pipe smoking were separately implicated, although it was shown for the first time that risk was not as high among male lifelong filter cigarette smokers. Cessation of smoking was associated with a sharply reduced risk of this cancer, with no excess detected among those having quit for 10 or more years, suggesting that smoking affects primarily a late stage in the process of oropharyngeal carcinogenesis. The risks varied by type of alcoholic beverage, being higher among those consuming hard liquor or beer than wine. The relative risk patterns were generally similar among whites and blacks, and among males and females, and showed little difference when oral and pharyngeal cancers were analyzed separately. From calculations of attributable risk, we estimate that tobacco smoking and alcohol drinking combine to account for approximately three-fourths of all oral and pharyngeal cancers in the United States.

Oral 3D modelling is one of the most essential stages in dentistry, and many different approaches, such as impression taking and intraoral scanning, are commonly used for this phase, each with notable limitations. Impression taking, which involves placing alginate or silicone material in a tray and inserting it into the patient's oral cavity to form a negative mold, suffers from significant patient discomfort, material deformation errors, and difficulties in storage and transportation. Intraoral scanners, which directly scan oral structures in real time using structured light or laser technology, produce state-of-the-art results but are associated with substantially high equipment costs. To address these limitations, this paper proposes a software-based approach that reconstructs a 3D oral model using only ten 2D intraoral images captured from different angles, requiring no dedicated hardware devices. The proposed method reduces cost, eliminates the need for physical scanning equipment, minimises patient discomfort, and enables automated 3D reconstruction. The model is trained on the publicly available Dental3DS dataset, comprising 950 upper jaw samples, and employs MobileNetV2 as

Oral mucosal diseases such as leukoplakia, oral lichen planus, and recurrent aphthous ulcers exhibit diverse and overlapping visual features, making diagnosis challenging for non-specialists. While vision-language models (VLMs) have shown promise in medical image interpretation, their application in oral healthcare remains underexplored due to the lack of large-scale, well-annotated datasets. In this work, we present \textbf{OralGPT}, the first domain-specific two-stage vision-language framework designed for oral mucosal disease diagnosis and captioning. In Stage 1, OralGPT learns visual representations and disease-related concepts from classification labels. In Stage 2, it enhances its language generation ability using long-form expert-authored captions. To overcome the annotation bottleneck, we propose a novel similarity-guided data augmentation strategy that propagates descriptive knowledge from expert-labeled images to weakly labeled ones. We also construct the first benchmark dataset for oral mucosal diseases, integrating multi-source image data with both structured and unstructured textual annotations. Experimental results on four common oral conditions demonstrate that OralG

Oral presentation skills are a critical component of higher education, yet comprehensive datasets capturing real-world student performance across multiple modalities remain scarce. To address this gap, we present SOPHIAS (Student Oral Presentation monitoring for Holistic Insights &amp; Analytics using Sensors), a 12-hour multimodal dataset containing recordings of 50 oral presentations (10-15-minute presentation followed by 5-15-minute Q&amp;A) delivered by 65 undergraduate and master's students at the Universidad Autonoma de Madrid. SOPHIAS integrates eight synchronized sensor streams from high-definition webcams, ambient and webcam audio, eye-tracking glasses, smartwatch physiological sensors, and clicker, keyboard, and mouse interactions. In addition, the dataset includes slides and rubric-based evaluations from teachers, peers, and self-assessments, along with timestamped contextual annotations. The dataset captures presentations conducted in real classroom settings, preserving authentic student behaviors, interactions, and physiological responses. SOPHIAS enables the exploration of relationships between multimodal behavioral and physiological signals and presentation performan

In oral arguments, judges probe attorneys with questions about the factual record, legal claims, and the strength of their arguments. To prepare for this questioning, both law schools and practicing attorneys rely on moot courts: practice simulations of appellate hearings. Leveraging a dataset of U.S. Supreme Court oral argument transcripts, we examine whether AI models can effectively simulate justice-specific questioning for moot court-style training. Evaluating oral argument simulation is challenging because there is no single correct question for any given turn. Instead, effective questioning should reflect a combination of desirable qualities, such as anticipating substantive legal issues, detecting logical weaknesses, and maintaining an appropriately adversarial tone. We introduce a two-layer evaluation framework that assesses both the realism and pedagogical usefulness of simulated questions using complementary proxy metrics. We construct and evaluate both prompt-based and agentic oral argument simulators. We find that simulated questions are often perceived as realistic by human annotators and achieve high recall of ground truth substantive legal issues. However, models sti

Oral cancer presents a formidable challenge in oncology, necessitating early diagnosis and accurate prognosis to enhance patient survival rates. Recent advancements in machine learning and data mining have revolutionized traditional diagnostic methodologies, providing sophisticated and automated tools for differentiating between benign and malignant oral lesions. This study presents a comprehensive review of cutting-edge data mining methodologies, including Neural Networks, K-Nearest Neighbors (KNN), Support Vector Machines (SVM), and ensemble learning techniques, specifically applied to the diagnosis and prognosis of oral cancer. Through a rigorous comparative analysis, our findings reveal that Neural Networks surpass other models, achieving an impressive classification accuracy of 93,6 % in predicting oral cancer. Furthermore, we underscore the potential benefits of integrating feature selection and dimensionality reduction techniques to enhance model performance. These insights underscore the significant promise of advanced data mining techniques in bolstering early detection, optimizing treatment strategies, and ultimately improving patient outcomes in the realm of oral oncolog

Cytology is a valuable tool for early detection of oral squamous cell carcinoma (OSCC). However, manual examination of cytology whole slide images (WSIs) is slow, subjective, and depends heavily on expert pathologists. To address this, we introduce the first weakly supervised deep learning framework for patient-level diagnosis of oral cytology whole slide images, leveraging the newly released Oral Cytology Dataset [1], which provides annotated cytology WSIs from ten medical centres across India. Each patient case is represented as a bag of cytology patches and assigned a diagnosis label (Healthy, Benign, Oral Potentially Malignant Disorders (OPMD), OSCC) by an in-house expert pathologist. These patient-level weak labels form a new extension to the dataset. We evaluate a baseline multiple-instance learning (MIL) model and a proposed Region-Affinity Attention MIL (RAA-MIL) that models spatial relationships between regions within each slide. The RAA-MIL achieves an average accuracy of 72.7%, weighted F1-score of 0.69 on an unseen test set, outperforming the baseline. This study establishes the first patient-level weakly supervised benchmark for oral cytology and moves toward reliable

Oral histories are vital records of lived experience, particularly within communities affected by systemic injustice and historical erasure. Effective and efficient analysis of their oral history archives can promote access and understanding of the oral histories. However, Large-scale analysis of these archives remains limited due to their unstructured format, emotional complexity, and high annotation costs. This paper presents a scalable framework to automate semantic and sentiment annotation for Japanese American Incarceration Oral History. Using LLMs, we construct a high-quality dataset, evaluate multiple models, and test prompt engineering strategies in historically sensitive contexts. Our multiphase approach combines expert annotation, prompt design, and LLM evaluation with ChatGPT, Llama, and Qwen. We labeled 558 sentences from 15 narrators for sentiment and semantic classification, then evaluated zero-shot, few-shot, and RAG strategies. For semantic classification, ChatGPT achieved the highest F1 score (88.71%), followed by Llama (84.99%) and Qwen (83.72%). For sentiment analysis, Llama slightly outperformed Qwen (82.66%) and ChatGPT (82.29%), with all models showing compara

Accurate and early detection of oral cancer lesions is crucial for effective diagnosis and treatment. This study evaluates two RPA implementations, OC-RPAv1 and OC-RPAv2, using a test set of 31 images. OC-RPAv1 processes one image per prediction in an average of 0.29 seconds, while OCRPAv2 employs a Singleton design pattern and batch processing, reducing prediction time to just 0.06 seconds per image. This represents a 60-100x efficiency improvement over standard RPA methods, showcasing that design patterns and batch processing can enhance scalability and reduce costs in oral cancer detection

Early detection of oral cancer and potentially malignant diseases is a major challenge in low-resource settings due to the scarcity of annotated data. We provide a unified approach for oral lesion classification that incorporates deep learning, spectral analysis, and demographic data. A pathologist verified subset of oral cavity images was curated from a publicly available dataset. Oral cavity pictures were processed using a fine tuned ConvNeXtv2 network for deep embeddings before being translated into the hyperspectral domain using a reconstruction algorithm. Haemoglobin sensitive, textural, and spectral descriptors were obtained from the reconstructed hyperspectral cubes and combined with demographic data. Multiple machine learning models were evaluated using patient specific validation. Finally, an incremental heuristic meta learner (IHML) was developed that merged calibrated base classifiers via probabilistic feature stacking and uncertainty-aware abstraction of multimodal representations with patient level smoothing. By decoupling evidence extraction from decision fusion, IHML stabilizes predictions in heterogeneous, small sample medical datasets. On an unseen test set, our pr

Oral cancer constitutes a significant global health concern, resulting in 277,484 fatalities in 2023, with the highest prevalence observed in low- and middle-income nations. Facilitating automation in the detection of possibly malignant and malignant lesions in the oral cavity could result in cost-effective and early disease diagnosis. Establishing an extensive repository of meticulously annotated oral lesions is essential. In this research photos are being collected from global clinical experts, who have been equipped with an annotation tool to generate comprehensive labelling. This research presents a novel approach for integrating bounding box annotations from various doctors. Additionally, Deep Belief Network combined with CAPSNET is employed to develop automated systems that extracted intricate patterns to address this challenging problem. This study evaluated two deep learning-based computer vision methodologies for the automated detection and classification of oral lesions to facilitate the early detection of oral cancer: image classification utilizing CAPSNET. Image classification attained an F1 score of 94.23% for detecting photos with lesions 93.46% for identifying images

Written work no longer certifies that a student understands it: a polished analysis now says little about who did the thinking. Oral examinations restore that evidentiary link, but they have never scaled, because conducting and grading them is expensive. We report on a system in which voice AI conducts a personalized oral exam and a council of three large language models (LLMs) grades the transcript, each model scoring independently and then revising after reading the others. Across two undergraduate cohorts at NYU Stern (36 students in Fall 2025, 37 in Spring 2026), a voice subscription covered all speaking time and grading stayed under one dollar per exam. The deployments yield five practical engineering lessons that should generalize wherever understanding must be tested under questioning, from job interviews to professional certification.

Oral squamous cell carcinoma OSCC is a major global health burden, particularly in several regions across Asia, Africa, and South America, where it accounts for a significant proportion of cancer cases. Early detection dramatically improves outcomes, with stage I cancers achieving up to 90 percent survival. However, traditional diagnosis based on histopathology has limited accessibility in low-resource settings because it is invasive, resource-intensive, and reliant on expert pathologists. On the other hand, oral cytology of brush biopsy offers a minimally invasive and lower cost alternative, provided that the remaining challenges, inter observer variability and unavailability of expert pathologists can be addressed using artificial intelligence. Development and validation of robust AI solutions requires access to large, labeled, and multi-source datasets to train high capacity models that generalize across domain shifts. We introduce the first large and multicenter oral cytology dataset, comprising annotated slides stained with Papanicolaou(PAP) and May-Grunwald-Giemsa(MGG) protocols, collected from ten tertiary medical centers in India. The dataset is labeled and annotated by exp

Oral examinations are a prevalent but psychologically demanding form of assessment in higher education. Many students experience intense anxiety, which can impair cognitive performance and hinder academic success. This position paper explores the potential of embodied conversational agents (ECAs) in extended reality (XR) environments to support students preparing for oral exams. We propose a system concept that integrates photorealistic ECAs with real-time capable large language models (LLMs) to enable psychologically safe, adaptive, and repeatable rehearsal of oral examination scenarios. We also discuss the potential benefits and challenges of such an envisioned system.

Oral cancer ranks among the most prevalent cancers globally, with a particularly high mortality rate in regions lacking adequate healthcare access. Early diagnosis is crucial for reducing mortality; however, challenges persist due to limited oral health programs, inadequate infrastructure, and a shortage of healthcare practitioners. Conventional deep learning models, while promising, often rely on point estimates, leading to overconfidence and reduced reliability. Critically, these models require large datasets to mitigate overfitting and ensure generalizability, an unrealistic demand in settings with limited training data. To address these issues, we propose a hybrid model that combines a convolutional neural network (CNN) with Bayesian deep learning for oral cancer classification using small training sets. This approach employs variational inference to enhance reliability through uncertainty quantification. The model was trained on photographic color images captured by smartphones and evaluated on three distinct test datasets. The proposed method achieved 94% accuracy on a test dataset with a distribution similar to that of the training data, comparable to traditional CNN perform

English as a Foreign Language (EFL) students often struggle to deliver oral presentations due to a lack of reliable resources and the limited effectiveness of instructors' feedback. Large Language Model (LLM) can offer new possibilities to assist students' oral presentations with real-time feedback. This paper investigates how ChatGPT can be effectively integrated into EFL oral presentation practice to provide personalized feedback. We introduce a novel learning platform, CHOP (ChatGPT-based interactive platform for oral presentation practice), and evaluate its effectiveness with 13 EFL students. By collecting student-ChatGPT interaction data and expert assessments of the feedback quality, we identify the platform's strengths and weaknesses. We also analyze learners' perceptions and key design factors. Based on these insights, we suggest further development opportunities and design improvements for the education community.

Researchers in Holocaust studies have often distinguished between two styles of oral survivor testimony: the USC Shoah Foundation's interviews tend to follow a structured, interviewer-guided format, whereas the Yale Fortunoff Video Archive generally favors a more free-form, open-ended style. This distinction has influenced both scholarly research and the development of later archives. In this study, we critically examine that claim by conducting a large-scale computational analysis of more than 1,600 testimonies from both collections. Leveraging discourse segmentation, topic modeling, and large language model (LLM) based analysis, we quantify the "structuredness" level of testimonies through topic coherence, interviewer-survivor dynamics, and the distribution of question types. Our results generally corroborate the structural differences identified in earlier research, while also revealing significant overlaps between the collections, both within individual interviews and across common narrative patterns. This complicates the simple "structured vs. free-form" dichotomy often applied to these oral histories. Beyond revisiting a foundational claim in Holocaust studies, our work provi

The proportion of older people continues to grow worldwide, especially in developing countries. Non-communicable diseases are fast becoming the leading causes of disability and mortality, and in coming decades health and social policy-makers will face tremendous challenges posed by the rapidly changing burden of chronic diseases in old age. Chronic disease and most oral diseases share common risk factors. Globally, poor oral health amongst older people has been particularly evident in high levels of tooth loss, dental caries experience, and the prevalence rates of periodontal disease, xerostomia and oral precancer/cancer. The negative impact of poor oral conditions on the quality of life of older adults is an important public health issue, which must be addressed by policy-makers. The means for strengthening oral health programme implementation are available; the major challenge is therefore to translate knowledge into action programmes for the oral health of older people. The World Health Organization recommends that countries adopt certain strategies for improving the oral health of the elderly. National health authorities should develop policies and measurable goals and targets for oral health. National public health programmes should incorporate oral health promotion and disease prevention based on the common risk factors approach. Control of oral disease and illness in older adults should be strengthened through organization of affordable oral health services, which meet their needs. The needs for care are highest among disadvantaged, vulnerable groups in both developed and developing countries. In developing countries the challenges to provision of primary oral health care are particularly high because of a shortage of dental manpower. In developed countries reorientation of oral health services towards prevention should consider oral care needs of older people. Education and continuous training must ensure that oral health care providers have skills in and a profound understanding of the biomedical and psychosocial aspects of care for older people. Research for better oral health should not just focus on the biomedical and clinical aspects of oral health care; public health research needs to be strengthened particularly in developing countries. Operational research and efforts to translate science into practice are to be encouraged. WHO supports national capacity building in the oral health of older people through intercountry and interregional exchange of experiences.