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Teeth localization, segmentation, and labeling in 2D images have great potential in modern dentistry to enhance dental diagnostics, treatment planning, and population-based studies on oral health. However, general instance segmentation frameworks are incompetent due to 1) the subtle differences between some teeth' shapes (e.g., maxillary first premolar and second premolar), 2) the teeth's position and shape variation across subjects, and 3) the presence of abnormalities in the dentition (e.g., caries and edentulism). To address these problems, we propose a ViT-based framework named TeethSEG, which consists of stacked Multi-Scale Aggregation (MSA) blocks and an Anthropic Prior Knowledge (APK) layer. Specifically, to compose the two modules, we design 1) a unique permutation-based upscaler to ensure high efficiency while establishing clear segmentation boundaries with 2) multi-head self/cross-gating layers to emphasize particular semantics meanwhile maintaining the divergence between token embeddings. Besides, we collect 3) the first open-sourced intraoral image dataset IO150K, which comprises over 150k intraoral photos, and all photos are annotated by orthodontists using a human-mac

Obstructive sleep apnea (OSA) is a complex disease with complex etiology, which requires multidisciplinary cooperation in diagnosis and treatment. Mandibular retrognathia is strongly associated with OSA. Orthodontists can either correct the mandibular retrognathia of pediatric OSA via various kinds of orthodontic appliances, following adenoidectomy and tonsillectomy, or enlarge upper airway by mandibular advancement device (MAD) through repositioning the mandible and tongue of adult OSA patients. This mini review was to investigate the therapy of MAD to adult OSA as well as orthodontic treatment to pediatric OSA.

Patients take care of what their teeth will be like after the orthodontics. Orthodontists usually describe the expectation movement based on the original smile images, which is unconvincing. The growth of deep-learning generative models change this situation. It can visualize the outcome of orthodontic treatment and help patients foresee their future teeth and facial appearance. While previous studies mainly focus on 2D or 3D virtual treatment outcome (VTO) at a profile level, the problem of simulating treatment outcome at a frontal facial image is poorly explored. In this paper, we build an efficient and accurate system for simulating virtual teeth alignment effects in a frontal facial image. Our system takes a frontal face image of a patient with visible malpositioned teeth and the patient's 3D scanned teeth model as input, and progressively generates the visual results of the patient's teeth given the specific orthodontics planning steps from the doctor (i.e., the specification of translations and rotations of individual tooth). We design a multi-modal encoder-decoder based generative model to synthesize identity-preserving frontal facial images with aligned teeth. In addition,

Intraoral 3D scanning is now widely adopted in modern dentistry and plays a central role in supporting key tasks such as tooth segmentation, detection, labeling, and dental landmark identification. Accurate analysis of these scans is essential for orthodontic and restorative treatment planning, as it enables automated workflows and minimizes the need for manual intervention. However, the development of robust learning-based solutions remains challenging due to the limited availability of high-quality public datasets and standardized benchmarks. This article presents Teeth3DS+, an extended public benchmark dedicated to intraoral 3D scan analysis. Developed in the context of the MICCAI 3DTeethSeg and 3DTeethLand challenges, Teeth3DS+ supports multiple fundamental tasks, including tooth detection, segmentation, labeling, 3D modeling, and dental landmark identification. The dataset consists of rigorously curated intraoral scans acquired using state-of-the-art scanners and validated by experienced orthodontists and dental surgeons. In addition to the data, Teeth3DS+ provides standardized data splits and evaluation protocols to enable fair and reproducible comparison of methods, with the

In this article we investigate the efficiency of deep learning algorithms in solving the task of detecting anatomical reference points on radiological images of the head in lateral projection using a fully convolutional neural network and a fully convolutional neural network with an extended architecture for biomedical image segmentation - U-Net. A comparison is made for the results of detection anatomical reference points for each of the selected neural network architectures and their comparison with the results obtained when orthodontists detected anatomical reference points. Based on the obtained results, it was concluded that a U-Net neural network allows performing the detection of anatomical reference points more accurately than a fully convolutional neural network. The results of the detection of anatomical reference points by the U-Net neural network are closer to the average results of the detection of reference points by a group of orthodontists.

A deep neural network based cephalometric landmark identification model is proposed. Two neural networks, named patch classification and point estimation, are trained by multi-scale image patches cropped from 935 Cephalograms (of Japanese young patients), whose size and orientation vary based on landmark-dependent criteria examined by orthodontists. The proposed model identifies both 22 hard and 11 soft tissue landmarks. In order to evaluate the proposed model, (i) landmark estimation accuracy by Euclidean distance error between true and estimated values, and (ii) success rate that the estimated landmark was located within the corresponding norm using confidence ellipse, are computed. The proposed model successfully identified hard tissue landmarks within the error range of 1.32 - 3.5 mm and with a mean success rate of 96.4%, and soft tissue landmarks with the error range of 1.16 - 4.37 mm and with a mean success rate of 75.2%. We verify that considering the landmark-dependent size and orientation of patches helps improve the estimation accuracy.

Accurately segmenting teeth and identifying the corresponding anatomical landmarks on dental mesh models are essential in computer-aided orthodontic treatment. Manually performing these two tasks is time-consuming, tedious, and, more importantly, highly dependent on orthodontists' experiences due to the abnormality and large-scale variance of patients' teeth. Some machine learning-based methods have been designed and applied in the orthodontic field to automatically segment dental meshes (e.g., intraoral scans). In contrast, the number of studies on tooth landmark localization is still limited. This paper proposes a two-stage framework based on mesh deep learning (called TS-MDL) for joint tooth labeling and landmark identification on raw intraoral scans. Our TS-MDL first adopts an end-to-end \emph{i}MeshSegNet method (i.e., a variant of the existing MeshSegNet with both improved accuracy and efficiency) to label each tooth on the downsampled scan. Guided by the segmentation outputs, our TS-MDL further selects each tooth's region of interest (ROI) on the original mesh to construct a light-weight variant of the pioneering PointNet (i.e., PointNet-Reg) for regressing the corresponding

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