Scholarlink

Objective <p>The aim of this study was to develop convolutional neural network (CNN)-based systems to diagnose calculus, plaque, gingival hyperplasia and gingival inflammation in intraoral images from orthodontic patients.</p> Materials and methods <p>A dataset of 1,000 lateral and frontal intraoral images from orthodontic patients was used to develop CNN-based models. Periodontology specialists annotated areas of dental calculus, plaque, gingival inflammation, and gingival hyperplasia on the teeth and gingiva. The dataset was divided into training (80%), validation (10%), and test (10%) sets for model development. The YOLOv8 and hybrid U-Net + ResNet50 models were examined. Their performance was evaluated on the basis of accuracy, precision, recall, <i>F</i><sub>1</sub> score, Tversky loss, intersection over union, mean average precision, Dice coefficient, and Cohen’s kappa.</p> Results <p>The mean classification accuracy was 0.96 for the YOLOv8 model and 0.93 for the U-Net + ResNet50 model. On the basis of the Dice coefficient, the models performed best in detecting gingival hyperplasia (YOLOv8: 0.78, U-Net + ResNet50: 0.79) and worst in detecting dental calculus (YOLOv8:0.48, U-Net + ResNet50:0.53). Cohen’s kappa coefficient was highest for classifying gingival hyperplasia (YOLOv8: 0.785, U-Net + ResNet50: 0.790). The precision exceeded 0.72 across all the classifications, with the greatest precision in classifying gingival inflammation.</p> Conclusion <p>Deep learning-based systems can serve as decision support tools by offering rapid and objective evaluations of dental calculus, plaque, gingival inflammation, and gingival hyperplasia. Nonetheless, the definitive diagnostic conclusion should be based on the clinician’s specialized expertise and professional judgment.</p> Clinical relevance <p>The integration of CNN-based diagnostic models into clinical workflows has the potential to facilitate early periodontal diagnosis and improve accessibility to periodontal assessments in orthodontic patients.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Automated periodontal assessment in orthodontic patients: a dual CNN framework

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年6月2日

查看全文
  • Ebru Yurdakurban,
  • Ali Batuhan Bayırlı,
  • Mehmetcan Uytun,
  • Öznur Suçeken,
  • Onur Karasoy,
  • Osman Özkaraca,
  • Kübra Gülnur Topsakal

摘要

Objective

The aim of this study was to develop convolutional neural network (CNN)-based systems to diagnose calculus, plaque, gingival hyperplasia and gingival inflammation in intraoral images from orthodontic patients.

Materials and methods

A dataset of 1,000 lateral and frontal intraoral images from orthodontic patients was used to develop CNN-based models. Periodontology specialists annotated areas of dental calculus, plaque, gingival inflammation, and gingival hyperplasia on the teeth and gingiva. The dataset was divided into training (80%), validation (10%), and test (10%) sets for model development. The YOLOv8 and hybrid U-Net + ResNet50 models were examined. Their performance was evaluated on the basis of accuracy, precision, recall, F1 score, Tversky loss, intersection over union, mean average precision, Dice coefficient, and Cohen’s kappa.

Results

The mean classification accuracy was 0.96 for the YOLOv8 model and 0.93 for the U-Net + ResNet50 model. On the basis of the Dice coefficient, the models performed best in detecting gingival hyperplasia (YOLOv8: 0.78, U-Net + ResNet50: 0.79) and worst in detecting dental calculus (YOLOv8:0.48, U-Net + ResNet50:0.53). Cohen’s kappa coefficient was highest for classifying gingival hyperplasia (YOLOv8: 0.785, U-Net + ResNet50: 0.790). The precision exceeded 0.72 across all the classifications, with the greatest precision in classifying gingival inflammation.

Conclusion

Deep learning-based systems can serve as decision support tools by offering rapid and objective evaluations of dental calculus, plaque, gingival inflammation, and gingival hyperplasia. Nonetheless, the definitive diagnostic conclusion should be based on the clinician’s specialized expertise and professional judgment.

Clinical relevance

The integration of CNN-based diagnostic models into clinical workflows has the potential to facilitate early periodontal diagnosis and improve accessibility to periodontal assessments in orthodontic patients.