Traditional orthodontic treatment relies on subjective estimations of orthodontists and iterative communication with technicians to achieve desired tooth alignments. This process is time-consuming, complex, and highly dependent on the orthodontist’s experience. With the development of artificial intelligence, there’s a growing interest in leveraging deep learning methods to achieve tooth alignment automatically. However, the absence of publicly available datasets containing pre/post-orthodontic 3D dental models has impeded the advancement of intelligent orthodontic solutions. To address this limitation, this paper proposes the first public 3D orthodontic dental dataset, comprising 1,060 pairs of pre/post-treatment dental models sourced from 435 patients. The proposed dataset encompasses 3D dental models with diverse malocclusion, e.g., tooth crowding, deep overbite, and deep overjet; and comprehensive professional annotations, including tooth segmentation labels, tooth position information, and crown landmarks. We also present technical validations for tooth alignment and orthodontic effect evaluation. The proposed dataset is expected to contribute to improving the efficiency and quality of target tooth position design in clinical orthodontic treatment utilizing deep learning methods.

Accurate tooth segmentation and numbering are the cornerstones of efficient automatic dental diagnosis and treatment. In this paper, a multitask learning architecture has been proposed for accurate tooth segmentation and numbering in panoramic X-ray images. A graph convolution network was applied for the automatic annotation of the target region, a modified convolutional neural network-based detection subnetwork (DSN) was used for tooth recognition and boundary regression, and an effective region segmentation subnetwork (RSSN) was used for region segmentation. The features extracted using RSSN and DSN were fused to optimize the quality of boundary regression, which provided impressive results for multiple evaluation metrics. Specifically, the proposed framework achieved a top F1 score of 0.9849, a top Dice metric score of 0.9629, and an mAP (IOU = 0.5) score of 0.9810. This framework holds great promise for enhancing the clinical efficiency of dentists in tooth segmentation and numbering tasks.

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-machine hybrid algorithm. Experiments on IO150K demonstrate that our TeethSEG outperforms the state-of-the-art segmentation models on dental image segmentation.

Digital orthodontics represents a prominent and critical application of computer vision technology in the medical field. So far, the labor-intensive process of collecting clinical data, particularly in acquiring paired 3D orthodontic teeth models, constitutes a crucial bottleneck for developing tooth arrangement neural networks. Although numerous general 3D shape generation methods have been proposed, most of them focus on single-object generation and are insufficient for generating anatomically structured teeth models, each comprising 24-32 segmented teeth. In this paper, we propose TeethGenerator, a novel two-stage framework designed to synthesize paired 3D teeth models pre- and post-orthodontic, aiming to facilitate the training of downstream tooth arrangement networks. Specifically, our approach consists of two key modules: (1) a teeth shape generation module that leverages a diffusion model to learn the distribution of morphological characteristics of teeth, enabling the generation of diverse post-orthodontic teeth models; and (2) a teeth style generation module that synthesizes corresponding pre-orthodontic teeth models by incorporating desired styles as conditional inputs. Extensive qualitative and quantitative experiments demonstrate that our synthetic dataset aligns closely with the distribution of real orthodontic data, and promotes tooth alignment performance significantly when combined with real data for training. The code and dataset are available at https://github.com/lcshhh/teeth_generator.

Tooth arrangement is a crucial step in orthodontics treatment, in which aligning teeth could improve overall well-being, enhance facial aesthetics, and boost self-confidence. To improve the efficiency of tooth arrangement and minimize errors associated with unreasonable designs by inexperienced practitioners, some deep learning-based tooth arrangement methods have been proposed. Currently, most existing approaches employ MLPs to model the nonlinear relationship between tooth features and transformation matrices to achieve tooth arrangement automatically. However, the limited datasets (which to our knowledge, have not been made public) collected from clinical practice constrain the applicability of existing methods, making them inadequate for addressing diverse malocclusion issues. To address this challenge, we propose a general tooth arrangement neural network based on the diffusion probabilistic model. Conditioned on the features extracted from the dental model, the diffusion probabilistic model can learn the distribution of teeth transformation matrices from malocclusion to normal occlusion by gradually denoising from a random variable, thus more adeptly managing real orthodontic data. To take full advantage of effective features, we exploit both mesh and point cloud representations by designing different encoding networks to extract the tooth (local) and jaw (global) features, respectively. In addition to traditional metrics ADD, PA-ADD, CSA, and ME_{rot}, we propose a new evaluation metric based on dental arch curves to judge whether the generated teeth meet the individual normal occlusion. Experimental results demonstrate that our proposed method achieves state-of-the-art tooth alignment results and satisfactory occlusal relationships between dental arches. We will publish the code and dataset.