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Dental Caries diagnosis from bitewing images using convolutional neural networks
Parsa ForouzeshFar1, Ali Asghar Safaei2,3, Foad Ghaderi4,5
1Department of Data Science, Faculty of Mathematical Sciences, Tarbiat Modares University, Tehran, Iran.
BMC Oral Health
|February 10, 2024
Summary
This study developed an AI model using convolutional neural networks to detect dental caries from X-rays, achieving 93.93% accuracy with the VGG19 model. This offers a faster, more accurate diagnosis for tooth decay.
Area of Science:
- Artificial Intelligence in Medical Imaging
- Dental Radiology
- Machine Learning for Healthcare
Background:
- Dental caries (tooth decay) is a prevalent condition affecting all age groups, particularly children.
- Bacterial acid production erodes tooth structure, causing discoloration, pain, and sensitivity.
- Current manual diagnosis methods are time-consuming; AI offers improved accuracy and efficiency.
Purpose of the Study:
- To develop and evaluate a data-driven model for accurate dental decay diagnosis using Bitewing radiology images.
- To leverage convolutional neural networks (CNNs) for automated detection of tooth decay.
- To explore the potential of AI in enhancing dental diagnostic processes.
Main Methods:
- Utilized a dataset of 713 patient Bitewing X-ray images from June 2020 to January 2022.
- Processed images using four distinct CNN architectures: AlexNet, ResNet50, VGG16, and VGG19.
- Resized images to 100x100 and split into 70% training (4219 images) and 30% testing (1813 images) sets.
Main Results:
- The VGG19 CNN model demonstrated the highest diagnostic accuracy among the evaluated architectures.
- Achieved an impressive accuracy rate of 93.93% in identifying dental caries.
- This highlights the effectiveness of specific CNN models in dental image analysis.
Conclusions:
- The study indicates strong potential for an automated AI-based dental caries diagnostic system.
- Such a system could function as a mobile app or cloud-based service, aiding dentists.
- This AI tool could significantly improve the early detection and management of tooth decay.

