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An Automatic Grading System for Orthodontically Induced External Root Resorption Based on Deep Convolutional Neural

Shuxi Xu1,2,3, Houli Peng1,2,3, Lanxin Yang1,2,3

  • 1College of Stomatology, Chongqing Medical University, Chongqing, 401147, China.

Journal of Imaging Informatics in Medicine
|February 23, 2024
PubMed
Summary
This summary is machine-generated.

Deep learning models accurately grade tooth root resorption after orthodontic treatment. An automated system using EfficientNet-B4 achieved 94% accuracy, outperforming human orthodontists and aiding clinical diagnosis.

Keywords:
Artificial intelligenceConvolutional neural networkDiagnostic systemOrthodonticsRoot resorption

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Area of Science:

  • Dentistry
  • Medical Imaging
  • Artificial Intelligence

Background:

  • Orthodontically induced external root resorption (OIERR) is a frequent complication of orthodontic therapy.
  • Accurate grading of OIERR is essential for timely clinical management and treatment adjustments.

Purpose of the Study:

  • To develop and evaluate deep convolutional neural networks (CNNs) for automated OIERR grading.
  • To construct a reliable AI-based system for OIERR assessment in clinical practice.

Main Methods:

  • Six pre-trained CNNs (EfficientNet variants and MobileNet-V3) were trained and validated on 2146 tooth slices.
  • Performance was assessed using cross-validation and compared against orthodontist evaluations.
  • Grad-CAM was employed to visualize model decision-making areas.

Main Results:

  • All six CNN models demonstrated high performance in OIERR grading, with a mean accuracy of 0.92.
  • The developed AI system surpassed orthodontists' mean accuracy (0.82).
  • EfficientNet-B4 with fivefold cross-validation achieved the highest accuracy (0.94), identifying the apical region as critical.

Conclusions:

  • CNNs show excellent capability for OIERR grading, outperforming human experts.
  • The proposed AI system offers a promising, reliable diagnostic support tool for orthodontists.
  • Automated OIERR grading can enhance clinical decision-making and patient care.