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AI meets endodontics a deep learning approach to precision diagnosis
YuanYuan Chen1, Zhi Jian Su1, Rui Zhang1
1Department of endodontics, Changsha Stomatological Hospital, Stomatological Hospital Affiliated to Hunan University of Chinese Medicine, Hunan, 410000, China.
Scientific Reports
|November 29, 2025
Summary
A novel Modified Swin Transformer (MSViT) model accurately classifies endodontic diseases using advanced AI. This automated approach significantly improves diagnostic accuracy for these common dental conditions.
Area of Science:
- Dentistry and Artificial Intelligence
- Medical Imaging Analysis
- Machine Learning in Healthcare
Background:
- Endodontic diseases affect over 52% of the global population, with increasing prevalence.
- Accurate classification of endodontic conditions is crucial for effective treatment planning.
- Conventional diagnostic methods rely on radiographs and expert analysis, necessitating more efficient and accurate automated alternatives.
Purpose of the Study:
- To develop and evaluate an automated, data-driven model for precise classification of endodontic diseases.
- To enhance diagnostic accuracy and efficiency in endodontic treatment planning.
- To introduce a Modified Swin Transformer (MSViT) architecture for hierarchical attention and contextual learning.
Main Methods:
- Implementation of a Modified Swin Transformer (MSViT) with hierarchical attention mechanisms.
- Utilizing chaotic particle swarm optimization (CPSO) and sequential quadratic programming (SQP) for hyperparameter and feature selection.
- Training and validation on an improved root canal dataset featuring seven categories of endodontic disorders.
Main Results:
- The proposed MSViT model achieved an average classification accuracy of 97.72%.
- The model demonstrated a mean precision of 0.9749 and a mean square error of 8.2 × 10⁻⁴.
- Optimized performance was achieved with a learning rate of 0.0001 and a computational time of 867.59 seconds.
Conclusions:
- The developed MSViT architecture effectively learns fine-grained anatomical and pathological features for endodontic disease differentiation.
- The automated approach offers a significant improvement in accuracy and efficiency compared to conventional methods and baseline models.
- This AI-driven framework holds promise for advancing clinical decision-making in endodontics.
Keywords:
Endodontic disease classificationGlobal search techniquesModified swin ViTMonte carlo simulationsSequential quadratic programming
