Skip to main content

Advertisement

Log in

Detecting the presence of taurodont teeth on panoramic radiographs using a deep learning-based convolutional neural network algorithm

  • Original Article
  • Published:
Oral Radiology Aims and scope Submit manuscript

Abstract

Objectives

Artificial intelligence (AI) techniques like convolutional neural network (CNN) are a promising breakthrough that can help clinicians analyze medical imaging, diagnose taurodontism, and make therapeutic decisions. The purpose of the study is to develop and evaluate the function of CNN-based AI model to diagnose teeth with taurodontism in panoramic radiography.

Methods

434 anonymized, mixed-sized panoramic radiography images over the age of 13 years were used to develop automatic taurodont tooth segmentation models using a Pytorch implemented U-Net model. Datasets were split into train, validation, and test groups of both normal and masked images. The data augmentation method was applied to images of trainings and validation groups with vertical flip images, horizontal flip images, and both flip images. The Confusion Matrix was used to determine the model performance.

Results

Among the 43 test group images with 126 labels, there were 109 true positives, 29 false positives, and 17 false negatives. The sensitivity, precision, and F1-score values of taurodont tooth segmentation were 0.8650, 0.7898, and 0.8257, respectively.

Conclusions

CNN’s ability to identify taurodontism produced almost identical results to the labeled training data, and the CNN system achieved close to the expert level results in its ability to detect the taurodontism of teeth.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Weckwerth GM, Santos CF, Brozoski DT, Pagin CBS, O, Lauris JRP, et al. Taurodontism, root dilaceration, and tooth transposition: a radiographic study of a population with nonsyndromic cleft lip and/or palate. Cleft Palate Cranio-fac J. 2016;53:404–12.

    Article  Google Scholar 

  2. Topal BG, Tiras M. Developmental anomalies affecting tooth roots. Dent Med J-R. 2020;2:111–26.

    Google Scholar 

  3. Manjunatha B, Kovvuru SK. Taurodontism: a review on its etiology, prevalence and clinical considerations. J Clin Exp Dent. 2010;2:1–5.

    Google Scholar 

  4. Jafarzadeh H, Azarpazhooh A, Mayhall JT. Taurodontism: a review of the condition and endodontic treatment challenges. Int Endod J. 2008;41:375–88.

    Article  Google Scholar 

  5. Bronoosh P, Haghnegahdar A, Dehbozorgi M. Prevalence of taurodontism in premolars and molars in the South of Iran. J Dent Res Dent Clin Dent Prospects. 2012;6:21–4.

    Google Scholar 

  6. Umar E, Altun O, Dedeoglu N. The retrospectıve evaluation of taurodontism prevalence in patiens admitting Inonu Univercity Faculty of Dentistry. Cumhur Dent J. 2014;17:235–43.

    Article  Google Scholar 

  7. Nalcacı R, Gorgun S, Karakaya M. Incidence of taurodontism in Turkish population. Turkiye Klinikleri J Dent Sci. 2000;6:178–82.

    Google Scholar 

  8. White SC, Pharoah MJ. Oral radiology-e-book: principles and interpretation. 5th ed. St. Louis, USA: Mosby; 2004.

    Google Scholar 

  9. Luan X, Ito Y, Diekwisch TGH. Evolution and development of Hertwig’s epithelial root sheath. Dev Dyn. 2006;235:1167–80.

    Article  Google Scholar 

  10. Schwendicke FA, Samek W, Krois J. Artificial intelligence in dentistry: chances and challenges. J Dent Res. 2020;99:769–74.

    Article  Google Scholar 

  11. Kim DH, MacKinnon T. Artificial intelligence in fracture detection: transfer learning from deep convolutional neural networks. Clin Radiol. 2018;73:439–45.

    Article  Google Scholar 

  12. Kurt Bayrakdar S, Celik O, Bayrakdar IS, Orhan K, Bilgir E, Odabas A, et al. Success of artificial intelligence system in determining alveolar bone loss from dental panoramic radiography images. Cumhur Dent J. 2020;23:318–24.

    Google Scholar 

  13. Kılıc Coruh M, Bayrakdar IS, Celik O, Bilgir E, Orhan K, Aydın OB, et al. Artificial intelligence system for automatic deciduous tooth detection and numbering in panoramic radiographs. Dentomaxillofac Radiol. 2021;50:20200172.

    Article  Google Scholar 

  14. Lee JH, Han SS, Kim YH, Lee C, Kim I. Application of a fully deep convolutional neural network to the automation of tooth segmentation on panoramic radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;129:635–42.

    Article  Google Scholar 

  15. Tuzoff DV, Tuzova LN, Bornstein MM, Krasnov AS, Kharchenko NSI, et al. Tooth detection and numbering in panoramic radiographs using convolutional neural networks. Dentomaxillofac Radiol. 2019;48:20180051.

    Article  Google Scholar 

  16. Thanathornwong B, Suebnukarn S. Automatic detection of periodontal compromised teeth in digital panoramic radiographs using faster regional convolutional neural networks. Imaging Sci Dent. 2020;50:169.

    Article  Google Scholar 

  17. Chen H, Zhang K, Lyu P, Li H, Zhang L, Wu J, et al. A deep learning approach to automatic teeth detection and numbering based on object detection in dental periapical films. Sci Rep. 2019;9:1–11.

    Google Scholar 

  18. Yasa Y, Celik O, Bayrakdar IS, Pekince A, Orhan K, Akarsu S, et al. An artificial intelligence proposal to automatic teeth detection and numbering in dental bite-wing radiographs. Acta Odontol Scand. 2021;79:275–81.

    Article  Google Scholar 

  19. Kunz F, Stellzig-Eisenhauer A, Zeman F, Boldt J. Evaluation of a fully automated cephalometric analysis using a customized convolutional neural network. J Orofac Orthop. 2020;81:52–68.

    Article  Google Scholar 

  20. Orhan K, Bayrakdar IS, Ezhov M, Kravtsov A, Ozyurek T. Evaluation of artificial intelligence for detecting periapical pathosis on cone-beam computed tomography scans. Int Endod J. 2020;53:680–9.

    Article  Google Scholar 

  21. Lee JH, Kim DH, Jeong SN, Choi SH. Detection and diagnosis of dental caries using a deep learning-based convolutional neural network algorithm. J Dent. 2018;77:106–11.

    Article  Google Scholar 

  22. Ekert T, Krois J, Meinhold L, Elhennavy K, Emare R, Golla T, et al. Deep learning for the radiographic detection of apical lesions. J Endod. 2019;45:917–22.

    Article  Google Scholar 

  23. Fukuda M, Inamoto K, Shibata N, Ariji Y, Yanashita Y, Kutsuna S, et al. Evaluation of an artificial intelligence system for detecting vertical root fracture on panoramic radiography. Oral Radiol. 2020;36:337–43.

    Article  Google Scholar 

  24. Hiraiwa T, Ariji Y, Fukuda M, Kise Y, Nakata K, Katsumata A, et al. A deep-learning artificial intelligence system for assessment of root morphology of the mandibular first molar on panoramic radiography. Dentomaxillofac Radiol. 2019;48:20180218.

    Article  Google Scholar 

  25. Jeon SJ, Yun JP, Yeom HG, Shin WS, Lee JH, Jeong SH, et al. Deep-learning for predicting C-shaped canals in mandibular second molars on panoramic radiographs. Dentomaxillofac Radiol. 2021;50:20200513.

    Article  Google Scholar 

  26. Caliskan S, Tuloglu N, Celik O, Ozdemir C, Kizilaslan S, Bayrak S. A pilot study of a deep learning approach to submerged primary tooth classification and detection. Int J Comput Dent. 2021;24:1–9.

    Google Scholar 

  27. Blumberg JE, Hylander WL, Goepp RA. Taurodontism: a biometric study. Am J Phys Anthropol. 1971;34:243–55.

    Article  Google Scholar 

  28. Shifman A, Chanannel I. Prevalence of taurodontism found in radiographic dental examination of 1,200 young adult Israeli patients. Community Dent Oral Epidemiol. 1978;6:200–3.

    Article  Google Scholar 

  29. Olaf R, Fischer P, Brox T. U-net: Convolutional networks for biomedical image segmentation. In: International Conference on Medical image computing and computer-assisted intervention. Springer, Cham, 2015.

  30. Yasaka K, Akai H, Kunimatsu A, Kiryu S, Abe O. Deep learning with convolutional neural network in radiology. Jpn J Radiol. 2018;36:257–72.

    Article  Google Scholar 

  31. You W, Hao A, Li S, Wang Y, Xia B. Deep learning-based dental plaque detection on primary teeth: a comparison with clinical assessments. BMC Oral Health. 2020;20:141.

    Article  Google Scholar 

  32. Mine Y, Iwamoto Y, Okazaki S, Nakamura K, Takeda S, Peng TY, et al. Detecting the presence of supernumerary teeth during the early mixed dentition stage using deep learning algorithms: a pilot study. Int J Paediatr Dent. 2021. https://doi.org/10.1111/ipd.12946.

    Article  Google Scholar 

  33. MacDonald D. Taurodontism. Oral Radiol. 2020;36:129–32.

    Article  Google Scholar 

  34. Manjunatha BS, Kovvuru SK. Taurodontism: a review on its etiology, prevalence and clinical considerations. J Clin Exp Dent. 2010;2:e187–90.

    Article  Google Scholar 

  35. Tsesis I, Shifman A, Kaufman AY. Taurodontism: an endodontic challenge: report of a case. J Endod. 2003;29:353–5.

    Article  Google Scholar 

  36. Cakici F, Benkli Y, Cakıcı E. The prevalence of taurodontism in a north Anatolian dental patient subpopulation. Middle Black Sea J Health Sci. 2015;1:7–10.

    Article  Google Scholar 

Download references

Funding

This work has been supported by Eskişehir University Scientific Research Projects Coordination Unit under Grant number 202045E06.

Author information

Authors and Affiliations

Authors

Contributions

SD, ISB, and EFY conceived the ideas; GE, SD, and EFY collected the data; OC, EB, and ISB analyzed the data; SD, ISB, and GE: writing—original draft; ALFC, RJ, and KO: supervision.

Corresponding author

Correspondence to Sacide Duman.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all the patients for being included in the study. This article does not contain any studies with human or animal subjects performed by the any of the author.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Duman, S., Yılmaz, E.F., Eşer, G. et al. Detecting the presence of taurodont teeth on panoramic radiographs using a deep learning-based convolutional neural network algorithm. Oral Radiol 39, 207–214 (2023). https://doi.org/10.1007/s11282-022-00622-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11282-022-00622-1

Keywords

Navigation