Evidence map›Paper›PMID 37670290›Full record

ArticleBMC oral health2023

Intra-oral scan segmentation using deep learning.

Shankeeth Vinayahalingam, Steven Kempers, Julian Schoep, Tzu-Ming Harry Hsu, David Anssari Moin, Bram van Ginneken, Tabea Flügge, Marcel Hanisch, Tong Xi

Abstract read
In one paragraph

Article in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Review
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  3. Performance assessment of five artificial intelligence-based algorithms for automated tooth segmentation and labeling on intraoral scans.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2026
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  5. Review
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  7. Article
  8. Article
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  10. Review
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  12. Article
  13. Recent Advances in Intraoral Scanners.Journal of dental research · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Shankeeth VinayahalingamDepartment of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Steven KempersDepartment of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Julian SchoepPromaton Co. Ltd, 1076 GR, Amsterdam, The Netherlands.
Tzu-Ming Harry HsuMIT Computer Science & Artificial Intelligence Laboratory, 32 Vassar St, Cambridge, MA, 02139, USA.
David Anssari MoinPromaton Co. Ltd, 1076 GR, Amsterdam, The Netherlands.
Bram van GinnekenDepartment of Radiology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Tabea FlüggeCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Department of Oral and Maxillofacial Surgery, Hindenburgdamm 30, 12203, Berlin, Germany. tabea.fluegge@charite.de.
Marcel Hanisch *Department of Oral and Maxillofacial Surgery, Universitätsklinikum Münster, Münster, Germany.
Tong Xi *Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIntra-oral scans and gypsum cast scans (OS) are widely used in orthodontics, prosthetics, implantology, and orthognathic surgery to plan patient-specific treatments, which require teeth segmentations with high accuracy and resolution. Manual teeth segmentation, the gold standard up until now, is time-consuming, tedious, and observer-dependent. This study aims to develop an automated teeth segmentation and labeling system using deep learning. MATERIAL AND

methodsAs a reference, 1750 OS were manually segmented and labeled. A deep-learning approach based on PointCNN and 3D U-net in combination with a rule-based heuristic algorithm and a combinatorial search algorithm was trained and validated on 1400 OS. Subsequently, the trained algorithm was applied to a test set consisting of 350 OS. The intersection over union (IoU), as a measure of accuracy, was calculated to quantify the degree of similarity between the annotated ground truth and the model predictions.

resultsThe model achieved accurate teeth segmentations with a mean IoU score of 0.915. The FDI labels of the teeth were predicted with a mean accuracy of 0.894. The optical inspection showed excellent position agreements between the automatically and manually segmented teeth components. Minor flaws were mostly seen at the edges.

conclusionThe proposed method forms a promising foundation for time-effective and observer-independent teeth segmentation and labeling on intra-oral scans. CLINICAL SIGNIFICANCE: Deep learning may assist clinicians in virtual treatment planning in orthodontics, prosthetics, implantology, and orthognathic surgery. The impact of using such models in clinical practice should be explored.

Indexed as

Deep LearningAlgorithmsCalcium SulfateDental CareHumansPhysical ExaminationCalcium SulfateArtificial intelligenceComputer-assisted planningDeep learningDigital imagingIntra-oral scan

Identifiers

PMID37670290
PMCPMC10481506

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.