Evidence map›Paper›PMID 41399179›Full record

ArticleClinical and experimental dental research2025

Deep Learning Models for Evaluating the Anatomical Relationship Between Posterior Maxillary Teeth and Maxillary Sinus in Panoramic Radiographs.

Akram Fallah, Parisa Soltani, Mojdeh Mehdizadeh, Mostafa Riahi Farsani, Mahsa Moannaei, Seyed Amir Hossein Ourang, Maryam Hossaini, Gianrico Spagnuolo, Carlo Rengo

Abstract read
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Article in Clinical and experimental dental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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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

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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

2 citing papers in PubMed.

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4 · The record

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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.

Akram FallahDepartment of Oral and Maxillofacial Radiology, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID 0009-0004-2392-1133
Parisa SoltaniDepartment of Oral and Maxillofacial Radiology, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID 0000-0002-9273-5279
Mojdeh MehdizadehDepartment of Oral and Maxillofacial Radiology, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Mostafa Riahi FarsaniDepartment of Chemistry, Faculty of Science, Shahrekord University, Shahrekord, Iran.ORCID 0000-0002-2272-0717
Mahsa MoannaeiDepartment of Oral and Maxillofacial Radiology of Hormozgan University, Bandar Abbas, Iran.
Seyed Amir Hossein OurangDentofacial Deformities Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Maryam HossainiDepartment of Oral and Maxillofacial Radiology, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.
Gianrico SpagnuoloDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples 'Federico II', Naples, Italy.ORCID 0000-0003-3769-9786
Carlo RengoDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples 'Federico II', Naples, Italy.ORCID 0000-0003-1127-0877

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAccurate evaluation of the anatomical relationship between posterior maxillary teeth and the maxillary sinus is critical in dental treatments such as orthodontics, surgery, and implantology. This study investigates the efficacy of deep learning models applied to panoramic images for predicting this anatomical relationship. MATERIALS AND

methodsA total of 300 panoramic images and 1760 cropped slices were collected and converted to PNG format at a resolution of 512 × 512 pixels. Three convolutional neural network architectures-VGG, ResNet, and ResNeXt-were trained and evaluated. The dataset was split into training (80%), validation (10%), and testing (10%) sets. Performance metrics included accuracy, precision, recall, F1 score, ROC-AUC, and confusion matrices.

resultsThe VGG model achieved an accuracy, precision, recall, and F1 score of 0.84, with an ROC-AUC of 0.89. ResNet and ResNeXt demonstrated superior performance with all metrics at 0.88 and ROC-AUC values of 0.93 and 0.94, respectively. Both ResNet and ResNeXt showed signs of overfitting after 30-50 epochs, suggesting the need for early stopping or regularization. False positives mainly occurred in second molars falsely classified as contacting the sinus.

conclusionDeep learning models, particularly ResNet and ResNeXt, provide reliable assessment of the anatomical relationship between posterior maxillary teeth and the maxillary sinus using panoramic radiographs. These models can serve as efficient diagnostic aids when CBCT is unavailable, improving clinical decision-making in panoramic images.

Indexed as

Deep LearningMaxillaMaxillary SinusRadiography, PanoramicHumansNeural Networks, ComputerROC Curvecone beam computed tomographyconvolutional neural networksdeep learningmaxillary sinuspanoramic radiographyposterior maxillary teeth

Identifiers

PMID41399179
PMCPMC12705902

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