Artificial Intelligence Model to Detect Real Contact Relationship between Mandibular Third Molars and Inferior Alveolar Nerve Based on Panoramic Radiographs

This study aimed to develop a novel detection model for automatically assessing the real contact relationship between mandibular third molars (MM3s) and the inferior alveolar nerve (IAN) based on panoramic radiographs processed with deep learning networks, minimizing pseudo-contact interference and reducing the frequency of cone beam computed tomography (CBCT) use. A deep-learning network approach based on YOLOv4, named as MM3-IANnet, was applied to oral panoramic radiographs for the first time. The relationship between MM3s and the IAN in CBCT was considered the real contact relationship. Accuracy metrics were calculated to evaluate and compare the performance of the MM3–IANnet, dentists and a cooperative approach with dentists and the MM3–IANnet. Our results showed that in comparison with detection by dentists (AP = 76.45%) or the MM3–IANnet (AP = 83.02%), the cooperative dentist–MM3–IANnet approach yielded the highest average precision (AP = 88.06%). In conclusion, the MM3-IANnet detection model is an encouraging artificial intelligence approach that might assist dentists in detecting the real contact relationship between MM3s and IANs based on panoramic radiographs.

Download Full-text

Evaluation of Panoramic Radiographs in Relation to the Mandibular Third Molar and to Incidental Findings in an Adult Population

European Journal of Dentistry ◽

10.1055/s-0040-1721294 ◽

2020 ◽

Author(s):

Josefine Cederhag ◽

Nina Lundegren ◽

Per Alstergren ◽

Xie-Qi Shi ◽

Kristina Hellén-Halme

Keyword(s):

Incidental Findings ◽

Adult Population ◽

Inferior Alveolar Nerve ◽

Third Molar ◽

Patient Positioning ◽

Vertical Position ◽

Surgical Removal ◽

Third Molars ◽

Panoramic Radiographs ◽

The Third

Abstract Objectives The aim was to evaluate the characteristics of the mandibular third molars, especially in relation to the inferior alveolar nerve. Further aims were to investigate incidental findings in panoramic radiographs in an adult population, and to investigate image quality related to patient positioning. Materials and Methods From a previous study with 451 randomly selected adult participants who lived in Sweden, 442 panoramic radiographs from four dental public health clinics were used. The third molars’ characteristics and relation to inferior alveolar nerve were evaluated. Incidental findings and patient positioning were recorded. Statistical Analysis Frequency analysis was used to investigate the occurrence of all findings and their possible interconnections. Whether the patients’ age or gender had an impact or not was also analyzed. Results The third molars were erupted in vertical position among 73% regardless of age. When retained or semi-retained, they were most commonly in mesioangular positions. The inferior alveolar nerve was located inferior to the roots in 52%, whereas an overlapped position was most common if the third molar was retained (90%), semi-retained (83%) or the age was less than 30 years (66%). Common incidental findings were apical radiolucencies, idiopathic osteosclerosis, and tooth fragments. Suboptimal patient positioning was found in one-third of the radiographs. Conclusions Panoramic radiography is a useful method to evaluate third molar prior to surgical removal and may be the only image required. Most incidental findings on panoramic radiographs does not seem to require any further odontological management.

Download Full-text

Artificial intelligence system for automatic deciduous tooth detection and numbering in panoramic radiographs

Dentomaxillofacial Radiology ◽

10.1259/dmfr.20200172 ◽

2021 ◽

pp. 20200172

Author(s):

Münevver Coruh Kılıc ◽

Ibrahim Sevki Bayrakdar ◽

Özer Çelik ◽

Elif Bilgir ◽

Kaan Orhan ◽

...

Keyword(s):

Artificial Intelligence ◽

Deep Learning ◽

Confusion Matrix ◽

Forensic Identification ◽

Deciduous Teeth ◽

Time Saving ◽

Panoramic Radiographs ◽

Intelligence System ◽

Promising Tool ◽

Panoramic Images

Objective: This study evaluated the use of a deep-learning approach for automated detection and numbering of deciduous teeth in children as depicted on panoramic radiographs. Methods and materials: An artificial intelligence (AI) algorithm (CranioCatch, Eskisehir-Turkey) using Faster R-CNN Inception v2 (COCO) models were developed to automatically detect and number deciduous teeth as seen on pediatric panoramic radiographs. The algorithm was trained and tested on a total of 421 panoramic images. System performance was assessed using a confusion matrix. Results: The AI system was successful in detecting and numbering the deciduous teeth of children as depicted on panoramic radiographs. The sensitivity and precision rates were high. The estimated sensitivity, precision, and F1 score were 0.9804, 0.9571, and 0.9686, respectively. Conclusion: Deep-learning-based AI models are a promising tool for the automated charting of panoramic dental radiographs from children. In addition to serving as a time-saving measure and an aid to clinicians, AI plays a valuable role in forensic identification.

Download Full-text

A study of the relation between the lingual cortical bone of impacted mandibular third molars on CT scans and panoramic radiographs

Japanese Journal of Oral & Maxillofacial Surgery ◽

10.5794/jjoms.55.29 ◽

2009 ◽

Vol 55 (1) ◽

pp. 29-33

Author(s):

Mizuki OHASHI ◽

Hiroshi NAKAJIMA ◽

Chieko MASUDA ◽

Wakako SUMIMOTO ◽

Yuka NAKAMICHI ◽

...

Keyword(s):

Cortical Bone ◽

Ct Scans ◽

Third Molars ◽

Panoramic Radiographs ◽

Impacted Mandibular Third Molars ◽

Mandibular Third Molars

Download Full-text

Predicting the Risk of Inferior Alveolar Nerve Injury in Impacted Lower Third Molars Using Panoramic Radiography and Cone Beam Computed Tomography

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/593 ◽

2021 ◽

Vol 10 (34) ◽

pp. 2910-2914

Author(s):

Abhishek Verma ◽

Stuti Verma ◽

Anushikha Dhankhar ◽

Nitin Kumar Moral ◽

Nidhi Nagar ◽

...

Keyword(s):

Computed Tomography ◽

Nerve Injury ◽

Cone Beam Computed Tomography ◽

Panoramic Radiography ◽

Inferior Alveolar Nerve ◽

Third Molar ◽

Cone Beam ◽

Third Molars ◽

Panoramic Radiographs ◽

Inferior Alveolar Nerve Injury

BACKGROUND A serious complication of surgical removal of impacted lower third molars is inferior alveolar nerve (IAN) injury. Evaluation of radiographic factors to predict IAN injury using CT and panoramic radiography includes root morphology assessment, follicular sac size, mandibular bone density, inferior alveolar nerve and vessels, condition of the overlying tissues, relation of the impacted tooth with the body and ramus of the mandible and the adjacent teeth. This study was done to evaluate the radiological features of the impacted lower mandibular teeth and their relationship with IAN through panoramic radiography and CT and to assess the most predictable radiological criteria for inferior alveolar nerve injury in impacted third molar surgery. METHODS All the patients indicated for lower third molar extraction were included in the study and pre-operative conventional panoramic radiographs (Planmeca Proline PM 2002 CC, Helsinki, Finland) and CBCT (Kodak CBCT) were taken. Any post-operative nerve injuries detected were followed up after 15 days or 1 month. Fisher’s exact test was done to find the association between the outcome variable and explanatory variables. RESULTS Only 11.4 % (N = 4) of all participants had IAN injury following surgical disimpaction. All the participants with IAN injury showed narrowing of the canal on their preoperative panoramic radiographs and presence of nerve approximation with the tooth in cone beam computed tomography (CBCT) reports (P < 0.05). CONCLUSIONS A statistically significant association exists between IAN injury and nerve exposure, radiographic signs of nerve involvement for panoramic radiograph, level of third molar impaction, and nerve approximation in CBCT. KEY WORDS Inferior Alveolar Nerve Injury, Lower Third Molar Impaction, Panoramic Radiography, CBCT

Download Full-text

Coronectomy - A viable alternative to prevent inferior alveolar nerve injury

Journal of College of Medical Sciences-Nepal ◽

10.3126/jcmsn.v11i3.14055 ◽

2015 ◽

Vol 11 (3) ◽

pp. 1-5

Author(s):

Alok Sagtani ◽

Reshu Agrawal Sagtani ◽

Mehul Jaisani ◽

Leeza Pradhan

Keyword(s):

Nerve Injury ◽

Inferior Alveolar Nerve ◽

Third Molar ◽

Viable Alternative ◽

Third Molars ◽

Dry Socket ◽

Root Exposure ◽

Mandibular Third Molars ◽

Inferior Alveolar Nerve Injury

Background and Objectives: Coronectomy is a relatively new method to prevent the risk of Inferior Alveolar Nerve (IAN) injury during removal of lower third molars with limited scientific literature among Nepalese patients. Thus, a study was designed to evaluate coronectomy regarding its use, outcomes and complications.Materials and Methods: A descriptive study was conducted from December 2012 to December 2013 among patients attending Department of Oral and Maxillofacial Surgery, College of Dental Sciences, BP Koirala Institute of Health Sciences, Dharan, Nepal for removal of mandibular third molars. After reviewing the radiograph for proximity of third molar to the IAN, coronectomy was advised. A written informed consent was obtained from the patients and coronectomy was performed. Patients were recalled after one week. The outcome measures in the follow-up visit were primary healing, pain, infection, dry socket, root exposure and IAN injury. The prevalence of IAN proximity of lower third molars and incidence of complications were calculated.Results: A total 300 mandibular third molars were extracted in 278 patients during the study period. Out of 300 impacted mandibular third molar, 41 (13.7%) showed close proximity to inferior alveolar nerve . The incidence of complications and failed procedure was 7.4% among the patients who underwent coronectomy. During the follow up visit, persistent pain and root exposure was reported while other complications like inferior alveolar nerve injury, dry socket and infection was not experienced by the study patients.Conclusion: With a success rate of 92.6% among the 41 patients, coronectomy is a viable alternative to conventional total extraction for mandibular third molars who have a higher risk for damage to the inferior alveolar nerve.JCMS Nepal. 2015;11(3):1-5.

Download Full-text