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Advances in Artificial Intelligence-aided Intraoral Imaging Analysis in Periodontics

Year 2024, Volume: 7 Issue: 5, 218 - 225, 15.09.2024
https://doi.org/10.19127/bshealthscience.1539717

Abstract

Artificial intelligence has increasingly influenced the field of periodontology by enhancing diagnostic accuracy and treatment planning through advanced data-driven techniques. It was aimed to examine the integration of artificial intelligence, particularly deep learning and machine learning, in analyzing intraoral photographs for periodontal conditions in this review. Periodontal assessments rely on clinical and radiographic evaluations, but artificial intelligence introduces a transformative approach by analyzing large datasets to improve clinical decision-making. The review investigates the effectiveness of artificial intelligence-enhanced intraoral photograph analysis, focusing on methodologies for dataset creation, model development, training, and performance evaluation. A thorough search of databases such as PubMed, Scopus, Google Scholar, and IEEE Xplore identified 338 articles, with 16 meeting the inclusion criteria. These studies primarily utilized convolutional neural networks and architectures like DeepLabv3+ and U-Net, demonstrating high accuracy in detecting conditions such as gingivitis, dental plaque, and other periodontal issues. The dataset sizes ranged from 110 to 7220 images, affecting the models' generalizability. Most studies employed supervised learning, with models trained on labeled datasets to achieve precise diagnostic outcomes. The review highlights that while artificial intelligence and machine learning techniques, including convolutional neural networks and U-Net, offer significant improvements in periodontal diagnostics, the choice of model and the quality of the dataset are crucial for performance. Hybrid approaches that combine automated and expert-driven methods might provide a balance between efficiency and accuracy. The successful integration of artificial intelligence into clinical practice requires continuous validation and adaptation to ensure that these technologies remain accurate and relevant. Future research should focus on enhancing model robustness, expanding dataset diversity, and refining clinical applications to fully exploit the potential of artificial intelligence in periodontology.

References

  • Alalharith DM, Alharthi HM, Alghamdi WM, Alsenbel YM, Aslam N, Khan IU, Barouch KK. 2020. A deep learning-based approach for the detection of early signs of gingivitis in orthodontic patients using faster region-based convolutional neural networks. Int J Environ Res Public Health, 17: 8447.
  • Andrade KM, Silva BPM, de Oliveira LR, Cury PR. 2023. Automatic dental biofilm detection based on deep learning. J Clin Periodontol, 50: 571-581.
  • Aykol‐Sahin G, Yucel O, Eraydin N, Keles GC, Unlu U, Baser U. 2024. Efficiency of oral keratinized gingiva detection and measurement based on convolutional neural network. J Periodontol, 2024: 1-11. https://doi.org/10.1002/JPER.24-0151
  • Chau RCW, Li GH, Tew IM, Thu KM, McGrath C, Lo WL, Lam WYH. 2023. Accuracy of artificial intelligence-based photographic detection of gingivitis. Int Dent J, 73: 724-730.
  • Chen L, Zhu Y, Papndreou G, Schrof F, Adam H. 2018. Encoder-decoder with atrous separable convolution for semantic image segmentation. The European Conference on Computer Vision, September 08-14, Munich, Germany, pp: 801-818.
  • Chen Y, Chen X. 2020. Gingivitis identification via GLCM and artificial neural network. The International Conference on Medical Imaging and Computer-Aided Diagnosis, January 20-21, Oxford, UK, pp: 95-106.
  • Das AK, Goswami S, Chakrabarti A, Chakraborty B. 2017. A new hybrid feature selection approach using feature association map for supervised and unsupervised classification. Expert Syst Appl, 88: 81-94.
  • Hicks SA, Strümke I, Thambawita V, Hammou M, Riegler MA, Halvorsen P, Parasa S. 2022. On evaluation metrics for medical applications of artificial intelligence. Sci Rep, 12: 5979.
  • Huang C, Wang J, Wang S, Zhang Y. 2023. A review of deep learning in dentistry. Neurocomputing, 554: 126629.
  • Joo J, Jeong S, Jin H, Lee U, Yoon JY, Kim SC. 2019. Periodontal disease detection using convolutional neural networks. International Conference on Artificial Intelligence in Information and Communication, February 11-13, Okinawa, Japan, pp: 360-362.
  • Khaleel BI, Aziz MS. 2021. Using artificial intelligence methods for diagnosis of gingivitis diseases. J Physics Conf Ser, 1897: 012027.
  • Kufel J, Bargieł-Łączek K, Kocot S, Koźlik M, Bartnikowska W, Janik M, Gruszczyńska K. 2023. What is machine learning, artificial neural networks and deep learning? Examples of practical applications in medicine. Diagnostics, 13: 2582.
  • Kurt-Bayrakdar S, Uğurlu M, Yavuz MB, Sali N, Bayrakdar İŞ, Çelik Ö, Orhan K. 2023. Detection of tooth numbering, frenulum attachment, gingival overgrowth, and gingival inflammation signs on dental photographs using convolutional neural network algorithms: a retrospective study. Quintessence Int, 54: 680-693.
  • Li GH, Hsung TC, Ling WK, Lam WYH, Pelekos G, McGrath C. 2021. Automatic site-specific multiple level gum disease detection based on deep neural network. 15th International Symposium on Medical Information and Communication Technology, April 14-16, Xiamen, China, pp: 201-205.
  • Li W, Guo E, Zhao H, Li Y, Miao L, Liu C, Sun W. 2024. Evaluation of transfer ensemble learning-based convolutional neural network models for the identification of chronic gingivitis from oral photographs. BMC Oral Health, 24: 814.
  • Li W, Liang Y, Zhang X, Liu C, He L, Miao L, Sun W. 2021. A deep learning approach to automatic gingivitis screening based on classification and localization in RGB photos. Sci Rep, 11: 16831.
  • Löe H, Silness J. 1963. Periodontal disease in pregnancy I. Prevalence and severity. Acta Odontol Scand, 21: 533-551.
  • Löe H, Theilade E, Jensen SB. 1965. Experimental gingivitis in man. J Periodontol, 36: 177-187.
  • Moriyama Y, Lee C, Date S, Kashiwagi Y, Narukawa Y, Nozaki K, Murakami S. 2019. Evaluation of dental image augmentation for the severity assessment of periodontal disease. International Conference on Computational Science and Computational Intelligence, December 5-7, Las Vegas, USA, pp: 924-929.
  • Murakami S, Mealey BL, Mariotti A, Chapple ILC. 2018. Dental plaque-induced gingival conditions. J Clin Periodontol, 45: 17-27.
  • Peng J, Wang Y. 2021. Medical image segmentation with limited supervision: A review of deep network models. IEEE Access, 9: 36827-36851.
  • Pitchika V, Büttner M, Schwendicke F. 2024. Artificial intelligence and personalized diagnostics in periodontology: A narrative review. Periodontology, 2024: 220-231. https://doi.org/10.1111/prd.12586
  • Rana A, Yauney G, Wong LC, Gupta O, Muftu A, Shah P. 2017. Automated segmentation of gingival diseases from oral images. IEEE Healthcare Innovations and Point of Care Technologies, November 6-8, Maryland, US, pp: 144-147.
  • Scott J, Biancardi AM, Jones O, Andrew D. 2023. Artificial intelligence in periodontology: A scoping review. Dent J, 11: 43.
  • Shang W, Li Z, Li Y. 2021. Identification of common oral disease lesions based on U-Net. IEEE 3rd International Conference on Frontiers Technology of Information and Computer, November 12-14, Virtual Conference, pp: 194-200.
  • Sharifani K, Amini M. 2023. Machine learning and deep Learning: A review of methods and applications. World Inf Technol Eng J, 10: 3897-3904.
  • Tonetti MS, Greenwell H, Kornman KS. 2018. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 89: 159-172.
  • You W, Hao A, Li S, Wang Y, Xia B. 2020. Deep learning-based dental plaque detection on primary teeth: a comparison with clinical assessments. BMC Oral Health, 20: 141.
  • Yüksel B, Özveren N, Yeşil Ç. 2024. Evaluation of dental plaque area with artificial intelligence model. Niger J Clin Pract, 27: 759-765.

Advances in Artificial Intelligence-aided Intraoral Imaging Analysis in Periodontics

Year 2024, Volume: 7 Issue: 5, 218 - 225, 15.09.2024
https://doi.org/10.19127/bshealthscience.1539717

Abstract

Artificial intelligence has increasingly influenced the field of periodontology by enhancing diagnostic accuracy and treatment planning through advanced data-driven techniques. It was aimed to examine the integration of artificial intelligence, particularly deep learning and machine learning, in analyzing intraoral photographs for periodontal conditions in this review. Periodontal assessments rely on clinical and radiographic evaluations, but artificial intelligence introduces a transformative approach by analyzing large datasets to improve clinical decision-making. The review investigates the effectiveness of artificial intelligence-enhanced intraoral photograph analysis, focusing on methodologies for dataset creation, model development, training, and performance evaluation. A thorough search of databases such as PubMed, Scopus, Google Scholar, and IEEE Xplore identified 338 articles, with 16 meeting the inclusion criteria. These studies primarily utilized convolutional neural networks and architectures like DeepLabv3+ and U-Net, demonstrating high accuracy in detecting conditions such as gingivitis, dental plaque, and other periodontal issues. The dataset sizes ranged from 110 to 7220 images, affecting the models' generalizability. Most studies employed supervised learning, with models trained on labeled datasets to achieve precise diagnostic outcomes. The review highlights that while artificial intelligence and machine learning techniques, including convolutional neural networks and U-Net, offer significant improvements in periodontal diagnostics, the choice of model and the quality of the dataset are crucial for performance. Hybrid approaches that combine automated and expert-driven methods might provide a balance between efficiency and accuracy. The successful integration of artificial intelligence into clinical practice requires continuous validation and adaptation to ensure that these technologies remain accurate and relevant. Future research should focus on enhancing model robustness, expanding dataset diversity, and refining clinical applications to fully exploit the potential of artificial intelligence in periodontology.

References

  • Alalharith DM, Alharthi HM, Alghamdi WM, Alsenbel YM, Aslam N, Khan IU, Barouch KK. 2020. A deep learning-based approach for the detection of early signs of gingivitis in orthodontic patients using faster region-based convolutional neural networks. Int J Environ Res Public Health, 17: 8447.
  • Andrade KM, Silva BPM, de Oliveira LR, Cury PR. 2023. Automatic dental biofilm detection based on deep learning. J Clin Periodontol, 50: 571-581.
  • Aykol‐Sahin G, Yucel O, Eraydin N, Keles GC, Unlu U, Baser U. 2024. Efficiency of oral keratinized gingiva detection and measurement based on convolutional neural network. J Periodontol, 2024: 1-11. https://doi.org/10.1002/JPER.24-0151
  • Chau RCW, Li GH, Tew IM, Thu KM, McGrath C, Lo WL, Lam WYH. 2023. Accuracy of artificial intelligence-based photographic detection of gingivitis. Int Dent J, 73: 724-730.
  • Chen L, Zhu Y, Papndreou G, Schrof F, Adam H. 2018. Encoder-decoder with atrous separable convolution for semantic image segmentation. The European Conference on Computer Vision, September 08-14, Munich, Germany, pp: 801-818.
  • Chen Y, Chen X. 2020. Gingivitis identification via GLCM and artificial neural network. The International Conference on Medical Imaging and Computer-Aided Diagnosis, January 20-21, Oxford, UK, pp: 95-106.
  • Das AK, Goswami S, Chakrabarti A, Chakraborty B. 2017. A new hybrid feature selection approach using feature association map for supervised and unsupervised classification. Expert Syst Appl, 88: 81-94.
  • Hicks SA, Strümke I, Thambawita V, Hammou M, Riegler MA, Halvorsen P, Parasa S. 2022. On evaluation metrics for medical applications of artificial intelligence. Sci Rep, 12: 5979.
  • Huang C, Wang J, Wang S, Zhang Y. 2023. A review of deep learning in dentistry. Neurocomputing, 554: 126629.
  • Joo J, Jeong S, Jin H, Lee U, Yoon JY, Kim SC. 2019. Periodontal disease detection using convolutional neural networks. International Conference on Artificial Intelligence in Information and Communication, February 11-13, Okinawa, Japan, pp: 360-362.
  • Khaleel BI, Aziz MS. 2021. Using artificial intelligence methods for diagnosis of gingivitis diseases. J Physics Conf Ser, 1897: 012027.
  • Kufel J, Bargieł-Łączek K, Kocot S, Koźlik M, Bartnikowska W, Janik M, Gruszczyńska K. 2023. What is machine learning, artificial neural networks and deep learning? Examples of practical applications in medicine. Diagnostics, 13: 2582.
  • Kurt-Bayrakdar S, Uğurlu M, Yavuz MB, Sali N, Bayrakdar İŞ, Çelik Ö, Orhan K. 2023. Detection of tooth numbering, frenulum attachment, gingival overgrowth, and gingival inflammation signs on dental photographs using convolutional neural network algorithms: a retrospective study. Quintessence Int, 54: 680-693.
  • Li GH, Hsung TC, Ling WK, Lam WYH, Pelekos G, McGrath C. 2021. Automatic site-specific multiple level gum disease detection based on deep neural network. 15th International Symposium on Medical Information and Communication Technology, April 14-16, Xiamen, China, pp: 201-205.
  • Li W, Guo E, Zhao H, Li Y, Miao L, Liu C, Sun W. 2024. Evaluation of transfer ensemble learning-based convolutional neural network models for the identification of chronic gingivitis from oral photographs. BMC Oral Health, 24: 814.
  • Li W, Liang Y, Zhang X, Liu C, He L, Miao L, Sun W. 2021. A deep learning approach to automatic gingivitis screening based on classification and localization in RGB photos. Sci Rep, 11: 16831.
  • Löe H, Silness J. 1963. Periodontal disease in pregnancy I. Prevalence and severity. Acta Odontol Scand, 21: 533-551.
  • Löe H, Theilade E, Jensen SB. 1965. Experimental gingivitis in man. J Periodontol, 36: 177-187.
  • Moriyama Y, Lee C, Date S, Kashiwagi Y, Narukawa Y, Nozaki K, Murakami S. 2019. Evaluation of dental image augmentation for the severity assessment of periodontal disease. International Conference on Computational Science and Computational Intelligence, December 5-7, Las Vegas, USA, pp: 924-929.
  • Murakami S, Mealey BL, Mariotti A, Chapple ILC. 2018. Dental plaque-induced gingival conditions. J Clin Periodontol, 45: 17-27.
  • Peng J, Wang Y. 2021. Medical image segmentation with limited supervision: A review of deep network models. IEEE Access, 9: 36827-36851.
  • Pitchika V, Büttner M, Schwendicke F. 2024. Artificial intelligence and personalized diagnostics in periodontology: A narrative review. Periodontology, 2024: 220-231. https://doi.org/10.1111/prd.12586
  • Rana A, Yauney G, Wong LC, Gupta O, Muftu A, Shah P. 2017. Automated segmentation of gingival diseases from oral images. IEEE Healthcare Innovations and Point of Care Technologies, November 6-8, Maryland, US, pp: 144-147.
  • Scott J, Biancardi AM, Jones O, Andrew D. 2023. Artificial intelligence in periodontology: A scoping review. Dent J, 11: 43.
  • Shang W, Li Z, Li Y. 2021. Identification of common oral disease lesions based on U-Net. IEEE 3rd International Conference on Frontiers Technology of Information and Computer, November 12-14, Virtual Conference, pp: 194-200.
  • Sharifani K, Amini M. 2023. Machine learning and deep Learning: A review of methods and applications. World Inf Technol Eng J, 10: 3897-3904.
  • Tonetti MS, Greenwell H, Kornman KS. 2018. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 89: 159-172.
  • You W, Hao A, Li S, Wang Y, Xia B. 2020. Deep learning-based dental plaque detection on primary teeth: a comparison with clinical assessments. BMC Oral Health, 20: 141.
  • Yüksel B, Özveren N, Yeşil Ç. 2024. Evaluation of dental plaque area with artificial intelligence model. Niger J Clin Pract, 27: 759-765.
There are 29 citations in total.

Details

Primary Language English
Subjects Periodontics
Journal Section Review
Authors

Gökçe Aykol Şahin 0000-0001-7644-6349

Publication Date September 15, 2024
Submission Date August 28, 2024
Acceptance Date September 11, 2024
Published in Issue Year 2024 Volume: 7 Issue: 5

Cite

APA Aykol Şahin, G. (2024). Advances in Artificial Intelligence-aided Intraoral Imaging Analysis in Periodontics. Black Sea Journal of Health Science, 7(5), 218-225. https://doi.org/10.19127/bshealthscience.1539717
AMA Aykol Şahin G. Advances in Artificial Intelligence-aided Intraoral Imaging Analysis in Periodontics. BSJ Health Sci. September 2024;7(5):218-225. doi:10.19127/bshealthscience.1539717
Chicago Aykol Şahin, Gökçe. “Advances in Artificial Intelligence-Aided Intraoral Imaging Analysis in Periodontics”. Black Sea Journal of Health Science 7, no. 5 (September 2024): 218-25. https://doi.org/10.19127/bshealthscience.1539717.
EndNote Aykol Şahin G (September 1, 2024) Advances in Artificial Intelligence-aided Intraoral Imaging Analysis in Periodontics. Black Sea Journal of Health Science 7 5 218–225.
IEEE G. Aykol Şahin, “Advances in Artificial Intelligence-aided Intraoral Imaging Analysis in Periodontics”, BSJ Health Sci., vol. 7, no. 5, pp. 218–225, 2024, doi: 10.19127/bshealthscience.1539717.
ISNAD Aykol Şahin, Gökçe. “Advances in Artificial Intelligence-Aided Intraoral Imaging Analysis in Periodontics”. Black Sea Journal of Health Science 7/5 (September 2024), 218-225. https://doi.org/10.19127/bshealthscience.1539717.
JAMA Aykol Şahin G. Advances in Artificial Intelligence-aided Intraoral Imaging Analysis in Periodontics. BSJ Health Sci. 2024;7:218–225.
MLA Aykol Şahin, Gökçe. “Advances in Artificial Intelligence-Aided Intraoral Imaging Analysis in Periodontics”. Black Sea Journal of Health Science, vol. 7, no. 5, 2024, pp. 218-25, doi:10.19127/bshealthscience.1539717.
Vancouver Aykol Şahin G. Advances in Artificial Intelligence-aided Intraoral Imaging Analysis in Periodontics. BSJ Health Sci. 2024;7(5):218-25.