Automated differentiation of caries requiring filling and caries necessitating root canal treatment using machine learning.

Objectives: Novice dentists or those at the onset of their professional careers require assistance in diagnosing cases that necessitate fillings or root canal treatments. In this study, we propose an innovative recommendation system based on deep learning to assist dentists in identifying the type o...

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Publicado en:Oral Radiology Vol. 42; no. 2; pp. 421 - 432
Autores principales: Oruç, Mehmet Sinan, Yetik, İmam Şamil, İncekürk, Özgür Karaman, Çulhaoğlu, Ahmet Kürşad, Kılıçarslan, Mehmet Ali, Evli, Cengiz, Kurt, Mehmet Hakan
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
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      pub: Springer Nature
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        10.1007/s11282-025-00874-7
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        atl: Automated differentiation of caries requiring filling and caries necessitating root canal treatment using machine learning.
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        au:
          Oruç, Mehmet Sinan
          Yetik, İmam Şamil
          İncekürk, Özgür Karaman
          Çulhaoğlu, Ahmet Kürşad
          Kılıçarslan, Mehmet Ali
          Evli, Cengiz
          Kurt, Mehmet Hakan
        affil: https://ror.org/03ewx7v96 Electrical and Electronics Engineering, TOBB University of Economics and Technology, Ankara, Türkiye
      sug:
        subj:
          Dental Caries Classification
          Dental Caries Therapy
          Root Canal Therapy Methods
          Machine Learning
          Molar Radiography
          Radiography, Bitewing
          Human
          Turkiye
          Retrospective Design
          Record Review
          Comparative Studies
          Dentists
          Professional Role
          Decision Making
          Automation
          Deep Learning
          Dental Restoration, Permanent
      ab: Objectives: Novice dentists or those at the onset of their professional careers require assistance in diagnosing cases that necessitate fillings or root canal treatments. In this study, we propose an innovative recommendation system based on deep learning to assist dentists in identifying the type of tooth caries (requiring filling and necessitating root canal treatment) and determining the appropriate treatment for detected caries. Correctly identifying the type of caries in teeth with no caries, only one type of caries, or more than one type of caries is important for determining the type of treatment to be applied. Methods: We utilized 1253 bitewing images augmented with various variations, employing three different segmentation methods to automatically detect caries types in the first molar teeth. Furthermore, this study introduces a novel recommendation system for determining the treatment type required for the detected caries type, which represents a significant contribution to this field. The YOLOv8, U-Net, and Detectron-2 networks were evaluated for their efficacy in detecting various types of caries and recommending appropriate treatment methods. Results: The pixel-label-based comparative results generated by these methods on data labeled by experienced dentists were as follows: 95.03% for Detectron2, 90.88% for U-Net, and 89.23% for YOLOv8. The determination of the type of caries and the recommendation of the type of treatment differ from each other. In terms of treatment recommendations, the success rates of the three methods were as follows: Detectron-2, 88.09%; YOLOv8 70.23%; and U-Net, 61.90%. Consequently, Detectron-2 produced the most successful outcome among the three methods. These results are acceptable for the auxiliary treatment recommendation system. Conclusion: The system can serve as a supportive tool for less-experienced dentists and as a diagnostic aid for experienced practitioners. The learning-based segmentation method shows great promise for clinical use in the recommendation of treatment.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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