| Sumario: | Automated prediction of dental conditions in Orthopantomogram (OPG) panoramic radiographs faces significant challenges due to class imbalance, rare pathologies, and complex anatomical structures. This study proposes OralHybridNet, a novel hybrid deep learning framework integrating hierarchical convolutional neural networks, such as CustomDentalNet integrate dual-attention mechanisms and OralNetXPlus. A multinational dataset comprising 2047 clinician-annotated panoramic radiographs spanning 7 diagnostic labels was used. An adaptive augmentation protocol combining Elastic Transformations and gamma correction mitigated class imbalance. A Hybrid Feature Selection (HFS) algorithm condensed 1208-dimensional embeddings into a discriminative 300-feature subset. Evaluated against ResNet50 baselines, OralHybridNet achieved 96.0% accuracy, 97.6% precision, and 0.993 AUC-ROC. The KNN Fine classifier on fused features yielded the highest performance, with real-time capability (9 ms inference time) using a neural network classifier. The proposed framework demonstrates a promising proof-of-concept framework for automated multi-label dental restoration classification.
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