Deep Learning-Based Detection of Impacted Teeth on Panoramic Radiographs

Objective: The aim is to detect impacted teeth in panoramic radiology by refining the pretrained MedSAM model.Study design: Impacted teeth are dental issues that can cause complications and are diagnosed via radiographs. We modified SAM model for individual tooth segmentation using 1016 X-ray images. The dataset was split into training, validation, and testing sets, with a ratio of 16:3:1. We enhanced the SAM model to automatically detect impacted teeth by focusing on the tooth's center for more accurate results.Results: With 200 epochs, batch size equals to 1, and a learning rate of 0.001, random images trained the model. Results on the test set showcased performance up to an accuracy of 86.73%, F1-score of 0.5350, and IoU of 0.3652 on SAM-related models.Conclusion: This study fine-tunes MedSAM for impacted tooth segmentation in X-ray images, aiding dental diagnoses. Further improvements on model accuracy and selection are essential for enhancing dental practitioners' diagnostic capabilities.