Application of Convolutional Neural Networks in an Automatic Judgment System for Tooth Impaction Based on Dental Panoramic Radiography

<b>Background/Objectives:</b> Panoramic radiography (PANO) is widely utilized for routine dental examinations, as a single PANO image captures most anatomical structures and clinical findings, enabling an initial assessment of overall dental health. Dentists rely on PANO images to enhance clinical diagnosis and inform treatment planning. With the advancement of artificial intelligence (AI), the integration of clinical data and AI-driven analysis presents significant potential for supporting medical applications. <b>Methods:</b> The proposed method focuses on the segmentation and localization of impacted third molars in PANO images, incorporating Sobel edge detection and enhancement methods to improve feature extraction. A convolutional neural network (CNN) was subsequently trained to develop an automated impacted tooth detection system. <b>Results:</b> Experimental results demonstrated that the trained CNN achieved an accuracy of 84.48% without image preprocessing and enhancement. Following the application of the proposed preprocessing and enhancement methods, the detection accuracy improved significantly to 98.66%. This substantial increase confirmed the effectiveness of the image preprocessing and enhancement strategies proposed in this study. Compared to existing methods, which achieve approximately 90% accuracy, the proposed approach represents a notable improvement. Furthermore, the entire process, from inputting a raw PANO image to completing the detection, takes only 4.4 s. <b>Conclusions:</b> This system serves as a clinical decision support system for dentists and medical professionals, allowing them to focus more effectively on patient care and treatment planning.