Root Canal Detection on Endodontic Radiographs with Use of Viterbi Algorithm

Periapical radiographs remain the first-line imaging modality in endodontics due to accessibility and low radiation dose, whereas cone-beam computed tomography (CBCT) is reserved for inconclusive cases or suspected anatomical complexity. We propose a physics- and geometry-aware preprocessing pipeline coupled with sliding-window Viterbi tracking to enhance canal visibility and recover plausible root canal trajectories directly from routine periapical images. The pipeline standardizes row-wise brightness, compensates for the cone-like tooth density profile (Tukey window), and suppresses noise prior to dynamic-programming inference, requiring only minimal operator input (two-point orientation and region of interest). In a retrospective evaluation against micro-computed tomography (micro-CT)/CBCT reference anatomy, the approach accurately localized canals on periapicals under study conditions, suggesting potential as a rapid, chairside aid when 3D imaging is unavailable or deferred.