Kennedy classification, broken root, periodontally compromised tooth, deep learning, object detection and localization, You Only Look Once (YOLO), Dentistry, RK1-715

Objectives: Dental health is integral to overall well-being, with early detection of issues critical for prevention. This research work focuses on utilizing artificial intelligence and deep learning–based object detection techniques for automated detection of common dental issues in orthopantomography x-ray images, including broken roots, periodontally compromised teeth, and the Kennedy classification of partially edentulous arches. Methods: An orthopantomography dataset has been used to train several models employing various object detection architectures, hyperparameters, and training techniques. The performance of these models was evaluated to select the one with the highest accuracy. This selected model was subsequently deployed for further testing and validation on unseen data to assess its real-world performance and potential for clinical application. Results: The proposed model not only facilitates the classification of the Kennedy classification but also offers detailed information about the arch (maxillary or mandibular) and specifies the affected side of the arch (right or left). It can diagnose multiple dental issues simultaneously within an image, enhancing diagnostic capabilities for dental practitioners. Conclusions: Despite a small dataset, satisfactory results were achieved through tailored hyperparameters and a piecewise annotation scheme.