A Multi-Method Fusion for Improving Missing Teeth Detection in Intraoral Images
Received: 11 June 2025 | Revised: 31 July 2025 | Accepted: 11 August 2025 | Online: 6 October 2025
Corresponding author: Wahyono
Abstract
Monitoring Decayed, Missing, and Filled Teeth (DMFT) provides valuable insights into the prevalence and severity of tooth decay. However, existing algorithms often struggle with detecting missing teeth, as they can be overly sensitive to incomplete features. To address this limitation, this study proposes a novel YOLOv8 framework for tooth detection integrated with linear regression, DBSCAN clustering, and Lagrange interpolation for identifying missing teeth. A dataset of 983 frontal intraoral images acquired through smartphone-based imaging was considered. Experimenting on 197 images demonstrated that the proposed method enhances system performance, achieving precision of 64.27%, recall of 75.34%, and mean Average Precision (mAP) of 52.03%. Compared to the standard YOLOv8 model, the proposed approach improves precision by 2.27%, recall by 20.66%, and mAP by 6.83%. These findings highlight the potential of the proposed method as an effective tool for monitoring DMFT, contributing to improved diagnostic accuracy in enhancing missing teeth detection.
Keywords:
clustering, missing teeth, interpolation, intraoral image, regression, YOLOv8Downloads
References
E. Sivari, G. B. Senirkentli, E. Bostanci, M. S. Guzel, K. Acici, and T. Asuroglu, "Deep Learning in Diagnosis of Dental Anomalies and Diseases: A Systematic Review," Diagnostics, vol. 13, no. 15, Jan. 2023, Art. no. 2512.
M. A. Ahmed et al., "Assessment of Oral Health Knowledge, Attitude, Practice and DMFT Scores among Patients at King Faisal University, Al-Ahsa," Medicina, vol. 59, no. 4, Apr. 2023, Art. no. 688.
H. C. A. da Silva, M. M. Espinosa, G. P. Moi, and M. G. Ferreira, "Dental caries and associated factors at age 12 in the brazilian midwest region in 2010: A cross-sectional study," Ciencia e Saude Coletiva, vol. 25, no. 10, pp. 3981–3988, Oct. 2020.
S. B. Khanagar, K. Alfouzan, M. Awawdeh, L. Alkadi, F. Albalawi, and A. Alfadley, "Application and Performance of Artificial Intelligence Technology in Detection, Diagnosis and Prediction of Dental Caries (DC)—A Systematic Review," Diagnostics, vol. 12, no. 5, May 2022, Art. no. 1083.
K. Zhang, H. Chen, P. Lyu, and J. Wu, "A relation-based framework for effective teeth recognition on dental periapical X-rays," Computerized Medical Imaging and Graphics, vol. 95, Jan. 2022, Art. no. 102022.
J. Xiao et al., "Assessment of an Innovative Mobile Dentistry eHygiene Model Amid the COVID-19 Pandemic in the National Dental Practice–Based Research Network: Protocol for Design, Implementation, and Usability Testing," JMIR Research Protocols, vol. 10, no. 10, Oct. 2021, Art. no. e32345.
R. Novita et al., "Performance analysis of DMF teeth detection using deep learning: A comparative study with clinical examination as quasi experimental study," Padjadjaran Journal of Dentistry, vol. 36, no. 1, pp. 17–24, Mar. 2024.
N. Adnan et al., "Developing an AI-based application for caries index detection on intraoral photographs," Scientific Reports, vol. 14, no. 1, Nov. 2024, Art. no. 26752.
J. Pérez de Frutos et al., "AI-Dentify: deep learning for proximal caries detection on bitewing x-ray - HUNT4 Oral Health Study," BMC Oral Health, vol. 24, no. 1, Mar. 2024, Art. no. 344.
Y. Mima, R. Nakayama, A. Hizukuri, and K. Murata, "Tooth detection for each tooth type by application of faster R-CNNs to divided analysis areas of dental panoramic X-ray images," Radiological Physics and Technology, vol. 15, no. 2, pp. 170–176, Jun. 2022.
E. Bardideh, F. Lal Alizadeh, M. Amiri, and M. Ghorbani, "Designing an artificial intelligence system for dental occlusion classification using intraoral photographs: A comparative analysis between artificial intelligence-based and clinical diagnoses," American Journal of Orthodontics and Dentofacial Orthopedics, vol. 166, no. 2, pp. 125–137, Aug. 2024.
S. Aparna, N. Shivampet, K. Muppavaram, C. C. V. Ramayanam, and H. Gottumukkala, "Advancements in Dental Filling Detection Technologies and Strategies for Comprehensive Oral Health Care," Engineering, Technology and Applied Science Research, vol. 14, no. 3, pp. 14470–14474, Jun. 2024.
E. Y. Park, H. Cho, S. Kang, S. Jeong, and E.-K. Kim, "Caries detection with tooth surface segmentation on intraoral photographic images using deep learning," BMC Oral Health, vol. 22, no. 1, Dec. 2022, Art. no. 573.
E. Kim, J. J. Hwang, B. H. Cho, E. Lee, and J. Shin, "Classification of presence of missing teeth in each quadrant using deep learning artificial intelligence on panoramic radiographs of pediatric patients," Journal of Clinical Pediatric Dentistry, vol. 48, no. 3, pp. 76–85, May 2024.
J. Terven, D.-M. Córdova-Esparza, and J.-A. Romero-González, "A Comprehensive Review of YOLO Architectures in Computer Vision: From YOLOv1 to YOLOv8 and YOLO-NAS," Machine Learning and Knowledge Extraction, vol. 5, no. 4, pp. 1680–1716, Dec. 2023.
F. M. Talaat and H. ZainEldin, "An improved fire detection approach based on YOLO-v8 for smart cities," Neural Comput Appl, vol. 35, no. 28, pp. 20939–20954, Oct. 2023.
B. Selcuk and T. Serif, "A Comparison of YOLOv5 and YOLOv8 in the Context of Mobile UI Detection," in Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics), Springer Science and Business Media Deutschland GmbH, 2023, pp. 161–174. https://doi.org/10.1007/978-3-031-39764-6_11.
H. Wang, C. Liu, Y. Cai, L. Chen, and Y. Li, "YOLOv8-QSD: An Improved Small Object Detection Algorithm for Autonomous Vehicles Based on YOLOv8," IEEE Transactions on Instrumentation and Measurement, vol. 73, pp. 1–16, 2024.
G. Wen, M. Li, Y. Luo, C. Shi, and Y. Tan, "The improved YOLOv8 algorithm based on EMSPConv and SPE-head modules," Multimed Tools and Applications, vol. 83, no. 21, pp. 61007–61023, Jun. 2024.
D. Maulud and A. M. Abdulazeez, "A Review on Linear Regression Comprehensive in Machine Learning," Journal of Applied Science and Technology Trends, vol. 1, no. 2, pp. 140–147, Dec. 2020.
K. Kumar, "Statistical Regression and Classification: from Linear Models to Machine Learning," Journal of the Royal Statistical Society Series A: Statistics in Society, vol. 181, no. 4, pp. 1263–1264, Oct. 2018.
J. M. Stanton, "Galton, Pearson, and the Peas: A Brief History of Linear Regression for Statistics Instructors," Journal of Statistics Education, vol. 9, no. 3, Jan. 2001.
M. Ester, H.-P. Kriegel, J. Sander, and X. Xu, "A density-based algorithm for discovering clusters in large spatial databases with noise," in Proceedings of the Second International Conference on Knowledge Discovery and Data Mining, Portland, OR, USA, May 1996, pp. 226–231.
T. Sauer and Y. Xu, "On Multivariate Lagrange Interpolation," 1995, available at: https://www.researchgate.net/publication/2792123_On_multivariate_Lagrange_interpolation.
T. J. Lin et al., "Auxiliary Diagnosis of Dental Calculus Based on Deep Learning and Image Enhancement by Bitewing Radiographs," Bioengineering, vol. 11, no. 7, Jul. 2024, Art. no. 675.
S. Khuntia et al., "Empowering Portable Optoelectronics With Computer Vision for Intraoral Cavity Detection," IEEE Sensors Journal, vol. 24, no. 16, pp. 25911–25919, Dec. 2024.
W. Huertas, K. Artica, and L. Wong, "A Mobile Application for the Detection of Pre-Carious Lesions in Peruvian Patients based on YOLOv7," Engineering, Technology and Applied Science Research, vol. 15, no. 2, pp. 21270–21278, Apr. 2025.
J. Im et al., "Accuracy and efficiency of automatic tooth segmentation in digital dental models using deep learning," Scientific Reports, vol. 12, no. 1, Jun. 2022, Art. no. 9429.
J. Park, J. Lee, S. Moon, and K. Lee, "Deep Learning Based Detection of Missing Tooth Regions for Dental Implant Planning in Panoramic Radiographic Images," Applied Sciences, vol. 12, no. 3, Jan. 2022, Art. no. 1595.
D. Rahbani, B. Fliss, L. C. Ebert, and M. Bjelopavlovic, "Detecting missing teeth on PMCT using statistical shape modeling," Forensic Science, Medicine and Pathology, vol. 20, no. 1, pp. 23–31, Mar. 2024.
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Copyright (c) 2025 Muhammad Fakhrurrifqi, Sri Mulyana, Asikin Nur, Wahyono

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