OralAgent: Integrating Reasoning, Tools, and Knowledge for Interactive Dental Image AnalysisJing Hao, Siyuan Dai, Yongxin Zhang et al.
Dental image analysis plays a pivotal role in supporting accurate diagnosis and treatment planning in oral healthcare. Although recent advances have produced dental AI models for specific tasks and individual imaging modalities, their isolated designs limit practical use in real-world clinical workflows. In this paper, we present OralAgent, the first dental-specialized AI agent that unifies multimodal reasoning, tool-based decision-making, and knowledge-grounded retrieval within an end-to-end automated framework. It integrates 22 visual analysis tools and 368 widely-used classical dental textbooks, enabling autonomous reasoning, planning, tool use, knowledge retrieval, and multi-step workflow execution. Furthermore, we introduce OralCorpus, a large-scale, high-quality bilingual textual resource containing 134.8M tokens curated for dental retrieval-augmented generation (RAG). To evaluate models' multidisciplinary dental knowledge, we construct OralQA-ZH, a Chinese multiple-choice question benchmark consisting of 798 items across eleven oral subspecialties. Extensive experiments demonstrate that OralAgent achieves state-of-the-art performance on the MMOral-Uni, MMOral-OPG, and OralQA-ZH benchmarks, highlighting its effectiveness, interpretability, and adaptability in real-world clinical settings. The code and models are publicly available at https://github.com/isjinghao/OralAgent.
T-Mamba: A unified framework with Long-Range Dependency in dual-domain for 2D & 3D Tooth SegmentationJing Hao, Yonghui Zhu, Lei He et al.
Tooth segmentation is a pivotal step in modern digital dentistry, essential for applications across orthodontic diagnosis and treatment planning. Despite its importance, this process is fraught with challenges due to the high noise and low contrast inherent in 2D and 3D tooth data. Both Convolutional Neural Networks (CNNs) and Transformers has shown promise in medical image segmentation, yet each method has limitations in handling long-range dependencies and computational complexity. To address this issue, this paper introduces T-Mamba, integrating frequency-based features and shared bi-positional encoding into vision mamba to address limitations in efficient global feature modeling. Besides, we design a gate selection unit to integrate two features in spatial domain and one feature in frequency domain adaptively. T-Mamba is the first work to introduce frequency-based features into vision mamba, and its flexibility allows it to process both 2D and 3D tooth data without the need for separate modules. Also, the TED3, a large-scale public tooth 2D dental X-ray dataset, has been presented in this paper. Extensive experiments demonstrate that T-Mamba achieves new SOTA results on a public tooth CBCT dataset and outperforms previous SOTA methods on TED3 dataset. The code and models are publicly available at: https://github.com/isbrycee/T-Mamba.
GEM: Boost Simple Network for Glass Surface Segmentation via Segment Anything Model and Data SynthesisJing Hao, Moyun Liu, Kuo Feng Hung
Detecting glass regions is a challenging task due to the ambiguity of their transparency and reflection properties. These transparent glasses share the visual appearance of both transmitted arbitrary background scenes and reflected objects, thus having no fixed patterns.Recent visual foundation models, which are trained on vast amounts of data, have manifested stunning performance in terms of image perception and image generation. To segment glass surfaces with higher accuracy, we make full use of two visual foundation models: Segment Anything (SAM) and Stable Diffusion.Specifically, we devise a simple glass surface segmentor named GEM, which only consists of a SAM backbone, a simple feature pyramid, a discerning query selection module, and a mask decoder. The discerning query selection can adaptively identify glass surface features, assigning them as initialized queries in the mask decoder. We also propose a Synthetic but photorealistic large-scale Glass Surface Detection dataset dubbed S-GSD via diffusion model with four different scales, which contain 1x, 5x, 10x, and 20x of the original real data size. This dataset is a feasible source for transfer learning. The scale of synthetic data has positive impacts on transfer learning, while the improvement will gradually saturate as the amount of data increases. Extensive experiments demonstrate that GEM achieves a new state-of-the-art on the GSD-S validation set (IoU +2.1%). Codes and datasets are available at: https://github.com/isbrycee/GEM-Glass-Segmentor.
14.7CVMar 6
OralGPT-Plus: Learning to Use Visual Tools via Reinforcement Learning for Panoramic X-ray AnalysisYuxuan Fan, Jing Hao, Hong Chen et al.
Panoramic dental radiographs require fine-grained spatial reasoning, bilateral symmetry understanding, and multi-step diagnostic verification, yet existing vision-language models operate under a static single-pass paradigm that limits their clinical reliability. In this paper, we introduce OralGPT-Plus, an agentic vision-language model designed to perform iterative and symmetry-aware diagnostic reasoning for panoramic dental radiograph analysis. To support this paradigm, we construct DentalProbe, a five-thousand-image dataset with expert-curated diagnostic trajectories that provide structured supervision for localized inspection and contralateral comparison. We further develop a Reinspection-driven reinforcement learning framework that encourages clinically meaningful re-examination and stabilizes long-horizon reasoning with rubric-based reward and conditioned diagnostic-driven reward. In parallel, we present MMOral-X, the first benchmark for holistic panoramic diagnosis, containing 300 open-ended questions and region-level annotations across multiple difficulty levels. OralGPT-Plus demonstrates consistent and reliable improvements over strong baselines on MMOral-X and established panoramic benchmarks, indicating the effectiveness of interactive and symmetry-informed reasoning. Our work highlights the value of agentic modeling for dental imaging and provides a foundation for future research in clinically aligned panoramic radiograph analysis.