Ryan Banks

Ryan Banks, Bernat Rovira-Lastra, Jordi Martinez-Gomis et al.

Occlusal contacts are the locations at which the occluding surfaces of the maxilla and the mandible posterior teeth meet. Occlusal contact detection is a vital tool for restoring the loss of masticatory function and is a mandatory assessment in the field of dentistry, with particular importance in prosthodontics and restorative dentistry. The most common method for occlusal contact detection is articulating paper. However, this method can indicate significant medically false positive and medically false negative contact areas, leaving the identification of true occlusal indications to clinicians. To address this, we propose a multiclass Vision Transformer and Fully Convolutional Network ensemble semantic segmentation model with a combination hierarchical loss function, which we name as Hierarchical Fully Convolutional Branch Transformer (H-FCBFormer). We also propose a method of generating medically true positive semantic segmentation masks derived from expert annotated articulating paper masks and gold standard masks. The proposed model outperforms other machine learning methods evaluated at detecting medically true positive contacts and performs better than dentists in terms of accurately identifying object-wise occlusal contact areas while taking significantly less time to identify them. Code is available at https://github.com/Banksylel/H-FCBFormer.

Ryan Banks, Camila Lindoni Azevedo, Hongying Tang et al.

Accurate understanding of anatomical structures is essential for reliably staging certain dental diseases. A way of introducing this within semantic segmentation models is by utilising hierarchy-aware methodologies. However, existing hierarchy-aware segmentation methods largely encode anatomical structure through the loss functions, providing weak and indirect supervision. We introduce a general framework that embeds an explicit anatomical hierarchy into semantic segmentation by coupling a recurrent, level-wise prediction scheme with restrictive output heads and top-down feature conditioning. At each depth of the class tree, the backbone is re-run on the original image concatenated with logits from the previous level. Child class features are conditioned using Feature-wise Linear Modulation of their parent class probabilities, to modulate child feature spaces for fine grained detection. A probabilistic composition rule enforces consistency between parent and descendant classes. Hierarchical loss combines per-level class weighted Dice and cross entropy loss and a consistency term loss, ensuring parent predictions are the sum of their children. We validate our approach on our proposed dataset, TL-pano, containing 194 panoramic radiographs with dense instance and semantic segmentation annotations, of tooth layers and alveolar bone. Utilising UNet and HRNet as donor models across a 5-fold cross validation scheme, the hierarchical variants consistently increase IoU, Dice, and recall, particularly for fine-grained anatomies, and produce more anatomically coherent masks. However, hierarchical variants also demonstrated increased recall over precision, implying increased false positives. The results demonstrate that explicit hierarchical structuring improves both performance and clinical plausibility, especially in low data dental imaging regimes.

Ryan Banks, Vishal Thengane, María Eugenia Guerrero et al.

This study proposes a deep learning framework and annotation methodology for the automatic detection of periodontal bone loss landmarks, associated conditions, and staging. 192 periapical radiographs were collected and annotated with a stage agnostic methodology, labelling clinically relevant landmarks regardless of disease presence or extent. We propose a heuristic post-processing module that aligns predicted keypoints to tooth boundaries using an auxiliary instance segmentation model. An evaluation metric, Percentage of Relative Correct Keypoints (PRCK), is proposed to capture keypoint performance in dental imaging domains. Four donor pose estimation models were adapted with fine-tuning for our keypoint problem. Post-processing improved fine-grained localisation, raising average PRCK^{0.05} by +0.028, but reduced coarse performance for PRCK^{0.25} by -0.0523 and PRCK^{0.5} by -0.0345. Orientation estimation shows excellent performance for auxiliary segmentation when filtered with either stage 1 object detection model. Periodontal staging was detected sufficiently, with the best mesial and distal Dice scores of 0.508 and 0.489, while furcation involvement and widened periodontal ligament space tasks remained challenging due to scarce positive samples. Scalability is implied with similar validation and external set performance. The annotation methodology enables stage agnostic training with balanced representation across disease severities for some detection tasks. The PRCK metric provides a domain-specific alternative to generic pose metrics, while the heuristic post-processing module consistently corrected implausible predictions with occasional catastrophic failures. The proposed framework demonstrates the feasibility of clinically interpretable periodontal bone loss assessment, with potential to reduce diagnostic variability and clinician workload.