深度学习在数字化根尖片中的研究进展
Research Progress of Deep Learning in Digital Periapical Radiograph
DOI: 10.12677/acm.2026.1651889, PDF,   
作者: 刘晓庆, 邓 洋*:重庆医科大学附属口腔医院,重庆;口腔疾病研究重庆市重点实验室,重庆
关键词: 深度学习数字化根尖片口腔疾病Deep Learning Digital Periapical Radiograph Oral Diseases
摘要: 数字化根尖片是口腔医生进行疾病筛查、疾病诊断、治疗评估等的重要辅助工具。传统的影像图片分析是依靠临床医生的经验和影像拍摄的技术。人工判读存在主观性强、早期病变易漏诊、效率低下等局限。深度学习(Deep Learning, DL)凭借卷积神经网络(CNN)等模型强大的图像特征提取与模式识别能力,目前广泛应用于口腔医学领域。深度学习模型被开发应用于牙齿识别分割、疾病检测、疾病预后评估等方面。许多研究表明,深度学习技术在口腔数字化根尖片中的应用已经取得了重大进展,准确性已经达到临床医生的水平。然而,在某一些领域,其精度仍有待提高。本文综述了深度学习在口腔医学常用的数字化根尖片影像中的应用现状,强调其潜力,并提出了未来的研究方向。
Abstract: Digital periapical radiograph is an important auxiliary tool for dentists to carry out disease screening, disease diagnosis, treatment evaluation and so on. Traditional image analysis relies on the experience of clinicians and the technology of image shooting. Manual interpretation has limitations such as strong subjectivity, easy missed diagnosis of early lesions, and low efficiency. With the powerful image feature extraction and pattern recognition capabilities of models such as convolutional neural network (CNN), deep learning (DL) is widely used in the field of stomatology. Deep learning models have been developed and applied to tooth recognition and segmentation, disease detection, and disease prognosis evaluation. Many studies have shown that the application of deep learning technology in oral digital periapical radiographs has made significant progress, and the accuracy has reached the level of clinicians. However, in some fields, its accuracy still needs to be improved. This article reviews the application status of deep learning in digital periapical radiograph commonly used in stomatology, emphasizes its potential, and proposes future research directions.
文章引用:刘晓庆, 邓洋. 深度学习在数字化根尖片中的研究进展[J]. 临床医学进展, 2026, 16(5): 937-944. https://doi.org/10.12677/acm.2026.1651889

参考文献

[1] 张铁军, 赵燕平, 张祖燕, 朱宣鹏, 吴运堂. 根尖片数字化x线摄影技术及其临床应用[J]. 中华口腔医学杂志, 2000, 35(4): 21-22+82.
[2] 潘广嗣, 高平, 吉建新. 根尖片数字化x线摄影技术及其临床应用[J]. 广州医学院学报, 2005, 33(4): 40-41.
[3] Shan, T., Tay, F.R. and Gu, L. (2021) Application of Artificial Intelligence in Dentistry. Journal of Dental Research, 100, 232-244. [Google Scholar] [CrossRef] [PubMed]
[4] Schwendicke, F., Samek, W. and Krois, J. (2020) Artificial Intelligence in Dentistry: Chances and Challenges. Journal of Dental Research, 99, 769-774. [Google Scholar] [CrossRef] [PubMed]
[5] Hinton, G.E., Osindero, S. and Teh, Y.W. (2006) A Fast Learning Algorithm for Deep Belief Nets. Neural Computation, 18, 1527-1554. [Google Scholar] [CrossRef] [PubMed]
[6] Najeeb, M. and Islam, S. (2025) Artificial Intelligence (AI) in Restorative Dentistry: Current Trends and Future Prospects. BMC Oral Health, 25, Article No. 592. [Google Scholar] [CrossRef] [PubMed]
[7] Li, Y., Zeng, G., Zhang, Y., et al. (2022) AGMB-Transformer: Anatomy-Guided Multi-Branch Transformer Network for Automated Evaluation of Root Canal Therapy. IEEE Journal of Biomedical and Health Informatics, 26, 1684-1695. [Google Scholar] [CrossRef
[8] Mohammad-Rahimi, H., Dianat, O., Abbasi, R., et al. (2024) Artificial Intelligence for Detection of External Cervical Resorption Using Label-Efficient Self-Supervised Learning Method. Journal of Endodontics, 50, 144-153.E2. [Google Scholar] [CrossRef] [PubMed]
[9] Lin, X.J., Zhang, D., Huang, M.Y., et al. (2020) Evaluation of Computer-Aided Diagnosis System for Detecting Dental Approximal Caries Lesions on Periapical Radiographs. Chinese Journal of Stomatology, 55, 654-660.
[10] Geetha, V., Aprameya, K.S. and Hinduja, D.M. (2020) Dental Caries Diagnosis in Digital Radiographs Using Back-Propagation Neural Network. Health Information Science and Systems, 8, Article No. 8. [Google Scholar] [CrossRef] [PubMed]
[11] Ma, T., Zhu, J., Wang, D., et al. (2025) Deep Learning-Based Detection of Irreversible Pulpitis in Primary Molars. International Journal of Paediatric Dentistry, 35, 57-67. [Google Scholar] [CrossRef] [PubMed]
[12] Altukroni, A., Alsaeedi, A., Gonzalez-Losada, C., et al. (2023) Detection of the Pathological Exposure of Pulp Using an Artificial Intelligence Tool: A Multicentric Study Over Periapical Radiographs. BMC Oral Health, 23, Article No. 553. [Google Scholar] [CrossRef] [PubMed]
[13] Li, C.W., Lin, S.Y., Chou, H.S., et al. (2021) Detection of Dental Apical Lesions Using CNNs on Periapical Radiograph. Sensors, 21, Article 7049. [Google Scholar] [CrossRef] [PubMed]
[14] Moidu, N.P., Sharma, S., Chawla, A., et al. (2022) Deep Learning for Categorization of Endodontic Lesion Based on Radiographic Periapical Index Scoring System. Clinical Oral Investigations, 26, 651-658. [Google Scholar] [CrossRef] [PubMed]
[15] Liu, J., Jin, C., Wang, X., et al. (2025) A Comparative Analysis of Deep Learning Models for Assisting in the Diagnosis of Periapical Lesions in Periapical Radiographs. BMC Oral Health, 25, Article No. 801. [Google Scholar] [CrossRef] [PubMed]
[16] Li, X., Zhao, D., Xie, J., et al. (2023) Deep Learning for Classifying the Stages of Periodontitis on Dental Images: A Systematic Review and Meta-Analysis. BMC Oral Health, 23, Article No. 1017. [Google Scholar] [CrossRef] [PubMed]
[17] Mao, Y.C., Huang, Y.C., Chen, T.Y., et al. (2023) Deep Learning for Dental Diagnosis: A Novel Approach to Furcation Involvement Detection on Periapical Radiographs. Bioengineering, 10, Article 802. [Google Scholar] [CrossRef] [PubMed]
[18] Lee, C.T., Kabir, T., Nelson, J., et al. (2022) Use of the Deep Learning Approach to Measure Alveolar Bone Level. Journal of Clinical Periodontology, 49, 260-269. [Google Scholar] [CrossRef] [PubMed]
[19] Alotaibi, G., Awawdeh, M., Farook, F.F., et al. (2022) Artificial Intelligence (AI) Diagnostic Tools: Utilizing a Convolutional Neural Network (CNN) to Assess Periodontal Bone Level Radiographically—A Retrospective Study. BMC Oral Health, 22, Article No. 399. [Google Scholar] [CrossRef] [PubMed]
[20] Prajapati, S.A., Nagaraj, R. and Mitra, S. (2017) Classification of Dental Diseases Using CNN and Transfer Learning; Proceedings of the 2017 5th International Symposium on Computational and Business Intelligence (ISCBI), Dubai, 11-14 August 2017, 70-74. [Google Scholar] [CrossRef
[21] Ari, T., Sağlam, H., Öksüzoğlu, H., et al. (2022) Automatic Feature Segmentation in Dental Periapical Radiographs. Diagnostics, 12, Article 3081. [Google Scholar] [CrossRef] [PubMed]
[22] Chen, C.C., Wu, Y.F., Aung, L.M., et al. (2023) Automatic Recognition of Teeth and Periodontal Bone Loss Measurement in Digital Radiographs Using Deep-Learning Artificial Intelligence. Journal of Dental Sciences, 18, 1301-1309. [Google Scholar] [CrossRef] [PubMed]
[23] Pfänder, L., Schneider, L., Büttner, M., et al. (2023) Multi-Modal Deep Learning for Automated Assembly of Periapical Radiographs. Journal of Dentistry, 135, Article 104588. [Google Scholar] [CrossRef] [PubMed]
[24] Chen, H., Zhang, K., Lyu, P., et al. (2019) A Deep Learning Approach to Automatic Teeth Detection and Numbering Based on Object Detection in Dental Periapical Films. Scientific Reports, 9, Article No. 3840. [Google Scholar] [CrossRef] [PubMed]
[25] Karatas, O., Cakir, N.N., Ozsariyildiz, S.S., et al. (2021) A Deep Learning Approach to Dental Restoration Classification from Bitewing and Periapical Radiographs. Quintessence International, 52, 568-574.
[26] 吴丽琴, 许晓锋, 许志强, 等. 基于深度学习的种植体品牌识别研究[J]. 中国医药导报, 2025, 22(32): 21-25.
[27] Ahmed, W.M., Azhari, A.A., Almufti, A., et al. (2026) Development and Evaluation of an AI Model for Dental Implant Type Detection: A Comparison of Diagnostic Accuracy Between a Deep Learning Model and Dental Professionals. Journal of Prosthodontics: Official Journal of the American College of Prosthodontists, 35, 81-93. [Google Scholar] [CrossRef
[28] Lee, J.H., Kim, Y.T., Lee, J.B., et al. (2020) A Performance Comparison Between Automated Deep Learning and Dental Professionals in Classification of Dental Implant Systems from Dental Imaging: A Multi-Center Study. Diagnostics, 10, Article 910. [Google Scholar] [CrossRef] [PubMed]
[29] Kim, H.S., Ha, E.G., Kim, Y.H., et al. (2022) Transfer Learning in a Deep Convolutional Neural Network for Implant Fixture Classification: A Pilot Study. Imaging Science in Dentistry, 52, 219-224. [Google Scholar] [CrossRef] [PubMed]
[30] Cha, J.Y., Yoon, H.I., Yeo, I.S., et al. (2021) Peri-Implant Bone Loss Measurement Using a Region-Based Convolutional Neural Network on Dental Periapical Radiographs. Journal of Clinical Medicine, 10, Article 1009. [Google Scholar] [CrossRef] [PubMed]
[31] Liu, M., Wang, S., Chen, H., et al. (2022) A Pilot Study of a Deep Learning Approach to Detect Marginal Bone Loss Around Implants. BMC Oral Health, 22, Article No.11. [Google Scholar] [CrossRef] [PubMed]
[32] Lee, D.W., Kim, S.Y., Jeong, S.N., et al. (2021) Artificial Intelligence in Fractured Dental Implant Detection and Classification: Evaluation Using Dataset from Two Dental Hospitals. Diagnostics, 11, Article 233. [Google Scholar] [CrossRef] [PubMed]
[33] Zhang, C., Fan, L., Zhang, S., et al. (2023) Deep Learning Based Dental Implant Failure Prediction from Periapical and Panoramic Films. Quantitative Imaging in Medicine and Surgery, 13, 935-945. [Google Scholar] [CrossRef] [PubMed]
[34] Yang, S., Lee, H., Jang, B., et al. (2022) Development and Validation of a Visually Explainable Deep Learning Model for Classification of C-Shaped Canals of the Mandibular Second Molars in Periapical and Panoramic Dental Radiographs. Journal of Endodontics, 48, 914-921. [Google Scholar] [CrossRef] [PubMed]
[35] Ourang, S.A., Sohrabniya, F., Sadr, S., et al. (2025) Artificial Intelligence in the Detection of Clinically Negotiable Second Mesio-Buccal Canals in Periapical Images of Maxillary Molars. International Endodontic Journal, Online Ahead of Print. [Google Scholar] [CrossRef
[36] Basavanna, R.S., Adhaulia, I., Dhanyakumar, N.M., et al. (2025) Evaluating the Accuracy of Deep Learning Models and Dental Postgraduate Students in Measuring Working Length on Intraoral Periapical X-Rays: An in Vitro Study. Contemporary Clinical Dentistry, 16, 15-18. [Google Scholar] [CrossRef] [PubMed]
[37] Karkehabadi, H., Khoshbin, E., Ghasemi, N., et al. (2024) Deep Learning for Determining the Difficulty of Endodontic Treatment: A Pilot Study. BMC Oral Health, 24, Article No. 574. [Google Scholar] [CrossRef] [PubMed]
[38] Özbay, Y., Kazangirler, B.Y., Özcan, C., et al. (2024) Detection of the Separated Endodontic Instrument on Periapical Radiographs Using a Deep Learning-Based Convolutional Neural Network Algorithm. Journal of the Australian Society of Endodontology, 50, 131-139. [Google Scholar] [CrossRef] [PubMed]
[39] Sadr, S., Mohammad-Rahimi, H., Motamedian, S.R., et al. (2023) Deep Learning for Detection of Periapical Radiolucent Lesions: A Systematic Review and Meta-Analysis of Diagnostic Test Accuracy. Journal of Endodontics, 49, 248-61.E3. [Google Scholar] [CrossRef] [PubMed]