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  3. Deep learning-based identification, classification and segmentation of infraosseous periodontal defects using a YOLOv8 neural network.

Deep learning-based identification, classification and segmentation of infraosseous periodontal defects using a YOLOv8 neural network.

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DOI
10.48620/98867
Publisher DOI
10.1186/s12903-026-08919-x
PubMed ID
42337754
Abstract
Background
The defect morphology determines single-tooth prognosis, surgical planning, and regenerative potential of intrabony defects. 2D radiographs are often compromised by superimposition of anatomical structures, leading to potential misinterpretation and diagnostic inaccuracies. The aim of this study was to develop YOLOv8 model to identify, classify and segment periodontal defects.Methods
A dataset of 329 periapical radiographs from the Department of Periodontology, Semmelweis University, was utilized. All radiographs were preprocessed and manually annotated. The YOLOv8 neural network was trained and mainly assessed by area under the receiver operating characteristic curve (AUC-ROC), macro-average F1-score, Intersection over Union (IoU) and Dice similarity coefficient (DSC).Results
The model achieved an AUC-ROC of 0.8078 (95% CI: 0.6633-0.9257). The macro-average F1-score was found to be 0.6559. IoU and DSC value averaged 0.6881 ± 0.2398 and 0.7789 ± 0.2664. High spatial overlap was observed for one -wall (DSC: 0.8688), three-wall (DSC: 0.8723) and four-wall (DSC: 0.8641) defects.Conclusions
The utilized YOLOv8 model demonstrated the capability to identify, classify, and segment infraosseous periodontal defects, achieving good discriminative power and moderate classification/ segmentation performance. Future work will have to focus on constructing a larger and even more refined training dataset to further enhance model performance.
Date Issued
2026-06-23
Publication Type
Article
Subjects
Artificial intelligence
•
Deep learning
•
Dental radiology
•
Image segmentation
•
Periapical radiograph
•
Periodontal defect
Language(s)
en
Author(s)
Gu, Xukai
Orosz, Petra
Somodi, Kristof
Li, Xinda
Yang, Lei
Yang, Hong
Ramseier, Christoph  
School of Dental Medicine, Clinic of Periodontology  
Palkovics, Daniel
Additional Credits
School of Dental Medicine, Clinic of Periodontology  
Journal
BMC Oral Health
Publisher
BioMed Central
ISSN
1472-6831
Access(Rights)
open.access
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