Segmentation of Mental Foramen in Orthopantomographs: A Deep Learning Approach

Abstract: Precise identification and detection of the Mental Foramen are crucial in dentistry, impacting procedures such as impacted tooth removal, cyst surgeries, and implants. Accurately identifying this anatomical feature facilitates post-surgery issues and improves patient outcomes. Moreover, this study aims to accelerate dental procedures, elevating patient care and healthcare efficiency in dentistry. This research used Deep Learning methods to accurately detect and segment the Mental Foramen from panoramic radiograph images. Two mask types, circular and square, were used during model training. Multiple segmentation models were employed to identify and segment the Mental Foramen, and their effectiveness was evaluated using diverse metrics. An in-house dataset comprising 1000 panoramic radiographs was created for this study. Our experiments demonstrated that the Classical UNet model performed exceptionally well on the test data, achieving a Dice Coefficient of 0.79 and an Intersection over Union (IoU) of 0.67. Moreover, ResUNet++ and UNet Attention models showed competitive performance, with Dice scores of 0.675 and 0.676, and IoU values of 0.683 and 0.671, respectively. We also investigated transfer learning models with varied backbone architectures, finding LinkNet to produce the best outcomes. In conclusion, our research highlights the efficacy of the classical Unet model in accurately identifying and outlining the Mental Foramen in panoramic radiographs. While vital, this task is comparatively simpler than segmenting complex medical datasets such as brain tumours or skin cancer, given their diverse sizes and shapes. This research also holds value in optimizing dental practice, benefiting practitioners and patients.