Prompt-Based Caption Generation for Single-Tooth Dental Images Using Vision-Language Models

Abstract: Digital dentistry has made significant advances with the advent of deep learning. However, the majority of these deep learning-based dental image analysis models focus on very specific tasks such as tooth segmentation, tooth detection, cavity detection, and gingivitis classification. There is a lack of a specialized model that has holistic knowledge of teeth and can perform dental image analysis tasks based on that knowledge. Datasets of dental images with captions can help build such a model. To the best of our knowledge, existing dental image datasets with captions are few in number and limited in scope. In many of these datasets, the captions describe the entire mouth, while the images are limited to the anterior view. As a result, posterior teeth such as molars are not clearly visible, limiting the usefulness of the captions for training vision-LLMs. Additionally, the captions focus only on a specific disease (gingivitis) and do not provide a holistic assessment of each tooth. Moreover, tooth disease scores are typically assigned to individual teeth, and each tooth is treated as a separate entity in orthodontic procedures. Therefore, it is important to have captions for single-tooth images. As far as we know, no such dataset of single-tooth images with dental captions exists. In this work, we aim to bridge that gap by assessing the possibility of generating captions for dental images using Vision-LLMs (VLMs) and evaluating the extent and quality of those captions. Our findings suggest that guided prompts help VLMs generate meaningful captions. We show that the prompts generated by our framework are better anchored in describing the visual aspects of dental images. We selected RGB images as they have greater potential in consumer scenarios.