Detection is solved, delineation is not: what governs tooth segmentation on panoramic radiographs

Abstract:Automatic tooth segmentation and FDI numbering on panoramic radiographs underpins computer-assisted dental diagnosis, yet which factors govern performance remains unclear. We assemble a corpus of 1,422 panoramic radiographs containing 42,142 expert-delineated tooth polygons across the 32-class FDI taxonomy, annotated by 30 dental practitioners and independently reviewed by two others, and use it to isolate input resolution, architecture and anatomical priors under a single evaluation protocol. First, resolution dominates: across a controlled 640/1024/1280 ablation, mask mAP50-95 rises 0.656 -> 0.710 -> 0.717 while mAP50 stays flat at ~0.982. Both gains are significant under a paired bootstrap over images (p < 0.001, p = 0.024); neither mAP50 change is distinguishable from zero. Added resolution buys boundary precision, not detection. Second, architecture is nearly irrelevant in-domain: a query-based transformer with 2.1x the parameters is statistically equivalent to a one-stage detector (95% CI [-0.0064, +0.0064]), only marginally better under domain shift, 5.5x slower on CPU and not executable under standard ONNX runtimes. Third, three targeted interventions fail: a LoRA-adapted self-supervised encoder underperforms, a promptable foundation segmenter degrades masks by 39%, and globally optimal anatomical label assignment yields +0.0007 despite correcting a constraint violated in 40% of out-of-domain predictions. Zero-shot transfer to an independent multi-centre cohort, verified overlap-free, costs 62% of mask mAP50-95 but only 18% of mAP50, reproducing the dissociation. Decomposing masks along the tooth axis localises the residual error to the apical third. Boundary precision is therefore the binding constraint, and effort is better directed at resolution and acquisition diversity than at architectural novelty.

15 pages, 6 figures, 5 tables. Code: this https URL

Computer Vision and Pattern Recognition (cs.CV); Machine Learning (cs.LG)

arXiv:2609.21628 [cs.CV]

(or arXiv:2609.21628v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2609.21628 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

arXivLabs is a framework that allows collaborators to develop and share new arXiv features directly on our website.

Both individuals and organizations that work with arXivLabs have embraced and accepted our values of openness, community, excellence, and user data privacy. arXiv is committed to these values and only works with partners that adhere to them.

Have an idea for a project that will add value for arXiv's community? Learn more about arXivLabs.