A Mobile Application for the Detection of Pre-Carious Lesions in Peruvian Patients based on YOLOv7
Received: 13 September 2024 | Revised: 26 November 2024 and 12 December 2024 | Accepted: 14 December 2024 | Online: 3 April 2025
Corresponding author: Lenis Wong
Abstract
Dental cavities represent a significant global health challenge, particularly in low- and middle-income countries, where early detection and diagnosis can substantially improve clinical outcomes. This study presents the development of a mobile application that utilizes YOLOv7 to detect early carious lesions on intraoral images, intending to provide dental professionals with a tool for timely diagnosis and intervention. The research was carried out in three key phases: analysis of YOLOv7, system development, and validation. The application was trained in a real clinical environment in Peru in collaboration with two independent dentists and their patients in two private clinics. Intraoral images were collected and processed from 40 participants, ensuring complete adherence to the ethical and privacy standards required for clinical studies. The experimental results demonstrated that the application achieved an average accuracy of 94%, with both accuracy and Positive Predictive Value (PPV) exceeding 90% in most cases. The results demonstrated consistent diagnostic accuracy and efficiency, validating the application's performance. Patient surveys reflected high satisfaction, with average scores of 4.4 for usability, 4.2 for efficiency, and 4.6 for functionality. Similarly, dentists rated the usability, functionality, and efficiency of the application with average scores of 4.5. These findings highlight the potential of the application to improve clinical workflows and accuracy in detecting early carious lesions.
Keywords:
YOLOv7, pre-carious lesions, dental diagnosis, mobile application, intraoral imagesDownloads
References
"WHO highlights oral health neglect affecting nearly half of the world’s population," World Health Organization. https://www.who.int/news/
item/18-11-2022-who-highlights-oral-health-neglect-affecting-nearly-half-of-the-world-s-population.
"El 90.4% de los peruanos tiene caries dental," Ministry of Health, Peru. https://www.gob.pe/institucion/minsa/noticias/45475-el-90-4-de-los-peruanos-tiene-caries-dental.
"Analysis of the dental health situation: Prevalence and severity of dental pathology in Chile," Ministry of Health, Chile, 2020.
I. D. S. Chen, C. M. Yang, M. J. Chen, M. C. Chen, R. M. Weng, and C. H. Yeh, "Deep Learning-Based Recognition of Periodontitis and Dental Caries in Dental X-ray Images," Bioengineering, vol. 10, no. 8, Aug. 2023, Art. no. 911.
J. Pérez De Frutos et al., "AI-Dentify: deep learning for proximal caries detection on bitewing x-ray - HUNT4 Oral Health Study," BMC Oral Health, vol. 24, no. 1, Mar. 2024, Art. no. 344.
A. Altukroni et al., "Detection of the pathological exposure of pulp using an artificial intelligence tool: a multicentric study over periapical radiographs," BMC Oral Health, vol. 23, no. 1, Aug. 2023, Art. no. 553.
A. Haghanifar, M. M. Majdabadi, S. Haghanifar, Y. Choi, and S. B. Ko, "PaXNet: Tooth segmentation and dental caries detection in panoramic X-ray using ensemble transfer learning and capsule classifier," Multimedia Tools and Applications, vol. 82, no. 18, pp. 27659–27679, Jul. 2023.
Y. Xiong et al., "Simultaneous detection of dental caries and fissure sealant in intraoral photos by deep learning: a pilot study," BMC Oral Health, vol. 24, no. 1, May 2024, Art. no. 553.
L. Gao et al., "Ai-aided diagnosis of oral X-ray images of periapical films based on deep learning," Displays, vol. 82, Apr. 2024, Art. no. 102649.
H. Zhu, Z. Cao, L. Lian, G. Ye, H. Gao, and J. Wu, "CariesNet: a deep learning approach for segmentation of multi-stage caries lesion from oral panoramic X-ray image," Neural Computing and Applications, vol. 35, no. 22, pp. 16051–16059, Aug. 2023.
S. Ying, F. Huang, X. Shen, W. Liu, and F. He, "Performance comparison of multifarious deep networks on caries detection with tooth X-ray images," Journal of Dentistry, vol. 144, May 2024, Art. no. 104970.
D. Albano et al., "Artificial intelligence for radiographic imaging detection of caries lesions: a systematic review," BMC Oral Health, vol. 24, no. 1, Feb. 2024, Art. no. 274.
E. T. Chaves et al., "Detection of caries around restorations on bitewings using deep learning," Journal of Dentistry, vol. 143, Apr. 2024, Art. no. 104886.
E. Ayan, Y. Bayraktar, Ç. Çelik, and B. Ayhan, "Dental student application of artificial intelligence technology in detecting proximal caries lesions," Journal of Dental Education, vol. 88, no. 4, pp. 490–500, 2024.
Y. Guo et al., "Rapid detection of non-normal teeth on dental X-ray images using improved Mask R-CNN with attention mechanism," International Journal of Computer Assisted Radiology and Surgery, vol. 19, no. 4, pp. 779–790, Apr. 2024.
T. M. Hamdy, "How Artificial Inelegance Is Transforming Aesthetic Dentistry: A Review," Current Oral Health Reports, vol. 11, no. 2, pp. 95–104, Jun. 2024.
G. Rubiu et al., "Teeth Segmentation in Panoramic Dental X-ray Using Mask Regional Convolutional Neural Network," Applied Sciences, vol. 13, no. 13, Jul. 2023, Art. no. 7947.
W. H. Acevedo, K. Artica Hurtado, J. L. Castillo Sequera, and L. Wong Portillo, "Approach for the Detection of Early Carious Lesions Based on Intraoral Photographs Using YOLOv7 and Faster R-CNN," in Proceedings of the 22nd LACCEI International Multi-Conference for Engineering, Education and Technology (LACCEI 2024): "Sustainable Engineering for a Diverse, Equitable, and Inclusive Future at the Service of Education, Research, and Industry for a Society 5.0.," 2024.
"Tooth Cavities Detection Object Detection Dataset and Pre-Trained Model by project-vgzbd." Roboflow, [Online]. Available: https://universe.roboflow.com/project-vgzbd/tooth-cavities-detection.
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Copyright (c) 2025 William Huertas, Kevin Artica, Lenis Wong

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