Hierarchical CNN-based occlusal surface morphology analysis for classifying posterior tooth type using augmented images from 3D dental surface models.

Objective: 3D Digitization of dental model is growing in popularity for dental application. Classification of tooth type from single 3D point cloud model without assist of relative position among teeth is still a challenging task.

Methods: In this paper, 8-class posterior tooth type classification (first premolar, second premolar, first molar, second molar in maxilla and mandible respectively) was investigated by convolutional neural network (CNN)-based occlusal surface morphology analysis. 3D occlusal surface was transformed to depth image for basic CNN-based classification. Considering the logical hierarchy of tooth categories, a hierarchical classification structure was proposed to decompose 8-class classification task into two-stage cascaded classification subtasks. Image augmentations including traditional geometrical transformation and deep convolutional generative adversarial networks (DCGANs) were applied for each subnetworks and cascaded network.

Results: Results indicate that combing traditional and DCGAN-based augmented images to train CNN models can improve classification performance. In the paper, we achieve overall accuracy 91.35%, macro precision 91.49%, macro-recall 91.29%, and macro-F1 0.9139 for the 8-class posterior tooth type classification, which outperform other deep learning models. Meanwhile, Grad-cam results demonstrate that CNN model trained by our augmented images will focus on smaller important region for better generality. And anatomic landmarks of cusp, fossa, and groove work as important regions for cascaded classification model.

Conclusion: The reported work has proved that using basic CNN to construct two-stage hierarchical structure can achieve the best classification performance of posterior tooth type in 3D model without assistance of relative position information. The proposed method has advantages of easy training, great ability to learn discriminative features from small image region.