Text-Conditioned Multi-Expert Regression Framework for Fully Automated Multi-Abutment Design

Dental implant abutments serve as the geometric and biomechanical interface between the implant fixture and the prosthetic crown, yet their design relies heavily on manual effort and is time-consuming. Although deep neural networks have been proposed to assist dentists in designing abutments, most existing approaches remain largely manual or semi-automated, requiring substantial clinician intervention and lacking scalability in multi-abutment scenarios. To address these limitations, we propose TEMAD, a fully automated, text-conditioned multi-expert architecture for multi-abutment design. This framework integrates implant site localization and implant system, compatible abutment parameter regression into a unified pipeline. Specifically, we introduce an Implant Site Identification Network (ISIN) to automatically localize implant sites and provide this information to the subsequent multi-abutment regression network. We further design a Tooth-Conditioned Feature-wise Linear Modulation (TC-FiLM) module, which adaptively calibrates mesh representations using tooth embeddings to enable position-specific feature modulation. Additionally, a System-Prompted Mixture-of-Experts (SPMoE) mechanism leverages implant system prompts to guide expert selection, ensuring system-aware regression. Extensive experiments on a large-scale abutment design dataset show that TEMAD achieves state-of-the-art performance compared to existing methods, particularly in multi-abutment settings, validating its effectiveness for fully automated dental implant planning.

DinoDental: Benchmarking DINOv3 as a Unified Vision Encoder for Dental Image Analysis

The scarcity and high cost of expert annotations in dental imaging present a significant challenge for the development of AI in dentistry. DINOv3, a state-of-the-art, self-supervised vision foundation model pre-trained on 1.7 billion images, offers a promising pathway to mitigate this issue. However, its reliability when transferred to the dental domain, with its unique imaging characteristics and clinical subtleties, remains unclear. To address this, we introduce DinoDental, a unified benchmark designed to systematically evaluate whether DINOv3 can serve as a reliable, off-the-shelf encoder for comprehensive dental image analysis without requiring domain-specific pre-training. Constructed from multiple public datasets, DinoDental covers a wide range of tasks, including classification, detection, and instance segmentation on both panoramic radiographs and intraoral photographs. We further analyze the model's transfer performance by scaling its size and input resolution, and by comparing different adaptation strategies, including frozen features, full fine-tuning, and the parameter-efficient Low-Rank Adaptation (LoRA) method. Our experiments show that DINOv3 can serve as a strong unified encoder for dental image analysis across both panoramic radiographs and intraoral photographs, remaining competitive across tasks while showing particularly clear advantages for intraoral image understanding and boundary-sensitive dense prediction. Collectively, DinoDental provides a systematic framework for comprehensively evaluating DINOv3 in dental analysis, establishing a foundational benchmark to guide efficient and effective model selection and adaptation for the dental AI community.

RegFreeNet: A Registration-Free Network for CBCT-based 3D Dental Implant Planning

As the commercial surgical guide design software usually does not support the export of implant position for pre-implantation data, existing methods have to scan the post-implantation data and map the implant to pre-implantation space to get the label of implant position for training. Such a process is time-consuming and heavily relies on the accuracy of registration algorithm. Moreover, not all hospitals have paired CBCT data, limitting the construction of multi-center dataset. Inspired by the way dentists determine the implant position based on the neighboring tooth texture, we found that even if the implant area is masked, it will not affect the determination of the implant position. Therefore, we propose to mask the implants in the post-implantation data so that any CBCT containing the implants can be used as training data. This paradigm enables us to discard the registration process and makes it possible to construct a large-scale multi-center implant dataset. On this basis, we proposes ImplantFairy, a comprehensive, publicly accessible dental implant dataset with voxel-level 3D annotations of 1622 CBCT data. Furthermore, according to the area variation characteristics of the tooth's spatial structure and the slope information of the implant, we designed a slope-aware implant position prediction network. Specifically, a neighboring distance perception (NDP) module is designed to adaptively extract tooth area variation features, and an implant slope prediction branch assists the network in learning more robust features through additional implant supervision information. Extensive experiments conducted on ImplantFairy and two public dataset demonstrate that the proposed RegFreeNet achieves the state-of-the-art performance.

SSA3D: Text-Conditioned Assisted Self-Supervised Framework for Automatic Dental Abutment Design

Abutment design is a critical step in dental implant restoration. However, manual design involves tedious measurement and fitting, and research on automating this process with AI is limited, due to the unavailability of large annotated datasets. Although self-supervised learning (SSL) can alleviate data scarcity, its need for pre-training and fine-tuning results in high computational costs and long training times. In this paper, we propose a Self-supervised assisted automatic abutment design framework (SS$A^3$D), which employs a dual-branch architecture with a reconstruction branch and a regression branch. The reconstruction branch learns to restore masked intraoral scan data and transfers the learned structural information to the regression branch. The regression branch then predicts the abutment parameters under supervised learning, which eliminates the separate pre-training and fine-tuning process. We also design a Text-Conditioned Prompt (TCP) module to incorporate clinical information (such as implant location, system, and series) into SS$A^3$D. This guides the network to focus on relevant regions and constrains the parameter predictions. Extensive experiments on a collected dataset show that SS$A^3$D saves half of the training time and achieves higher accuracy than traditional SSL methods. It also achieves state-of-the-art performance compared to other methods, significantly improving the accuracy and efficiency of automated abutment design.