DentalGPT: Incentivizing Multimodal Complex Reasoning in Dentistry

Reliable interpretation of multimodal data in dentistry is essential for automated oral healthcare, yet current multimodal large language models (MLLMs) struggle to capture fine-grained dental visual details and lack sufficient reasoning ability for precise diagnosis. To address these limitations, we present DentalGPT, a specialized dental MLLM developed through high-quality domain knowledge injection and reinforcement learning. Specifically, the largest annotated multimodal dataset for dentistry to date was constructed by aggregating over 120k dental images paired with detailed descriptions that highlight diagnostically relevant visual features, making it the multimodal dataset with the most extensive collection of dental images to date. Training on this dataset significantly enhances the MLLM's visual understanding of dental conditions, while the subsequent reinforcement learning stage further strengthens its capability for multimodal complex reasoning. Comprehensive evaluations on intraoral and panoramic benchmarks, along with dental subsets of medical VQA benchmarks, show that DentalGPT achieves superior performance in disease classification and dental VQA tasks, outperforming many state-of-the-art MLLMs despite having only 7B parameters. These results demonstrate that high-quality dental data combined with staged adaptation provides an effective pathway for building capable and domain-specialized dental MLLMs.

Improving the Reliability for Confidence Estimation

Confidence estimation, a task that aims to evaluate the trustworthiness of the model's prediction output during deployment, has received lots of research attention recently, due to its importance for the safe deployment of deep models. Previous works have outlined two important qualities that a reliable confidence estimation model should possess, i.e., the ability to perform well under label imbalance and the ability to handle various out-of-distribution data inputs. In this work, we propose a meta-learning framework that can simultaneously improve upon both qualities in a confidence estimation model. Specifically, we first construct virtual training and testing sets with some intentionally designed distribution differences between them. Our framework then uses the constructed sets to train the confidence estimation model through a virtual training and testing scheme leading it to learn knowledge that generalizes to diverse distributions. We show the effectiveness of our framework on both monocular depth estimation and image classification.