Dental X-ray Images Research Articles

Multi-label dental disorder diagnosis based on MobileNetV2 and swin transformer using bagging ensemble classifier

Dental disorders are common worldwide, causing pain or infections and limiting mouth opening, so dental conditions impact productivity, work capability, and quality of life. Manual detection and classification of oral diseases is time-consuming and requires dentists’ evaluation and examination. The dental disease detection and classification system based on machine learning and deep learning will aid in early dental disease diagnosis. Hence, this paper proposes a new diagnosis system for dental diseases using X-ray imaging. The framework includes a robust pre-processing phase that uses image normalization and adaptive histogram equalization to improve image quality and reduce variation. A dual-stream approach is used for feature extraction, utilizing the advantages of Swin Transformer for capturing long-range dependencies and global context and MobileNetV2 for effective local feature extraction. A thorough representation of dental anomalies is produced by fusing the extracted features. To obtain reliable and broadly applicable classification results, a bagging ensemble classifier is utilized in the end. We evaluate our model on a benchmark dental radiography dataset. The experimental results and comparisons show the superiority of the proposed system with 95.7% for precision, 95.4% for sensitivity, 95.7% for specificity, 95.5% for Dice similarity coefficient, and 95.6% for accuracy. The results demonstrate the effectiveness of our hybrid model integrating MoileNetv2 and Swin Transformer architectures, outperforming state-of-the-art techniques in classifying dental diseases using dental panoramic X-ray imaging. This framework presents a promising method for robustly and accurately diagnosing dental diseases automatically, which may help dentists plan treatments and identify dental diseases early on.

Adaptive pre-processing methods for increasing the accuracy of segmentation of dental X-RAY images

The subject of research in the article is the effectiveness of adaptive methods of preprocessing of medical images, in particular adaptive bilateral filter and modified CLAHE, in the tasks of segmentation of dental X-ray images. These methods make it possible to preserve important image details and effectively reduce noise, even in cases of high variability of images coming from different sources. The goal of the work is to study the impact of adaptive preprocessing methods on increasing the accuracy of segmentation of medical images and to determine the optimal combination of methods that provide the best results in segmentation tasks. The article addresses the following tasks: experimental comparison of adaptive preprocessing methods with traditional approaches, evaluation of segmentation efficiency using metrics such as Dice Score, Jacquard Coefficient (IoU Score), Precision and Sensitivity/Completeness (Recall)), as well as analysis of the effect of pre-processing on the quality of segmentation. The following methods are used: mathematical modeling, neural network training based on the U-Net model with a pre-trained timm-resnest101e encoder, image scaling to 512x512 pixels, training with a fixed learning rate of 0.001. The following results were obtained: the combined use of the adaptive bilateral filter and the modified CLAHE provided the highest segmentation quality indicators (Dice Score 0.9603 and Jacquard Coefficient (IoU Score) 0.94501), surpassing traditional methods. This proves the advantage of adaptive approaches in preserving the contours of objects and reducing noise. Conclusions: the application of adaptive preprocessing methods significantly improves the accuracy of segmentation of medical images. The combined approach including the adaptive bilateral filter and the modified CLAHE is the most effective for medical imaging tasks, which increases the accuracy of diagnosis and the reliability of automated decision support systems.

X-ray Image Analysis for Dental Disease: A Deep Learning Approach Using EfficientNets

Dental cavities are a highly common persistent dental problem that impacts populations across different age groups on a global scale. It is crucial to get a dental issue diagnosed as early as possible and with as much accuracy as possible to treat it efficiently and prevent any related issues. If a dental infection is not treated, it will eventually grow and cause tooth loss. Dental X-ray images are crucial and beneficial in the diagnostic process of dental diseases for dentists. By applying Deep Learning (DL) techniques to dental X-ray images, dental experts can efficiently and precisely detect dental conditions, including dental cavities, fillings and implants. The objective of this research is to assess the performance of DL-based methods for dental disease detection via panoramic radiographs. In this study, we evaluated the performance of all of the EfficientNet variants (e.g., EfficientNets B0-B7) to determine which one is the most effective model for detecting dental disease. Moreover, we utilized the Borderline Synthetic Minority Oversampling Technique (SMOTE) to cope with the issue related to the minority classes contained in the dataset. To assess the efficacy of the model, various metrics are employed, including recall, accuracy, precision, loss, and F1-score. As a result, the performance of the EfficientNet-B5 model was superior to that of the other EfficientNet models. The EfficientNet-B5 model achieved the following values for its metrics: F1-score, accuracy, recall, AUC, and precision: 98.37%, 98.32%, 98.32%, 99.21%, and 98.32%, respectively. The accuracy rates for the EfficientNet-B0, EfficientNet-B1, EfficientNet-B2, EfficientNet-B3, EfficientNet-B4, EfficientNet-B6, and EfficientNet-B7, are 91.59%, 94.12%, 93.28%, 85.71%, 94.96%, 96.64% and 90.76%, respectively. The results indicated that the EfficientNet-B5 model performs better than other EfficientNet classifiers, which supports dental professionals significantly in the recognition of dental diseases.

DentAge: Deep learning for automated age prediction using panoramic dental X-ray images.

Age estimation plays a crucial role in various fields, including forensic science and anthropology. This study aims to develop and validate DentAge, a deep-learning model for automated age prediction using panoramic dental X-ray images. DentAge was trained on a dataset comprising 21,007 panoramic dental X-ray images sourced from a private dental center in Slovenia. The dataset included subjects aged 4 to 97 years with various dental conditions. Transfer learning was employed, initializing the model with ImageNet weights and fine-tuning on the dental image dataset. The model was trained using stochastic gradient descent with momentum, and mean absolute error (MAE) served as the objective function. Across the test dataset, DentAge achieved an MAE of 3.12 years, demonstrating its efficacy in age prediction. Notably, the model performed well across different age groups, with MAEs ranging from 1.94 (age group [10-20]) to 13.40 years (age group [90-100]). Visual evaluation revealed factors contributing to prediction errors, including prosthetic restorations, tooth loss, and bone resorption. DentAge represents a significant advancement in automated age prediction within dentistry. The model's robust performance across diverse age groups and dental conditions underscores its potential utility in real-world scenarios. Our model will be accessible to the public for further adjustments and validation, ensuring DentAge's effectiveness and trustworthiness in practical scenarios.

Ex vivo human teeth imaging with various photoacoustic imaging systems.

Dental caries cause pain and if not diagnosed, it may lead to the loss of teeth in extreme cases. Dental X-ray imaging is the gold standard for caries detection; however, it cannot detect hidden caries. In addition, the ionizing nature of X-ray radiation is another concern. Hence, other alternate imaging modalities like photoacoustic (PA) imaging are being explored for dental imaging. Here, we demonstrate the feasibility of acoustic resolution photoacoustic microscopy (ARPAM) to image a tooth with metal filling, circular photoacoustic computed tomography (cPACT) to acquire images of teeth with caries and pigmentation, and linear array-based photoacoustic imaging (lPACT) of teeth with caries and pigmentation. The cavity measured with lPACT imaging is compared with the X-ray computed tomography image. The metal filling and its boundaries are clearly seen in the ARPAM image. cPACT images at 1064 nm were a better representative of the tooth surface compared to the images acquired at 532 nm. It was possible to detect the cavities present in the dentine when lPACT imaging was used. The PA signal from the pigmented caries on the lateral surface (occlusion view) of the tooth was high when imaged using the lPACT system.

Estimation of human age using machine learning on panoramic radiographs for Brazilian patients

This paper addresses a relevant problem in Forensic Sciences by integrating radiological techniques with advanced machine learning methodologies to create a non-invasive, efficient, and less examiner-dependent approach to age estimation. Our study includes a new dataset of 12,827 dental panoramic X-ray images representing the Brazilian population, covering an age range from 2.25 to 96.50 years. To analyze these exams, we employed a model adapted from InceptionV4, enhanced with data augmentation techniques. The proposed approach achieved robust and reliable results, with a Test Mean Absolute Error of 3.1 years and an R-squared value of 95.5%. Professional radiologists have validated that our model focuses on critical features for age assessment used in odontology, such as pulp chamber dimensions and stages of permanent teeth calcification. Importantly, the model also relies on anatomical information from the mandible, maxillary sinus, and vertebrae, which enables it to perform well even in edentulous cases. This study demonstrates the significant potential of machine learning to revolutionize age estimation in Forensic Science, offering a more accurate, efficient, and universally applicable solution.

DeMambaNet: Deformable Convolution and Mamba Integration Network for High-Precision Segmentation of Ambiguously Defined Dental Radicular Boundaries.

The incorporation of automatic segmentation methodologies into dental X-ray images refined the paradigms of clinical diagnostics and therapeutic planning by facilitating meticulous, pixel-level articulation of both dental structures and proximate tissues. This underpins the pillars of early pathological detection and meticulous disease progression monitoring. Nonetheless, conventional segmentation frameworks often encounter significant setbacks attributable to the intrinsic limitations of X-ray imaging, including compromised image fidelity, obscured delineation of structural boundaries, and the intricate anatomical structures of dental constituents such as pulp, enamel, and dentin. To surmount these impediments, we propose the Deformable Convolution and Mamba Integration Network, an innovative 2D dental X-ray image segmentation architecture, which amalgamates a Coalescent Structural Deformable Encoder, a Cognitively-Optimized Semantic Enhance Module, and a Hierarchical Convergence Decoder. Collectively, these components bolster the management of multi-scale global features, fortify the stability of feature representation, and refine the amalgamation of feature vectors. A comparative assessment against 14 baselines underscores its efficacy, registering a 0.95% enhancement in the Dice Coefficient and a diminution of the 95th percentile Hausdorff Distance to 7.494.

CariesXrays: Enhancing Caries Detection in Hospital-Scale Panoramic Dental X-rays via Feature Pyramid Contrastive Learning

Dental caries has been widely recognized as one of the most prevalent chronic diseases in the field of public health. Despite advancements in automated diagnosis across various medical domains, it remains a substantial challenge for dental caries detection due to its inherent variability and intricacies. To bridge this gap, we release a hospital-scale panoramic dental X-ray benchmark, namely “CariesXrays”, to facilitate the advancements in high-precision computer-aided diagnosis for dental caries. It comprises 6,000 panoramic dental X-ray images, with a total of 13,783 instances of dental caries, all meticulously annotated by dental professionals. In this paper, we propose a novel Feature Pyramid Contrastive Learning (FPCL) framework, that jointly incorporates feature pyramid learning and contrastive learning within a unified diagnostic paradigm for automated dental caries detection. Specifically, a robust dual-directional feature pyramid network (D2D-FPN) is designed to adaptively capture rich and informative contextual information from multi-level feature maps, thus enhancing the generalization ability of caries detection across different scales. Furthermore, our model is augmented with an effective proposals-prototype contrastive regularization learning (P2P-CRL) mechanism, which can flexibly bridge the semantic gaps among diverse dental caries with varying appearances, resulting in high-quality dental caries proposals. Extensive experiments on our newly-established CariesXrays benchmark demonstrate the potential of FPCL to make a significant social impact on caries diagnosis.

Integrating artificial intelligence and adult dental age estimation in forensic identification: A literature review

Age estimation is crucial in various forensic fields, including forensic medicine, anthropology, and demographic studies. Adult dental age estimation is affected by multiple factors, resulting in discrepancies between dental age and chronological age. The development of artificial intelligence (AI) technology has led to extensive investigations in forensic sciences, encompassing several areas such as facial recognition, age, sex identification, and DNA analysis. Adult age estimation methods commonly used include the pulp-tooth ratio approach, the Harris & Nortje method, and the Van Heerden method. AI approaches such as Fuzzy Logic (FL), Evolutionary Computing (EC), and Machine Learning (ML) are being extensively applied. These techniques use algorithms to imitate human thinking and behavior. Deep learning techniques, explicitly using deep convolutional neural networks (DCNN), enable age estimation by segmenting images and making measurements, replicating the cognitive processes of radiologists when computing indices such as the third molar maturity (I3M) index. Also, DCNNs automatically optimize teeth segmentation in dental X-ray images, improving image refining and analysis efficiency. AI integration in forensic dentistry improves the precision and effectiveness of dental data processing while significantly accelerating individual identification procedures. Incorporating this technology shows potential for enhancing the caliber and dependability of evidence in forensic investigations.

Automated Dental Cavity Detection Using Machine Learning

Abstract: The prevalence of dental cavities and the importance of early detection and treatment have long been recognized in the field of dentistry. To address this issue, we present a project review of an automated dental cavity detection system that leverages the power of machine learning techniques. The objective of this study was to develop an accurate system capable of identifying dental cavities in radiographic images with high precision. In this project, we studied diverse dataset of dental X-ray images and implemented a deep learning model to perform cavity detection. It was taught the subtle patterns and characteristics suggestive of dental cavities using a sizable collection of annotated dental photos. Our project focused on three key components: data preprocessing, model training, and evaluation. The results of our study demonstrate the effectiveness of the automated dental cavity detection system. This project evaluation explores the real-world applications of our approach and how it could transform dental healthcare by facilitating early diagnosis and prompt treatment. Furthermore, we are integrating this model with android application for its usefulness to both patients and doctors. The system's ability to aid dentists and radiologists in their clinical decision-making process can significantly reduce the burden of dental diseases and improve patient outcomes. In addition to this, the system suggests further steps to patients for their treatment by helping in appointments and slot bookings. In conclusion, our automated dental cavity detection system, developed through the integration of machine learning techniques, exhibits great promise in enhancing the field of dentistry. The project highlights the accomplishments and future prospects of this technology, and its potential to improve preventive dental care and contribute to overall oral health.

Rapid detection of non-normal teeth on dental X-ray images using improved Mask R-CNN with attention mechanism.

Dental health has been getting increased attention. Timely detection of non-normal teeth (caries, residual root, retainer, teeth filling, etc.) is of great importance for people's health, well-being, and quality of life. This work proposes a rapid detection of non-normal teeth based on improved Mask R-CNN, aiming to achieve comprehensive screening of non-normal teeth on dental X-ray images. An improved Mask R-CNN based on attention mechanism was used to develop a non-normal teeth detection method trained on a high-quality annotated dataset, which can segment the whole mask of each non-normal tooth on the dental X-ray image immediately. The average precision (AP) of the proposed non-normal teeth detection was 0.795 with an intersection-over-union of 0.5 and max detections (maxDets) of 32, which was higher than that of the typical Mask R-CNN method (AP = 0.750). In addition, validation experiments showed that the evaluation metrics (AP, recall, precision-recall (P-R) curve) of the proposed method were superior to those of the Mask R-CNN method. Furthermore, the experimental results indicated that proposed method exhibited a high sensitivity (95.65%) in detecting secondary caries. The proposed method took about 0.12s to segment non-normal teeth on one dental X-ray image using the laptop (8G memory, NVIDIA RTX 3060 graphics processing unit), which was much faster than conventional manual methods. The proposed method enhances the accuracy and efficiency of abnormal tooth diagnosis for practitioners, while also facilitating early detection and treatment of dental caries to substantially lower patient costs. Additionally, it can enable rapid and objective evaluation of student performance in dental examinations.

Dental panoramic X-ray image segmentation for multi-feature coordinate position learning.

To achieve an accurate assessment of orthodontic and restorative treatments, tooth segmentation of dental panoramic X-ray images is a critical preliminary step, however, dental panoramic X-ray images suffer from poorly defined interdental boundaries and low root-to-alveolar bone contrast, which pose significant challenges to tooth segmentation. In this article, we propose a multi-feature coordinate position learning-based tooth image segmentation method for tooth segmentation. For better analysis, the input image is randomly flipped horizontally and vertically to enhance the data. Our method extracts multi-scale tooth features from the designed residual omni-dimensional dynamic convolution and the designed two-stream coordinate attention module can further complement the tooth boundary features, and finally the two features are fused to enhance the local details of the features and global contextual information, which achieves the enrichment and optimization of the feature information. The publicly available adult dental datasets Archive and Dataset and Code were used in the study. The experimental results were 87.96% and 92.04% for IoU, 97.79% and 97.32% for ACC, and 86.42% and 95.64% for Dice. The experimental results show that the proposed network can be used to assist doctors in quickly viewing tooth positions, and we also validate the effectiveness of the proposed two modules in fusing features.

Spatial Prior-Guided Bi-Directional Cross-Attention Transformers for Tooth Instance Segmentation.

Tooth instance segmentation of dental panoramic X-ray images represents a task of significant clinical importance. Teeth demonstrate symmetry within the upper and lower jawbones and are arranged in a specific order. However, previous studies frequently overlook this crucial spatial prior information, resulting in misidentifications of tooth categories for adjacent or similarly shaped teeth. In this paper, we propose SPGTNet, a spatial prior-guided transformer method, designed to both the extracted tooth positional features from CNNs and the long-range contextual information from vision transformers for dental panoramic X-ray image segmentation. Initially, a center-based spatial prior perception module is employed to identify each tooth's centroid, thereby enhancing the spatial prior information for the CNN sequence features. Subsequently, a bi-directional cross-attention module is designed to facilitate the interaction between the spatial prior information of the CNN sequence features and the long-distance contextual features of the vision transformer sequence features. Finally, an instance identification head is employed to derive the tooth segmentation results. Extensive experiments on three public benchmark datasets have demonstrated the effectiveness and superiority of our proposed method in comparison with other state-of-the-art approaches. The proposed method demonstrates the capability to accurately identify and analyze tooth structures, thereby providing crucial information for dental diagnosis, treatment planning, and research.

Detection of Cavities from Dental Panoramic X-ray Images Using Nested U-Net Models

Dental caries is one of the most prevalent and chronic diseases worldwide. Dental X-ray radiography is considered a standard tool and a valuable resource for radiologists to identify dental diseases and problems that are hard to recognize by visual inspection alone. However, the available dental panoramic image datasets are extremely limited and only include a small number of images. U-Net is one of the deep learning networks that are showing promising performance in medical image segmentation. In this work, different U-Net models are applied to dental panoramic X-ray images to detect caries lesions. The Detection, Numbering, and Segmentation Panoramic Images (DNS) dataset, which includes 1500 panoramic X-ray images obtained from Ivisionlab, is used in this experiment. The major objective of this work is to extend the DNS Panoramic Images dataset by detecting the cavities in the panoramic image and generating the binary ground truth of this image to use as the ground truth for the evaluation of models. These ground truths are revised by experts to ensure their robustness and correctness. Firstly, we expand the Panoramic Images (DNS) dataset by detecting the cavities in the panoramic images and generating the images’ binary ground truth. Secondly, we apply U-Net, U-Net++ and U-Net3+ to the expanded DNS dataset to learn the hierarchical features and to enhance the cavity boundary. The results show that U-Net3+ outperforms the other versions of U-Net with 95% in testing accuracy.

Optimization of deep neural networks for multiclassification of dental X-rays using transfer learning

ABSTRACT In this work, the segmented dental X-ray images obtained by dentists have been classified into ideal/minimally compromised edentulous area (no clinical treatment needed immediately), partially/moderately compromised edentulous area (require bridges or cast partial denture) and substantially compromised edentulous area (require complete denture prosthesis). A total of 116 image dental X-ray dataset is used, of which 70% of the image dataset is used for training the convolutional neural network (CNN) while 30% is used sfor testing and validation. Three pretrained deep neural networks (DNNs; SqueezeNet, ResNet-50 and EfficientNet-b0) have been implemented using Deep Network Designer module of Matlab 2022. Each of these CNNs were trained, tested and optimised for the best possible accuracy and validation of dental images, which require an appropriate clinical treatment. The highest classification accuracy of 98% was obtained for EfficientNet-b0. This novel research enables the implementation of DNN parameters for automated identification and labelling of edentulous area, which would require clinical treatment. Also, the performance metrics, accuracy, recall, precision and F1 score have been calculated for the best DNN using confusion matrix.

Novel reconstruction method of angle-limited backprojection (ALBP) for low-dose dental panoramic X-ray imaging

Panoramic radiography is a popular two-dimensional X-ray imaging modality in dentistry. It produces a single image of the overall facial view, including the maxillary and mandibular arches and supporting structures. Panoramic images are typically reconstructed using the shift-and-add (SAA) algorithm, in which only structures within a certain image layer are in focus, and others are out of focus on the panoramic image. As the clinical use of panoramic radiography has grown rapidly, radiologists are continuously seeking ways to reduce the radiation dose to patients. This study proposes a novel panoramic reconstruction method called the angle-limited backprojection (ALBP) algorithm for low-dose panoramic X-ray imaging. In ALBP, X-rays that meet the angular criterion established in this study are selected from the measured panoramic projection data and then backprojected onto the spherical voxels placed along the dental arch, as in a typical computed tomography reconstruction. The angular criterion selects X-rays that pass through a given spherical voxel and simultaneously have directional vectors within a prespecified angular range concerning the directional vector at the corresponding source position. To validate the efficacy of the proposed reconstruction method, we conducted a numerical simulation and experiment and investigated the image characteristics. Panoramic images were reconstructed using the SAA and ALBP algorithms with full and half (i.e., half radiation dose) panoramic projections, and their image quality was quantitatively evaluated using the intensity profile and universal quality index (UQI). The image quality of the ALBP with half projections was similar to that of the SAA with full projections, indicating the efficacy of the proposed method. Accordingly, our results demonstrated the potential for radiation dose reduction in panoramic X-ray imaging.

Enhancing teeth segmentation using multifusion deep neural net in panoramic X-ray images.

Precise teeth segmentation from dental panoramic X-ray images is an important task in dental practice. However, several issues including poor image contrast, blurring borders of teeth, presence of jaw bones and other mouth elements, makes reading and examining such images a challenging and time-consuming task for dentists. Thus, developing a precise and automated segmentation technique is required. This study aims to develop and test a novel multi-fusion deep neural net consisting of encoder-decoder architecture for automatic and accurate teeth region segmentation from panoramic X-ray images. The encoder has two different streams based on CNN which include the conventional CNN stream and the Atrous net stream. Next, the fusion of features from these streams is done at each stage to encode the contextual rich information of teeth. A dual-type skip connection is then added between the encoder and decoder to minimise semantic information gaps. Last, the decoder comprises deconvolutional layers for reconstructing the segmented teeth map. The assessment of the proposed model is performed on two different dental datasets consisting of 1,500 and 1,000 panoramic X-ray images, respectively. The new model yields accuracy of 97.0% and 97.7%, intersection over union (IoU) score of 91.1% and 90.2%, and dice coefficient score (DCS) of 92.4% and 90.7% for datasets 1 and 2, respectively. Applying the proposed model to two datasets outperforms the recent state-of-the-art deep models with a relatively smaller number of parameters and higher accuracy, which demonstrates the potential of the new model to help dentists more accurately and efficiently diagnose dental diseases in future clinical practice.

Deep Learning-Based Recognition of Periodontitis and Dental Caries in Dental X-ray Images.

Dental X-ray images are important and useful for dentists to diagnose dental diseases. Utilizing deep learning in dental X-ray images can help dentists quickly and accurately identify common dental diseases such as periodontitis and dental caries. This paper applies image processing and deep learning technologies to dental X-ray images to propose a simultaneous recognition method for periodontitis and dental caries. The single-tooth X-ray image is detected by the YOLOv7 object detection technique and cropped from the periapical X-ray image. Then, it is processed through contrast-limited adaptive histogram equalization to enhance the local contrast, and bilateral filtering to eliminate noise while preserving the edge. The deep learning architecture for classification comprises a pre-trained EfficientNet-B0 and fully connected layers that output two labels by the sigmoid activation function for the classification task. The average precision of tooth detection using YOLOv7 is 97.1%. For the recognition of periodontitis, the area under the curve (AUC) of the receiver operating characteristic (ROC) curve is 98.67%, and the AUC of the precision-recall (PR) curve is 98.38%. For the recognition of dental caries, the AUC of the ROC curve is 98.31%, and the AUC of the PR curve is 97.55%. Different from the conventional deep learning-based methods for a single disease such as periodontitis or dental caries, the proposed approach can provide the recognition of both periodontitis and dental caries simultaneously. This recognition method presents good performance in the identification of periodontitis and dental caries, thus facilitating dental diagnosis.

Application of Panoramic Dental X-Ray Images Denoising

Dental X-ray imaging helps dentists detect many problems such as caries, cysts and jaw structure problems. Clinical diagnosis and preventive examinations of dental structures play an important role by providing a comprehensive imaging evaluation with panoramic x-rays for dentists. However, researchers primarily use image processing methods to analyze and improve a dental X-ray image and increase its contribution to the diagnostic time. Image segmentation, classification, threshold-based analysis, artificial neural networks, frequency-based methods are the most widely used image processing techniques to analyze medical images and assist in the development of computer aided medical diagnosis systems. In this study, images were analyzed in terms of noise removal by using convolutional neural networks and binary and wavelet filters to improve the images that were distorted and lost their clarity as a result of noise caused by various reasons during shooting. The performances of these methods were compared and it was seen that successful results were obtained in different noise types by using convolutional neural networks.

A Case of Rhinitis Caused by Severe Periodontitis in a Maltese

A 2.8kg, 10-year-old, spayed female, maltese presented to the hospital with sudden sneezing and nasal discharge symptoms. On physical examination, the discharge of secretions came out through the bi-nostrils and abundant calculus, generalized gingivitis, and movement of several teeth in dental examinations. Dental radiographs showed periapical lucencies of the right maxillary canine and left fourth premolar. After scaling and multiple extractions including right maxillary canine and left fourth premolar, the clinical symptoms totally disappeared. Then, clindamycin 11mg/kg, orally, q12h was prescribed for 14 days. After treatment, the patient's nasal disease improved. Among the causes of rhinitis in dogs, periodontitis is a common cause. If a patient with a poor dental condition shows nasal discharge accompanied by sneezing, it is necessary to consider checking for periodontitis through dental X-ray imaging or CT scan.