On the use of Aggregation Operators to improve Human Identification using Dental Records

Dental comparison is considered a primary identification method, at the level of fingerprints and DNA profiling. One crucial but time-consuming step of this method is the morphological comparison. One of the main challenges to apply this method is the lack of ante-mortem medical records, specially on scenarios such as migrant death at the border and/or in countries where there is no universal healthcare. The availability of photos on social media where teeth are visible has led many odontologists to consider morphological comparison using them. However, state-of-the-art proposals have significant limitations, including the lack of proper modeling of perspective distortion and the absence of objective approaches that quantify morphological differences. Our proposal involves a 3D (post-mortem scan) - 2D (ante-mortem photos) approach. Using computer vision and optimization techniques, we replicate the ante-mortem image with the 3D model to perform the morphological comparison. Two automatic approaches have been developed: i) using paired landmarks and ii) using a segmentation of the teeth region to estimate camera parameters. Both are capable of obtaining very promising results over 20,164 cross comparisons from 142 samples, obtaining mean ranking values of 1.6 and 1.5, respectively. These results clearly outperform filtering capabilities of automatic dental chart comparison approaches, while providing an automatic, objective and quantitative score of the morphological correspondence, easily to interpret and analyze by visualizing superimposed images.

Orthopantomograms (OPGs) are the standard panoramic radiograph in dentistry, used for full-arch screening across multiple diagnostic tasks. While Vision Language Models (VLMs) now allow multi-task OPG analysis through natural language, they underperform task-specific models on most individual tasks. Agentic systems that orchestrate specialized tools offer a path to both versatility and accuracy, this approach remains unexplored in the field of dental imaging. To address this gap, we propose OPGAgent, a multi-tool agentic system for auditable OPG interpretation. OPGAgent coordinates specialized perception modules with a consensus mechanism through three components: (1) a Hierarchical Evidence Gathering module that decomposes OPG analysis into global, quadrant, and tooth-level phases with dynamically invoking tools, (2) a Specialized Toolbox encapsulating spatial, detection, utility, and expert zoos, and (3) a Consensus Subagent that resolves conflicts through anatomical constraints. We further propose OPG-Bench, a structured-report protocol based on (Location, Field, Value) triples derived from real clinical reports, which enables a comprehensive review of findings and hallucinations, extending beyond the limitations of VQA indicators. On our OPG-Bench and the public MMOral-OPG benchmark, OPGAgent outperforms current dental VLMs and medical agent frameworks across both structured-report and VQA evaluation. Code will be released upon acceptance.

Dental image analysis plays a pivotal role in supporting accurate diagnosis and treatment planning in oral healthcare. Although recent advances have produced dental AI models for specific tasks and individual imaging modalities, their isolated designs limit practical use in real-world clinical workflows. In this paper, we present OralAgent, the first dental-specialized AI agent that unifies multimodal reasoning, tool-based decision-making, and knowledge-grounded retrieval within an end-to-end automated framework. It integrates 22 visual analysis tools and 368 widely-used classical dental textbooks, enabling autonomous reasoning, planning, tool use, knowledge retrieval, and multi-step workflow execution. Furthermore, we introduce OralCorpus, a large-scale, high-quality bilingual textual resource containing 134.8M tokens curated for dental retrieval-augmented generation (RAG). To evaluate models' multidisciplinary dental knowledge, we construct OralQA-ZH, a Chinese multiple-choice question benchmark consisting of 798 items across eleven oral subspecialties. Extensive experiments demonstrate that OralAgent achieves state-of-the-art performance on the MMOral-Uni, MMOral-OPG, and OralQA-ZH benchmarks, highlighting its effectiveness, interpretability, and adaptability in real-world clinical settings. The code and models are publicly available at https://github.com/isjinghao/OralAgent.