Deep Spectral Models for Robust Dental Shape Generation

Automatic tooth segmentation and identification from intra-oral scanned 3D models are fundamental problems in digital dentistry, yet most existing approaches rely on task-specific 3D neural networks trained with densely annotated datasets, resulting in high annotation cost and limited generalization to scans from unseen sources. Thus, we propose TSegAgent, which addresses these challenges by reformulating dental analysis as a zero-shot geometric reasoning problem rather than a purely data-driven recognition task. The key idea is to combine the representational capacity of general-purpose foundation models with explicit geometric inductive biases derived from dental anatomy. Instead of learning dental-specific features, the proposed framework leverages multi-view visual abstraction and geometry-grounded reasoning to infer tooth instances and identities without task-specific training. By explicitly encoding structural constraints such as dental arch organization and volumetric relationships, the method reduces uncertainty in ambiguous cases and mitigates overfitting to particular shape distributions. Experimental results demonstrate that this reasoning-oriented formulation enables accurate and reliable tooth segmentation and identification with low computational and annotation cost, while exhibiting strong generalization across diverse and previously unseen dental scans.

Correspondence-based statistical shape modeling (SSM) is vital for population-level morphometric analysis, but conventional pipelines assume clean, fully registered surfaces. Real-world clinical photogrammetry scans are often noisy, partial, and cluttered, hindering the adoption of radiation-free surface imaging as a safe alternative to computed tomography (CT) for infant craniosynostosis. We present SCALP (Semi-supervised Correspondence via lAndmark Localization and sPectral warping), a two-stage framework that constructs consistent shape models directly from raw, imperfect surface scans. First, a semi-supervised Point Transformer leverages a small expert-annotated dataset alongside a large unlabeled cohort to accurately localize craniofacial landmarks with minimal annotation overhead. Second, these landmarks anchor a Laplace--Beltrami spectral deformation of an anatomical template, generating dense correspondences while naturally isolating the cranium from peripheral scanning clutter without manual preprocessing. Experiments on infant photogrammetry scans demonstrate that SCALP consistently outperforms state-of-the-art unsupervised point-cloud approaches, offering a clinically practical pathway toward objective, radiation-free head shape analysis.

3D geometric tooth alignment planning, which determines sequential trajectories from initial malocclusion to the final target alignment, is a cornerstone of modern digital orthodontics. This paper presents a novel deep reinforcement learning (DRL) framework to automate the generation of these alignment paths. We formulate the planning process as a Markov Decision Process (MDP) to capture its sequential decision-making nature, focusing on optimizing geometric trajectories while integrating essential spatial constraints, such as inter-dental collision avoidance and path efficiency. The proposed method leverages the Deep Deterministic Policy Gradient (DDPG) algorithm, enhanced by three key innovations: (1) a Transformer-based agent to model complex spatial interactions between teeth and manage high-dimensional state-action spaces; (2) a dynamic masking scheme that restricts movement to a sparse subset of teeth per step, better reflecting the clinical logic of sequential alignment; and (3) a two-stage curriculum learning strategy that gradually increases task difficulty to ensure training stability and efficient path discovery. We evaluate our approach on a dataset of 10K expert-designed treatment plans based on clinical data. Experimental results demonstrate that our method outperforms existing baselines in terms of path safety and geometric efficiency, providing a robust and automated solution for 3D geometric orthodontic alignment planning.