# Towards Better Dental AI: A Multimodal Benchmark and Instruction Dataset for Panoramic X-ray Analysis

arXiv: https://arxiv.org/abs/2509.09254 · HTML: https://mlsanity.com/paper/2509.09254/

## Key facts

- Cited by 18 papers in the map (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 56 of its 77 references that are in the map.
- First posted on arXiv 11 Sep 2025.

## Placed in

- Multimodal LLMs / vision-language models / [Medical vision-language models](https://mlsanity.com/mllm/medical-vision-language-models/)

## Builds on (most cited first, 30 of 56)

- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [Qwen2.5-VL Technical Report](https://mlsanity.com/paper/2502.13923/) (2025)
- [GPT-4o System Card](https://mlsanity.com/paper/2410.21276/) (2024)
- [Qwen2-VL: Enhancing Vision-Language Model's Perception of the World at Any Resolution](https://mlsanity.com/paper/2409.12191/) (2024)
- [LLaVA-OneVision: Easy Visual Task Transfer](https://mlsanity.com/paper/2408.03326/) (2024)
- [Qwen-VL: A Versatile Vision-Language Model for Understanding, Localization, Text Reading, and Beyond](https://mlsanity.com/paper/2308.12966/) (2023)
- [MMMU: A Massive Multi-discipline Multimodal Understanding and Reasoning Benchmark for Expert AGI](https://mlsanity.com/paper/2311.16502/) (2023)
- [Phi-3 Technical Report: A Highly Capable Language Model Locally on Your Phone](https://mlsanity.com/paper/2404.14219/) (2024)
- [Gemma 3 Technical Report](https://mlsanity.com/paper/2503.19786/) (2025)
- [Expanding Performance Boundaries of Open-Source Multimodal Models with Model, Data, and Test-Time Scaling](https://mlsanity.com/paper/2412.05271/) (2024)
- [LlamaFactory: Unified Efficient Fine-Tuning of 100+ Language Models](https://mlsanity.com/paper/2403.13372/) (2024)
- [DINO: DETR with Improved DeNoising Anchor Boxes for End-to-End Object Detection](https://mlsanity.com/paper/2203.03605/) (2022)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [MM-Vet: Evaluating Large Multimodal Models for Integrated Capabilities](https://mlsanity.com/paper/2308.02490/) (2023)
- [ChatGLM: A Family of Large Language Models from GLM-130B to GLM-4 All Tools](https://mlsanity.com/paper/2406.12793/) (2024)
- [Kosmos-2: Grounding Multimodal Large Language Models to the World](https://mlsanity.com/paper/2306.14824/) (2023)
- [MiniCPM-V: A GPT-4V Level MLLM on Your Phone](https://mlsanity.com/paper/2408.01800/) (2024)
- [Cambrian-1: A Fully Open, Vision-Centric Exploration of Multimodal LLMs](https://mlsanity.com/paper/2406.16860/) (2024)
- [Emu3: Next-Token Prediction is All You Need](https://mlsanity.com/paper/2409.18869/) (2024)
- [DeepSeek-VL: Towards Real-World Vision-Language Understanding](https://mlsanity.com/paper/2403.05525/) (2024)
- [Yi: Open Foundation Models by 01.AI](https://mlsanity.com/paper/2403.04652/) (2024)
- [Phi-4 Technical Report](https://mlsanity.com/paper/2412.08905/) (2024)
- [CogVLM: Visual Expert for Pretrained Language Models](https://mlsanity.com/paper/2311.03079/) (2023)
- [PaliGemma: A versatile 3B VLM for transfer](https://mlsanity.com/paper/2407.07726/) (2024)
- [mPLUG-Owl2: Revolutionizing Multi-modal Large Language Model with Modality Collaboration](https://mlsanity.com/paper/2311.04257/) (2023)
- [PathVQA: 30000+ Questions for Medical Visual Question Answering](https://mlsanity.com/paper/2003.10286/) (2020)
- [VLMEvalKit: An Open-Source Toolkit for Evaluating Large Multi-Modality Models](https://mlsanity.com/paper/2407.11691/) (2024)
- [SLAKE: A Semantically-Labeled Knowledge-Enhanced Dataset for Medical Visual Question Answering](https://mlsanity.com/paper/2102.09542/) (2021)

## Built on by (most cited first, 18 of 18)

- [OralGPT-Omni: A Versatile Dental Multimodal Large Language Model](https://mlsanity.com/paper/2511.22055/) (2025)
- [OmniCT: Towards a Unified Slice-Volume LVLM for Comprehensive CT Analysis](https://mlsanity.com/paper/2602.16110/) (2026)
- [DentalGPT: Incentivizing Multimodal Complex Reasoning in Dentistry](https://mlsanity.com/paper/2512.11558/) (2025)
- [OralGPT-Plus: Learning to Use Visual Tools via Reinforcement Learning for Panoramic X-ray Analysis](https://mlsanity.com/paper/2603.06366/) (2026)
- [OPGAgent: An Agent for Auditable Dental Panoramic X-ray Interpretation](https://mlsanity.com/paper/2603.00462/) (2026)
- [OralAgent: Integrating Reasoning, Tools, and Knowledge for Interactive Dental Image Analysis](https://mlsanity.com/paper/2605.27378/) (2026)
- [ArchMap: Arch-Flattening and Knowledge-Guided Vision Language Model for Tooth Counting and Structured Dental Understanding](https://mlsanity.com/paper/2511.14336/) (2025)
- [SpineBench: A Clinically Salient, Level-Aware Benchmark Powered by the SpineMed-450k Corpus](https://mlsanity.com/paper/2510.03160/) (2025)
- [OMNI-Dent: Towards an Accessible and Explainable AI Framework for Automated Dental Diagnosis](https://mlsanity.com/paper/2602.07041/) (2026)
- [BreastGPT: A Multimodal Large Language Model for the Full Spectrum of Breast Cancer Clinical Routine](https://mlsanity.com/paper/2606.04911/) (2026)
- [FedHUG: Federated Heterogeneous Unsupervised Generalization for Remote Physiological Measurements](https://mlsanity.com/paper/2510.12132/) (2025)
- [Prompt-Based Caption Generation for Single-Tooth Dental Images Using Vision-Language Models](https://mlsanity.com/paper/2603.07403/) (2026)
- [Dental-TriageBench: Benchmarking Multimodal Reasoning for Hierarchical Dental Triage](https://mlsanity.com/paper/2604.13060/) (2026)
- [Large AI Models in Dental Healthcare: From General-Purpose Systems to Domain-Specific Foundation Models](https://mlsanity.com/paper/2606.02914/) (2026)
- [PanDent: Toward Comprehensive Tooth-Level Structure-Language Consistency in Dental Radiology](https://mlsanity.com/paper/2607.27378/) (2026)
- [DentAgent: Evidence-Centric Multi-Agent Coordination for Multimodal Dental Reasoning](https://mlsanity.com/paper/2608.18878/) (2026)
- [AgenTeeth: A Model-Agnostic Framework for Suppressing Hallucination in Frozen Vision-Language Models on Dental X-Rays via Tool Evidence Injection](https://mlsanity.com/paper/2609.17800/) (2026)
- [MetaRubric: Learning to Reward for Rubric-Based Reinforcement Learning](https://mlsanity.com/paper/2610.02824/) (2026)

## Abstract (arXiv)

Recent advances in large vision-language models (LVLMs) have demonstrated strong performance on general-purpose medical tasks. However, their effectiveness in specialized domains such as dentistry remains underexplored. In particular, panoramic X-rays, a widely used imaging modality in oral radiology, pose interpretative challenges due to dense anatomical structures and subtle pathological cues, which are not captured by existing medical benchmarks or instruction datasets. To this end, we introduce MMOral, the first large-scale multimodal instruction dataset and benchmark tailored for panoramic X-ray interpretation. MMOral consists of 20,563 annotated images paired with 1.3 million instruction-following instances across diverse task types, including attribute extraction, report generation, visual question answering, and image-grounded dialogue. In addition, we present MMOral-Bench, a comprehensive evaluation suite covering five key diagnostic dimensions in dentistry. We evaluate 64 LVLMs on MMOral-Bench and find that even the best-performing model, i.e., GPT-4o, only achieves 41.45% accuracy, revealing significant limitations of current models in this domain. To promote the progress of this specific domain, we also propose OralGPT, which conducts supervised fine-tuning (SFT) upon Qwen2.5-VL-7B with our meticulously curated MMOral instruction dataset. Remarkably, a single epoch of SFT yields substantial performance enhancements for LVLMs, e.g., OralGPT demonstrates a 24.73% improvement. Both MMOral and OralGPT hold significant potential as a critical foundation for intelligent dentistry and enable more clinically impactful multimodal AI systems in the dental field. The dataset, model, benchmark, and evaluation suite are available at https://github.com/isbrycee/OralGPT.