# An Autoencoder and Vision Transformer-based Interpretability Analysis of the Differences in Automated Staging of Second and Third Molars

arXiv: https://arxiv.org/abs/2509.09911 · HTML: https://mlsanity.com/paper/2509.09911/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 13 of its 53 references that are in the map.
- First posted on arXiv 12 Sep 2025.

## Builds on (most cited first, 13 of 13)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [The Unreasonable Effectiveness of Deep Features as a Perceptual Metric](https://mlsanity.com/paper/1801.03924/) (2018)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- ["Why Should I Trust You?": Explaining the Predictions of Any Classifier](https://mlsanity.com/paper/1602.04938/) (2016)
- [Striving for Simplicity: The All Convolutional Net](https://mlsanity.com/paper/1412.6806/) (2014)
- [Attention is not Explanation](https://mlsanity.com/paper/1902.10186/) (2019)
- [Quantifying Attention Flow in Transformers](https://mlsanity.com/paper/2005.00928/) (2020)
- [Attention is not not Explanation](https://mlsanity.com/paper/1908.04626/) (2019)
- [Beyond triplet loss: a deep quadruplet network for person re-identification](https://mlsanity.com/paper/1704.01719/) (2017)
- [Medical Image Analysis using Convolutional Neural Networks: A Review](https://mlsanity.com/paper/1709.02250/) (2017)
- [Generating and Evaluating Explanations of Attended and Error-Inducing Input Regions for VQA Models](https://mlsanity.com/paper/2103.14712/) (2021)

## Abstract (arXiv)

The practical adoption of deep learning in high-stakes forensic applications, such as dental age estimation, is often limited by the 'black box' nature of the models. This study introduces a framework designed to enhance both performance and transparency in this context. We use a notable performance disparity in the automated staging of mandibular second (tooth 37) and third (tooth 38) molars as a case study. The proposed framework, which combines a convolutional autoencoder (AE) with a Vision Transformer (ViT), improves classification accuracy for both teeth over a baseline ViT, increasing from 0.712 to 0.815 for tooth 37 and from 0.462 to 0.543 for tooth 38. Beyond improving performance, the framework provides multi-faceted diagnostic insights. Analysis of the AE's latent space metrics and image reconstructions indicates that the remaining performance gap is data-centric, suggesting high intra-class morphological variability in the tooth 38 dataset is a primary limiting factor. This work highlights the insufficiency of relying on a single mode of interpretability, such as attention maps, which can appear anatomically plausible yet fail to identify underlying data issues. By offering a methodology that both enhances accuracy and provides evidence for why a model may be uncertain, this framework serves as a more robust tool to support expert decision-making in forensic age estimation.