# Pocket-Dentist: On-Device Dental Image Understanding via Efficient Multimodal Large Language Models

arXiv: https://arxiv.org/abs/2605.29299 · HTML: https://mlsanity.com/paper/2605.29299/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 14 of its 26 references that are in the map.
- First posted on arXiv 28 May 2026.

## Placed in

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

## Builds on (most cited first, 14 of 14)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [Qwen2.5-VL Technical Report](https://mlsanity.com/paper/2502.13923/) (2025)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [InternVL3.5: Advancing Open-Source Multimodal Models in Versatility, Reasoning, and Efficiency](https://mlsanity.com/paper/2508.18265/) (2025)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [PathVQA: 30000+ Questions for Medical Visual Question Answering](https://mlsanity.com/paper/2003.10286/) (2020)
- [Med-Flamingo: a Multimodal Medical Few-shot Learner](https://mlsanity.com/paper/2307.15189/) (2023)
- [PMC-VQA: Visual Instruction Tuning for Medical Visual Question Answering](https://mlsanity.com/paper/2305.10415/) (2023)
- [SmolVLM: Redefining small and efficient multimodal models](https://mlsanity.com/paper/2504.05299/) (2025)
- [Security and Privacy Challenges of Large Language Models: A Survey](https://mlsanity.com/paper/2402.00888/) (2024)
- [MobileAIBench: Benchmarking LLMs and LMMs for On-Device Use Cases](https://mlsanity.com/paper/2406.10290/) (2024)
- [HealthSLM-Bench: Benchmarking Small Language Models for Mobile and Wearable Healthcare Monitoring](https://mlsanity.com/paper/2509.07260/) (2025)
- [MetaDent: Labeling Clinical Images for Vision-Language Models in Dentistry](https://mlsanity.com/paper/2604.14866/) (2026)

## Abstract (arXiv)

Evaluations of dental vision-language models remain fragmented across datasets, task definitions and metrics, and often ignore their computational cost. This limits their widespread deployment for dental screening outside specialist centres, where timely inference, limited hardware, and local handling of patient images are vital for practical, privacy-preserving clinical prescreening. Here we present Pocket-Dentist, an efficiency-aware benchmark for dental multimodal question answering that brings together three datasets spanning approximately 1,159 patients from BRAR and MetaDent, five task types and seven metrics. Across 14 typical VLMs, our results reveal an interesting observation: compact VLMs, such as 2B-parameter models, become competitive with much larger VLMs on most metrics after lightweight adaptation while requiring substantially lower computational costs in dental image understanding. Deployed locally on an iPhone 17 Pro, our finetuned compact VLM Pocket-Dentist-2B processed each sample in 4.31 s, reducing latency by 4.9x and memory use by 2.3x compared with a 7B baseline. Our project page is available at https://2026-icml.github.io/pocket-dentist-icml.