B-Spline Embedded Structure Learning for 3D Tooth Segmentation

Accurate 3D tooth segmentation forms the cornerstone of digital dentistry, yet it remains a formidable challenge due to the inherent intricacy of real-world dentitions, such as crowding, misaligned teeth and high morphological similarity between adjacent teeth. To resolve this, we present B-Spline Embedded Structure Learning, a novel framework that distills the inherent sequential arrangement of teeth into a continuous structural constraint to regularize representation space. Our approach parameterizes the global dental topology by fitting a parametric B-spline trajectory to tooth centers, assigning each point a continuous structural embedding that forces the shared backbone to capture global arch organization. To fully exploit these embedded priors, we introduce a Structure-Aware Dynamic Classifier (SADC) to substitute rigid static templates with adaptive, case-calibrated decision boundaries. SADC regularizes dynamic prototype pooling via a localized Gaussian proximity gate and contextually co-evolves them through an attention block modeling spatial relations and bilateral symmetries across teeth. Extensive evaluations on the 3DTeethSeg22 benchmark demonstrate that our method establishes a new state-of-the-art accuracy with exceptional structural robustness and efficiency in computational overhead, markedly enhancing the model's capacity to handle complex dental configurations.