# Teeth2Point: A Two-Stage Dental CBCT ROI-to-Point Segmentation Framework

arXiv: https://arxiv.org/abs/2608.18667 · HTML: https://mlsanity.com/paper/2608.18667/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 17 of its 27 references that are in the map.
- First posted on arXiv 19 Aug 2026.

## Builds on (most cited first, 17 of 17)

- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [DINOv2: Learning Robust Visual Features without Supervision](https://mlsanity.com/paper/2304.07193/) (2023)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [PointNet++: Deep Hierarchical Feature Learning on Point Sets in a Metric Space](https://mlsanity.com/paper/1706.02413/) (2017)
- [Exploring Simple Siamese Representation Learning](https://mlsanity.com/paper/2011.10566/) (2020)
- [Unsupervised Learning of Visual Features by Contrasting Cluster Assignments](https://mlsanity.com/paper/2006.09882/) (2020)
- [Swin UNETR: Swin Transformers for Semantic Segmentation of Brain Tumors in MRI Images](https://mlsanity.com/paper/2201.01266/) (2022)
- [Point Transformer V3: Simpler, Faster, Stronger](https://mlsanity.com/paper/2312.10035/) (2023)
- [RandLA-Net: Efficient Semantic Segmentation of Large-Scale Point Clouds](https://mlsanity.com/paper/1911.11236/) (2019)
- [U-Mamba: Enhancing Long-range Dependency for Biomedical Image Segmentation](https://mlsanity.com/paper/2401.04722/) (2024)
- [MedNeXt: Transformer-driven Scaling of ConvNets for Medical Image Segmentation](https://mlsanity.com/paper/2303.09975/) (2023)
- [Sonata: Self-Supervised Learning of Reliable Point Representations](https://mlsanity.com/paper/2503.16429/) (2025)
- [Point-Unet: A Context-aware Point-based Neural Network for Volumetric Segmentation](https://mlsanity.com/paper/2203.08964/) (2022)
- [CTooth+: A Large-scale Dental Cone Beam Computed Tomography Dataset and Benchmark for Tooth Volume Segmentation](https://mlsanity.com/paper/2208.01643/) (2022)
- [Scaling nnU-Net for CBCT Segmentation](https://mlsanity.com/paper/2411.17213/) (2024)
- [STS MICCAI 2023 Challenge: Grand challenge on 2D and 3D semi-supervised tooth segmentation](https://mlsanity.com/paper/2407.13246/) (2024)
- [U-Mamba2: Scaling State Space Models for Dental Anatomy Segmentation in CBCT](https://mlsanity.com/paper/2509.12069/) (2025)

## Abstract (arXiv)

Modern deep learning architectures have demonstrated strong performance in dental CBCT segmentation. One remaining crucial challenge is accurate tooth labeling in cases with missing or malpositioned teeth, which are highly relevant for dental practice. Transformer-based architectures should in theory be able to resolve such ambiguities using global anatomical context. However, due to the high resolution of CBCT volumes and the wide spatial distribution of teeth within volumes, dense patch-based volumetric processing faces an inherent trade-off. Computational costs limit the number of patches that can be used in self-attention and thus, one can either increase the extent of the context captured in self-attention or capture fine-grained structural details by using small patches, but not both. In this work, we present Teeth2Point, an efficient point-based transformer framework for dental CBCT semantic segmentation that can avoid this trade-off. Teeth2Point first localizes volumetric regions of interest (ROIs) surrounding teeth using a convolutional model, then converts ROIs into point tokens using adaptive sampling. A transformer model predicts accurate segmentations using the point tokens, which allow capturing global context while retaining high resolution. The transformer is first pretrained using self-supervised learning (SSL), in the style of DINO but using domain-specific augmentation strategies, followed by supervised finetuning. The SSL pretraining, which includes random token masking, provides robustness to complex anatomical variations. Compared with the strongest two-stage baseline, Teeth2Point improves abnormal-case performance by 1.44 DSC points on average across four datasets; relative to the first-stage nnU-Net, the gain is 1.9 points.