# DentAgent: Evidence-Centric Multi-Agent Coordination for Multimodal Dental Reasoning

arXiv: https://arxiv.org/abs/2608.18878 · HTML: https://mlsanity.com/paper/2608.18878/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 19 of its 43 references that are in the map.
- First posted on arXiv 19 Aug 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)
- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Builds on (most cited first, 19 of 19)

- [ReAct: Synergizing Reasoning and Acting in Language Models](https://mlsanity.com/paper/2210.03629/) (2022)
- [Efficient Memory Management for Large Language Model Serving with PagedAttention](https://mlsanity.com/paper/2309.06180/) (2023)
- [BERTScore: Evaluating Text Generation with BERT](https://mlsanity.com/paper/1904.09675/) (2019)
- [Toolformer: Language Models Can Teach Themselves to Use Tools](https://mlsanity.com/paper/2302.04761/) (2023)
- [HuggingGPT: Solving AI Tasks with ChatGPT and its Friends in Hugging Face](https://mlsanity.com/paper/2303.17580/) (2023)
- [OpenAI GPT-5 System Card](https://mlsanity.com/paper/2601.03267/) (2025)
- [ChatGPT for Shaping the Future of Dentistry: The Potential of Multi-Modal Large Language Model](https://mlsanity.com/paper/2304.03086/) (2023)
- [Towards Better Dental AI: A Multimodal Benchmark and Instruction Dataset for Panoramic X-ray Analysis](https://mlsanity.com/paper/2509.09254/) (2025)
- [DentVLM: A Multimodal Vision-Language Model for Comprehensive Dental Diagnosis and Enhanced Clinical Practice](https://mlsanity.com/paper/2509.23344/) (2025)
- [OralGPT-Omni: A Versatile Dental Multimodal Large Language Model](https://mlsanity.com/paper/2511.22055/) (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)
- [Use of the Deep Learning Approach to Measure Alveolar Bone Level](https://mlsanity.com/paper/2109.12115/) (2021)
- [Towards Generalist Intelligence in Dentistry: Vision Foundation Models for Oral and Maxillofacial Radiology](https://mlsanity.com/paper/2510.14532/) (2025)
- [OralAgent: Integrating Reasoning, Tools, and Knowledge for Interactive Dental Image Analysis](https://mlsanity.com/paper/2605.27378/) (2026)
- [DentalBench: Benchmarking and Advancing LLMs Capability for Bilingual Dentistry Understanding](https://mlsanity.com/paper/2508.20416/) (2025)
- [ArchMap: Arch-Flattening and Knowledge-Guided Vision Language Model for Tooth Counting and Structured Dental Understanding](https://mlsanity.com/paper/2511.14336/) (2025)
- [Bridging the Skill Gap in Clinical CBCT Interpretation with CBCTRepD](https://mlsanity.com/paper/2603.10933/) (2026)
- [IOSVLM: A 3D Vision-Language Model for Unified Dental Diagnosis from Intraoral Scans](https://mlsanity.com/paper/2603.16781/) (2026)

## Abstract (arXiv)

Oral diseases affect billions of people worldwide, underscoring a pressing need for accurate and reliable dental assessment that integrates heterogeneous evidence from domain knowledge, radiographs, intraoral photographs, and 3D dental data. Most existing dental AI systems remain modality- or task-specific. Although recent vision-language models support flexible dental question answering, directly generated response leaves evidence implicit and untraceable. To address these limitations, we introduce DentAgent, an evidence-centric multi-agent framework, in which the Orchestrator coordinate five specialized agents spanning various modalities. Each specialist utilizes domain tools to convert observations into structured evidence records. The Evidence Blackboard manages these records as a shared evidence state, tracking coverage, gaps, and conflicts before response generation. This standardized evidence representation integrates isolated dental capabilities into a unified agentic workflow. Across four benchmarks, DentAgent demonstrates leading performance, even surpassing the senior specialists by 17.3 percentage points on multi-label diagnosis, which supports its value for broadly applicable and traceable multimodal dental reasoning, and highlights its potential as a technical foundation for population oral health assessment and management.