{"image_id": "(247)", "file_name": "(247).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(247).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Side-by-side macro views of right posterior molars showing yellow-brown deposits at cervical margins and dark fissure staining on occlusal surface.", "findings": "Yellow-brown supragingival deposits along buccal-cervical margin; dark occlusal fissure staining on molar.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Ultrasonic scaling, polish, fluoride.", "explanation": "Mineralised calculus requires mechanical removal; brushing cannot dissolve it."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "medium", "rationale": "Supra-gingival deposits visible with occlusal staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1294)", "file_name": "(1294).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1294).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Right lateral intraoral view of an adolescent showing intact dentition, mild crowding, and visible deposits at the gingival margins.", "findings": "Cervical yellow-brown calculus along buccal of upper and lower anteriors; gingiva pink with mild marginal redness.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling and polishing, brushing technique reinforcement, six-month recall.", "explanation": "Marginal plaque mineralises into calculus that mechanical scaling efficiently removes."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Cervical deposits without significant inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(105)", "file_name": "(105).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(105).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Lower lingual mirror view showing heavy yellow-brown deposits across lingual surfaces of mandibular anterior teeth.", "findings": "Heavy supragingival calculus on lingual aspect of lower anteriors; gingival margins appear inflamed adjacent to deposits.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Full mouth ultrasonic scaling, polish, oral hygiene reinforcement, recall in two weeks.", "explanation": "Heavy lingual calculus retains biofilm and irritates the gingival margin, perpetuating inflammation."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy lingual supra-gingival deposit on lower anteriors."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_2406", "file_name": "caries_0_2406.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_2406.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Right buccal retracted view of mandibular posterior teeth. Visible dark brown cavitated lesion on the occlusal-buccal surface of a molar with surrounding yellow discoloration.", "findings": "Cavitated brown carious lesion on the occlusal-buccal surface of a mandibular molar with adjacent cervical staining; remaining posteriors appear intact but with mild occlusal staining.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore the carious molar lesion, evaluate adjacent occlusal surfaces for early caries, apply topical fluoride, reinforce brushing and flossing technique, recall in two weeks to confirm restoration integrity.", "explanation": "Cavitated dentinal caries needs prompt operative intervention to halt progression toward the pulp; surrounding stained pits warrant sealant or preventive resin restoration to prevent additional cavitation in the same dentition zone."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated occlusal lesion clearly visible on molar."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7545", "file_name": "caries_0_7545.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7545.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Frontal view of advanced dentition destruction with multiple broken-down crowns and dark cavitated lesions across the anterior teeth.", "findings": "Multiple cavitated lesions, broken crowns, retained roots, heavy generalised staining.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract non-restorable roots, plan prosthetic rehabilitation, scaling.", "explanation": "Extensive cavitation with non-restorable structure requires staged surgical and prosthetic care."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple non-restorable carious teeth and root remnants."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_940", "file_name": "caries_0_940.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_940.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Lower right occlusal close view showing intact mandibular molars and premolars with a dark fissure lesion on the central molar.", "findings": "Brown cavitated fissure caries on the occlusal of a mandibular molar; adjacent teeth intact with mild occlusal staining.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate the carious molar and restore with composite, seal adjacent stained pits.", "explanation": "Cavitated fissure caries needs restoration to halt progression; sealants protect at-risk neighbours."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Clear cavitated fissure lesion on molar."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(576)", "file_name": "(576).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(576).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal view of severely swollen, bright-red gingival tissues nearly covering the lower anterior crowns with yellow-stained teeth visible behind.", "findings": "Generalised gingival enlargement with bright erythema; heavy cervical staining; gingival overgrowth approaching incisal third of lower anteriors.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth scaling, chlorhexidine rinse, oral hygiene reinforcement, periodontal review in two weeks.", "explanation": "Long-standing plaque has driven severe inflammation and enlargement that resolves with biofilm removal and hygiene."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Marked gingival overgrowth and erythema."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(544)", "file_name": "(544).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(544).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close frontal view of mandibular anterior teeth showing inflamed, bright-red, swollen marginal gingivae with active bleeding at the gum line; cervical yellow-brown calculus visible along the gingival margin.", "findings": "Generalised marginal erythema with spontaneous bleeding around the mandibular anteriors; heavy supragingival calculus and plaque deposits at the cervical margins; gingival contour rolled and bulbous rather than knife-edge.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Perform full mouth ultrasonic scaling with focus on cervical calculus removal, prescribe chlorhexidine 0.2% mouthwash for two weeks, demonstrate gentle margin brushing technique, apply professional polish, and recall in two weeks to confirm gingival response.", "explanation": "Severe plaque-induced gingivitis driven by accumulated supragingival calculus harbouring biofilm that mechanical scaling and chemical adjuncts can resolve; untreated marginal inflammation may progress to periodontitis with attachment loss as biofilm migrates subgingivally and recruits more pathogenic flora."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Marked marginal redness with bleeding and visible calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1872)", "file_name": "(1872).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1872).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Left lateral intraoral view showing intact upper arch with slight crowding of premolars and pink gingiva with mild marginal pallor.", "findings": "Slight upper premolar crowding; gingiva broadly healthy with mild marginal redness.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling and oral hygiene reinforcement, six-month recall.", "explanation": "Mild marginal inflammation resolves with biofilm removal and brushing reinforcement."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "low", "rationale": "Borderline; could also be class 1 malocclusion with healthy gingiva."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(488)", "file_name": "(488).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(488).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Frontal smile view (orange cast) of permanent dentition showing apparent gaps in the upper anterior region where one or more incisors appear absent.", "findings": "Spaces between upper anteriors suggestive of missing/absent lateral incisors; central incisors and canines present.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Orthodontic and prosthodontic consultation for space management; assess for prosthetic replacement.", "explanation": "Congenital absence of lateral incisors leaves spaces best managed with combined orthodontic and prosthodontic care."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Anterior gaps consistent with absent laterals."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(959)", "file_name": "(959).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(959).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth-open lower view showing mixed dentition with a visible gap in the upper anterior region where a permanent tooth has not erupted; lower anteriors present.", "findings": "Upper anterior gap consistent with absent or unerupted permanent incisor; lower anteriors aligned with mild crowding.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Radiographic confirmation of tooth bud presence, monitor eruption pattern, orthodontic review.", "explanation": "A missing upper anterior in mixed dentition can be delayed eruption or congenital absence."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Upper anterior gap in mixed-dentition photo."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(119)", "file_name": "(119).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(119).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric open-mouth frontal view showing the upper arch with visible irregular spacing and a missing tooth space in the upper anterior region; lower arch with mixed dentition partially visible.", "findings": "Upper anterior dentition with a clear gap consistent with missing or unerupted incisor; mild spacing across remaining anteriors; soft tissues unremarkable; lower dentition shows mixed eruption typical for age.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Take a panoramic radiograph to confirm unerupted tooth buds, refer to an orthodontic specialist, monitor eruption six-monthly, discuss space maintenance options.", "explanation": "Apparent missing anterior teeth in pediatric mixed dentition can reflect delayed eruption, ectopic eruption, or true congenital agenesis; accurate diagnosis requires radiographic confirmation as treatment differs between waiting for eruption and planning lifelong space management."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Upper anterior gap with no visible erupted tooth in position."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_7117", "file_name": "Tooth_Discoloration_0_7117.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7117.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of two adjacent posterior teeth with the more posterior tooth showing severe grey-black discoloration while the adjacent tooth retains a normal yellow-white shade.", "findings": "Severe grey-black discoloration of one posterior tooth contrasted with normal neighbour; adjacent gingiva mildly inflamed.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, radiograph, endodontic consult if non-vital.", "explanation": "Localised grey discoloration suggests non-vitality or extensive restoration; vitality testing guides care."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Single-tooth grey discoloration suggests non-vitality."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_2473", "file_name": "Tooth_Discoloration_0_2473.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2473.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close view of upper anterior teeth showing translucent enamel with mild yellowing at the cervical thirds and faint extrinsic staining at the gingival margins.", "findings": "Mild cervical yellow extrinsic stain on upper anteriors; teeth otherwise intact and well-aligned.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Professional polish, oral hygiene reinforcement, six-month recall.", "explanation": "Mild extrinsic cervical stain is plaque- or diet-driven and responds well to polishing and brushing technique."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild extrinsic cervical stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_2427", "file_name": "Tooth_Discoloration_0_2427.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2427.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Frontal smile view showing aligned upper and lower anteriors with one centrally placed upper anterior tooth markedly darker (greyish-brown) than the adjacent teeth.", "findings": "Single upper anterior with severe grey-brown discoloration; surrounding teeth normal shade; mild cervical staining on lower anteriors.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing on the dark central, periapical radiograph, endodontic referral if non-vital.", "explanation": "Single-tooth grey discoloration typically indicates pulpal necrosis needing endodontic management."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Discrete dark anterior tooth suggests non-vitality."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(574)", "file_name": "(574).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(574).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal upper anterior view showing intact dentition heavily coated with thick yellow plaque and calculus deposits across all visible teeth; gingiva bright red with significant swelling at the marginal areas.", "findings": "Heavy yellow plaque and calculus coating the facial surfaces of upper anteriors; gingival margins markedly inflamed with bright erythema and bulbous contour; deposits continuous from gingival margin onto incisal third.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Full mouth ultrasonic scaling in multiple sessions, prescribe chlorhexidine 0.2% rinse twice daily for two weeks, demonstrate proper brushing technique, apply professional polish, recall in two weeks.", "explanation": "Heavy supragingival calculus has provided a sustained biofilm reservoir driving severe marginal inflammation; mechanical removal is the only effective intervention since neither brushing nor chemical agents can dissolve mineralised deposits."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy calculus across all anterior teeth with severe gingival inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(765)", "file_name": "(765).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(765).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of mandibular anterior teeth showing brown staining and visible deposits along the cervical and labial surfaces.", "findings": "Brown calculus deposits on labial of lower anteriors; mild gingival redness at margins.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Ultrasonic scaling, polish, hygiene reinforcement.", "explanation": "Mineralised cervical calculus needs scaling; brushing alone cannot remove it."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Brown labial calculus on lower anteriors."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(722)", "file_name": "(722).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(722).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Lower lingual mirror view showing intact mandibular anteriors with mild yellow-brown discoloration at the cervical margins.", "findings": "Mild yellow cervical calculus on lingual aspect of lower anteriors; gingiva pink and healthy.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling and polishing, six-month recall, brushing reinforcement.", "explanation": "Mild lingual calculus is common; scaling clears it readily."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild lingual cervical deposits."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_6841", "file_name": "caries_0_6841.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6841.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close frontal view of severely destroyed upper anterior teeth showing multiple broken-down dark stumps and gross cavitation.", "findings": "Multiple cavitated, blackened crowns with broken structure on upper anteriors; surrounding gingiva inflamed.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract non-restorable stumps, plan prosthetic rehabilitation, scaling.", "explanation": "Non-restorable carious destruction requires extraction prior to staged prosthodontic replacement."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple non-restorable carious anterior teeth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7699", "file_name": "caries_0_7699.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7699.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Close view of a pediatric upper arch showing severe cavitation across multiple anterior teeth with broken-down brown structure and exposed dentinal cores characteristic of advanced early childhood caries.", "findings": "Multiple severely cavitated upper primary anteriors with extensive coronal destruction; remaining tooth tissue brown and friable; gingival margins mildly inflamed adjacent to lesions.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Comprehensive pediatric dental review under sedation if needed, extract non-restorable teeth, stainless steel crowns or pulpectomy on salvageable teeth, parental counselling on bottle-feeding habits, three-monthly recall.", "explanation": "Pattern is consistent with severe early childhood caries from prolonged sugar exposure during sleep; advanced cavitation reaching pulp cannot be reversed and requires pulpal therapy or extraction with space management to preserve arch length."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Classic early childhood caries pattern."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_6722", "file_name": "caries_0_6722.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6722.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close occlusal view of a mandibular molar with a dental explorer positioned at a dark cavitated fissure lesion.", "findings": "Dark cavitated fissure caries on occlusal of mandibular molar; surrounding tooth intact.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore the molar with composite.", "explanation": "Cavitated fissure caries requires restoration to halt progression."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Probe-confirmed cavitated occlusal lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1166)", "file_name": "(1166).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1166).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal view showing dentition with brown cervical staining and bright-red inflamed gingival margins with active bleeding at several sites.", "findings": "Generalised marginal erythema with bleeding; heavy cervical calculus on upper and lower anteriors; gingival margins rolled and bulbous.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth ultrasonic scaling, chlorhexidine rinse two weeks, hygiene reinforcement, recall in two weeks.", "explanation": "Severe plaque-induced gingivitis driven by accumulated supragingival calculus that scaling and adjuncts resolve."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Marginal redness with bleeding and visible calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1590)", "file_name": "(1590).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1590).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Right lateral intraoral view showing teeth with yellow staining and grossly inflamed bright-red bleeding gingival tissues.", "findings": "Generalised marginal erythema with active bleeding on buccal aspects; heavy plaque and calculus; gingival contour swollen.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth scaling, chlorhexidine 0.2% rinse, oral hygiene reinforcement, recall in two weeks.", "explanation": "Severe marginal inflammation from biofilm accumulation resolves with mechanical removal and chemical adjuncts."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Florid marginal inflammation with bleeding."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(102)", "file_name": "(102).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(102).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close frontal view of dentition showing teeth with cervical yellow staining and frothy white plaque deposits along the gingival margins; gingival tissues bright red and visibly swollen with active bleeding sites.", "findings": "Generalised marginal erythema with frank bleeding at several sites; heavy cervical plaque and frothy biofilm deposits; gingival contour rolled and bulbous rather than knife-edge.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth ultrasonic scaling targeting all cervical biofilm, chlorhexidine 0.2% mouthwash twice daily for two weeks, demonstrate gentle margin brushing, apply polish, and recall in two weeks to confirm gingival response.", "explanation": "Severe plaque-induced gingivitis from heavy biofilm accumulation at gingival margins; mechanical biofilm removal is the only effective intervention since chemical agents alone cannot disrupt mature biofilm."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Heavy plaque with diffuse marginal bleeding."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(626)", "file_name": "(626).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(626).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth-open frontal view showing upper anteriors with a missing tooth space and a small fresh bleeding socket where a tooth has recently been lost or extracted.", "findings": "Empty alveolar socket in upper anterior region; remaining anteriors intact.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Confirm if congenital absence or recent loss; orthodontic review.", "explanation": "Differentiating exfoliation from congenital agenesis requires radiograph and history."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "medium", "rationale": "Fresh socket suggests recent loss rather than congenital absence; ext label may be misclassified."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(264)", "file_name": "(264).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(264).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mixed-dentition view showing lower anteriors with one tooth visibly absent or erupting; mixed primary and permanent teeth present.", "findings": "Lower anterior tooth space; surrounding teeth in mixed dentition with permanent tooth emerging.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph for tooth bud assessment, orthodontic review, monitor eruption.", "explanation": "Pediatric anterior gaps may be exfoliation or congenital absence; imaging confirms aetiology."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Could also be normal mixed dentition with delayed eruption."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(250)", "file_name": "(250).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(250).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Upper palatal mirror view showing severely reduced dentition with only a few teeth remaining in irregular positions and large edentulous areas across the palate.", "findings": "Multiple missing teeth across upper arch with only sparse dentition remaining; palatal tissues pink and unremarkable.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Comprehensive prosthodontic consultation, panoramic radiograph, full mouth treatment planning.", "explanation": "Severe oligodontia requires combined prosthodontic and orthodontic planning for function and aesthetics."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Severe edentulism; congenital vs acquired ambiguous without history."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_9636", "file_name": "Tooth_Discoloration_0_9636.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9636.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Upper palatal close view showing intact dentition with yellow-brown cervical extrinsic staining distributed across the palatal surfaces of upper teeth; surrounding palatal mucosa pink and unremarkable.", "findings": "Generalised yellow-brown cervical staining on palatal aspects of upper teeth; teeth otherwise intact and well-aligned; gingival margins pink with healthy contour.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Professional scaling and polishing to remove extrinsic stain, demonstrate brushing technique for palatal surfaces, dietary advice on stain-causing beverages, and six-month recall.", "explanation": "Cervical palatal staining is typically extrinsic and arises from plaque-mineralisation cycles plus dietary chromogens; polish removes it readily but recurrence depends on biofilm control and diet."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild extrinsic palatal cervical stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_5167", "file_name": "Tooth_Discoloration_0_5167.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5167.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view showing multiple lower posterior teeth with severe black/dark grey discoloration across the coronal surfaces.", "findings": "Severe black discoloration of multiple lower posteriors; differential includes stain, large amalgams, or carious lesions.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Radiograph and vitality testing; assess for caries.", "explanation": "Severe black discoloration needs vitality and radiographic workup."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "medium", "rationale": "Dark coronal change could be advanced caries rather than stain."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_1746", "file_name": "Tooth_Discoloration_0_1746.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1746.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close frontal view of upper anterior teeth showing severe brown cervical and proximal discoloration across multiple teeth with intact occlusal portions.", "findings": "Heavy brown extrinsic discoloration on cervical and proximal surfaces of upper anteriors; coronal portions less affected; gingival margins mildly inflamed.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Professional scaling and polishing, dietary counselling, hygiene reinforcement, six-month recall.", "explanation": "Severe extrinsic staining is plaque- or diet-driven and responds to professional cleaning with maintenance."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Heavy cervical extrinsic stain across anterior teeth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(773)", "file_name": "(773).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(773).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Side-by-side before/after frontal views showing intact dentition; left panel has yellow-brown cervical staining and visible calculus deposits along the gingival margins; right panel shows the same teeth after professional cleaning with clean cervical areas.", "findings": "Left view shows yellow-brown supragingival calculus on cervical thirds of upper and lower anteriors with marginal inflammation; right view post-treatment shows clean cervical surfaces and healthier marginal gingiva.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Maintain post-scaling oral hygiene with twice-daily brushing along the gum line, interdental cleaning, professional polish every six months, and dietary reduction of chromogenic beverages to minimise recurrence.", "explanation": "Cervical supragingival calculus mineralises from prolonged plaque accumulation along the gingival margin; once removed mechanically, sustained biofilm control determines whether deposits recur within months or years."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Before/after framing with clear cervical deposits in left panel."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(369)", "file_name": "(369).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(369).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Upper palatal mirror view of an orthodontic patient showing lingual brackets with heavy yellow plaque and calculus around appliances.", "findings": "Heavy yellow calculus around lingual brackets and on palatal surfaces.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Ultrasonic scaling around brackets, hygiene reinforcement, recall.", "explanation": "Orthodontic appliances trap plaque; thorough scaling and hygiene are essential."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy peri-bracket calculus deposits."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(445)", "file_name": "(445).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(445).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of upper anterior teeth with very heavy yellow plaque and calculus deposits coating the labial surfaces; surrounding gingiva swollen.", "findings": "Severe yellow plaque-calculus accretion on upper anteriors; gingival margins markedly inflamed.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session full mouth scaling, chlorhexidine adjunct, hygiene reinforcement, two-week recall.", "explanation": "Heavy calculus drives marginal inflammation; scaling resolves it, hygiene prevents recurrence."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Massive plaque-calculus coverage."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_3414", "file_name": "caries_0_3414.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_3414.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth view showing severely destroyed upper anterior primary teeth with multiple broken-down brown stumps and gross cavitation.", "findings": "Multiple severely cavitated upper primary incisors with friable brown remnants; pulp likely exposed in several teeth.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, extract non-restorable teeth, plan space maintenance, fluoride preventive program.", "explanation": "Severe early childhood caries with pulpal involvement needs surgical management and space maintenance to preserve arch length."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Classic severe early childhood caries pattern."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1077", "file_name": "caries_0_1077.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1077.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Right buccal close view of maxillary posterior teeth showing intact molars and premolars with one molar displaying a deep cavitated occlusal lesion penetrating into the dentinal layer.", "findings": "Single deep cavitated occlusal caries on a maxillary molar with dark walls suggestive of pulpal proximity; adjacent teeth intact with mild occlusal staining; gingival margins healthy.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Vitality and percussion testing on the affected molar, periapical radiograph for pulpal status, plan composite or onlay if pulp vital, pulpotomy or endodontic treatment if pulpal exposure confirmed.", "explanation": "Deep occlusal caries reaching mid-dentin can either be managed with conventional restoration when pulp remains vital or requires endodontic intervention when bacterial penetration has caused irreversible pulpitis; vitality testing before instrumentation prevents avoidable pulpal complications."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Deep cavitated occlusal lesion with dark walls."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_9542", "file_name": "caries_0_9542.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9542.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth view with intraoral mirror showing reflection of an occlusal surface with visible dark fissure caries.", "findings": "Dark cavitated fissure caries visible on a posterior tooth via mirror reflection.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore the molar; sealants on adjacent pits.", "explanation": "Fissure caries needs prompt restoration to halt dentinal progression."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Clear fissure cavitation in mirror view."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1414)", "file_name": "(1414).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1414).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Upper palatal occlusal view showing intact arch with two large dark amalgam restorations on posterior molars and pink palatal tissue.", "findings": "Two large amalgam restorations on upper posterior molars; gingival tissues largely healthy with no marked inflammation.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Evaluate amalgam margin integrity, oral hygiene reinforcement, six-month recall.", "explanation": "Older amalgam restorations need periodic margin review to detect microleakage early."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "medium", "rationale": "Two large amalgams dominate the image; gingival findings are minimal."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1720)", "file_name": "(1720).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1720).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal close view showing a darkened upper central incisor with surrounding mild gingival redness and a small soft-tissue swelling at the mucogingival fold above the dark tooth.", "findings": "Grey-discoloured upper central incisor with mild marginal gingivitis around it; small mucosal swelling above suggesting possible periapical involvement.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Vitality and percussion testing on dark central, periapical radiograph to rule out periapical pathology, hygiene reinforcement.", "explanation": "Non-vital central with associated mucosal swelling may reflect chronic periapical infection driving local gingival inflammation."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Discoloured non-vital tooth is the dominant finding; gingivitis is secondary."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1821)", "file_name": "(1821).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1821).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Left lateral intraoral view of intact upper and lower posterior dentition with mild yellow staining on cervical surfaces and pink gingival margins showing slight rolled contour but no overt bleeding.", "findings": "Mild marginal redness on the buccal of upper and lower posteriors; light cervical staining on premolars and canines; gingival contour slightly rolled with no bleeding on visual inspection; no significant calculus or plaque visible on the buccal aspects.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Routine scaling and polishing, demonstrate proper brushing along the gum line, interdental cleaning education with floss or interdental brushes, six-month recall to monitor marginal health.", "explanation": "Mild marginal gingivitis represents the earliest reversible phase of plaque-induced periodontal disease; consistent biofilm control through brushing and interdental cleaning resolves the marginal inflammation within one to two weeks of professional cleaning."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal redness without bleeding or significant deposits."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(185)", "file_name": "(185).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(185).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth showing upper central incisors with apparent gaps where lateral incisors would normally be; metallic restoration visible on posterior.", "findings": "Upper lateral incisor spaces; metallic restoration on posterior molar.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for tooth bud assessment, orthodontic review.", "explanation": "Bilateral lateral incisor absence is the most common congenital agenesis pattern."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Bilateral upper lateral spaces consistent with hypodontia."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(898)", "file_name": "(898).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(898).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth-open view showing mixed dentition with visible spacing and a missing tooth in the lower anterior region.", "findings": "Lower anterior space in mixed dentition; surrounding teeth at various eruption stages.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph for tooth bud assessment, monitor eruption, orthodontic consultation.", "explanation": "Mixed-dentition gaps may be exfoliation or congenital absence; imaging confirms."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Could be normal mixed-dentition transition."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(652)", "file_name": "(652).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(652).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open showing upper anterior region with a missing tooth space and a pink-purple soft-tissue swelling overlying the alveolar ridge in that area.", "findings": "Upper anterior tooth space with overlying gingival swelling suggestive of eruption cyst; adjacent teeth intact.", "diagnosis": "Other visible abnormality", "severity": "Mild", "recommendation": "Panoramic radiograph to assess unerupted tooth and cyst, paediatric dental referral, monitor for spontaneous eruption.", "explanation": "Eruption cyst over an unerupted tooth typically resolves spontaneously as the tooth emerges; surgical exposure rarely needed."}, "diagnoser": {"diagnosis": "Other visible abnormality", "severity": "Mild", "confidence": "medium", "rationale": "Eruption cyst is the dominant finding; not classic hypodontia."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_5760", "file_name": "Tooth_Discoloration_0_5760.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5760.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Lower lateral view showing mandibular posterior teeth with severe black-brown discoloration covering the buccal surfaces of multiple molars and premolars; gingival tissues unremarkable.", "findings": "Severe black-brown extrinsic-appearing discoloration on the buccal of multiple mandibular posteriors; no visible cavitation on the staining areas; gingival contour healthy.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Professional scaling and polishing to remove extrinsic stain, vitality testing if any tooth proves resistant to polishing as that suggests intrinsic discoloration, dietary counselling on tea/coffee/tobacco, hygiene reinforcement, and three-month recall to assess stain recurrence.", "explanation": "Heavy black-brown extrinsic stain typically arises from a combination of chromogenic dietary exposures and mature plaque biofilm interacting with iron salts in saliva; the pattern is removable by polishing although recurrence depends on patient-side biofilm control and habit modification."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Heavy buccal extrinsic stain without cavitation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_3449", "file_name": "Tooth_Discoloration_0_3449.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3449.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close frontal view of dentition behind lips showing teeth with diffuse brown extrinsic staining across the labial surfaces.", "findings": "Generalised brown extrinsic stain across the labial surfaces of anteriors.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing, dietary counselling, hygiene reinforcement.", "explanation": "Diffuse extrinsic stain is plaque/diet-driven and responds to professional polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Diffuse brown extrinsic staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_8857", "file_name": "Tooth_Discoloration_0_8857.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8857.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Lateral close view showing one upper anterior tooth with severe grey-black discoloration adjacent to teeth of normal shade.", "findings": "Single anterior tooth with severe grey-black intrinsic discoloration; adjacent teeth normal; gingival margins healthy.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality and percussion testing, periapical radiograph, endodontic referral if non-vital, then bleaching or veneer.", "explanation": "Discrete grey-black single-tooth discoloration is the classic appearance of pulpal necrosis from trauma or deep caries."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Classic single non-vital tooth presentation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(241)", "file_name": "(241).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(241).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Left lateral close view of upper and lower anteriors showing yellowed dentition with brown cervical staining and visible deposits along the gingival margins; surrounding mucosa pink.", "findings": "Generalised yellow-brown supragingival calculus along cervical thirds of upper and lower anteriors; gingival margins mildly inflamed adjacent to deposits; mild attrition on incisal edges.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Full mouth ultrasonic scaling with attention to cervical deposits, polish stained surfaces, demonstrate proper brushing along the gum line, dietary advice on chromogenic beverages, and recall in three months to assess maintenance.", "explanation": "Long-standing biofilm mineralises into cervical calculus that mechanical scaling readily clears; recurrence depends on the patient's daily plaque control and dietary chromogen exposure."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Cervical calculus deposits with mild marginal inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1091)", "file_name": "(1091).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1091).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Side-by-side comparison showing teeth before and after cleaning; right panel has visible orange-yellow calculus stippling at gingival margin.", "findings": "Pre-cleaning panel shows orange-yellow cervical deposits; post-cleaning panel shows clean cervical contours.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement, six-month recall.", "explanation": "Mild cervical calculus responds to professional polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Visible cervical deposits in right panel."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(604)", "file_name": "(604).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(604).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of dentition heavily stained yellow with visible cervical calculus along all anterior teeth and slight crowding.", "findings": "Heavy yellow-brown calculus along cervical thirds of upper and lower anteriors; mild crowding; gingival margins inflamed adjacent to deposits.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Full mouth ultrasonic scaling, chlorhexidine adjunct, hygiene reinforcement, two-week recall.", "explanation": "Heavy cervical calculus harbours biofilm and drives marginal inflammation that scaling reverses."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy generalised cervical calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_5379", "file_name": "caries_0_5379.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5379.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth showing severely cavitated upper primary anterior teeth with multiple broken-down brown stumps characteristic of advanced early childhood caries.", "findings": "Multiple cavitated upper primary incisors with friable brown remnants; surrounding gingiva mildly inflamed.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, extract non-restorable teeth, space maintenance planning, fluoride preventive program.", "explanation": "Advanced early childhood caries with pulpal involvement needs surgical management and arch-length preservation."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Classic severe early childhood caries pattern."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_5184", "file_name": "caries_0_5184.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5184.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Lower lateral view of mandibular anterior dentition showing dark brown carious cavitation on the lateral incisor and adjacent canine with surrounding cervical staining and mild gingival inflammation around the carious teeth.", "findings": "Cavitated carious lesions on mandibular lateral incisor and adjacent canine; brown cervical staining elsewhere; gingival margins mildly inflamed adjacent to active caries; tooth alignment intact.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore the carious lateral incisor and canine with composite, scale and polish the cervically stained surfaces, apply topical fluoride to high-risk areas, reinforce brushing and interdental cleaning, and recall in two weeks to confirm restoration integrity.", "explanation": "Cavitated caries on adjacent teeth indicates active proximal biofilm activity and dietary acid exposure; restoring the cavitated lesions halts decay progression and combined preventive measures lower the risk of recurrence on neighbouring surfaces."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Multiple cavitated anterior lesions visible."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_6695", "file_name": "caries_0_6695.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6695.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Very close occlusal view of mandibular molars showing deep dark fissure caries with extensive coronal cavitation.", "findings": "Deep dark cavitated fissure caries on adjacent mandibular molars; pulpal exposure possible.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Radiograph and vitality test; pulpotomy or RCT if non-vital.", "explanation": "Deep occlusal caries near the pulp needs vitality assessment before restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Deep fissure cavitation with dark walls."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(397)", "file_name": "(397).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(397).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal view with overexposed lighting showing intact upper and lower anteriors with slightly red gingival margins and otherwise pink mucosa.", "findings": "Mild marginal redness on upper and lower anteriors; teeth intact and well-aligned; no significant calculus visible.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling and polishing, brushing technique reinforcement, six-month recall.", "explanation": "Mild marginal gingivitis is reversible with biofilm control through brushing and routine scaling."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal redness without bleeding or deposits."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1509)", "file_name": "(1509).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1509).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Lower lingual mirror close view showing intact, clean-looking mandibular posterior teeth and healthy pink gingival margins.", "findings": "Intact lower posteriors with clean lingual surfaces; gingival margins pink and well-contoured; no visible inflammation or deposits.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Routine maintenance, six-month recall.", "explanation": "Healthy presentation suggests adequate ongoing oral hygiene with maintenance care."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues appear healthy without overt inflammation; ext label may be misapplied."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(308)", "file_name": "(308).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(308).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal retracted view of upper and lower anteriors with intact aligned dentition, mild yellow tint on teeth, and gingival margins showing slight redness particularly at the upper anteriors with intact contour.", "findings": "Mild marginal redness on the upper anterior gingiva; teeth intact and well-aligned with mild yellow tint; no calculus visible; gingival contour preserved with no swelling.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Routine scaling and polishing, demonstrate proper brushing technique focusing on the upper anterior margins, interdental cleaning advice, six-month recall to monitor gingival response.", "explanation": "Early marginal gingivitis is the reversible plaque-induced phase; daily biofilm disruption through brushing and interdental aids returns the marginal tissues to health within one to two weeks."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild localised marginal erythema."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1004)", "file_name": "(1004).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1004).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth close-up showing upper anterior teeth with a gap consistent with a missing tooth.", "findings": "Upper anterior tooth space with adjacent teeth intact.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph for tooth bud assessment.", "explanation": "Single anterior gap may be congenital absence or delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Anterior gap consistent with missing tooth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(953)", "file_name": "(953).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(953).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth-open view showing upper arch with multiple missing anterior teeth and large edentulous area; lower arch with mixed dentition.", "findings": "Multiple missing upper anterior teeth; remaining centrals widely spaced; lower mixed dentition.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph, paediatric orthodontic consultation, space maintenance and prosthetic planning.", "explanation": "Severe upper anterior absence requires combined orthodontic and prosthodontic planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior teeth missing in the upper arch."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1116)", "file_name": "(1116).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1116).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open showing the upper anterior region with a missing tooth space; adjacent teeth intact with mild irregular alignment.", "findings": "Upper anterior tooth space; remaining anteriors intact; mild irregular alignment of adjacent teeth.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph to confirm tooth bud status, orthodontic review, monitor eruption pattern.", "explanation": "Missing tooth in mixed dentition needs radiographic confirmation of agenesis versus delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Upper anterior space without visible erupting tooth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_5887", "file_name": "Tooth_Discoloration_0_5887.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5887.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of upper anterior teeth showing severe yellow-brown cervical staining along the gingival third with mild marginal redness and otherwise intact coronal portions.", "findings": "Heavy yellow-brown extrinsic cervical staining on upper anteriors; gingival margins mildly inflamed adjacent to deposits; teeth otherwise intact without cavitation; mild calculus may be admixed with the staining.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Professional scaling and polishing with focus on cervical surfaces, demonstrate proper brushing along the gum line, dietary counselling on chromogenic beverages and tobacco, oral hygiene reinforcement, and three-month recall to assess stain recurrence and maintenance.", "explanation": "Heavy cervical extrinsic stain arises from a combination of dietary chromogens binding to mature plaque biofilm and iron salts in saliva; mechanical polishing removes the deposit but recurrence depends on patient-side biofilm control and dietary habit modification."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Heavy cervical extrinsic staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_122", "file_name": "Tooth_Discoloration_0_122.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_122.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of upper anteriors showing severe yellow-brown discoloration with multiple dark spots that may represent stain or early carious lesions.", "findings": "Severe yellow discoloration with dark spotting on upper anteriors.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, polish, assess any spots for cavitation, fluoride.", "explanation": "Combination of extrinsic stain and possible incipient caries needs differentiation."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Heavy stain with spotting that could mask early caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_6567", "file_name": "Tooth_Discoloration_0_6567.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6567.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of upper anterior teeth showing severe brown discoloration with horizontal banding across the teeth and surrounding mild gingival redness.", "findings": "Severe brown horizontal-banded discoloration across upper anteriors; mild marginal gingivitis adjacent.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, professional scaling and polishing, dietary counselling, hygiene reinforcement.", "explanation": "Horizontal banding suggests systemic or developmental discoloration that may require restorative aesthetic care."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Banded severe discoloration suggestive of intrinsic origin."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(612)", "file_name": "(612).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(612).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal view of an older patient showing severe attrition, broken-down crowns, heavy yellow-brown cervical staining and visible calculus on remaining teeth; one anterior tooth is missing.", "findings": "Severe generalised attrition with broken crowns and chipped incisal edges; heavy cervical calculus on remaining teeth; mild gingival inflammation; one missing anterior tooth space.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Full mouth scaling to remove calculus, vitality testing on attrited teeth, restorative planning for broken-down crowns, prosthetic replacement for missing tooth, occlusal evaluation for parafunctional habits and bite guard if indicated.", "explanation": "Multi-pathology presentation needs sequenced care: scaling to control biofilm, then restorative and prosthodontic rehabilitation to restore function and address the attrition driven by long-standing parafunction or bite collapse."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "medium", "rationale": "Attrition and tooth loss dominate; calculus is present but secondary."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(308)", "file_name": "(308).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(308).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of dentition showing severe yellow-brown cervical staining and visible calculus on both arches with bright-red inflamed gingiva.", "findings": "Heavy cervical calculus and inflamed gingival margins on upper and lower anteriors.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Full mouth scaling, chlorhexidine rinse, recall in two weeks.", "explanation": "Heavy calculus drives marginal inflammation that scaling reverses."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy calculus with severe gingival inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1135)", "file_name": "(1135).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1135).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of an upper anterior tooth with a dark cavitated lesion at the cervical/gum line and surrounding inflamed red gingiva.", "findings": "Cervical cavitated dark lesion on upper anterior with adjacent gingival inflammation; differential includes cervical caries and stained calculus.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Probe lesion to differentiate calculus from cavitated caries, scaling, restoration if cavitated, hygiene reinforcement.", "explanation": "Cervical lesions may be calculus or caries; tactile examination differentiates and guides treatment."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "medium", "rationale": "Cervical lesion appears cavitated rather than a deposit; possible caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "caries_0_194", "file_name": "caries_0_194.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_194.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close view of lower anterior teeth showing one upper canine with severe dark grey-black discoloration and broken-down structure contrasted with adjacent normal lower anteriors.", "findings": "Severe darkening and crown destruction on upper canine; lower anteriors intact; mild gingival inflammation adjacent.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Periapical radiograph, vitality testing, endodontic or extraction decision, restorative planning.", "explanation": "Severe coronal destruction with discoloration suggests advanced caries with likely pulpal necrosis."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Cavitated destroyed crown with necrosis-suggestive darkening."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7902", "file_name": "caries_0_7902.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7902.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Close view of upper anteriors showing dark cavitated carious lesions on the cervical and proximal surfaces of one upper canine with adjacent teeth showing intact crowns; gingival margins healthy.", "findings": "Dark cavitated cervical carious lesion on an upper canine; adjacent anteriors intact without active decay; mild yellow tint on coronal surfaces; gingival margins pink with healthy contour.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate the cervical caries on the canine and restore with glass-ionomer or composite, evaluate adjacent surfaces for early proximal caries with radiograph, apply topical fluoride, demonstrate interdental cleaning, and recall in three months to confirm restoration integrity.", "explanation": "Cervical proximal caries arises from biofilm retention at interproximal contact points often missed by brushing alone; restoration halts active dentinal progression and combined fluoride and interdental cleaning education reduces the risk of further proximal lesions."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Discrete cavitated cervical lesion on canine."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1298", "file_name": "caries_0_1298.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1298.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close view of intact upper and lower anteriors with mild yellow tint; teeth appear healthy with no visible cavitation.", "findings": "Intact dentition without visible carious lesions; mild yellow tint.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Bite-wing radiograph to rule out interproximal caries, polish.", "explanation": "Apparent healthy appearance may mask early proximal caries needing radiographic detection."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Teeth appear intact; ext label may be misapplied without radiographic evidence."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(718)", "file_name": "(718).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(718).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Right lateral view of upper posterior teeth showing multiple molars with dark cavitated occlusal lesions and adjacent yellow staining; gingival margins mildly inflamed.", "findings": "Multiple cavitated occlusal carious lesions on upper molars; cervical yellow staining; mild marginal gingivitis adjacent to carious teeth.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore the carious molars, scaling, hygiene reinforcement, recall.", "explanation": "Adjacent caries and biofilm drive the marginal inflammation; restoration plus scaling resolves both."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Multiple cavitated lesions dominate; gingivitis is secondary."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1843)", "file_name": "(1843).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1843).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal close view of lower anterior teeth showing bright-red inflamed swollen gingival tissues with active bleeding; teeth show heavy yellow-white plaque deposits along the cervical margins.", "findings": "Severe marginal erythema with active bleeding on lower anteriors; heavy cervical plaque deposits; rolled, bulbous gingival contour.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth ultrasonic scaling, chlorhexidine 0.2% rinse two weeks, hygiene reinforcement, recall in two weeks.", "explanation": "Severe plaque-induced gingivitis from heavy cervical biofilm reversible with mechanical biofilm removal and adjunct rinses."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Florid marginal inflammation with bleeding and plaque."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1644)", "file_name": "(1644).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1644).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal retracted view of intact upper and lower anteriors showing mild yellow tint and slight marginal redness particularly along the upper anterior gingival margins; teeth otherwise aligned and well-contoured.", "findings": "Mild marginal redness on upper anterior gingival margins; teeth intact with mild yellow tint; no calculus deposits visible; gingival contour preserved without swelling.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling and polishing, demonstrate proper brushing technique along the gum line, interdental cleaning education with floss or interdental brushes, six-month recall to monitor marginal health.", "explanation": "Mild marginal gingivitis represents the earliest reversible phase of plaque-induced periodontal disease; daily biofilm disruption resolves the marginal redness within one to two weeks of professional cleaning and hygiene reinforcement."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Localised mild marginal erythema."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(223)", "file_name": "(223).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(223).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth showing intact lower anteriors and upper anteriors with one missing central incisor space.", "findings": "Missing upper central incisor space; adjacent anteriors intact.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for tooth bud, orthodontic and prosthodontic consult.", "explanation": "Single central agenesis or recent loss; imaging confirms aetiology."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Anterior central space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(474)", "file_name": "(474).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(474).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Backlit frontal view of upper anteriors showing a dark vacant space where a central or lateral incisor is missing.", "findings": "Single anterior missing tooth space visible against backlight.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, orthodontic review, prosthetic planning.", "explanation": "Visible anterior gap needs imaging to confirm congenital absence or delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Clear anterior space against backlight."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(237)", "file_name": "(237).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(237).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Adult smile view showing upper anteriors with a gold-coloured metallic crown or restoration in place of an upper anterior tooth; adjacent teeth intact.", "findings": "Gold metallic crown filling the upper anterior position; rest of dentition intact.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Aesthetic re-evaluation if patient desires, otherwise maintenance; six-month recall.", "explanation": "Metallic restoration occupies the position rather than congenital absence; prosthetic substitute already in place."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "medium", "rationale": "A prosthetic crown is present; not classic hypodontia."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_5603", "file_name": "Tooth_Discoloration_0_5603.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5603.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Lateral close view of upper and lower anteriors showing diffuse yellow-brown extrinsic staining across the cervical and middle thirds; teeth otherwise intact and gingival margins pink.", "findings": "Diffuse yellow-brown cervical and mid-coronal extrinsic staining across upper and lower anteriors; gingival margins healthy; no cavitation; mild yellow tint to enamel.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Professional scaling and polishing to remove extrinsic stain, demonstrate proper brushing technique, dietary counselling on tea/coffee/tobacco, oral hygiene reinforcement, and six-month recall to assess stain recurrence.", "explanation": "Diffuse cervical extrinsic stain typically arises from chromogenic dietary intake and mature plaque biofilm interacting with iron salts in saliva; polishing removes the deposit and dietary modification plus consistent biofilm control delays recurrence."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Diffuse extrinsic cervical stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_7744", "file_name": "Tooth_Discoloration_0_7744.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7744.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Frontal retracted view of lower anteriors showing severe brown cervical staining and visible plaque deposits at the gingival margins.", "findings": "Severe brown cervical extrinsic stain on lower anteriors with plaque deposits and mild marginal gingivitis.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, polish, dietary advice, hygiene reinforcement.", "explanation": "Combined plaque-stain biofilm needs scaling and polishing."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Heavy cervical brown stain on lower anteriors."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_2594", "file_name": "Tooth_Discoloration_0_2594.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2594.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Very close lateral view of upper and lower posterior teeth showing severe brown horizontal-banded staining across the cervical thirds.", "findings": "Heavy brown horizontal-banded cervical staining on multiple posterior teeth; teeth otherwise intact; gingival margins mildly red.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, vitality testing if banding persists, dietary counselling.", "explanation": "Horizontal banded discoloration may be extrinsic or developmental; polishing and assessment differentiate origin."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe banded cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1150)", "file_name": "(1150).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1150).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Left lateral intraoral view showing severe crowding and rotation of upper and lower anteriors with mild yellow cervical staining; teeth otherwise intact, gingiva pink with healthy contour.", "findings": "Severe anterior crowding with significant rotation of upper laterals and lower incisors; mild cervical yellow staining; gingival tissues largely healthy without obvious inflammation.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Routine scaling and polishing for the cervical stain, orthodontic consultation for the crowding which is the dominant clinical issue, demonstrate interdental cleaning techniques for the crowded segments, six-month recall.", "explanation": "Mild cervical staining is the calculus-related finding but the dominant feature is severe crowding that traps plaque in interdental areas and motivates orthodontic evaluation as the more impactful intervention."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Crowding is the dominant clinical finding; calculus is minimal."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(440)", "file_name": "(440).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(440).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Heavily orange/red-filtered close view of dentition showing cervical staining and possible cavitation on one tooth.", "findings": "Yellow-brown cervical staining; one tooth shows possible dark cavitation.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Scaling, polish, assess questionable tooth for caries.", "explanation": "Cervical calculus needs scaling; suspected cavitation needs differential diagnosis."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "medium", "rationale": "Heavy filter; cervical staining is the most visible finding."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(375)", "file_name": "(375).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(375).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Smile view of adult dentition showing intact aligned teeth with mild yellow-brown cervical staining and slight calculus along the cervical margins.", "findings": "Mild yellow-brown cervical staining and supragingival calculus on upper and lower anteriors; teeth otherwise intact and well-aligned.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Routine scaling and polishing, brushing technique reinforcement, six-month recall.", "explanation": "Mild cervical calculus is easily removed by scaling and prevented with brushing."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical staining and calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1928", "file_name": "caries_0_1928.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1928.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Frontal view of severely affected dentition with multiple dark cavitated lesions on upper anteriors, broken crowns, and gross coronal destruction.", "findings": "Multiple cavitated dark carious lesions on upper anteriors with broken-down coronal structure; adjacent lower anteriors less affected.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract non-restorable teeth, plan staged prosthetic rehabilitation, restore salvageable teeth, periapical radiographs.", "explanation": "Severe coronal destruction requires extraction and prosthetic replacement to restore function and aesthetics."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple non-restorable carious anterior teeth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_8226", "file_name": "caries_0_8226.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8226.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Close frontal view of upper and lower anterior teeth showing multiple dark carious lesions including a small dark spot on a lower canine and brown discoloration with possible cavitation on upper anteriors; gingival margins mildly inflamed adjacent to the carious teeth.", "findings": "Multiple discrete dark carious lesions on upper and lower anteriors with cavitation evident; mild gingival inflammation adjacent to active lesions; coronal structure otherwise intact across the dentition.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore each cavitated lesion with composite, scale the surrounding cervical surfaces, apply topical fluoride, demonstrate interdental cleaning, dietary counselling, and three-month recall to monitor for new lesions in this clearly caries-active patient.", "explanation": "Multiple cavitated anterior lesions in a single patient indicate active caries with high biofilm/diet activity; combined operative restoration plus aggressive preventive care reduces the rate of new lesion formation in the at-risk dentition."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Multiple discrete cavitated anterior lesions."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_5194", "file_name": "caries_0_5194.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5194.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of lower molars showing dark cavitated occlusal lesions on adjacent posterior teeth.", "findings": "Cavitated occlusal caries on adjacent mandibular molars with dark dentinal exposure.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore both molars; bitewing radiograph for proximal caries.", "explanation": "Adjacent cavitated lesions need restoration to halt dentinal progression."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated occlusal lesions on adjacent molars."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1421)", "file_name": "(1421).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1421).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Right lateral intraoral view of well-aligned upper and lower posterior teeth showing intact dentition with mild yellow cervical staining and pink gingival margins with slight marginal redness on the upper aspects.", "findings": "Intact lateral posterior dentition; mild yellow cervical staining; gingival margins pink with localised slight redness on the upper aspect; no calculus deposits.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Routine scaling and polishing, brushing technique reinforcement, six-month recall.", "explanation": "Mild localised marginal gingivitis is reversible with biofilm control through brushing and routine scaling."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal erythema localised to upper aspect."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1361)", "file_name": "(1361).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1361).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal retracted view of upper and lower anteriors showing severe gingival inflammation with bright-red bulbous marginal tissues and significant gingival overgrowth particularly on the upper anteriors; mild anterior crowding visible.", "findings": "Severe marginal gingival inflammation with bulbous overgrowth on upper anteriors; mild anterior crowding; bleeding-prone gingival contour rolled rather than knife-edge.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth ultrasonic scaling, chlorhexidine rinse two weeks, hygiene reinforcement, recall in two weeks for re-evaluation.", "explanation": "Severe plaque-induced gingivitis with overgrowth resolves with biofilm control and mechanical scaling."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe marginal enlargement with bulbous contour."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1955)", "file_name": "(1955).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1955).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of intact upper and lower posterior dentition showing well-aligned white teeth with pink healthy-appearing gingival margins; no overt inflammation or deposits visible.", "findings": "Intact lateral posterior dentition with clean labial surfaces; gingival margins pink and knife-edge; no visible plaque deposits or marginal inflammation.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Maintain current oral hygiene practices, polish at next recall, demonstrate continued interdental cleaning, six-month recall to monitor marginal health.", "explanation": "Despite the ext label of gingivitis, the gingiva appears healthy with normal contour; if any subclinical inflammation exists it is reversible with continued biofilm control through daily brushing and interdental hygiene."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues appear healthy; ext label may be misapplied."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(646)", "file_name": "(646).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(646).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Smile view of an adult showing a small visible gap between two upper anterior teeth (possible diastema or single tooth gap).", "findings": "Small upper anterior space between centrals or laterals; adjacent teeth intact.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Panoramic radiograph; orthodontic and prosthodontic consult.", "explanation": "Anterior gap may be midline diastema or congenital tooth absence."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Could be midline diastema rather than agenesis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(1185)", "file_name": "(1185).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1185).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric smile view showing upper anterior region with a clear gap where one central or lateral incisor is missing.", "findings": "Single missing upper anterior tooth in a child; adjacent teeth present with mixed dentition pattern.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for tooth bud assessment, paediatric orthodontic consultation, monitor eruption.", "explanation": "Anterior tooth absence in mixed dentition needs imaging to differentiate agenesis from delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Clear single anterior tooth gap."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(110)", "file_name": "(110).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(110).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open view showing upper anteriors with multiple missing tooth spaces and irregular alignment.", "findings": "Multiple missing upper anterior teeth in mixed dentition; surrounding teeth with irregular alignment.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph, paediatric orthodontic referral, space maintenance planning.", "explanation": "Multiple anterior tooth absences need radiographic confirmation and combined orthodontic-prosthodontic planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior tooth absences in pediatric mouth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_8389", "file_name": "Tooth_Discoloration_0_8389.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8389.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of upper anterior teeth showing translucent grey-white discoloration with vertical banding and what appears to be orthodontic retainer or bonding wire visible at the gingival margin; gingival tissues pink.", "findings": "Generalised grey-translucent discoloration with vertical banding on upper anteriors; orthodontic retainer or fixed appliance bonding visible at cervical region; gingival contour healthy.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing on the discoloured teeth, professional scaling and polishing around the bonded retainer, consider supervised vital bleaching after restorative review, dietary counselling, three-month recall to assess discoloration progression.", "explanation": "Severe generalised intrinsic-appearing discoloration may reflect tetracycline staining, fluorosis, or developmental enamel defects; bleaching may improve aesthetics but underlying enamel structure cannot be restored without restorative intervention such as veneers."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Severe generalised translucent discoloration with banding."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_4681", "file_name": "Tooth_Discoloration_0_4681.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4681.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Heavily zoomed close-up showing pink mucosal surface with a small darkened area; image is hard to interpret clearly.", "findings": "Isolated small dark spot on pink mucosal surface; image very zoomed making clinical context unclear.", "diagnosis": "Other visible abnormality", "severity": "Mild", "recommendation": "Recapture image with wider field of view; clinical examination.", "explanation": "Limited image clarity prevents confident diagnosis without better visualisation."}, "diagnoser": {"diagnosis": "Other visible abnormality", "severity": "Mild", "confidence": "low", "rationale": "Image too zoomed to confidently diagnose; mucosal lesion possible."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_7209", "file_name": "Tooth_Discoloration_0_7209.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7209.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of lower posterior teeth showing severe yellow-brown discoloration extending along the cervical margins and interproximal surfaces.", "findings": "Severe yellow-brown extrinsic cervical and interproximal staining on lower posteriors; teeth otherwise intact; mild gingival redness adjacent.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Professional scaling and polishing, dietary counselling on chromogenic beverages, brushing reinforcement, three-month recall.", "explanation": "Heavy cervical-interproximal extrinsic stain responds well to polishing; recurrence depends on biofilm control and diet."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Heavy cervical extrinsic staining on lower posteriors."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1206)", "file_name": "(1206).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1206).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of upper and lower anteriors with fixed orthodontic brackets and arch wires; heavy yellow food debris and plaque/calculus accumulation surrounding the brackets and along the gingival margins.", "findings": "Heavy peri-bracket plaque-calculus accumulation with food debris trapped around orthodontic appliances on upper and lower anteriors; gingival margins inflamed where visible; brackets and arch wires obscured by deposits.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Immediate ultrasonic scaling around brackets, chlorhexidine 0.2% rinse two weeks, oral hygiene training with interdental brushes and floss threaders, cariogenic-diet counselling, two-week recall.", "explanation": "Orthodontic appliances create plaque retention sites that mineralise rapidly into calculus and risk demineralisation/white-spot lesions on enamel surfaces beneath; intensive hygiene combined with regular professional cleaning is essential during fixed appliance therapy to prevent permanent decalcification scars."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy peri-orthodontic plaque-calculus accumulation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(151)", "file_name": "(151).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(151).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Frontal retracted view of severely affected dentition with massive yellow-brown calculus accumulation on upper teeth and severely destroyed crowns.", "findings": "Massive supragingival calculus on upper anteriors with severe coronal destruction.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session full mouth scaling, periodontal review, restorative planning.", "explanation": "Severe calculus burden plus coronal destruction needs comprehensive staged care."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Massive calculus burden across upper dentition."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(893)", "file_name": "(893).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(893).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Close view of upper anterior tooth showing dark debris and granular calculus at the gingival margin with surrounding inflamed bleeding gingiva.", "findings": "Dark granular calculus on cervical aspect of an upper anterior; surrounding gingiva inflamed and bleeding.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Localised ultrasonic scaling, polish, oral hygiene reinforcement, two-week recall.", "explanation": "Cervical calculus drives marginal bleeding reversible with scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Cervical calculus with adjacent bleeding gingiva."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_779", "file_name": "caries_0_779.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_779.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "3D-rendered illustration of mandibular anterior teeth showing dark cervical carious lesions at the gingival margins on multiple teeth; gingival tissues shown in pink.", "findings": "Multiple cervical carious lesions on lower anteriors at the cementoenamel junction (illustration); progressive cervical destruction.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore cervical caries with composite or glass-ionomer, scaling, fluoride application, hygiene reinforcement.", "explanation": "Cervical caries develops where plaque retention meets exposed root; restoration plus prevention halts it."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "medium", "rationale": "3D rendering of cervical caries; note this is illustration not photo."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_684", "file_name": "caries_0_684.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_684.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of upper anteriors showing intact dentition with multiple white-spot lesions and mild cervical yellow staining; teeth otherwise structurally intact.", "findings": "Chalky white-spot lesions distributed across the labial surfaces of upper anteriors suggestive of early enamel demineralisation; mild cervical yellow staining; teeth structurally intact without cavitation.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Topical fluoride varnish on white-spot lesions, casein-phosphopeptide remineralising paste at home, hygiene reinforcement, dietary advice, three-month recall.", "explanation": "White-spot lesions represent reversible enamel demineralisation that can remineralise with fluoride and biofilm control; early intervention before cavitation preserves enamel structure and avoids restorative intervention."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "White-spot lesions suggest early caries activity."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_8753", "file_name": "caries_0_8753.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8753.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of upper molars showing a deep dark cavitated occlusal lesion on one molar with surrounding intact tooth.", "findings": "Cavitated dark occlusal caries on a maxillary molar with surrounding intact dentition.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore with composite or onlay.", "explanation": "Discrete cavitated occlusal caries needs restoration to halt progression."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Discrete cavitated molar lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(329)", "file_name": "(329).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(329).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of dentition with heavy yellow cervical staining/calculus deposits along gum margins and visibly inflamed bleeding-prone gingiva.", "findings": "Heavy cervical plaque-calculus accumulation; bright red marginal gingiva with bulbous contour; mild crowding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth scaling, chlorhexidine rinse, hygiene reinforcement, two-week recall.", "explanation": "Heavy cervical biofilm drives severe marginal inflammation reversible with scaling."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Heavy plaque with marginal inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(2024)", "file_name": "(2024).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(2024).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Side-by-side view of two posterior molar angles showing one molar with severe cavitation and dark caries while the other shows intact aligned posterior teeth.", "findings": "Cavitated dark carious lesion on a molar (left panel); adjacent posteriors intact (right panel); gingival margins variably inflamed.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Restore the carious molar, scale and polish, hygiene reinforcement.", "explanation": "Cavitated caries adjacent to gingivitis drives both pathologies; restoration plus scaling resolves."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Dominant finding is cavitated caries, not gingivitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1596)", "file_name": "(1596).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1596).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Very close magnified view of an upper anterior tooth at the gingival margin showing rough surface texture, mild redness of the marginal gingiva, and possible minor cervical wear or staining.", "findings": "Localised mild marginal gingival redness at the cervical region of an upper anterior; rough cervical surface texture visible; no overt deposit or cavitation.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Routine scaling and polishing, gentle brushing technique demonstration to avoid further cervical abrasion, six-month recall to monitor marginal health.", "explanation": "Localised marginal gingivitis with adjacent cervical wear may indicate over-aggressive brushing; biofilm control combined with soft-bristle gentle technique resolves the inflammation."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Localised mild cervical inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(472)", "file_name": "(472).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(472).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Red-filtered close view showing dentition with multiple missing tooth spaces and broken-down remaining structures.", "findings": "Multiple missing tooth spaces with broken remaining structures.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, comprehensive restorative and prosthetic planning.", "explanation": "Severe oligodontia or acquired multiple missing teeth needs comprehensive care."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Multiple missing teeth; acquired vs congenital ambiguous."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(824)", "file_name": "(824).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(824).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Mouth open view showing only a few remaining upper anteriors with severely missing posterior teeth and visible blackened root remnants.", "findings": "Only sparse upper anteriors remain; multiple missing posteriors; visible root remnants and decay on remaining teeth.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Extract root remnants, comprehensive prosthodontic and periodontal planning, complete denture vs implant evaluation.", "explanation": "Severe tooth loss with retained roots needs surgical clearance before prosthodontic rehabilitation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss, not hypodontia."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(834)", "file_name": "(834).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(834).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Lateral view of adult dentition showing yellow-stained crowded anterior teeth with one missing upper anterior tooth space; lower teeth visible.", "findings": "Single missing upper anterior tooth in crowded adult dentition; yellow cervical staining; remaining teeth intact.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Panoramic radiograph, orthodontic and prosthodontic consult, scaling for stain.", "explanation": "Single missing anterior tooth in adult is usually acquired loss; imaging clarifies aetiology."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Adult single tooth loss more likely acquired."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_8840", "file_name": "Tooth_Discoloration_0_8840.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8840.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of upper anterior teeth showing severe yellow-brown discoloration across the labial surfaces with chalky white areas and possible early cavitation on at least one tooth; gingival tissues mildly inflamed.", "findings": "Severe yellow-brown discoloration with white opacities across upper anteriors suggesting fluorosis or hypoplasia overlay; possible early cavitation on a single tooth; mild gingival inflammation adjacent.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, professional scaling and polishing, evaluate cavitated area for restoration, consider microabrasion or composite veneer for aesthetics after pulpal assessment, fluoride therapy, dietary counselling.", "explanation": "Mixed extrinsic and intrinsic discoloration patterns with possible developmental enamel defect need differentiation; aesthetic management options range from polish/bleaching for extrinsic to restorative veneers for intrinsic developmental defects."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Severe mixed discoloration with possible cavitation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_955", "file_name": "Tooth_Discoloration_0_955.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_955.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of severely affected dentition with yellow-brown staining and grossly inflamed bleeding bright-red gingiva surrounding the teeth.", "findings": "Severe yellow-brown extrinsic staining on teeth; severe gingival inflammation with active bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Scaling, chlorhexidine rinse, address gingivitis first, then aesthetic care.", "explanation": "Heavy stain and gingivitis coexist; treat inflammation first."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominates; discoloration is secondary finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "Tooth_Discoloration_0_8713", "file_name": "Tooth_Discoloration_0_8713.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8713.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Very close magnified view of cervical area of upper anterior teeth showing yellow-brown extrinsic staining at gingival margins with rough surface texture and pinkish granular plaque.", "findings": "Cervical yellow-brown extrinsic stain with pink granular plaque deposits at gingival margins; teeth otherwise intact.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Professional scaling and polishing, brushing technique reinforcement, dietary counselling.", "explanation": "Cervical extrinsic stain plus plaque deposits respond well to professional cleaning."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Cervical extrinsic stain with plaque."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(961)", "file_name": "(961).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(961).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Lateral view of crowded yellow-stained dentition with mild cervical calculus and slight gingival recession on the upper anteriors.", "findings": "Yellow cervical calculus on upper and lower anteriors with mild recession.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Scaling, polish, hygiene reinforcement.", "explanation": "Cervical calculus drives recession; scaling halts progression."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Cervical calculus with recession."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(761)", "file_name": "(761).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(761).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Smile close view of upper and lower anteriors showing mild yellow cervical staining with mild calculus deposits along the gingival margins.", "findings": "Mild yellow cervical calculus on upper and lower anteriors; gingiva pink with mild marginal redness; mild crowding.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Routine scaling and polishing; brushing reinforcement; six-month recall.", "explanation": "Mild cervical calculus removable by scaling; reinforce hygiene to prevent recurrence."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(915)", "file_name": "(915).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(915).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Frontal retracted view with cheek retractor showing mild yellow cervical staining and small calculus deposits on lower anteriors; gingiva pink with mild marginal redness.", "findings": "Mild cervical calculus on lower anteriors; mild marginal redness; teeth otherwise intact and well-aligned.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling, polish, hygiene reinforcement, six-month recall.", "explanation": "Mild cervical calculus driving marginal redness resolved by scaling and brushing reinforcement."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical calculus on lower anteriors."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(895)", "file_name": "(895).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(895).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Side-by-side before/after frontal views showing intact dentition; top panel has cervical yellow-brown calculus deposits along the gingival margins; bottom panel post-cleaning shows yellowed teeth with cleaner cervical contours.", "findings": "Top panel shows generalised cervical calculus on upper and lower anteriors with mild gingival inflammation; bottom panel shows mostly clean cervical areas post-scaling with residual yellow tint.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Maintain post-scaling hygiene with twice-daily brushing along the gum line, interdental cleaning, professional polish every six months, dietary advice to reduce stain-causing beverages.", "explanation": "Supragingival calculus mineralises from prolonged plaque retention along the gingival margin; mechanical scaling removes it and sustained biofilm control determines recurrence rate."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Pre/post comparison shows cervical calculus removed."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(683)", "file_name": "(683).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(683).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Lateral view of well-aligned dentition with moderate yellow staining and mild calculus on cervical areas of upper and lower posterior teeth.", "findings": "Moderate cervical yellow calculus on upper and lower posteriors; teeth aligned.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Scaling, polish, hygiene reinforcement.", "explanation": "Cervical calculus driven by biofilm; scaling clears and brushing maintains."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Cervical calculus on posteriors."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(200)", "file_name": "(200).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(200).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of yellow-stained anteriors with bright red severely inflamed gingival margins, bleeding evident at the gum line.", "findings": "Yellow stained anteriors with severe marginal gingival inflammation and bleeding; cervical calculus visible on lower anteriors.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement, two-week recall.", "explanation": "Heavy calculus burden drives severe marginal inflammation reversible with scaling and adjunct rinses."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis is dominant finding; calculus is concurrent."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(106)", "file_name": "(106).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(106).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Frontal view showing severe yellow cervical staining and heavy calculus on upper and lower anteriors with broken-down lower anterior structure.", "findings": "Heavy cervical calculus on upper and lower anteriors; broken-down lower anteriors with possible carious destruction; gingival margins inflamed.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session scaling, restorative evaluation of broken lower anteriors, hygiene reinforcement, two-week recall.", "explanation": "Heavy calculus plus broken teeth signal long-neglected periodontal and restorative care."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy calculus burden across dentition."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(485)", "file_name": "(485).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(485).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Red-filtered side-by-side comparison views of upper and lower anteriors showing heavy yellow-brown cervical calculus deposits along the gingival margins with red filter creating dramatic shadow contrast against the calculus.", "findings": "Generalised heavy yellow-brown cervical calculus on upper and lower anteriors; gingival margins inflamed; teeth structurally intact behind the deposits.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session full mouth ultrasonic scaling, chlorhexidine 0.2% rinse for two weeks, demonstrate proper brushing technique focused on the cervical region, professional polish at each session, two-week recall to confirm gingival response.", "explanation": "Heavy long-standing supragingival calculus provides a sustained biofilm reservoir; mechanical scaling is essential since neither brushing nor chemical agents can dissolve mineralised deposits."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy cervical calculus across both arches."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(259)", "file_name": "(259).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(259).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Lateral close view of stained worn anterior teeth with cervical calculus, mild attrition on incisal edges, and inflamed gingiva.", "findings": "Cervical calculus, mild attrition, and gingival inflammation on lower anteriors.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Scaling, occlusal evaluation, hygiene reinforcement.", "explanation": "Combined calculus and attrition reflect long-standing wear and biofilm."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Calculus with attrition."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(230)", "file_name": "(230).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(230).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Right lateral retracted view of upper and lower posterior dentition with mild yellow cervical staining and overcrowding of premolars; gingiva mostly pink.", "findings": "Mild cervical staining on posteriors with crowding of premolars; gingival margins healthy.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling and polishing, orthodontic consultation for crowding, six-month recall.", "explanation": "Mild calculus is the active concern but crowding warrants orthodontic review."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Crowding is more clinically significant than the mild calculus."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1051)", "file_name": "(1051).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1051).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Upper palatal mirror view showing intact dentition with metal restorations, mild palatal staining and small cervical deposits on multiple posterior teeth; the palatal mucosa and soft tissues are unremarkable.", "findings": "Intact upper arch with mild palatal cervical staining and small calculus deposits on posterior teeth; existing metal restorations visible on molars; soft tissues healthy.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Routine scaling and polishing focused on the palatal cervical region, evaluate restoration margins for any leakage, demonstrate brushing technique for palatal surfaces, six-month recall.", "explanation": "Mild palatal cervical staining and calculus are biofilm-driven and respond to polishing; surrounding restorations require periodic margin review to detect any microleakage early."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "medium", "rationale": "Mild palatal cervical deposits."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1527", "file_name": "caries_0_1527.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1527.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of dentition with one upper anterior tooth showing cervical brown caries and adjacent staining.", "findings": "Cervical caries on upper anterior; surrounding anteriors intact.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore cervical caries with composite.", "explanation": "Cervical caries needs restoration to halt dentinal progression."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cervical cavitated lesion visible."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1597", "file_name": "caries_0_1597.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1597.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close intraoral view of inflamed bleeding gingival tissue with a whitish chalky area at the gingival margin suggestive of subgingival caries or recent restoration.", "findings": "Inflamed bleeding gingiva with adjacent whitish area at margin; possible subgingival caries; cervical area cannot be fully visualised.", "diagnosis": "Gingivitis", "severity": "Moderate", "recommendation": "Probe and radiograph for subgingival caries assessment, scaling, evaluate for restoration.", "explanation": "Subgingival caries needs radiographic confirmation before restorative planning."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Moderate", "confidence": "low", "rationale": "Inflammation dominant; subgingival caries uncertain."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_4512", "file_name": "caries_0_4512.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4512.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Extreme close view of severely decayed retained root remnants with dark cavitation and necrotic-appearing pulpal tissue visible.", "findings": "Severely decayed retained roots with dark necrotic appearance and complete coronal destruction.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract retained roots, plan prosthetic rehabilitation, antibiotic cover if needed.", "explanation": "Non-restorable retained roots harbor chronic infection and need surgical removal."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Retained roots with severe decay."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_4126", "file_name": "caries_0_4126.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4126.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth showing severely cavitated upper primary anterior teeth with multiple destroyed crowns and dark brown lesions exposing dentinal cores; gingival margins mildly inflamed; lower anteriors intact.", "findings": "Multiple severely cavitated upper primary anteriors with brown coronal destruction characteristic of early childhood caries; pulpal exposure possible on several teeth; gingival margins inflamed adjacent to lesions.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Comprehensive pediatric dental review under sedation, extract non-restorable teeth, stainless steel crowns or pulpotomy on salvageable teeth, parental counselling on feeding habits, three-monthly recall.", "explanation": "Severe early childhood caries pattern from prolonged sugar exposure; advanced cavitation requires surgical management and aggressive preventive care for the remaining and developing teeth."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Classic severe early childhood caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_9160", "file_name": "caries_0_9160.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9160.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close occlusal view of a lower molar showing a small white area on the buccal surface; otherwise the tooth appears intact.", "findings": "Small white area on lower molar suggestive of early white-spot lesion.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Fluoride application and remineralisation paste.", "explanation": "White-spot lesion is reversible enamel demineralisation."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Possible early enamel lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_2937", "file_name": "caries_0_2937.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_2937.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of upper anteriors showing severe dark brown cavitation and broken coronal structure on multiple teeth; surrounding gingiva inflamed and partially recessed.", "findings": "Severe coronal destruction with cavitated lesions and dark necrotic tissue on multiple upper anteriors; adjacent gingival inflammation and recession.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract non-restorable teeth, plan prosthetic rehabilitation, antibiotic cover, scaling.", "explanation": "Severe coronal destruction with non-restorable teeth needs surgical clearance before prosthetic care."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable caries on multiple anteriors."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_6392", "file_name": "caries_0_6392.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6392.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close lateral view showing a single severely cavitated upper canine with grey-black coronal destruction adjacent to relatively intact neighbours; mild gingival inflammation.", "findings": "Single severely cavitated upper canine with grey-black destruction; adjacent teeth intact; mild gingival inflammation adjacent.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Periapical radiograph, vitality testing, endodontic versus extraction decision.", "explanation": "Severe single-tooth cavitation likely reaching pulp needs vitality assessment."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Cavitated non-vital-appearing canine."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_567", "file_name": "caries_0_567.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_567.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Orange-filtered pediatric mouth view showing severely cavitated upper anteriors with dark carious lesions and broken-down coronal structure; surrounding gingiva inflamed and bleeding; image colour is heavily orange.", "findings": "Multiple severely cavitated upper primary anteriors with dark carious lesions; broken coronal structure; gingival margins inflamed and bleeding adjacent to active caries.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, extract non-restorable teeth, restorations on salvageable teeth, parental counselling, three-monthly recall for caries activity monitoring.", "explanation": "Severe early childhood caries with broken-down teeth needs surgical management combined with aggressive prevention to halt the active disease process and preserve developing dentition."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe early childhood caries pattern."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_5757", "file_name": "caries_0_5757.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5757.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close pediatric view of lower anteriors showing severely decayed cavitated brown lesions on multiple teeth.", "findings": "Multiple severely cavitated lower anterior teeth with dark coronal destruction.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, extract non-restorable teeth.", "explanation": "Severe caries needs surgical management."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe pediatric caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_6870", "file_name": "caries_0_6870.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6870.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of lower anterior dentition with severe cervical caries on multiple teeth and dark brown stain extending to cervical surfaces; gingival margins inflamed.", "findings": "Severe cervical caries on lower anteriors with brown cervical staining; gingival inflammation adjacent.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore cervical caries, scaling, hygiene reinforcement, fluoride.", "explanation": "Cervical caries plus inflammation needs combined operative and periodontal care."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe cervical caries on lowers."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1404", "file_name": "caries_0_1404.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1404.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close smile view of upper anteriors showing intact white teeth with a small dark spot at the cervical region of one central incisor suggesting early caries.", "findings": "Single small dark cervical spot on upper central incisor; adjacent teeth intact; gingiva pink and healthy.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe lesion, fluoride application, restoration if cavitated, six-month recall.", "explanation": "Small cervical lesion needs evaluation for cavitation versus arrested caries before restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Small cervical lesion on central."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_6898", "file_name": "caries_0_6898.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6898.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Upper palatal mirror view showing intact posterior dentition with two retained root remnants in the anterior position showing severe coronal destruction and dark necrotic tissue; surrounding gingiva moderately inflamed; remaining posteriors intact.", "findings": "Two anterior retained roots with severe coronal destruction and necrotic appearance; posterior teeth intact; gingival inflammation localised around the retained roots; palatal mucosa unremarkable.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract retained anterior roots, plan prosthetic replacement with bridge or implants after healing, scaling of remaining dentition, antibiotic cover if signs of acute infection.", "explanation": "Retained roots from severe coronal caries harbor chronic biofilm and infection that requires surgical removal before any prosthetic rehabilitation can proceed; the surrounding gingival inflammation will resolve with extraction and routine hygiene."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Retained roots with severe destruction."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1518)", "file_name": "(1518).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1518).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view showing severely cavitated brown teeth and severely inflamed bleeding gingiva.", "findings": "Severe pediatric caries and severe marginal gingivitis with bleeding.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review, extractions, hygiene, fluoride.", "explanation": "Severe caries plus gingivitis needs combined surgical and preventive care."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Caries dominant over gingivitis here."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(2120)", "file_name": "(2120).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(2120).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of upper and lower anterior dentition with fixed orthodontic brackets and green elastic ligatures; gingival tissues inflamed and slightly swollen adjacent to bracket bonding areas.", "findings": "Generalised mild marginal gingival inflammation around orthodontic brackets with green ligatures; some bleeding at gingival margins.", "diagnosis": "Gingivitis", "severity": "Moderate", "recommendation": "Scale around brackets, chlorhexidine rinse, hygiene training with interdental brushes and floss threaders.", "explanation": "Orthodontic appliances retain plaque and drive marginal inflammation reversible with intensive hygiene."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Moderate", "confidence": "high", "rationale": "Peri-orthodontic gingival inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1101)(1)", "file_name": "(1101)(1).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1101)(1).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Right lateral intraoral view of intact upper and lower posterior dentition with mild yellow cervical staining and slight gingival redness on the upper margins; gingival contour preserved.", "findings": "Mild marginal redness on upper posterior gingiva; mild yellow cervical staining; teeth intact and well-aligned.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling and polishing, brushing technique reinforcement, six-month recall.", "explanation": "Mild localised marginal gingivitis is reversible with biofilm control through brushing and routine scaling."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild localised marginal inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(603)", "file_name": "(603).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(603).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close frontal close view of dentition with severe bright red gingival inflammation, marked recession on upper anteriors exposing root surfaces, active bleeding at the gum line, and yellow cervical staining on the teeth.", "findings": "Severe generalised gingival inflammation with marked recession exposing roots on upper anteriors; cervical staining on teeth; active marginal bleeding at multiple sites.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Full mouth scaling, periodontal probing for pocketing, soft-bristle technique demo, fluoride to exposed roots, recall in two weeks for re-evaluation possibly with periodontal referral.", "explanation": "Severe marginal inflammation with recession indicates a combination of plaque-induced gingivitis and possible attachment loss; the recession may be exacerbated by aggressive brushing requiring technique modification alongside biofilm control."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "medium", "rationale": "Severe gingivitis with recession may indicate periodontitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1610)", "file_name": "(1610).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1610).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Frontal close-up of lower anterior teeth showing severe crowding with rotated incisors and mild cervical yellow staining; gingiva visible with mild redness.", "findings": "Severe lower anterior crowding with mild cervical staining and mild marginal inflammation.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, orthodontic consultation, hygiene reinforcement.", "explanation": "Crowding drives plaque retention and gingivitis; orthodontics addresses root cause."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Severe crowding dominates."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(563)", "file_name": "(563).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(563).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Right lateral retracted view of intact adult dentition with well-aligned teeth, mild cervical yellow staining, and pink gingival margins with slight localised redness.", "findings": "Intact adult lateral dentition; mild cervical yellow staining; gingiva pink with localised mild marginal redness.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling and polishing, brushing technique reinforcement, six-month recall.", "explanation": "Mild localised marginal gingivitis from cervical biofilm; scaling and hygiene resolve."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal redness."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(459)", "file_name": "(459).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(459).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal close view of upper anterior teeth showing severe bright red gingival inflammation with significant gingival overgrowth surrounding the teeth and a yellow tooth shade.", "findings": "Severe gingival enlargement and inflammation surrounding upper anteriors; yellow tooth shade; rolled bulbous gingival contour.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth scaling, evaluate for drug-induced enlargement if patient on medications, chlorhexidine rinse, hygiene reinforcement.", "explanation": "Severe gingival enlargement may be plaque-induced or drug-induced; both require biofilm control as first-line therapy."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival enlargement."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(2332)", "file_name": "(2332).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(2332).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal smile view showing well-aligned upper and lower dentition with mostly normal tooth shade, mild yellow cervical tint and pink gingival margins with no overt inflammation; teeth otherwise intact.", "findings": "Well-aligned dentition with mild cervical yellow tint; gingival margins pink with no significant inflammation; teeth intact without cavitation.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Maintain current oral hygiene practices, professional polish at next recall, demonstrate continued interdental cleaning, six-month recall to monitor marginal health.", "explanation": "The presentation appears largely healthy with at most subclinical inflammation; ongoing biofilm control through daily brushing and interdental hygiene maintains gingival health and prevents progression to overt gingivitis."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues appear largely healthy; ext label questionable."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1295)", "file_name": "(1295).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1295).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Posterior lateral view showing teeth with a gold crown on a premolar and a broken posterior tooth with cervical staining; gingiva moderately inflamed.", "findings": "Gold crown on premolar; broken posterior tooth with cervical stain; gingival inflammation.", "diagnosis": "Fillings/Restorations", "severity": "Moderate", "recommendation": "Restore broken tooth, scaling, hygiene reinforcement.", "explanation": "Combined restorative and periodontal needs."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Moderate", "confidence": "medium", "rationale": "Crown and broken tooth dominate."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(856)", "file_name": "(856).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(856).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of well-aligned adult dentition with intact white teeth and pink healthy-appearing gingival margins with normal contour.", "findings": "Intact well-aligned dentition; gingival margins pink and knife-edge; no inflammation or deposits visible.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Maintain current oral hygiene, professional polish at next recall, six-month recall.", "explanation": "Largely healthy presentation; ongoing biofilm control maintains gingival health."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Healthy-appearing tissues."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1878)", "file_name": "(1878).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1878).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Upper palatal close view showing intact posterior teeth, gold crown on a premolar, and a soft pinkish raised swelling adjacent to the gingival margin suggesting a possible gingival lesion or cyst.", "findings": "Pinkish gingival swelling adjacent to a gold crown on upper premolar; teeth otherwise intact; localised soft-tissue mass concerning for cyst or reactive lesion.", "diagnosis": "Other visible abnormality", "severity": "Moderate", "recommendation": "Periapical radiograph, biopsy or excision of soft-tissue mass if persistent, oral surgery referral.", "explanation": "Localised gingival mass adjacent to existing crown warrants biopsy to differentiate reactive lesion from neoplastic process."}, "diagnoser": {"diagnosis": "Other visible abnormality", "severity": "Moderate", "confidence": "medium", "rationale": "Soft-tissue lesion is dominant finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(348)", "file_name": "(348).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(348).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal retracted view of overexposed upper and lower anterior dentition showing white teeth with multiple cervical white-spot lesions and bright red severely inflamed gingival margins with bleeding evident at the cervical region.", "findings": "Multiple cervical white-spot lesions on upper anteriors suggesting early enamel demineralisation; severe bright-red marginal gingival inflammation with active bleeding; teeth otherwise intact and well-aligned.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth scaling, fluoride varnish on white-spot lesions, chlorhexidine 0.2% rinse two weeks, hygiene reinforcement with interdental cleaning, dietary counselling, two-week recall to assess gingival response and lesion stability.", "explanation": "Severe plaque-induced gingivitis combined with white-spot lesions indicates an active biofilm and acid challenge; combined biofilm removal plus fluoride therapy halts the demineralisation and resolves the gingival inflammation."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with concurrent white-spot lesions."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1138)", "file_name": "(1138).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1138).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Lateral view of upper and lower anteriors with a noticeable space between the upper central incisors (midline diastema).", "findings": "Midline diastema between upper centrals; teeth intact; gingiva pink.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Panoramic radiograph, orthodontic consult.", "explanation": "Midline diastema differential includes hypodontia of mesiodens or congenital absence."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Midline diastema more likely malocclusion than hypodontia."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(1108)", "file_name": "(1108).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1108).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Frontal smile view showing well-aligned upper and lower dentition with intact white teeth and pink gingival margins; no obvious missing teeth visible.", "findings": "Intact well-aligned dentition; gingiva pink with healthy contour; no overt missing teeth visible.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Panoramic radiograph if hypodontia suspected by history, otherwise routine recall.", "explanation": "Apparent intact dentition; imaging needed to confirm any congenital absence."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "No visible missing teeth; ext label questionable."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(1204)", "file_name": "(1204).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1204).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric smile view showing upper anteriors with a small dark spot on one central incisor and a slight gap suggesting either small caries or partial eruption of an adjacent tooth.", "findings": "Small dark cervical spot on upper central; mild interdental space; mixed dentition pattern.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Panoramic radiograph for tooth bud assessment, dental review for the dark spot.", "explanation": "Combination of small cavitation and gap needs radiograph to confirm both caries activity and tooth bud presence."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Small caries lesion is dominant finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(963)", "file_name": "(963).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(963).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Upper palatal close view showing the alveolar ridge with two amputated tooth stumps at the anterior region (apparent root tip retainers or implant abutments) and intact posterior teeth on either side; surrounding palatal tissue inflamed.", "findings": "Two anterior alveolar stumps with inflamed surrounding gingiva; possibly root remnants or surgical sites with healing tissue; intact posteriors on either side; palatal tissue moderately inflamed.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Oral surgery consultation for the alveolar stumps, radiograph for any root remnants or implant fixtures, plan prosthetic replacement after surgical clearance, antibiotic cover if needed.", "explanation": "Severe anterior tooth loss with possibly retained root remnants requires surgical clearance and comprehensive prosthodontic planning to restore function and aesthetics."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Acquired anterior tooth loss with retained roots."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(374)", "file_name": "(374).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(374).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric smile view showing upper anterior dentition with a single missing central incisor space; adjacent teeth intact.", "findings": "Single missing upper central incisor space.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, orthodontic consult.", "explanation": "Single central absence in a child may be agenesis or delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central tooth space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(908)", "file_name": "(908).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(908).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Older patient close view showing yellow-stained worn upper anteriors with one missing central incisor space and adjacent severely decayed teeth with cervical caries lesions.", "findings": "Missing upper central incisor space in older patient; adjacent teeth with severe cervical caries; yellow staining; mild gingival inflammation.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, restorative planning, possible extraction of decayed teeth, prosthetic replacement.", "explanation": "Acquired single tooth loss with severe caries in adult dentition; not classical hypodontia."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Acquired loss with active caries on adjacent teeth."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(219)", "file_name": "(219).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(219).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open view showing severely missing upper anterior teeth with only the central incisors present and large gaps where laterals would be; lower anteriors intact.", "findings": "Missing upper lateral incisor spaces bilaterally; centrals present; lower anteriors intact.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for tooth bud assessment, orthodontic referral, prosthetic planning.", "explanation": "Bilateral lateral incisor absence is the most common congenital agenesis pattern in hypodontia."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "high", "rationale": "Classic bilateral lateral incisor agenesis pattern."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(485)", "file_name": "(485).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(485).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Red-filtered close lateral view showing dentition with several missing teeth in the anterior region and severely worn or broken remaining teeth; the heavy red filter creates dramatic shadows that partially obscure the underlying tissues.", "findings": "Multiple missing anterior teeth with broken or worn remaining structures; gingival contour difficult to assess due to red filter; image quality limits detailed soft-tissue evaluation.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, comprehensive prosthodontic and restorative planning, oral surgery consultation if retained roots present, recapture image with better lighting.", "explanation": "Multiple missing teeth with broken remnants in adult or older patient is more consistent with acquired loss rather than congenital agenesis; comprehensive rehabilitation needed."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Multiple missing teeth; aetiology ambiguous under red filter."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(522)", "file_name": "(522).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(522).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Bright pink-red filtered close view of mouth showing dentition with anterior missing teeth and irregular alignment.", "findings": "Multiple anterior missing teeth visible against pink filter; remaining teeth irregularly aligned.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, prosthodontic planning.", "explanation": "Multiple missing anteriors need comprehensive prosthodontic care."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Filter obscures detail; missing teeth evident."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(540)", "file_name": "(540).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(540).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Mouth open view showing dentition with anterior central incisor missing and severe attrition or fractures on remaining teeth.", "findings": "Missing upper central incisor; remaining teeth show severe attrition or fractures; surrounding tissues unclear.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, comprehensive restorative and prosthodontic planning.", "explanation": "Single central absence with severe attrition on remaining teeth needs comprehensive rehabilitation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Acquired loss with severe wear on remaining teeth."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(562)", "file_name": "(562).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(562).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth showing severely missing upper anterior teeth with only a few small remaining anteriors and large gaps; mixed dentition pattern.", "findings": "Multiple missing upper anteriors in pediatric mixed dentition; remaining teeth small and irregularly positioned.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph for tooth bud assessment, paediatric orthodontic and prosthetic consult, space management.", "explanation": "Severe oligodontia in pediatric dentition needs comprehensive radiographic workup and combined orthodontic-prosthodontic planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Severe oligodontia pattern in child."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(840)", "file_name": "(840).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(840).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth showing severely affected mixed dentition with multiple missing teeth, severe yellow staining on remaining teeth, and broken-down crowns; gingiva mildly inflamed; soft tissues otherwise unremarkable.", "findings": "Multiple missing teeth in pediatric mixed dentition with severe yellow staining and broken-down remaining crowns; mild gingival inflammation adjacent to affected areas.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review with sedation if needed, panoramic radiograph for comprehensive dental status, extract non-restorable teeth, restorative care for salvageable teeth, space maintenance planning, three-monthly recall for caries prevention.", "explanation": "Severely affected mixed dentition with combined hypodontia and severe caries needs comprehensive pediatric dental management; preserving arch length and function during the transition to permanent dentition is the priority."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "medium", "rationale": "Combined caries and tooth loss; caries dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_4638", "file_name": "Tooth_Discoloration_0_4638.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4638.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close view of yellow upper teeth with brown stain spots at the cervical region and gingival margins.", "findings": "Yellow staining with brown cervical spots on upper anteriors; mild gingival redness.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing, dietary counselling.", "explanation": "Mixed extrinsic stain responds to professional cleaning."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Mixed cervical extrinsic stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_495", "file_name": "Tooth_Discoloration_0_495.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_495.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Very close view of upper anteriors showing heavy grey-black plaque or calculus deposits along the cervical margins of multiple teeth; gingival tissues inflamed.", "findings": "Heavy grey-black cervical calculus or plaque on upper anteriors; severe marginal inflammation.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement, two-week recall.", "explanation": "Heavy calculus drives severe marginal inflammation reversible with scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy calculus is dominant finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "Tooth_Discoloration_0_8784", "file_name": "Tooth_Discoloration_0_8784.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8784.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of lower posterior teeth showing yellow cervical staining and small calculus deposits along the gingival margins; surrounding gingival tissue inflamed.", "findings": "Mild yellow cervical staining with calculus deposits on lower posteriors; gingival inflammation adjacent.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Scaling and polishing, hygiene reinforcement, six-month recall.", "explanation": "Cervical staining and calculus respond well to professional scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "medium", "rationale": "Cervical staining with calculus."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_4496", "file_name": "Tooth_Discoloration_0_4496.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4496.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Promotional dental clinic image showing a man smiling with very yellow stained teeth visible; lighting is bright and the image is professional clinic marketing material rather than clinical documentation.", "findings": "Generalised severe yellow tooth shade across upper anteriors; promotional photo quality; teeth structurally intact without cavitation; gingival margins not clearly visible.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Professional scaling and polishing to remove extrinsic component, supervised vital bleaching consultation for the intrinsic yellow shade, dietary counselling on chromogenic foods and tobacco, hygiene reinforcement.", "explanation": "Severe yellow staining of teeth is often a combination of intrinsic enamel colour and extrinsic dietary chromogens; combined polishing and supervised bleaching may improve appearance significantly though underlying enamel shade is genetically determined."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow generalised discoloration."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_7521", "file_name": "Tooth_Discoloration_0_7521.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7521.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close view of upper anteriors showing horizontal brown banded discoloration across the cervical regions of multiple teeth.", "findings": "Brown horizontal banded cervical staining on upper anteriors; teeth otherwise intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, dietary advice, three-month recall.", "explanation": "Horizontal banded extrinsic stain responds to professional polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Banded cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_1075", "file_name": "Tooth_Discoloration_0_1075.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1075.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Frontal lateral view of lower anteriors showing yellow cervical staining and visible plaque deposits at the gingival margins; mild marginal redness.", "findings": "Yellow cervical staining and plaque deposits on lower anteriors; mild marginal gingival inflammation.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing, hygiene reinforcement, dietary counselling, six-month recall.", "explanation": "Cervical extrinsic staining with plaque responds to professional cleaning."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Cervical stain with plaque."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_7748", "file_name": "Tooth_Discoloration_0_7748.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7748.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close occlusal view of upper anterior teeth showing pinkish-grey discoloration on multiple teeth with a translucent appearance; gingiva visible at margins.", "findings": "Pinkish-grey discoloration on multiple upper anteriors; translucent enamel appearance; gingival margins healthy.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Vitality testing, periapical radiograph for non-vital teeth, restorative aesthetic consultation.", "explanation": "Pinkish discoloration may indicate internal resorption or pulpal pathology requiring vitality assessment."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "medium", "rationale": "Pinkish translucent discoloration unusual."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_4999", "file_name": "Tooth_Discoloration_0_4999.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4999.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Promotional-style image showing a male patient smiling broadly with severely yellow-orange stained teeth; the image is taken in a clinical or studio setting with bright lighting; teeth appear structurally intact without cavitation.", "findings": "Severe generalised yellow-orange tooth shade across visible dentition; teeth intact without cavitation; gingival margins partially visible appear normal in colour; the dramatic stain pattern is characteristic of either tobacco use or significant extrinsic chromogen accumulation.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Professional scaling and polishing to remove extrinsic stain, dietary and tobacco cessation counselling, supervised in-office vital bleaching consultation for residual intrinsic component, oral hygiene reinforcement, three-month recall.", "explanation": "Severe yellow-orange staining is typically extrinsic from tobacco or dietary chromogens that respond well to scaling and polishing; combined behaviour modification and professional bleaching can dramatically improve aesthetics in such cases."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow-orange staining likely tobacco-related."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_6457", "file_name": "Tooth_Discoloration_0_6457.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6457.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of upper anteriors showing mild brown cervical staining with otherwise normal-shade teeth; gingival margins pink.", "findings": "Mild brown cervical staining on upper anteriors; teeth otherwise normal shade; gingiva healthy.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Scaling and polishing, six-month recall.", "explanation": "Mild cervical extrinsic stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical extrinsic stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_5906", "file_name": "Tooth_Discoloration_0_5906.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5906.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Frontal lateral view of lower anteriors showing yellow cervical staining and visible plaque deposits with mild marginal gingivitis on lower posterior teeth.", "findings": "Yellow cervical staining on lower anteriors with mild plaque deposits; mild marginal gingivitis adjacent.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing, hygiene reinforcement, brushing technique demonstration.", "explanation": "Cervical staining with plaque drives mild marginal inflammation reversible with scaling."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Cervical stain with plaque and mild gingivitis."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_9690", "file_name": "Tooth_Discoloration_0_9690.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9690.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Upper palatal close view of intact dentition showing mild yellow cervical staining on palatal surfaces of upper teeth; mild plaque deposits visible at gingival margins.", "findings": "Mild yellow palatal cervical staining with localised plaque; teeth otherwise intact; gingival contour normal.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Scaling and polishing, brushing technique for palatal surfaces, six-month recall.", "explanation": "Palatal cervical staining is plaque-driven and responds to polish and proper brushing."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild palatal cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_2902", "file_name": "Tooth_Discoloration_0_2902.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2902.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close view of upper anterior teeth showing severe yellow-grey translucent enamel appearance with thin enamel and underlying yellower dentin visible; gingival tissues inflamed.", "findings": "Severe yellow-grey translucent appearance suggesting enamel thinness with prominent underlying dentin; teeth structurally intact without cavitation; gingival inflammation evident at margins.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, professional polish, supervised vital bleaching consultation, restorative veneer evaluation, hygiene reinforcement, three-month recall.", "explanation": "Severe yellow-grey translucent appearance may reflect amelogenesis imperfecta, fluorosis, or other developmental enamel defects; treatment options range from bleaching for mild cases to full-coverage restorative crowns or veneers for severely affected dentition."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Severe intrinsic-appearing discoloration."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(468)", "file_name": "(468).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(468).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Red-filtered close view of severely affected yellow-stained dentition with missing upper anterior tooth and heavy cervical calculus deposits.", "findings": "Heavy yellow cervical calculus on upper and lower anteriors with one missing upper tooth.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Multi-session scaling, prosthetic consult for missing tooth.", "explanation": "Heavy calculus plus tooth loss needs combined periodontal and prosthetic care."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Dominant finding is the missing tooth alongside calculus."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(689)", "file_name": "(689).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(689).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of upper and lower anteriors showing dark holes on upper canines suggesting caries with brown cervical staining on lower anteriors.", "findings": "Dark cavitated lesions on upper canines; brown cervical staining on lower anteriors; mild gingival inflammation.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore carious canines, scaling for cervical stain, hygiene reinforcement.", "explanation": "Combined caries and calculus drive both pathology; restore and scale."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated lesions on upper canines dominate."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(834)", "file_name": "(834).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(834).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Right lateral close view of upper and lower anteriors showing crowded teeth with mild yellow cervical staining and pink gingival margins.", "findings": "Crowded upper and lower anteriors with mild cervical staining and pink healthy gingival margins.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, polish, orthodontic consult for crowding.", "explanation": "Crowding drives plaque retention and mild calculus; orthodontics addresses root cause."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "high", "rationale": "Crowding is the dominant finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(334)", "file_name": "(334).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(334).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of upper and lower anterior teeth showing severe brown cervical staining and calculus deposits along the gingival margins of the lower anteriors with mild marginal redness; upper teeth show similar but milder staining.", "findings": "Severe brown cervical calculus on lower anteriors; mild upper cervical staining; gingival margins inflamed with mild bleeding tendency.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Full mouth ultrasonic scaling, chlorhexidine rinse for two weeks, hygiene reinforcement with brushing technique demo, polish, recall in two weeks for re-evaluation of gingival response.", "explanation": "Heavy lower anterior cervical calculus harbours biofilm driving marginal inflammation; mechanical scaling combined with adjunct rinses and improved brushing technique resolves the active disease."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy lower cervical calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(662)", "file_name": "(662).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(662).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Right lateral retracted view of mild yellow-stained crowded teeth with cervical staining and pink gingiva.", "findings": "Crowded teeth with mild cervical yellow stain; gingiva pink.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, orthodontic consult.", "explanation": "Crowding drives plaque retention; orthodontic correction reduces it."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Crowding more prominent than calculus."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(750)", "file_name": "(750).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(750).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Lateral close view of upper anteriors with shade guide tabs held against the teeth for colour comparison showing yellow tooth shade and mild cervical staining.", "findings": "Yellow tooth shade with shade-guide tabs for comparison; mild cervical staining; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Scaling and polishing, dietary counselling, consider bleaching consultation if patient desires aesthetic improvement.", "explanation": "Mild cervical stain responds to polish; intrinsic yellow shade may need bleaching for aesthetics."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Dominant finding is yellow shade with shade-comparison framing."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(733)", "file_name": "(733).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(733).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Right lateral retracted view of intact dentition with mild yellow cervical staining and pink gingival margins; teeth well-aligned.", "findings": "Intact lateral dentition with mild cervical staining; gingival contour healthy.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Routine scaling and polishing, six-month recall.", "explanation": "Mild cervical staining is biofilm-driven; polish removes it."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(11)", "file_name": "(11).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(11).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Close upper anterior view showing intact teeth with severe brown cervical calculus deposits at the gingival margin of an upper canine; surrounding teeth less affected; gingival margin pink with localised redness adjacent to deposit.", "findings": "Severe brown cervical calculus on an upper canine with adjacent mild gingival redness; remaining anteriors with mild cervical staining; teeth structurally intact.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Localised ultrasonic scaling on the affected canine, full mouth scaling for completeness, polish, hygiene reinforcement focused on the affected region, six-month recall.", "explanation": "Localised heavy cervical calculus on a single tooth often reflects an interdental contact issue or hygiene blind spot; targeted scaling plus technique correction prevents recurrence."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Localised severe cervical calculus on canine."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1218)", "file_name": "(1218).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1218).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Frontal retracted view of yellow-stained crowded upper and lower anteriors with mild cervical staining and mild gingival redness.", "findings": "Crowded yellow anteriors with mild cervical staining and gingival redness.", "diagnosis": "class 1 malocclusion", "severity": "Moderate", "recommendation": "Scaling, orthodontic consult, hygiene reinforcement.", "explanation": "Crowding plus staining respond to combined orthodontic and periodontal care."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Crowding is dominant alongside mild calculus."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(1069)", "file_name": "(1069).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1069).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Very close magnified view of cervical area of upper and lower anteriors showing heavy brown calculus deposits and yellow extrinsic staining at the gingival margins.", "findings": "Heavy brown calculus and yellow cervical staining at the gingival margins of upper and lower anteriors.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling, polish, chlorhexidine rinse, hygiene reinforcement, two-week recall.", "explanation": "Heavy cervical calculus needs mechanical removal; surrounding biofilm drives inflammation."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy cervical calculus on close-up."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(442)", "file_name": "(442).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(442).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Red-filtered frontal view of dentition showing yellow-stained teeth with cervical calculus on upper and lower anteriors and severely inflamed bleeding gingiva.", "findings": "Yellow cervical calculus on upper and lower anteriors with severe marginal gingival inflammation and bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Full mouth scaling, chlorhexidine rinse, hygiene reinforcement, recall in two weeks for gingival re-evaluation.", "explanation": "Heavy calculus drives severe inflammation reversible with scaling and adjunct rinses."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant alongside calculus."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(198)", "file_name": "(198).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(198).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of upper and lower anteriors with fixed orthodontic brackets and arch wires showing heavy yellow plaque and calculus accumulation surrounding the bracket bonding areas; gingival margins inflamed and bleeding-prone adjacent to deposits.", "findings": "Heavy peri-bracket plaque-calculus accumulation on upper and lower anteriors; gingival margins inflamed adjacent to bonded brackets; brackets partially obscured by deposits.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Immediate ultrasonic scaling around brackets, chlorhexidine 0.2% rinse for two weeks, intensive oral hygiene instruction with interdental brushes and orthodontic floss threaders, dietary counselling on cariogenic foods, two-week recall.", "explanation": "Orthodontic appliances retain plaque that mineralises rapidly into calculus around brackets; intensive professional and home hygiene prevents demineralisation and white-spot lesions on enamel beneath."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Severe peri-orthodontic calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_2626", "file_name": "caries_0_2626.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_2626.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close occlusal view of a mandibular molar with a deep dark cavitated occlusal lesion exposing dentin.", "findings": "Deep cavitated occlusal caries on mandibular molar with adjacent teeth intact.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore with composite or onlay.", "explanation": "Cavitated dentinal caries needs prompt restoration to halt pulpal involvement."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Deep cavitated molar lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_8225", "file_name": "caries_0_8225.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8225.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth showing severely cavitated upper primary anterior teeth with multiple destroyed brown stumps and dark coronal destruction.", "findings": "Multiple cavitated upper primary anteriors with brown coronal destruction and possible pulpal exposure; surrounding gingiva mildly inflamed.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, extract non-restorable teeth, space maintenance, parental counselling.", "explanation": "Severe early childhood caries needs surgical management and aggressive prevention."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe early childhood caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7389", "file_name": "caries_0_7389.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7389.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close view of a single mandibular molar with a deep cavitated lesion penetrating into the dentinal layer; adjacent teeth not visible.", "findings": "Deep cavitated molar lesion with dark walls suggesting possible pulpal proximity.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Vitality testing, periapical radiograph, composite restoration if pulp vital or endodontic treatment if exposure.", "explanation": "Deep dentinal caries needs vitality assessment before restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Deep cavitated molar lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1487", "file_name": "caries_0_1487.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1487.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Older adult close view showing severely affected dentition with broken-down teeth, multiple missing teeth, yellow-stained worn remaining teeth, and a missing upper anterior space; gingival tissues inflamed; soft tissues otherwise unremarkable.", "findings": "Severely affected adult dentition with broken-down crowns and worn remaining teeth; missing upper anterior tooth; yellow staining; gingival inflammation adjacent to broken structures.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, extract non-restorable teeth, comprehensive prosthodontic planning with full or partial denture or implant evaluation, scaling for remaining dentition, recall in two weeks for surgical planning.", "explanation": "Severely affected older adult dentition with non-restorable structures requires staged surgical clearance and prosthodontic rehabilitation; addressing the missing anterior tooth restores function and aesthetics while extractions remove chronic infection sources."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Multiple acquired losses and broken teeth; combined pathology."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_7723", "file_name": "caries_0_7723.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7723.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close mandibular lateral view of a molar with dark cavitated cervical-occlusal caries lesion; adjacent teeth visible at edges.", "findings": "Cavitated cervical caries on mandibular molar.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore with composite or glass-ionomer.", "explanation": "Cervical caries needs restoration to halt progression."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cervical cavitated lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_8630", "file_name": "caries_0_8630.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8630.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth showing severely cavitated upper primary anterior teeth with multiple broken-down brown stumps and dark grey-black coronal destruction in early childhood caries pattern.", "findings": "Multiple severely cavitated upper primary anteriors with grey-black coronal destruction; pulpal exposure likely on several teeth.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, extract non-restorable teeth, fluoride, space maintenance, three-monthly recall.", "explanation": "Severe early childhood caries needs surgical management and aggressive prevention."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe early childhood caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_6180", "file_name": "caries_0_6180.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6180.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth showing dark cavitated upper anterior primary tooth with severe coronal destruction and adjacent intact teeth; mild gingival inflammation.", "findings": "Severely cavitated upper primary tooth with dark coronal destruction; adjacent teeth intact; mild gingival inflammation adjacent.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review, extract or restore depending on tooth viability, fluoride application, parental counselling.", "explanation": "Severe single-tooth early childhood caries needs management to preserve arch length and prevent pulpal complications."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe early childhood caries on single tooth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_9273", "file_name": "caries_0_9273.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9273.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Close lateral view showing upper and lower anteriors with severe carious destruction including dark brown cavitated lesions on multiple upper anteriors and broken coronal structure; surrounding gingiva inflamed and bleeding adjacent to active caries; teeth misaligned.", "findings": "Multiple severely cavitated upper anteriors with brown coronal destruction; broken structures with sharp edges; misalignment of remaining teeth; gingival margins inflamed and bleeding adjacent to active disease.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract non-restorable teeth, plan staged prosthetic rehabilitation, antibiotic cover if signs of acute infection, scaling for remaining dentition, periodontal consultation, recall every two weeks during treatment phase.", "explanation": "Severely affected dentition with multiple non-restorable teeth requires staged surgical and prosthodontic care; addressing chronic infection sources first allows the surrounding gingival tissues to heal before prosthetic rehabilitation."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable caries on multiple anteriors."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_104", "file_name": "caries_0_104.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_104.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of upper anterior region showing severely worn yellow teeth with cervical destruction and possible root remnants.", "findings": "Worn yellow upper anteriors with cervical destruction; possible non-restorable structures.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Radiograph, comprehensive restorative planning.", "explanation": "Severe wear and cervical destruction need comprehensive workup."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "medium", "rationale": "Wear dominant; aetiology mixed."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_8485", "file_name": "caries_0_8485.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8485.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Lower lingual close view of mandibular anteriors showing intact teeth with mild yellow cervical staining and healthy-appearing pink gingival margins; no overt cavitation visible.", "findings": "Intact lingual aspect of mandibular anteriors with mild cervical staining; gingival contour healthy.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Bitewing radiograph for proximal caries, polish, hygiene reinforcement.", "explanation": "Lingual surface appears clinically healthy; imaging needed to rule out proximal caries."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Lingual aspect appears healthy; ext label may need radiographic confirmation."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_3349", "file_name": "caries_0_3349.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_3349.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Frontal close view showing severely overgrown bright-red gingival tissues with multiple lobular masses covering significant portions of the upper anterior teeth; visible teeth show severe yellowing.", "findings": "Severe generalised gingival overgrowth with lobular bulbous masses covering parts of upper anteriors; severe inflammation; visible teeth yellowed.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral for biopsy, scaling once accessible, medication review for drug-induced enlargement, hygiene reinforcement.", "explanation": "Severe gingival overgrowth may be plaque-induced hyperplastic gingivitis or drug-induced; biopsy and history clarify aetiology."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival hyperplasia is dominant finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "caries_0_4892", "file_name": "caries_0_4892.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4892.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Frontal retracted close view of pediatric mixed dentition showing well-aligned upper and lower anteriors with mild crowding, intact tooth structure, mild yellow tint and pink gingival margins; mild marginal redness on the upper anterior gingiva.", "findings": "Pediatric mixed dentition with mild anterior crowding and intact teeth; mild yellow tint; mild marginal gingival redness on upper anteriors; lower anteriors with slight irregular alignment.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Routine pediatric dental review, scaling and polishing, brushing technique reinforcement, orthodontic monitoring for the mild crowding, six-month recall.", "explanation": "Mild crowding in mixed dentition is common during transition; monitoring and good oral hygiene allow most mild crowding to resolve naturally as permanent teeth erupt."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Mild crowding more prominent than caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(473)", "file_name": "(473).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(473).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Adult upper arch with retraction showing full mouth prosthodontic rehabilitation with gold framework and porcelain crowns across the dentition.", "findings": "Comprehensive upper arch prosthetic restoration with gold framework; minimal visible gingival inflammation.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Maintain meticulous oral hygiene around prosthetic margins, six-month recall.", "explanation": "Existing prosthetic restoration needs ongoing margin maintenance."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "high", "rationale": "Extensive prosthetic restoration dominates."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "(351)", "file_name": "(351).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(351).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Close upper anterior view of intact white teeth with mild yellow cervical staining and slight gingival redness on the upper margins; gingival contour preserved.", "findings": "Intact upper anteriors with mild cervical staining; mild localised marginal gingival redness; healthy gingival contour.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling and polishing, brushing technique reinforcement, six-month recall.", "explanation": "Mild localised marginal gingivitis is reversible with biofilm control."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild localised marginal redness."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(291)", "file_name": "(291).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(291).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal close view showing severely overgrown bright-red bleeding gingival tissues covering significant portions of upper anterior teeth with bulbous gingival masses; yellow staining on visible tooth surfaces.", "findings": "Severe gingival enlargement with bulbous lobular bleeding tissues; partial coverage of crowns; yellow staining on visible teeth.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral, medication history review for drug-induced enlargement, scaling once accessible, hygiene reinforcement.", "explanation": "Severe gingival enlargement may be plaque-induced or drug-induced needing differential diagnosis."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival enlargement."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1092)", "file_name": "(1092).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1092).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal retracted view of upper and lower anteriors showing severely crowded teeth with overlapping and rotation, mild yellow cervical staining, and pink gingival margins with localised mild redness at the most crowded areas.", "findings": "Severe anterior crowding with overlapping and rotated incisors on both arches; mild cervical staining; gingival margins with localised mild redness particularly at crowded contact points; gingival contour otherwise preserved.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling and polishing focused on the crowded areas, orthodontic consultation as primary intervention to address crowding, demonstrate interdental cleaning with floss or interdental brushes for crowded segments, six-month recall.", "explanation": "Severe crowding traps plaque at interdental contacts and drives localised gingival inflammation; while scaling addresses the immediate inflammation, orthodontic correction of the crowding is the definitive intervention that removes the plaque retention factor."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Severe crowding is dominant clinical finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(1083)", "file_name": "(1083).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1083).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Frontal close pediatric view showing white teeth and very pale almost white gingiva.", "findings": "Pediatric teeth with pale gingival appearance; no overt inflammation; mild irregular alignment.", "diagnosis": "Other visible abnormality", "severity": "Mild", "recommendation": "Pediatric dental review, monitor pale gingiva for possible anaemia referral.", "explanation": "Pale gingiva in a child may reflect systemic anaemia and warrants medical referral."}, "diagnoser": {"diagnosis": "Other visible abnormality", "severity": "Mild", "confidence": "medium", "rationale": "Pale gingival pallor is unusual finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(765)", "file_name": "(765).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(765).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of upper and lower anteriors with fixed orthodontic brackets and blue elastic ligatures; gingival tissues mildly inflamed adjacent to bonded brackets.", "findings": "Generalised mild marginal gingival inflammation around orthodontic brackets with blue ligatures; localised plaque accumulation visible at bracket bases.", "diagnosis": "Gingivitis", "severity": "Moderate", "recommendation": "Scale around brackets, chlorhexidine rinse, intensive hygiene training with interdental brushes and floss threaders.", "explanation": "Orthodontic appliances retain plaque and drive peri-bracket gingivitis reversible with intensive hygiene."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Moderate", "confidence": "high", "rationale": "Peri-orthodontic gingivitis."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(334)", "file_name": "(334).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(334).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Red-filtered close view of upper anterior dentition showing severely yellow-stained teeth with gold/yellow prosthetic appearance and mildly inflamed gingival tissues.", "findings": "Severely yellow-stained or prosthetic teeth with mildly inflamed gingiva; image colour heavily filtered.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling, recapture image with better lighting, evaluate prosthetic margins.", "explanation": "Severely filtered image limits accurate assessment; consider repeat capture."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "low", "rationale": "Heavy filter prevents clear diagnosis; severe yellow visible."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1617)", "file_name": "(1617).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1617).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close lower lingual view showing intact mandibular anteriors with cervical yellow calculus deposits and the lingual surfaces of teeth visible with bleeding gingival margins adjacent to the deposits.", "findings": "Cervical lingual calculus on mandibular anteriors with active gingival bleeding at margins; teeth otherwise intact; tongue partially visible.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Localised ultrasonic scaling on lower lingual aspect, full mouth scaling for completeness, hygiene reinforcement with attention to lingual surfaces during brushing, polish, two-week recall to confirm gingival response.", "explanation": "Lingual calculus is the most common deposit site due to proximity to salivary ducts; targeted scaling combined with improved lingual brushing technique resolves the inflammation."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Cervical lingual calculus with bleeding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1254)", "file_name": "(1254).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1254).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Right lateral view of intact upper and lower anteriors with mostly normal-shade teeth and mild yellow cervical staining; gingival margins pink with healthy contour.", "findings": "Intact lateral dentition with mild cervical staining; gingiva pink.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Scaling and polishing, six-month recall.", "explanation": "Mild marginal inflammation reversible with brushing."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues largely healthy; ext label questionable."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(993)", "file_name": "(993).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(993).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view showing severely overgrown red gingival tissues with bulbous masses, dark cavitated teeth visible behind the overgrowth, and significant gingival enlargement.", "findings": "Severe gingival overgrowth with bulbous bleeding masses; dark cavitated teeth visible behind overgrowth; combined caries and severe gingivitis.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral, biopsy of gingival mass, scaling, address concurrent caries.", "explanation": "Severe gingival enlargement plus caries needs comprehensive periodontal and restorative care."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival enlargement with concurrent caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(519)", "file_name": "(519).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(519).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Left lateral retracted view of well-aligned upper and lower posteriors showing yellow-tinted teeth with mild cervical staining and pink gingival margins with slight redness on upper margins.", "findings": "Well-aligned lateral dentition with mild yellow tint; pink gingival margins with mild redness on upper aspects.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Routine scaling and polishing, brushing technique reinforcement, six-month recall.", "explanation": "Mild localised marginal gingivitis reversible with biofilm control."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1736)", "file_name": "(1736).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1736).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal retracted view of severely crowded lower anterior teeth with overlapping and rotation, mild yellow cervical staining, mild marginal gingival redness particularly at the crowded interdental contacts, and lower posterior teeth partially visible.", "findings": "Severe lower anterior crowding with rotation and overlapping; mild yellow cervical staining; localised mild marginal gingival redness at crowded contact areas; teeth structurally intact.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling and polishing with focus on crowded interdental areas, orthodontic consultation for the lower anterior crowding, interdental cleaning education with floss or interdental brushes, six-month recall to monitor marginal gingival health.", "explanation": "Lower anterior crowding traps plaque at interdental contacts and drives localised gingival inflammation; orthodontic alignment of the crowded incisors removes the plaque retention factor while scaling and hygiene reinforcement address the immediate marginal inflammation."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Severe lower anterior crowding dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(759)", "file_name": "(759).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(759).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth showing upper anterior region with one missing central incisor space; adjacent teeth intact.", "findings": "Missing upper central incisor space; adjacent teeth present.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for tooth bud assessment, orthodontic consult.", "explanation": "Anterior absence in child needs imaging to differentiate hypodontia from delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single anterior space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(670)", "file_name": "(670).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(670).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Red-filtered pediatric mouth view showing irregular dentition with apparent missing anterior teeth and crowded remaining teeth.", "findings": "Irregular pediatric dentition with apparent anterior tooth absence and crowding; red filter limits detail.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric orthodontic consult, recapture image with better lighting.", "explanation": "Filtered image limits assessment; imaging needed."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "low", "rationale": "Filter limits visualisation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(691)", "file_name": "(691).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(691).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open view showing multiple missing upper anterior teeth with large gaps and irregular remaining teeth; lower anteriors partially visible.", "findings": "Multiple missing upper anterior teeth in pediatric mixed dentition; large gaps; irregular alignment of remaining teeth.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph for comprehensive tooth bud assessment, paediatric orthodontic and prosthetic consultation.", "explanation": "Multiple anterior tooth absences may be hypodontia or delayed eruption; imaging clarifies."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior absences."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(413)", "file_name": "(413).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(413).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth showing severely cavitated upper anterior primary teeth with multiple destroyed brown stumps and dark coronal destruction characteristic of early childhood caries; some teeth missing or reduced to root remnants.", "findings": "Multiple severely cavitated upper primary anteriors with brown coronal destruction; reduced tooth structure with possible retained roots; gingival margins inflamed; combined caries and tooth loss.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, extract non-restorable teeth or roots, restorative care for salvageable teeth, space maintenance planning, parental counselling on dietary habits, three-monthly recall.", "explanation": "Combined severe early childhood caries and acquired tooth loss require comprehensive pediatric management; surgical clearance and preventive measures preserve the remaining dentition and developing permanent teeth."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe ECC dominates; tooth loss is secondary to caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(213)", "file_name": "(213).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(213).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Older adult palatal view showing partial dentition with two visible implant healing abutments in posterior region and intact remaining teeth.", "findings": "Two implant healing abutments in upper posterior region; remaining teeth intact and aligned.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Continue implant healing, prosthetic loading at protocol time.", "explanation": "Implant healing abutments indicate prosthetic rehabilitation in progress."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "high", "rationale": "Implant abutments indicate acquired loss being restored."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(518)", "file_name": "(518).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(518).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Upper palatal view with cheek retractor showing intact dentition with two visible implant healing abutments in the anterior position with active bleeding around them; palatal tissue otherwise unremarkable.", "findings": "Two anterior implant healing abutments with active bleeding around them; remaining teeth intact; palatal tissue unremarkable.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Monitor healing, irrigate around abutments, antibiotic cover if acute infection signs.", "explanation": "Recent implant placement; early bleeding may be normal or peri-implant irritation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "high", "rationale": "Implant abutments at anterior position indicate acquired loss being restored."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1203)", "file_name": "(1203).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1203).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth showing upper anteriors with one missing central incisor space; remaining anteriors present and mixed dentition pattern.", "findings": "Missing upper central incisor space in mixed dentition; remaining anteriors present; mild irregular alignment.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for tooth bud assessment, orthodontic review, monitor eruption.", "explanation": "Single central absence in mixed dentition may be hypodontia or delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central space in mixed dentition."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1191)", "file_name": "(1191).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1191).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Red-filtered close view of mouth showing dentition with one or more missing anterior teeth; the heavy red filter and pink colour cast severely limit assessment of soft tissues and tooth shade; remaining teeth appear intact behind the filter.", "findings": "Apparent anterior tooth absence visible against the pink filter; remaining teeth intact; soft-tissue assessment limited by the heavy filter.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, recapture image with adequate lighting, orthodontic and prosthetic consult after better visualisation.", "explanation": "Image quality limits accurate assessment; standard clinical photography with neutral lighting would enable confident diagnosis and treatment planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "low", "rationale": "Filter prevents confident assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1030)", "file_name": "(1030).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1030).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth showing upper anteriors with one missing central incisor space; adjacent teeth intact with mild irregular alignment.", "findings": "Missing upper central incisor space; adjacent teeth intact.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, orthodontic consult.", "explanation": "Single central absence needs imaging for differential diagnosis."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(675)", "file_name": "(675).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(675).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Red-filtered small pediatric mouth view showing dentition with apparent missing teeth and irregular alignment; heavy pink colour cast limits detail.", "findings": "Apparent missing teeth in pediatric mouth against red filter; remaining teeth irregularly aligned; detail limited by filter.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, recapture with better lighting, paediatric dental review.", "explanation": "Filtered image limits assessment; standard photography needed."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "low", "rationale": "Filter prevents confident assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(354)", "file_name": "(354).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(354).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open view showing multiple missing upper anterior teeth with large gaps where the centrals or laterals would be; lower anteriors visible with mixed dentition.", "findings": "Multiple missing upper anterior teeth in pediatric mixed dentition with large interdental gaps; lower mixed dentition.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph for tooth bud assessment, paediatric orthodontic referral, space maintenance and prosthetic planning.", "explanation": "Multiple anterior absences in mixed dentition need radiographic confirmation and combined orthodontic-prosthodontic planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior absences in pediatric mouth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(772)", "file_name": "(772).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(772).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Older patient frontal close view showing dentition with several missing teeth, severely worn or broken remaining yellow-stained teeth with cavitated lesions, and a missing upper anterior tooth space; gingival tissues inflamed; soft tissues otherwise unremarkable.", "findings": "Multiple missing teeth in adult dentition with severely worn or broken remaining teeth showing carious lesions; missing upper anterior space; yellow staining; gingival inflammation adjacent.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, extract non-restorable teeth, comprehensive prosthodontic and restorative planning, scaling for remaining dentition, recall every two weeks during treatment phase.", "explanation": "Severely affected adult dentition with combined acquired tooth loss and caries requires staged surgical and prosthodontic rehabilitation; addressing the chronic infection sources first allows comprehensive restoration of function."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Acquired loss with concurrent severe caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_362", "file_name": "Tooth_Discoloration_0_362.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_362.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Smile close view showing severely yellow-orange stained upper and lower anterior teeth.", "findings": "Severe yellow-orange staining on upper and lower anteriors.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, dietary counselling, bleaching consult.", "explanation": "Heavy stain responds to polish; intrinsic component may need bleaching."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_9292", "file_name": "Tooth_Discoloration_0_9292.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9292.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of upper anterior teeth showing severe brown discoloration with horizontal banding across the cervical and middle thirds.", "findings": "Severe brown horizontal-banded cervical discoloration on upper anteriors; teeth otherwise intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, vitality testing, dietary counselling.", "explanation": "Severe banded discoloration may be extrinsic chromogenic or developmental."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Banded discoloration."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_1634", "file_name": "Tooth_Discoloration_0_1634.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1634.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close view of upper and lower anterior teeth showing translucent white-yellow shade with shade-guide tab held adjacent for colour comparison.", "findings": "Translucent white-yellow tooth shade with shade-guide reference; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, supervised bleaching consultation if patient desires aesthetic change.", "explanation": "Mild yellow shade responds to bleaching; intrinsic component is genetically determined."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild yellow shade with shade guide."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_3996", "file_name": "Tooth_Discoloration_0_3996.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3996.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Frontal close view showing upper anteriors with one central incisor severely darkened to grey-black contrasted against adjacent normal-shade teeth; the labelled clinical image references a 19-year-old male with blackgrey discoloration; gingival margins pink and healthy.", "findings": "Single severely darkened grey-black upper central incisor adjacent to normal-shade teeth; image is a labelled clinical case photograph; gingiva healthy with pink colour.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality and percussion testing on the discoloured central, periapical radiograph to assess for periapical pathology, endodontic referral if non-vital, then internal bleaching or veneer for aesthetic management after pulpal status confirmed.", "explanation": "Single-tooth grey-black discoloration in a young adult typically reflects pulpal necrosis from prior trauma during the developmental phase; endodontic management addresses any chronic periapical infection before aesthetic restoration of the discoloured tooth."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Classic single non-vital anterior tooth in young adult."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_4725", "file_name": "Tooth_Discoloration_0_4725.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4725.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lower lingual view of mandibular anteriors showing yellow cervical staining and pink-red gingival margins with mild bleeding.", "findings": "Yellow cervical lingual staining on lower anteriors with mild gingival bleeding.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling, hygiene reinforcement.", "explanation": "Lingual cervical stain plus mild bleeding responds to scaling."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Cervical lingual stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_8934", "file_name": "Tooth_Discoloration_0_8934.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8934.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of upper and lower posterior teeth showing mild yellow gradient from gingival to incisal edge with mild cervical staining; gingival margins pink.", "findings": "Mild yellow gradient and cervical staining on posteriors; gingival margins healthy.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement.", "explanation": "Mild gradient discoloration with cervical stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild gradient discoloration."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_8717", "file_name": "Tooth_Discoloration_0_8717.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8717.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close view of lower anterior teeth showing heavy yellow-brown calculus and stain deposits at the cervical and proximal areas with surrounding mildly inflamed gingiva.", "findings": "Heavy yellow-brown cervical calculus and stain on lower anteriors with mild marginal gingival inflammation.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling, polish, hygiene reinforcement, two-week recall.", "explanation": "Heavy cervical calculus drives marginal inflammation reversible with scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy cervical calculus dominates."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "Tooth_Discoloration_0_7326", "file_name": "Tooth_Discoloration_0_7326.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7326.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of upper and lower posterior teeth showing mild brown extrinsic staining at the cervical thirds, mild yellow tooth shade overall, and pink gingival margins with healthy contour; teeth otherwise intact without cavitation.", "findings": "Mild brown extrinsic cervical staining and mild yellow tooth shade on posteriors; gingival margins pink and well-contoured; no cavitation visible.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Professional polishing to remove extrinsic stain, demonstrate brushing technique focused on cervical surfaces, dietary advice on stain-causing beverages, six-month recall to assess stain recurrence and maintain gingival health.", "explanation": "Mild extrinsic cervical stain arises from plaque accumulation and dietary chromogens; polishing readily removes deposits and dietary modification plus consistent biofilm control delay recurrence."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical extrinsic stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_5957", "file_name": "Tooth_Discoloration_0_5957.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5957.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close view of upper and lower anterior teeth showing mostly white teeth with mild yellow gradient cervical staining.", "findings": "Mild yellow cervical staining on anteriors; teeth otherwise white and intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Mild cervical stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_8349", "file_name": "Tooth_Discoloration_0_8349.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8349.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Older patient close view showing yellow-stained teeth with mild cervical staining and mild gingival recession; teeth structurally intact.", "findings": "Generalised yellow shade with mild cervical staining and mild recession on lower anteriors; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing, supervised bleaching if patient desires, hygiene reinforcement.", "explanation": "Mixed extrinsic and age-related intrinsic yellowing responds to polish and bleaching."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Age-related yellow discoloration."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_1621", "file_name": "Tooth_Discoloration_0_1621.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1621.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close view of upper anteriors against pink lip background showing mostly white teeth with mild yellow gradient and slight cervical staining.", "findings": "Mild yellow gradient and cervical staining on upper anteriors; teeth intact and well-aligned.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, brushing technique reinforcement, six-month recall.", "explanation": "Mild gradient stain responds to polishing."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild gradient and cervical stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_7948", "file_name": "Tooth_Discoloration_0_7948.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7948.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of upper and lower posterior teeth showing severe grey-black translucent discoloration on multiple teeth with possible cavitation on at least one tooth; gingival margins inflamed adjacent to the discoloured teeth.", "findings": "Severe grey-black translucent discoloration on multiple posterior teeth; possible cavitation on a single tooth; gingival inflammation adjacent suggesting concurrent biofilm activity.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing on the discoloured teeth, periapical radiograph, endodontic referral if non-vital, restorative or extraction depending on remaining tooth structure, scaling for the adjacent gingivitis.", "explanation": "Severe grey-black discoloration on multiple teeth may reflect pulpal necrosis or large old amalgam restorations; differential requires vitality testing and radiographic assessment before any restorative or aesthetic intervention."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "medium", "rationale": "Severe darkening may be advanced caries rather than discoloration."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(900)", "file_name": "(900).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(900).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth showing missing upper anterior space with intact lower teeth.", "findings": "Single missing upper anterior; lower teeth intact.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Radiograph, orthodontic consult.", "explanation": "Anterior absence needs imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single anterior space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(278)", "file_name": "(278).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(278).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Older adult close view of severely yellow-stained teeth with one missing upper anterior tooth and severely worn remaining teeth.", "findings": "Missing upper anterior in older adult with severe yellow staining and wear on remaining teeth.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Radiograph, prosthetic and restorative consult.", "explanation": "Acquired tooth loss with severe wear needs comprehensive rehabilitation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss with wear."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(967)", "file_name": "(967).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(967).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Adult mouth open with dental probe showing missing teeth and bleeding gum tissue with retained root or surgical site.", "findings": "Multiple missing teeth in adult with bleeding tissue at extraction or implant site; remaining teeth intact.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Radiograph, oral surgery consult, antibiotic if needed.", "explanation": "Acquired multi-tooth loss with active surgical site."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss with surgical site."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1186)", "file_name": "(1186).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1186).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth showing mixed dentition with one missing upper anterior tooth space and irregular alignment of remaining teeth; lower teeth visible with mixed eruption pattern.", "findings": "Single missing upper anterior in pediatric mixed dentition; remaining anteriors with irregular alignment; lower mixed dentition pattern typical for transitional age.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for comprehensive tooth bud assessment, paediatric orthodontic referral, monitor eruption pattern at six-month intervals.", "explanation": "Anterior tooth absence in mixed dentition needs radiographic confirmation; differential includes congenital agenesis versus delayed eruption versus traumatic loss of a primary precursor."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single anterior space in mixed dentition."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(779)", "file_name": "(779).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(779).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth with missing upper central incisor space and adjacent teeth intact.", "findings": "Single missing upper central incisor.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Radiograph, orthodontic consult.", "explanation": "Central absence needs imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(830)", "file_name": "(830).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(830).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Lower palatal mirror view showing intact lower posterior teeth and two implant healing abutments in the anterior region with bleeding around them.", "findings": "Two anterior implant healing abutments with active bleeding; remaining lower teeth intact.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Monitor healing, irrigate around abutments, antibiotic if acute infection signs.", "explanation": "Recent implant placement showing normal early healing; acquired loss being restored."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "high", "rationale": "Implant abutments indicate acquired loss."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(462)", "file_name": "(462).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(462).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Red-filtered backlit close view showing missing tooth space against dark background; image colour heavily filtered.", "findings": "Single missing tooth space visible against backlight; heavy red filter limits soft tissue detail.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Recapture image with neutral lighting, panoramic radiograph.", "explanation": "Filtered image limits assessment."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Filter limits assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(545)", "file_name": "(545).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(545).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Red-filtered close view of dentition showing yellow-stained teeth with apparent missing anterior tooth and heavy red colour cast that limits detailed assessment of soft tissues; remaining teeth visible behind the filter.", "findings": "Apparent missing anterior tooth against red filter background; yellow tooth shade; soft-tissue detail limited by the heavy filter; remaining teeth intact behind the filter.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Recapture image with neutral clinical lighting for accurate assessment, panoramic radiograph for tooth bud confirmation, orthodontic and prosthetic consult after better visualisation.", "explanation": "Heavy filter prevents confident assessment; standard clinical photography with neutral lighting enables proper diagnosis and treatment planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "low", "rationale": "Filter prevents confident assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(560)", "file_name": "(560).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(560).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth with missing upper central incisor visible during smile.", "findings": "Single missing upper central; adjacent teeth intact.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Radiograph, orthodontic consult.", "explanation": "Anterior absence in child needs imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(356)", "file_name": "(356).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(356).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Red-filtered very close view showing apparent missing anterior tooth in a small mouth; heavy red filter and limited field of view.", "findings": "Apparent anterior tooth absence against red filter; field of view limited; adjacent teeth not fully visible.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Recapture image with neutral lighting, full clinical assessment.", "explanation": "Heavy filter and limited view prevent confident assessment."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Filter and field-of-view limit assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(979)", "file_name": "(979).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(979).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Close view of mixed dentition showing multiple small teeth in irregular alignment with possible missing teeth among the cluster; image small and limited.", "findings": "Small mixed dentition with irregular alignment; possible missing teeth among cluster; limited assessment possible.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric dental review, recapture image.", "explanation": "Limited image quality prevents confident assessment."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Limited image."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(899)", "file_name": "(899).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(899).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth open showing irregular dentition with multiple missing teeth in the upper region and small spaced teeth visible; lower teeth partially visible; gingival tissue visible.", "findings": "Multiple missing upper teeth in pediatric mouth with small spaced remaining teeth; lower mixed dentition partially visible; gingival tissues pink.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph for comprehensive tooth bud assessment, paediatric orthodontic and prosthetic consultation, space maintenance planning.", "explanation": "Multiple anterior absences in pediatric mixed dentition need radiographic confirmation and combined orthodontic-prosthodontic planning for the developing dentition."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior absences."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(568)", "file_name": "(568).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(568).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth showing one missing upper central incisor with adjacent teeth intact.", "findings": "Single missing upper central in child.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Radiograph, orthodontic consult.", "explanation": "Anterior absence needs imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(515)", "file_name": "(515).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(515).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Red-filtered adult smile view showing intact teeth with one gold-coloured prosthetic tooth in the upper anterior position.", "findings": "Adult dentition with single gold prosthetic crown in upper anterior position; remaining teeth intact.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Aesthetic evaluation if patient desires alternative material, maintenance of existing prosthesis.", "explanation": "Prosthetic substitute already in place for previously missing tooth; not classical hypodontia."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "high", "rationale": "Gold crown is prosthetic substitute; not hypodontia."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "(421)", "file_name": "(421).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(421).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Red-filtered close view showing dentition with apparent missing anterior tooth, severely affected remaining teeth with broken structure or decay; heavy red filter.", "findings": "Apparent missing anterior with severely affected remaining teeth showing broken structure; assessment limited by filter.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Recapture image, panoramic radiograph, comprehensive dental assessment.", "explanation": "Filter limits assessment; severe pathology evident regardless."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "low", "rationale": "Filter limits; multiple pathologies."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(217)", "file_name": "(217).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(217).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth showing single missing upper central incisor space with adjacent centrals or laterals present and intact; gingival tissues pink with healthy appearance; lower anteriors visible with normal alignment for the developmental stage.", "findings": "Single missing upper central incisor space in pediatric mixed dentition; adjacent anterior teeth intact; gingival contour healthy; lower anteriors with mixed dentition pattern showing normal eruption.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for tooth bud assessment of the missing central position, paediatric orthodontic referral for evaluation, monitor eruption pattern at six-month intervals, parental counselling on treatment timeline.", "explanation": "Single central absence in mixed dentition may be congenital agenesis or delayed eruption of the permanent successor; radiographic imaging confirms presence of unerupted tooth bud and guides whether to wait for natural eruption or plan space management."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(640)", "file_name": "(640).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(640).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth with single missing upper central; remaining anteriors and lowers visible.", "findings": "Single missing upper central in mixed dentition.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Radiograph, orthodontic consult.", "explanation": "Anterior absence in child."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(491)", "file_name": "(491).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(491).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close view of severely affected mouth with multiple missing teeth, severely yellow-stained remaining teeth, broken structures; heavy red filter limits soft tissue assessment.", "findings": "Multiple missing teeth with broken remaining yellow-stained structures against red filter; severe combined pathology.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Recapture image, panoramic radiograph, comprehensive dental rehabilitation planning.", "explanation": "Severely affected mouth needs comprehensive workup; filter limits assessment."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "low", "rationale": "Multiple losses; filter limits."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_606", "file_name": "Tooth_Discoloration_0_606.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_606.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Lower lingual close view of mandibular anteriors with mild yellow cervical staining and pink gingival margins.", "findings": "Mild yellow lingual cervical staining on lower anteriors; gingiva healthy.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Mild stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical lingual stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_7423", "file_name": "Tooth_Discoloration_0_7423.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7423.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close blurred lateral view of lower anterior teeth showing brown cervical caries-like lesion or severe stain with mild gingival inflammation adjacent.", "findings": "Brown cervical lesion on lower anterior tooth that may be either advanced cervical caries or heavy stain; image partially blurred; mild gingival inflammation adjacent.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Probe to differentiate cavitated caries from stain, periapical radiograph, restoration if cavitated, scaling and polish if non-cavitated, hygiene reinforcement, recall.", "explanation": "Cervical brown lesions may be either cavitated caries or heavily mineralised stain; tactile and visual examination plus imaging differentiates and guides whether restoration or polishing is indicated."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "medium", "rationale": "May be cavitated rather than stain."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_4908", "file_name": "Tooth_Discoloration_0_4908.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4908.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Small pediatric mouth view of upper anteriors with mild yellow tooth shade.", "findings": "Mild yellow shade on pediatric upper anteriors.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, monitor.", "explanation": "Mild yellow shade common in mixed dentition."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Mild pediatric yellow shade."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_8635", "file_name": "Tooth_Discoloration_0_8635.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8635.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close view of lower anterior teeth showing yellow-orange cervical staining with apparent gingival recession or inflammation; heavy red filter limits accurate colour assessment.", "findings": "Yellow-orange cervical staining on lower anteriors against red filter; soft-tissue assessment limited by filter.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polish, recapture image with neutral lighting.", "explanation": "Filter limits accurate assessment; cervical stain visible."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "low", "rationale": "Filter limits assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_158", "file_name": "Tooth_Discoloration_0_158.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_158.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close view of older adult lower anteriors showing severely yellow-stained teeth with mild cervical staining; teeth structurally intact.", "findings": "Severely yellow lower anteriors with mild cervical staining; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polish, bleaching consult.", "explanation": "Heavy yellow shade is mix of extrinsic and age-related intrinsic."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Heavy yellow age-related shade."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_2832", "file_name": "Tooth_Discoloration_0_2832.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2832.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Pediatric small mouth view showing yellow-orange stained anterior teeth with mild cervical staining and pink lip frame; teeth otherwise intact without cavitation; gingival margins partially visible appear pink.", "findings": "Yellow-orange staining on pediatric anterior teeth with mild cervical staining; teeth intact; gingival margins pink without overt inflammation; lower anteriors with mixed dentition pattern.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing in age-appropriate manner, dietary counselling for the family on stain-causing foods and beverages, hygiene reinforcement with brushing demonstration for the child, six-month recall to monitor.", "explanation": "Pediatric extrinsic yellow staining typically arises from dietary chromogens and inconsistent brushing; gentle scaling and family hygiene education resolve the visible stain and prevent recurrence."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "high", "rationale": "Pediatric extrinsic yellow stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_4569", "file_name": "Tooth_Discoloration_0_4569.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4569.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Upper palatal mirror view of intact upper dentition with mild brown cervical staining on palatal surfaces.", "findings": "Mild brown palatal cervical staining; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, brushing technique reinforcement.", "explanation": "Palatal stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild palatal cervical stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_4125", "file_name": "Tooth_Discoloration_0_4125.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4125.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Very close view of upper anterior teeth at cervical region showing extensive black thread-like stain or hair-line crack pattern at the cervical and incisal areas with intact tooth structure and pink gingival margins.", "findings": "Extensive black thread-like staining pattern on upper anteriors; teeth structurally intact; gingival margins pink and healthy.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, professional polish, dietary counselling, supervised bleaching consult.", "explanation": "Black thread-pattern may be chromogenic bacteria or developmental; polish differentiates."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Unusual black pattern needs differentiation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_9023", "file_name": "Tooth_Discoloration_0_9023.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9023.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Red-filtered close lateral view of upper posterior teeth with cervical brown staining or caries lesion adjacent to a dental probe.", "findings": "Cervical brown lesion on upper posterior with dental probe in image; assessment limited by red filter.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Tactile probe to differentiate stain from caries, scaling, restoration if cavitated.", "explanation": "Filtered image with probe may be assessing cervical lesion."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "medium", "rationale": "Probe placement suggests cavitated lesion."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_4228", "file_name": "Tooth_Discoloration_0_4228.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4228.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Before/after comparison view showing the same dentition pre-treatment with heavy yellow-brown extrinsic staining on top panel and post-treatment with whitened cleaner teeth on bottom panel; the pre-image shows clear cervical staining and the post-image shows significantly improved tooth shade.", "findings": "Pre-treatment panel shows generalised yellow-brown extrinsic staining on upper anteriors; post-treatment panel shows whitened teeth with mostly clean cervical areas and improved tooth shade; gingival margins healthy in both panels.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Maintain post-treatment hygiene with twice-daily brushing along the gum line, professional polish every six months, dietary counselling on stain-causing beverages and tobacco, supervised maintenance bleaching if patient desires.", "explanation": "Severe pre-treatment extrinsic staining responded well to professional cleaning and bleaching as evidenced by the after panel; sustained biofilm control and dietary modification determine recurrence rate of the visible stain."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Before/after demonstrates extrinsic stain removed."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_282", "file_name": "Tooth_Discoloration_0_282.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_282.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of severely affected dentition with yellow-stained teeth, heavy cervical calculus, and severely inflamed bleeding gingiva.", "findings": "Heavy calculus and yellow staining with severe marginal gingival bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement.", "explanation": "Combined calculus and stain drive severe gingivitis."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "Tooth_Discoloration_0_1637", "file_name": "Tooth_Discoloration_0_1637.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1637.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close view of severely yellow-orange stained upper anterior teeth; heavy red filter limits accurate colour assessment.", "findings": "Severe yellow-orange staining on upper anteriors against red filter; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polish, recapture image with neutral lighting, bleaching consult.", "explanation": "Severe yellow stain may be tobacco or chromogenic dietary; filter limits assessment."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Heavy filter limits but stain evident."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_7177", "file_name": "Tooth_Discoloration_0_7177.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7177.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close view of severely yellow-stained adult lower anterior teeth with mild cervical staining and pink gingival margins.", "findings": "Severely yellow lower anteriors with mild cervical staining and healthy gingiva.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polish, dietary counselling, bleaching consult.", "explanation": "Heavy yellow shade is mix of extrinsic and age-related intrinsic."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Heavy yellow shade."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_4577", "file_name": "Tooth_Discoloration_0_4577.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4577.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close upper anterior view of a prosthetic crown with surrounding severely inflamed bright red gingival margin and white teeth; the prosthesis appears recently placed with active gingival irritation at the crown margin.", "findings": "Prosthetic crown on upper anterior tooth with severe surrounding marginal gingival inflammation suggesting either overcontoured margin, poor hygiene at margin, or biological width violation; adjacent teeth intact with normal shade.", "diagnosis": "Fillings/Restorations", "severity": "Moderate", "recommendation": "Evaluate crown margin for overcontour or biological width violation, scaling at the crown margin, hygiene reinforcement with floss threader, periapical radiograph, consider crown margin revision if biological width is violated.", "explanation": "Severe marginal inflammation adjacent to a prosthetic crown often indicates either a microbiological challenge from a plaque-retentive margin or a biological width violation; differential requires assessment of crown contour and probing the biological width before any revision."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Moderate", "confidence": "high", "rationale": "Prosthetic crown with marginal inflammation dominates."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "Tooth_Discoloration_0_2948", "file_name": "Tooth_Discoloration_0_2948.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2948.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view of upper anterior teeth with mild yellow shade and small white tooth.", "findings": "Mild pediatric yellow tooth shade.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, monitor.", "explanation": "Mild pediatric yellow shade common in mixed dentition."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Mild pediatric shade."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_2240", "file_name": "Tooth_Discoloration_0_2240.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2240.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close view of lower anterior teeth with yellow-orange cervical staining and severely inflamed red gingival margins with bleeding.", "findings": "Yellow-orange cervical staining on lower anteriors with severe marginal gingival bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Scaling, chlorhexidine rinse, hygiene reinforcement.", "explanation": "Cervical stain with severe gingivitis needs combined care."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with stain."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "Tooth_Discoloration_0_9721", "file_name": "Tooth_Discoloration_0_9721.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9721.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close view of upper anterior dentition showing intact white teeth with one tooth showing mild discoloration and severely inflamed bright red gingival margins.", "findings": "Mild single-tooth discoloration on upper anterior with severe marginal gingival inflammation; remaining teeth normal shade.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Vitality testing on the discoloured tooth, scaling for gingivitis, chlorhexidine rinse.", "explanation": "Single tooth discoloration with concurrent severe gingivitis needs assessment."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominates."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "Tooth_Discoloration_0_7776", "file_name": "Tooth_Discoloration_0_7776.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7776.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of lower anterior teeth with a dental probe or instrument inserted at the gingival sulcus showing healthy-appearing teeth with subtle yellow cervical tint and pink gingival margins; the instrument appears positioned for periodontal probing or scaling.", "findings": "Intact lower anteriors with mild cervical yellow tint; dental instrument positioned at gingival sulcus; gingival tissues pink with healthy contour; appears to be clinical procedure in progress.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Continue periodontal assessment or scaling procedure, polish post-treatment, hygiene reinforcement, six-month recall after periodontal therapy.", "explanation": "Image depicts ongoing clinical procedure with periodontal instrument in place; the underlying dentition appears largely healthy with mild cervical stain that is being addressed."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Procedure in progress; minimal pathology visible."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(183)", "file_name": "(183).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(183).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Side-by-side before/after close view of yellow-stained dentition with severe gingival inflammation visible in both panels.", "findings": "Yellow staining on upper and lower anteriors with severe marginal gingival inflammation.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement.", "explanation": "Heavy stain plus gingivitis needs combined care."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominates."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(866)", "file_name": "(866).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(866).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Lower lingual mirror close view showing intact lower anteriors with mild brown cervical calculus deposits along the gingival margins.", "findings": "Mild brown lingual cervical calculus on lower anteriors; gingiva pink with mild redness.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling, polish, hygiene reinforcement.", "explanation": "Lingual calculus is the most common deposit site."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild lingual cervical calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(150)", "file_name": "(150).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(150).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Lower lingual mirror view showing heavy brown-orange calculus deposits on the lingual surfaces of mandibular anterior teeth.", "findings": "Heavy lingual supragingival calculus on lower anteriors with adjacent inflamed gingival margins.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling, polish, hygiene reinforcement focused on lingual brushing, two-week recall.", "explanation": "Heavy lingual calculus harbours biofilm; mechanical scaling removes and improved brushing prevents recurrence."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy lingual calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1106)", "file_name": "(1106).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1106).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Right lateral close view of upper and lower anterior teeth showing yellow cervical staining and mild calculus deposits along the gingival margins; teeth mildly worn with attrition on incisal edges; gingival margins pink with localised mild redness.", "findings": "Yellow cervical calculus on lateral upper and lower anteriors with mild attrition on incisal edges; gingival margins with localised mild redness; teeth otherwise intact.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Scaling and polishing, occlusal evaluation for parafunctional habit, demonstrate proper brushing technique, fluoride application, six-month recall.", "explanation": "Cervical calculus drives mild marginal inflammation; concurrent attrition suggests parafunctional bruxism that warrants occlusal evaluation alongside biofilm control."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Cervical calculus with mild attrition."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(471)", "file_name": "(471).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(471).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Red-filtered side-by-side close view of severely yellow-stained dentition with bright red background and dramatic shadows.", "findings": "Severe yellow staining on dentition against red filter.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Scaling, recapture with neutral lighting.", "explanation": "Heavy filter limits assessment; staining evident."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "low", "rationale": "Filter limits assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(757)", "file_name": "(757).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(757).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of intact upper and lower anterior teeth showing mild yellow cervical staining and pink gingival margins.", "findings": "Mild yellow cervical staining on upper and lower anteriors; gingiva pink.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling and polishing, hygiene reinforcement, six-month recall.", "explanation": "Mild cervical staining responds to polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1004)", "file_name": "(1004).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1004).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Right lateral retracted view of intact upper and lower posterior teeth with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lateral dentition with mild cervical staining; gingiva pink with healthy contour.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling and polishing, six-month recall.", "explanation": "Mild cervical staining responds to professional polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(465)", "file_name": "(465).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(465).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of severely affected dentition showing yellow-stained worn upper anteriors with cervical calculus deposits and broken-down lower anterior teeth; gingival margins moderately inflamed adjacent to deposits.", "findings": "Heavy cervical calculus on yellow-stained upper anteriors with severe wear; broken-down lower anteriors; gingival inflammation adjacent to active disease.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling, restorative evaluation of broken lower anteriors, periodontal review, hygiene reinforcement, two-week recall for re-evaluation.", "explanation": "Severe combined calculus burden, attrition, and broken teeth signal long-neglected periodontal and restorative care needing staged comprehensive management."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy calculus with concurrent wear and broken teeth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1122)", "file_name": "(1122).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1122).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Backlit frontal view showing mild crowded anterior teeth with mild yellow staining and red filter background.", "findings": "Mild crowding with mild yellow staining; gingival assessment limited by filter.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, orthodontic consult.", "explanation": "Mild crowding with calculus; orthodontic correction is preferred."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Crowding dominant under filter."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(307)", "file_name": "(307).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(307).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of upper anterior teeth with significant gingival overgrowth covering parts of the crowns and brown cervical staining on visible tooth surfaces.", "findings": "Gingival overgrowth on upper anteriors with brown cervical staining and rolled bulbous gingival contour.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Scaling, biopsy if persistent overgrowth, medication review for drug-induced enlargement, hygiene reinforcement.", "explanation": "Gingival overgrowth may be plaque-induced or drug-induced; biopsy and history differentiate."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Gingival overgrowth dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(248)", "file_name": "(248).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(248).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Left lateral close view of intact aligned upper and lower posterior teeth with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lateral dentition with mild yellow cervical staining; gingival contour healthy.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling and polishing, six-month recall.", "explanation": "Mild cervical staining responds to polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1281)", "file_name": "(1281).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1281).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Older patient close view of severely affected upper anterior dentition with broken-down crowns, severe yellow-brown cervical staining, a missing upper anterior tooth space, and lower teeth with attrition; gingival tissues inflamed adjacent to broken structures.", "findings": "Severely affected adult dentition with broken upper anteriors, severe cervical staining, missing upper anterior tooth, attrition on lower anteriors, and adjacent gingival inflammation.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, extract non-restorable teeth, scaling, comprehensive prosthodontic planning, recall every two weeks.", "explanation": "Severely affected adult dentition with combined acquired tooth loss, broken structures, and calculus burden requires staged surgical and prosthodontic rehabilitation alongside periodontal therapy."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Combined pathology with missing tooth dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "caries_0_134", "file_name": "caries_0_134.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_134.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth open view with dental retractor showing single posterior tooth visible with possible caries on occlusal surface.", "findings": "Single posterior tooth visible with possible occlusal caries; limited field of view.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe for cavitation, restoration if confirmed.", "explanation": "Limited image; needs clinical examination."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "low", "rationale": "Limited view."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1994", "file_name": "caries_0_1994.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1994.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close right lateral view of a single maxillary molar with a deep cavitated occlusal lesion penetrating into dentin.", "findings": "Deep cavitated occlusal caries on maxillary molar with dark walls; adjacent teeth intact.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Vitality testing, periapical radiograph, composite or onlay restoration if pulp vital.", "explanation": "Deep dentinal caries needs vitality assessment before restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Deep cavitated molar lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7835", "file_name": "caries_0_7835.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7835.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Pediatric close-up of upper anterior tooth showing whitish cotton or composite restoration material with cavitation evident; surrounding gingival tissue mildly inflamed.", "findings": "Single tooth with whitish composite restoration material and adjacent cavitation; mild gingival inflammation.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Refine restoration, polish margins, six-month recall.", "explanation": "Recent restoration with adjacent caries needs margin assessment."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "medium", "rationale": "Restoration material is dominant feature."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_6296", "file_name": "caries_0_6296.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6296.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Lower lingual close view showing intact mandibular anteriors with a dark spot at the cervical region of one tooth suggesting caries or stain; remaining teeth intact with pink healthy gingival margins.", "findings": "Dark cervical spot on a mandibular anterior suggesting early caries or stain; remaining teeth intact; gingival contour healthy with mild redness.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe lesion to differentiate cavitated caries from stain, fluoride application, six-month recall to monitor lesion stability.", "explanation": "Small cervical lesion needs tactile examination to differentiate cavitated caries from arrested stain; fluoride supports remineralisation if non-cavitated."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Small cervical lesion needs differentiation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_4860", "file_name": "caries_0_4860.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4860.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Upper palatal close view showing intact dentition with small chalky white lesion or restoration on a single tooth.", "findings": "Small chalky white area on a single upper tooth; remaining teeth intact.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe, fluoride, monitor.", "explanation": "Small lesion needs differential."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Small chalky lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_5703", "file_name": "caries_0_5703.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5703.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of upper anterior teeth showing severe yellow-orange staining with possible early cervical caries lesions and intact tooth structure.", "findings": "Severe yellow-orange anterior staining with possible early cervical caries; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Probe cervical areas, scaling, fluoride, restorative if cavitated.", "explanation": "Heavy staining may mask early caries; needs tactile assessment."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Heavy stain may mask caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_3767", "file_name": "caries_0_3767.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_3767.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Lower lateral close view of mandibular posterior teeth with severe yellow staining and dark cervical caries-like lesions on multiple teeth.", "findings": "Severe yellow staining and dark cervical lesions on mandibular posteriors.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Probe lesions to differentiate, scaling, restorative care.", "explanation": "Multiple cervical lesions need differential between stain and caries."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "medium", "rationale": "Multiple cervical lesions."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_9321", "file_name": "caries_0_9321.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9321.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth showing dental probe assessing severely yellow-stained teeth with active brown cavitated lesions on multiple anterior surfaces; gingival tissues mildly inflamed; dental instruments visible in the field.", "findings": "Multiple cavitated brown carious lesions on yellow-stained pediatric anterior teeth with active probing assessment; gingival tissues mildly inflamed adjacent to active disease.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, restore salvageable teeth, extract non-restorable, fluoride therapy, parental counselling on dietary habits, three-monthly recall to monitor caries activity.", "explanation": "Severe pediatric caries with active probing assessment indicates ongoing clinical examination; comprehensive management combines restoration of salvageable teeth, removal of non-restorable structures, and aggressive prevention for the remaining and developing dentition."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe pediatric caries under examination."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_1367", "file_name": "caries_0_1367.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1367.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Frontal close view showing severely destroyed upper anterior teeth with multiple broken-down dark stumps and a missing tooth space.", "findings": "Multiple severely destroyed upper anteriors with broken stumps and missing tooth space.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract non-restorable stumps, prosthetic planning.", "explanation": "Severe coronal destruction needs surgical clearance."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable caries with tooth loss."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_309", "file_name": "caries_0_309.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_309.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close view of dentition with severely affected teeth and limited detail due to heavy red filter; severe pathology visible against filter background.", "findings": "Severely affected dentition against red filter; details limited.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Recapture image with neutral lighting, comprehensive dental review.", "explanation": "Filter prevents accurate assessment; severe pathology evident."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "low", "rationale": "Filter limits assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_4777", "file_name": "caries_0_4777.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4777.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of upper anteriors with severe cervical caries lesions on multiple teeth, brown coronal staining, and broken structure on one tooth; surrounding gingiva moderately inflamed.", "findings": "Severe cervical caries on multiple upper anteriors with broken structure on one tooth; gingival inflammation adjacent.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore cavitated lesions, extract non-restorable tooth, scaling, fluoride.", "explanation": "Multiple cervical caries with broken tooth need combined restorative and surgical care."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple severe cervical caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_4327", "file_name": "caries_0_4327.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4327.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Pediatric frontal view of severely cavitated upper primary anterior teeth with multiple destroyed brown stumps and dark grey-black coronal destruction characteristic of advanced early childhood caries; gingival tissues inflamed adjacent to active disease.", "findings": "Multiple severely cavitated upper primary anteriors with grey-black coronal destruction; pulpal exposure likely on several teeth; gingival inflammation adjacent.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Comprehensive pediatric dental review under sedation, extract non-restorable teeth, stainless steel crowns or pulpotomy on salvageable teeth, parental counselling on feeding habits, three-monthly recall.", "explanation": "Severe early childhood caries pattern with pulpal involvement needs surgical management and aggressive prevention to preserve arch length and developing dentition."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe early childhood caries pattern."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(915)", "file_name": "(915).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(915).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Frontal retracted view showing intact upper and lower anteriors with mild yellow cervical staining and pink gingival margins; mild marginal redness on the upper anterior gingiva.", "findings": "Intact anterior dentition with mild cervical staining and localised mild marginal gingival redness.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling, brushing technique reinforcement, six-month recall.", "explanation": "Mild localised marginal gingivitis reversible with biofilm control."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal inflammation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(599)", "file_name": "(599).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(599).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Right lateral retracted view of upper and lower anterior teeth showing severe crowding with rotation, mild yellow cervical staining, and pink gingival margins with mild redness adjacent to crowded contacts.", "findings": "Severe upper and lower anterior crowding with rotation; mild cervical staining; mild marginal gingivitis at crowded interdental contacts.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling at crowded areas, orthodontic consult, interdental cleaning, six-month recall.", "explanation": "Crowding traps plaque at interdental contacts driving localised gingivitis; orthodontics removes retention factor."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Severe crowding is dominant clinical finding."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(167)", "file_name": "(167).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(167).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal close view showing severely overgrown bright-red gingival tissues with lobular bulbous masses covering significant portions of upper anteriors; yellow staining on visible tooth surfaces; severe gingival enlargement.", "findings": "Severe gingival overgrowth with lobular bleeding masses covering parts of upper anterior crowns; yellow staining on visible teeth; severely bulbous gingival contour.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral for biopsy, medication review for drug-induced enlargement, scaling once accessible, hygiene reinforcement.", "explanation": "Severe gingival enlargement may be plaque-induced, drug-induced, or hormonal."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival hyperplasia dominant."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1994)", "file_name": "(1994).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1994).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal close view showing severely affected dentition with severe yellow-brown cervical staining, dark cervical caries lesions on multiple anteriors, and severely inflamed bright-red bleeding gingival tissues; combined caries and severe gingivitis pattern.", "findings": "Severe yellow-brown cervical staining with cavitated caries lesions on multiple anteriors; severe marginal gingival inflammation with active bleeding; rolled bulbous gingival contour.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Address active caries with excavation and restoration, multi-session ultrasonic scaling, chlorhexidine 0.2% rinse for two weeks, hygiene reinforcement with interdental cleaning, recall in two weeks for re-evaluation of both caries and periodontal status.", "explanation": "Severe combined caries and gingivitis indicate long-neglected periodontal and restorative care driven by sustained heavy biofilm; combined operative restoration and periodontal therapy with sustained biofilm control resolves the active disease."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe caries with gingivitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1053)", "file_name": "(1053).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1053).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Close upper anterior view of severely yellow-stained teeth with severely inflamed bright-red gingival margins and gingival enlargement.", "findings": "Severe yellow staining on upper anteriors with severe marginal gingival inflammation and enlargement.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement.", "explanation": "Heavy stain plus gingivitis needs combined care."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1065)", "file_name": "(1065).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1065).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view showing severely affected dentition with severe yellow staining, dark cervical caries on multiple anteriors, and severely inflamed gingiva with bleeding; combined caries and gingivitis.", "findings": "Severe yellow staining with multiple cavitated caries on anteriors and severe marginal gingival inflammation with bleeding.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate caries, multi-session scaling, chlorhexidine, hygiene reinforcement, recall in two weeks.", "explanation": "Combined severe caries and gingivitis need combined restorative and periodontal care."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe caries with concurrent gingivitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(266)", "file_name": "(266).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(266).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Right lateral close view of intact upper anteriors with mild yellow cervical staining and pink gingival margins with localised mild redness.", "findings": "Intact upper anteriors with mild cervical staining and localised mild marginal redness.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling, brushing reinforcement, six-month recall.", "explanation": "Mild localised marginal gingivitis reversible with biofilm control."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild localised marginal redness."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(635)", "file_name": "(635).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(635).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal close view showing severely affected dentition with broken-down brown coronal structure on upper anteriors, retained roots, severely inflamed bright-red gingiva with active bleeding, and visible necrotic tissue; severe combined caries and periodontal pathology in advanced state.", "findings": "Severely affected adult dentition with broken-down brown crowns, retained roots, severe gingival inflammation with active bleeding, and visible necrotic tissue suggesting chronic infection.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic cover, panoramic radiograph, urgent extraction of non-restorable teeth and root remnants, periodontal therapy, comprehensive rehabilitation planning, recall every two weeks during treatment phase.", "explanation": "Severely affected dentition with retained roots and active gingival infection indicates chronic odontogenic disease that requires urgent surgical clearance of infection sources before any prosthetic or restorative rehabilitation can proceed safely."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable caries with active infection."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1754)", "file_name": "(1754).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1754).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Frontal retracted close view of intact upper anteriors with mild yellow tint and mild crowding; gingival margins pink with healthy contour.", "findings": "Intact upper anteriors with mild crowding and yellow tint; gingival contour healthy.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Routine scaling, orthodontic monitoring, six-month recall.", "explanation": "Mild crowding with healthy gingiva; biofilm control prevents progression."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Mild crowding more prominent than gingivitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(151)", "file_name": "(151).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(151).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of older patient with intact upper and lower anteriors, missing upper anterior tooth space, mild yellow staining, and mild gingival inflammation adjacent to the missing space.", "findings": "Missing upper anterior tooth space in adult dentition with intact remaining teeth and mild marginal inflammation adjacent.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Panoramic radiograph, prosthetic consultation for missing tooth replacement, scaling, hygiene reinforcement.", "explanation": "Acquired anterior tooth loss with mild gingivitis needs combined prosthetic and periodontal care."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "high", "rationale": "Missing anterior tooth dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1036)", "file_name": "(1036).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1036).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Right lateral close view of crowded upper anteriors with mild yellow staining and pink gingival margins; teeth structurally intact and well-aligned despite crowding.", "findings": "Crowded upper anteriors with mild yellow staining; gingival margins pink and healthy.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, orthodontic consult for crowding, interdental cleaning education.", "explanation": "Crowding drives plaque retention; orthodontic correction with biofilm control resolves localised inflammation."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "high", "rationale": "Crowding more prominent."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(1726)", "file_name": "(1726).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1726).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Right lateral close view of intact upper and lower posterior teeth showing well-aligned dentition with mild yellow cervical staining and pink gingival margins with healthy contour; no overt inflammation or active pathology visible.", "findings": "Intact lateral posterior dentition with mild cervical staining and healthy gingival contour; no overt inflammation visible.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Routine scaling and polishing, maintenance of current oral hygiene practices, six-month recall to monitor.", "explanation": "Largely healthy presentation with mild cervical staining; ongoing biofilm control maintains gingival health."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues largely healthy; ext label questionable."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1086)", "file_name": "(1086).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1086).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of upper anteriors with severely worn yellow-stained teeth and a missing upper anterior tooth space.", "findings": "Missing upper anterior tooth with worn yellow-stained adjacent teeth.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Radiograph, prosthetic and restorative planning.", "explanation": "Acquired adult loss with concurrent wear."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss with wear."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(645)", "file_name": "(645).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(645).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth open view showing irregular dentition with multiple missing upper anterior teeth and small teeth visible in the lower arch.", "findings": "Multiple missing upper anteriors in pediatric mouth with irregular alignment.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph, paediatric orthodontic referral.", "explanation": "Multiple anterior absences need imaging confirmation."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior absences."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1087)", "file_name": "(1087).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1087).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric close mouth view of lower anteriors showing small spaced teeth with missing tooth between them; mixed dentition pattern.", "findings": "Small spaced lower anteriors with one missing tooth in mixed dentition.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph for tooth bud assessment, monitor eruption.", "explanation": "Mixed-dentition gap may be exfoliation or congenital absence."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Single lower anterior space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1047)", "file_name": "(1047).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1047).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth open view showing upper anterior region with multiple missing teeth and irregular small remaining teeth, lower teeth visible with mixed dentition pattern; gingival tissues pink with healthy contour.", "findings": "Multiple missing upper anterior teeth in pediatric mixed dentition with irregularly small remaining teeth; lower mixed dentition shows normal pattern; gingival contour healthy.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph for comprehensive tooth bud assessment, paediatric orthodontic and prosthetic consultation, space management planning, monitor eruption pattern with three-month recalls.", "explanation": "Multiple anterior absences in pediatric mixed dentition need radiographic confirmation of agenesis versus delayed eruption; combined orthodontic-prosthodontic planning addresses long-term aesthetic and functional needs."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior absences in mixed dentition."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1013)", "file_name": "(1013).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1013).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view showing small dentition with possible missing teeth; limited field of view.", "findings": "Pediatric small dentition with possible missing teeth; limited assessment.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric dental review.", "explanation": "Limited image; needs clinical examination."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Limited image."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1249)", "file_name": "(1249).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1249).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of older adult with severely worn yellow-stained teeth, broken upper anterior crowns, and a missing upper anterior tooth space.", "findings": "Severely worn adult upper anteriors with broken crowns and missing tooth space.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Comprehensive prosthodontic and restorative planning, radiograph.", "explanation": "Adult acquired loss with severe wear needs comprehensive rehabilitation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss with wear."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1075)", "file_name": "(1075).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1075).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric close lateral view showing irregular dentition with multiple missing teeth and broken-down structures.", "findings": "Multiple missing teeth in pediatric mouth with broken-down remaining structures.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Pediatric dental review, panoramic radiograph, comprehensive planning.", "explanation": "Severe pediatric tooth loss needs comprehensive workup."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple pediatric absences."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(527)", "file_name": "(527).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(527).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Red-filtered backlit close pediatric mouth view showing dentition with apparent missing anterior tooth and severely affected remaining teeth with yellow-orange staining; heavy red filter limits accurate assessment of soft tissues and tooth shade.", "findings": "Apparent missing anterior tooth in pediatric mouth against red filter with yellow staining on remaining teeth; soft-tissue assessment limited by filter.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Recapture image with neutral clinical lighting, panoramic radiograph for tooth bud assessment, paediatric dental review after better visualisation.", "explanation": "Heavy filter prevents confident assessment; standard clinical photography enables proper diagnosis and treatment planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "low", "rationale": "Filter limits assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(955)", "file_name": "(955).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(955).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth open close view showing multiple missing upper anteriors with intact lower anteriors visible.", "findings": "Multiple missing upper anteriors in pediatric mouth.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph, paediatric orthodontic referral.", "explanation": "Multiple absences need imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior absences."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(783)", "file_name": "(783).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(783).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Frontal close view showing severely affected adult dentition with missing upper anterior teeth, severely yellow-stained remaining teeth with broken-down structure, and gingival recession.", "findings": "Multiple missing upper anteriors in adult dentition with severely worn yellow remaining teeth and gingival recession.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, comprehensive prosthodontic and periodontal planning.", "explanation": "Adult acquired multi-tooth loss with severe wear and recession needs comprehensive care."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1169)", "file_name": "(1169).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1169).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Close pediatric mouth view showing widely spaced small teeth with apparent missing teeth and irregular alignment.", "findings": "Widely spaced small pediatric teeth with possible missing teeth and irregular alignment.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric dental review.", "explanation": "Wide spacing may be hypodontia or microdontia."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric small spaced teeth."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(532)", "file_name": "(532).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(532).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Red-filtered close lateral view of dentition with severely yellow-stained teeth and dramatic shadows from the heavy red filter limiting accurate assessment of any missing teeth or soft tissues.", "findings": "Severely yellow-stained teeth against heavy red filter; possible missing teeth obscured by filter; soft-tissue assessment limited.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Recapture image with neutral lighting, panoramic radiograph for comprehensive assessment.", "explanation": "Filter prevents accurate assessment of dentition."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "low", "rationale": "Filter limits assessment."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_7109", "file_name": "Tooth_Discoloration_0_7109.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7109.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of upper anterior teeth showing severe brown extrinsic staining with horizontal banded pattern and pink gingival margins.", "findings": "Severe brown horizontal-banded staining on upper anteriors.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, dietary counselling.", "explanation": "Banded extrinsic stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Banded extrinsic stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_1404", "file_name": "Tooth_Discoloration_0_1404.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1404.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of upper and lower anterior teeth showing mostly intact normal-shade teeth with one tooth showing mild dark spot at the cervical region.", "findings": "Single mild dark cervical spot on upper anterior; remaining teeth intact and normal shade.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe lesion, polish, six-month recall.", "explanation": "Small cervical lesion needs differential."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Small cervical spot may be incipient caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_2188", "file_name": "Tooth_Discoloration_0_2188.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2188.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Frontal close view of upper and lower anterior teeth showing one severely darkened grey-black upper anterior tooth contrasted with adjacent normal-shade teeth.", "findings": "Single severely darkened grey-black upper anterior tooth; adjacent teeth normal shade.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, periapical radiograph, endodontic referral if non-vital.", "explanation": "Single-tooth grey-black discoloration suggests pulpal necrosis."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Classic single non-vital tooth presentation."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_9989", "file_name": "Tooth_Discoloration_0_9989.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9989.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of dentition showing mild yellow tooth shade with mild cervical staining; teeth structurally intact and well-aligned; gingival margins pink with healthy contour; this appears to be a referenced clinical figure with labelled annotation visible in the image margin.", "findings": "Generalised mild yellow tooth shade with mild cervical staining; teeth intact and well-aligned; gingival contour healthy; labelled clinical figure with annotation in margin.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Professional polishing to remove extrinsic stain component, dietary counselling on chromogenic beverages, supervised bleaching consultation if patient desires aesthetic improvement, six-month recall.", "explanation": "Mild yellow shade with mild cervical staining is largely extrinsic and responds to polishing; intrinsic component is genetically determined and may benefit from supervised vital bleaching for aesthetic concerns."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild yellow shade as labelled clinical example."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_3053", "file_name": "Tooth_Discoloration_0_3053.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3053.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Adult man smiling with stained teeth visible against acne-affected facial skin; mild yellow tooth shade with mild cervical staining.", "findings": "Mild yellow-orange tooth staining in adult mouth.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing, hygiene reinforcement.", "explanation": "Extrinsic stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "medium", "rationale": "Mild yellow shade."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_2293", "file_name": "Tooth_Discoloration_0_2293.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2293.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close view of teeth showing yellow-brown staining and pinkish gingival background with red filter cast.", "findings": "Yellow-brown staining against red filter; teeth structurally intact.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing, recapture with neutral lighting.", "explanation": "Filter limits accurate assessment; staining evident."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "medium", "rationale": "Filter limits assessment."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_3935", "file_name": "Tooth_Discoloration_0_3935.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3935.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of upper anterior teeth with shade-guide tab held adjacent showing yellow-brown discoloration with horizontal banding.", "findings": "Yellow-brown banded discoloration on upper anteriors with shade-guide reference.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, vitality testing, supervised bleaching consult.", "explanation": "Banded discoloration may be developmental or extrinsic."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Banded discoloration with shade guide."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_4857", "file_name": "Tooth_Discoloration_0_4857.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4857.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Extracted tooth specimen viewed externally showing yellow-brown root surfaces with deep cavitated coronal destruction and necrotic-appearing pulpal exposure; specimen is no longer in the patient mouth.", "findings": "Extracted tooth specimen with severe coronal caries destruction and apparent pulpal necrosis; not a clinical photograph of in-situ dentition.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Document specimen for clinical record, this image is a specimen rather than diagnostic clinical photograph.", "explanation": "Extracted specimens used as teaching material rather than diagnostic photographs."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Extracted tooth specimen with severe caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_1214", "file_name": "Tooth_Discoloration_0_1214.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1214.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of upper and lower anterior teeth showing mild yellow tooth shade and mild cervical staining; teeth otherwise intact.", "findings": "Mild yellow shade with mild cervical staining; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement, six-month recall.", "explanation": "Mild extrinsic stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild yellow shade."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_384", "file_name": "Tooth_Discoloration_0_384.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_384.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close view of lower anterior teeth showing severe black-brown vertical streak staining and heavy plaque accumulation along the gingival margins.", "findings": "Severe black-brown vertical streak staining with heavy plaque on lower anteriors; gingival margins inflamed.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Scaling and polishing, hygiene reinforcement, dietary counselling.", "explanation": "Severe vertical streak staining may be chromogenic bacteria or extrinsic chemical."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy black plaque-stain pattern."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "Tooth_Discoloration_0_7181", "file_name": "Tooth_Discoloration_0_7181.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7181.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Very close magnified view of upper anterior teeth showing mild yellow gradient discoloration and what appears to be cervical white-spot lesions on multiple teeth.", "findings": "Mild yellow gradient and chalky white-spot lesions on upper anteriors.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Fluoride varnish for white-spot lesions, polish for stain, hygiene reinforcement.", "explanation": "White-spot lesions represent reversible enamel demineralisation amenable to fluoride remineralisation."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "White-spot lesions present alongside mild stain."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_7217", "file_name": "Tooth_Discoloration_0_7217.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7217.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Older patient close view of upper and lower anteriors showing severely yellow-stained teeth with broken-down structures, missing posterior tooth visible, multiple cervical staining and possible cervical caries lesions; gingival tissues mildly recessed.", "findings": "Severely yellow-stained adult anteriors with broken-down structures, possible cervical caries, and missing posterior teeth.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, restorative and prosthodontic planning, scaling, dietary counselling, recall every two weeks during treatment phase.", "explanation": "Severely affected adult dentition with combined yellow staining, possible caries, and tooth loss needs comprehensive multi-disciplinary care to restore function and aesthetics."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Combined adult pathology with missing teeth dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(1005)", "file_name": "(1005).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1005).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of intact upper and lower anteriors with severe brown cervical calculus deposits and bleeding gingival margins.", "findings": "Heavy brown cervical calculus with severely inflamed bleeding gingiva.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene.", "explanation": "Heavy calculus drives gingivitis; scaling reverses."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with calculus."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(461)", "file_name": "(461).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(461).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Close lateral view with red filter showing a single tooth with severe black calculus deposit and adjacent yellow-stained teeth.", "findings": "Heavy black calculus on a single anterior tooth; adjacent teeth yellow-stained.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Localised scaling on affected tooth, full mouth scaling.", "explanation": "Localised heavy calculus needs targeted scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Severe localised calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1095)", "file_name": "(1095).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1095).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Right lateral close view of intact upper and lower anteriors with mild yellow cervical staining and pink gingival margins.", "findings": "Mild cervical staining on lateral anteriors; gingiva pink.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling, polish, six-month recall.", "explanation": "Mild cervical staining responds to polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1000)", "file_name": "(1000).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1000).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal retracted view of severely affected dentition with heavy brown cervical calculus on all anteriors, attrition on upper anterior incisal edges, mild gingival recession exposing root surfaces, and severely inflamed bleeding gingival margins.", "findings": "Heavy generalised cervical calculus on upper and lower anteriors with severe gingival inflammation, mild recession, and attrition on upper incisal edges.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling, chlorhexidine rinse for two weeks, periodontal review for recession assessment, fluoride to exposed root surfaces, occlusal evaluation for parafunction, recall in two weeks for re-evaluation of gingival response.", "explanation": "Severe combined calculus burden, gingivitis, recession, and attrition reflect long-neglected periodontal care plus parafunctional bruxism; combined periodontal therapy and occlusal management is required."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy combined pathology."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(332)", "file_name": "(332).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(332).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Side-by-side before/after frontal view of severely yellow stained lower anterior teeth with cervical calculus visible in both panels.", "findings": "Severe yellow cervical calculus on lower anteriors visible in both panels.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session scaling, hygiene reinforcement.", "explanation": "Heavy lower anterior calculus needs targeted scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy lower cervical calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1073)", "file_name": "(1073).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1073).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Right lateral close view of upper and lower anteriors with severe crowding and rotation; mild cervical staining; pink gingival margins.", "findings": "Severe anterior crowding with rotation; mild cervical staining.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, orthodontic consult, interdental cleaning education.", "explanation": "Severe crowding drives plaque retention; orthodontic correction preferred."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Severe crowding dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(149)", "file_name": "(149).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(149).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Side-by-side close view of lower lingual anteriors showing yellow cervical calculus on both panels with mild inflammation.", "findings": "Yellow lingual cervical calculus on lower anteriors with mild marginal inflammation.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Scaling and polishing, lingual brushing technique, six-month recall.", "explanation": "Lingual calculus is the most common deposit site."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Cervical lingual calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1216)", "file_name": "(1216).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1216).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal close view showing severely affected dentition with severe yellow-orange staining, heavy cervical calculus, broken-down structures, gingival recession exposing root surfaces, and inflamed bleeding gingival margins; combined severe periodontal and structural pathology.", "findings": "Severely affected dentition with heavy cervical calculus, severe gingival inflammation with bleeding and recession, broken-down structures, and severe yellow-orange staining; combined severe periodontal and restorative needs.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling with periodontal probing, chlorhexidine 0.2% rinse for two weeks, periodontal referral for advanced disease management, fluoride to exposed roots, restorative evaluation of broken structures, recall every two weeks during treatment phase.", "explanation": "Severely affected adult dentition with combined heavy calculus, advanced gingivitis with recession, and broken structures reflects long-neglected periodontal and restorative care; comprehensive multi-disciplinary management combining periodontal therapy and staged restoration is required."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Recession plus heavy calculus suggests periodontitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "(44)", "file_name": "(44).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(44).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Right lateral close view of intact upper and lower anteriors with mild yellow cervical staining and pink gingival margins.", "findings": "Intact anteriors with mild cervical staining.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling and polishing, six-month recall.", "explanation": "Mild cervical staining responds to polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(435)", "file_name": "(435).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(435).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Close pediatric mouth view with dental tool retracting cheek showing intact molar with mild yellow cervical staining.", "findings": "Single intact pediatric molar visible with mild cervical staining; limited field of view.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement.", "explanation": "Mild pediatric cervical staining."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "medium", "rationale": "Mild pediatric cervical staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1049)", "file_name": "(1049).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1049).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Older adult close view showing severely affected dentition with missing upper anterior teeth, severely worn yellow-stained teeth, and broken-down structures with cervical staining and possible cervical caries lesions.", "findings": "Severely affected adult dentition with missing teeth and severe wear; possible cervical caries with cervical staining.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, restorative and prosthodontic planning, scaling.", "explanation": "Combined adult acquired loss, severe wear, and possible caries."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Adult acquired loss dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(594)", "file_name": "(594).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(594).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of dentition with severely yellow stained anterior teeth, mild crowding, mild cervical staining, and pink gingival margins with mild marginal redness; teeth structurally intact and well-aligned overall.", "findings": "Severe yellow generalised tooth shade with mild cervical staining; mild anterior crowding; mild marginal gingival redness; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling and polishing, dietary counselling on chromogenic beverages, brushing technique reinforcement, supervised bleaching consultation if patient desires aesthetic improvement, six-month recall.", "explanation": "Severe generalised yellow shade is largely intrinsic with mild extrinsic component; polishing addresses extrinsic stain and supervised bleaching may improve aesthetics; biofilm control prevents progression of mild gingival inflammation."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "medium", "rationale": "Yellow shade dominant over calculus."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "caries_0_3316", "file_name": "caries_0_3316.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_3316.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view with dental tool showing single posterior tooth with possible caries lesion.", "findings": "Single pediatric tooth with possible occlusal caries; limited view.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe lesion, restoration if cavitated.", "explanation": "Limited view; needs examination."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "low", "rationale": "Limited view."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7038", "file_name": "caries_0_7038.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7038.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close pediatric mouth view showing severely affected upper anteriors with dark cavitated caries, gingival enlargement, and necrotic tissue masses; severe combined pathology.", "findings": "Severely cavitated upper anteriors with brown coronal destruction; gingival enlargement with necrotic-appearing tissue masses adjacent.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric urgent dental review, antibiotic if acute infection, extraction of non-restorable, biopsy of gingival mass.", "explanation": "Severe pediatric caries with concurrent gingival mass needs urgent assessment."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe caries with gingival mass."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_2675", "file_name": "caries_0_2675.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_2675.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close lateral close view of upper anterior teeth showing mild yellow shade with shade-guide tab reference.", "findings": "Mild yellow shade on upper anteriors with shade-guide reference; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, supervised bleaching consult if patient desires.", "explanation": "Mild yellow shade may benefit from bleaching for aesthetics."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Mild yellow shade with shade guide."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_8727", "file_name": "caries_0_8727.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8727.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of lower posterior teeth showing severely broken-down tooth with deep cavitation extending to root level, retained root structure, and inflamed gingiva adjacent.", "findings": "Severely broken-down lower posterior tooth with cavitation extending to root level; retained root remnant; adjacent gingival inflammation.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Extract non-restorable root, antibiotic if needed, prosthetic planning, periodontal management.", "explanation": "Non-restorable root remnant requires surgical removal before any prosthetic rehabilitation."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Non-restorable retained root."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7767", "file_name": "caries_0_7767.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7767.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close occlusal view of intact mandibular molar with dark deep occlusal caries lesion.", "findings": "Deep cavitated occlusal molar caries.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore, vitality testing.", "explanation": "Cavitated dentinal caries needs restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated molar lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_3561", "file_name": "caries_0_3561.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_3561.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of older patient with severely yellow-stained lower anteriors, gingival recession, and severely inflamed bleeding gingival margins.", "findings": "Severely yellow lower anteriors with gingival recession and severe marginal gingival inflammation with bleeding.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session scaling, periodontal therapy, fluoride to exposed roots, recall in two weeks.", "explanation": "Severe combined adult periodontitis and staining needs comprehensive care."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with recession suggests periodontitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "caries_0_8286", "file_name": "caries_0_8286.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8286.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of upper and lower posterior teeth showing yellow staining, severe cervical caries lesion on one tooth, and inflamed gingiva.", "findings": "Yellow staining with severe cervical caries on one posterior tooth and adjacent gingival inflammation.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore, scaling, hygiene reinforcement.", "explanation": "Severe cervical caries needs restoration to halt progression."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe cervical caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_5328", "file_name": "caries_0_5328.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5328.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral view of severely yellow-stained teeth with multiple broken-down structures, severely affected gingiva, missing teeth visible, gold dental work on one tooth, and active necrotic tissue indicating severe combined caries and periodontal pathology in advanced state.", "findings": "Severely affected adult dentition with broken-down teeth, missing teeth, gold restoration on one tooth, severe gingival inflammation with necrotic tissue, and yellow staining; advanced combined pathology.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic cover, panoramic radiograph, urgent extraction of non-restorable teeth, periodontal therapy, comprehensive prosthodontic and restorative planning, recall every two weeks during treatment.", "explanation": "Severely affected adult dentition with combined caries, tooth loss, and active periodontal infection requires urgent surgical clearance and comprehensive multi-disciplinary management."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe combined adult pathology."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_2920", "file_name": "caries_0_2920.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_2920.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close occlusal mirror view of single mandibular molar with deep occlusal caries lesion visible via mirror.", "findings": "Deep cavitated occlusal caries on mandibular molar via mirror view.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore.", "explanation": "Cavitated molar caries needs restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated molar lesion via mirror."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_4698", "file_name": "caries_0_4698.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4698.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of upper anterior teeth showing single tooth with severe cervical caries lesion and a small dark spot adjacent suggesting incipient caries on neighbouring tooth.", "findings": "Severe cervical caries on one upper anterior with adjacent small dark spot suggesting incipient lesion.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate cavitated caries, fluoride for incipient lesion, monitor.", "explanation": "Combined cavitated and incipient lesions need staged management."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated cervical caries with neighbouring incipient lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_852", "file_name": "caries_0_852.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_852.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Adult lateral close view showing severely affected dentition with severely yellow-stained teeth, broken-down structures with deep cervical caries lesions, gingival recession, and necrotic-appearing tissue at one site.", "findings": "Severely affected adult dentition with severe cervical caries, broken structures, recession, and possible necrotic tissue at site of active infection.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Urgent dental review, antibiotic cover, extraction of non-restorable, comprehensive planning.", "explanation": "Severe combined caries and possible acute infection needs urgent management."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe combined pathology with possible acute infection."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_2483", "file_name": "caries_0_2483.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_2483.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral view showing severely broken-down upper anterior teeth with deep cavitation, brown coronal destruction, exposed pulpal cores, and necrotic-appearing tissue; gingival tissues moderately inflamed adjacent to active disease; remaining teeth visible with mild yellow staining.", "findings": "Multiple severely broken-down upper anterior teeth with deep cavitation, pulpal exposure, and necrotic tissue; adjacent gingival inflammation; remaining teeth less affected with mild yellow staining.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic cover, urgent extraction of non-restorable anterior teeth, periapical radiograph, comprehensive prosthodontic planning, scaling for remaining dentition, recall every two weeks during treatment phase.", "explanation": "Severely broken-down anterior teeth with pulpal exposure and necrotic tissue indicate chronic odontogenic infection requiring urgent surgical clearance before any prosthetic rehabilitation can proceed safely."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable anterior caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1241)", "file_name": "(1241).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1241).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of intact upper anteriors with mild yellow tooth shade and mild gingival inflammation with localised redness at the gingival margin.", "findings": "Intact upper anteriors with mild yellow shade and localised mild marginal gingival redness.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling and polishing, six-month recall.", "explanation": "Mild localised marginal gingivitis reversible with biofilm control."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal redness."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(907)", "file_name": "(907).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(907).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of dentition showing yellow-stained teeth and bright red severely inflamed bleeding gingival tissues with orange chromogenic staining at the margins.", "findings": "Heavy yellow staining and orange chromogenic deposits on dentition with severe marginal gingival inflammation and bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement, two-week recall.", "explanation": "Severe combined chromogenic flora and gingivitis needs scaling and adjuncts."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with chromogenic flora."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(960)", "file_name": "(960).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(960).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Close lower lingual view of mandibular anteriors showing intact teeth with mild yellow staining and pink gingival margins with healthy contour.", "findings": "Intact lingual aspect of lower anteriors with mild yellow staining; gingival margins pink with healthy contour.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Routine scaling and polishing, six-month recall.", "explanation": "Healthy presentation with mild stain; biofilm control maintains."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues appear healthy; ext label questionable."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(189)", "file_name": "(189).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(189).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close right lateral view of upper anterior teeth showing intact aligned teeth with mild yellow cervical staining, pink gingival margins with localised mild marginal redness, and visible interdental brush or floss device in the gingival sulcus.", "findings": "Intact upper anteriors with mild cervical staining; localised mild marginal gingival redness; interdental cleaning device visible at gingival sulcus.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Continue interdental cleaning technique demonstration, professional polishing, brushing technique reinforcement, six-month recall to monitor marginal gingival response.", "explanation": "Active demonstration of interdental cleaning is the right intervention for the localised mild gingivitis; sustained patient technique maintains gingival health between professional visits."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Active hygiene demonstration in progress."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(358)", "file_name": "(358).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(358).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of upper anteriors with severe yellow staining, dark cervical caries lesions, and bright red inflamed bleeding gingival margins covering the upper part of the teeth.", "findings": "Severe yellow staining with multiple cervical caries lesions and severely inflamed bleeding gingiva covering part of the upper anteriors.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Scaling, excavate caries, chlorhexidine rinse, hygiene.", "explanation": "Combined severe caries and gingivitis."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe caries with gingivitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1066)", "file_name": "(1066).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1066).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Right lateral close view of intact upper and lower posteriors with mild yellow staining and pink gingival margins with healthy contour.", "findings": "Intact lateral posterior dentition with mild yellow staining; gingival margins pink and healthy.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Largely healthy presentation; mild stain."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues appear healthy."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(478)", "file_name": "(478).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(478).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal close view of dentition with severe yellow-orange staining, severely affected gingival tissues with overgrowth and bleeding, and visible chromogenic deposits at the gingival margins suggesting prolonged tobacco or chromogenic dietary exposure.", "findings": "Severe yellow-orange staining with severe gingival overgrowth and bleeding; chromogenic deposits at margins; combined severe periodontal and aesthetic pathology.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Scaling, periodontal referral, medication review, smoking cessation.", "explanation": "Severe combined chromogenic staining and gingival overgrowth needs comprehensive periodontal and behavioural management."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with chromogenic deposits."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(168)", "file_name": "(168).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(168).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close lower lingual view of mandibular anteriors showing yellow cervical staining with calculus deposits along the gingival margins and a tongue retractor visible; gingival tissues mildly inflamed adjacent to deposits.", "findings": "Yellow cervical calculus on lower lingual anteriors with mild gingival inflammation; tongue retractor visible in image.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Scaling focused on lingual cervical, lingual brushing technique demonstration, polish, six-month recall.", "explanation": "Lingual cervical calculus is the most common deposit site due to proximity to salivary ducts; targeted scaling plus improved lingual brushing technique resolves inflammation."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Lingual cervical calculus dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(893)", "file_name": "(893).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(893).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Close upper anterior view of severely affected tooth with severe brown stain at gingival margin and inflamed bleeding adjacent gingival tissue.", "findings": "Severe brown cervical calculus or stain on upper anterior with adjacent bleeding gingiva.", "diagnosis": "Dental calculus", "severity": "Moderate", "recommendation": "Localised scaling, hygiene reinforcement.", "explanation": "Localised cervical deposit with adjacent inflammation."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Moderate", "confidence": "high", "rationale": "Localised cervical deposit."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1235)", "file_name": "(1235).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1235).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal retracted view of intact upper and lower anteriors with bright red severely inflamed gingival margins, mild cervical staining, and visible bleeding at gum line.", "findings": "Intact anteriors with mild cervical staining and severe marginal gingival inflammation with active bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement, two-week recall.", "explanation": "Severe plaque-induced gingivitis needs scaling and adjunct rinses."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe marginal gingivitis."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(662)", "file_name": "(662).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(662).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Right lateral retracted view of intact upper and lower posterior teeth with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lateral posteriors with mild cervical staining; gingival margins healthy.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling, polish, six-month recall.", "explanation": "Mild cervical staining responds to polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical staining."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1419)", "file_name": "(1419).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1419).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of orthodontic patient with fixed brackets and green elastic ligatures showing peri-bracket plaque-calculus accumulation, mild gingival inflammation adjacent to bracket bases, and yellow cervical staining; teeth structurally intact behind the appliances.", "findings": "Generalised peri-bracket plaque accumulation with mild gingival inflammation and yellow cervical staining; orthodontic appliances retain plaque despite ongoing treatment; teeth structurally intact.", "diagnosis": "Gingivitis", "severity": "Moderate", "recommendation": "Scale around brackets, chlorhexidine 0.2% rinse for two weeks, intensive oral hygiene instruction with interdental brushes and orthodontic floss threaders, dietary counselling on cariogenic foods, two-week recall.", "explanation": "Orthodontic appliances retain plaque that mineralises into calculus and drives peri-bracket gingivitis; intensive professional and home hygiene prevents demineralisation and white-spot lesions on enamel surfaces."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Moderate", "confidence": "high", "rationale": "Peri-orthodontic gingivitis."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(275)", "file_name": "(275).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(275).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of older adult with severely affected dentition with missing upper anterior tooth showing the alveolar ridge with a fresh extraction socket and yellow-stained worn remaining teeth.", "findings": "Fresh extraction socket in upper anterior position; remaining teeth with severe wear and yellow staining.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Monitor socket healing, prosthetic planning, scaling for remaining.", "explanation": "Recent acquired tooth loss; not congenital hypodontia."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Fresh extraction socket; not classical hypodontia."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(542)", "file_name": "(542).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(542).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Adult lateral close view showing missing upper anterior teeth, severe yellow-orange staining, broken-down remaining teeth, and gingival recession.", "findings": "Acquired multi-tooth loss with severe staining and broken remaining teeth.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, comprehensive prosthodontic and restorative planning.", "explanation": "Adult acquired loss with severe wear; not hypodontia."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1247)", "file_name": "(1247).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1247).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Upper palatal mirror view showing intact posterior dentition with two implant healing abutments in the anterior position with active bleeding around them.", "findings": "Two anterior implant healing abutments with active bleeding; remaining posteriors intact.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Monitor implant healing, irrigate around abutments, antibiotic if acute infection.", "explanation": "Recent implant placement; acquired loss being restored."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "high", "rationale": "Implant abutments indicate acquired loss."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(346)", "file_name": "(346).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(346).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Close older patient view showing severely affected dentition with multiple missing teeth, severely yellow-stained worn remaining teeth with broken-down structure, and visible necrotic tissue; gingival tissues moderately inflamed adjacent to active sites of disease.", "findings": "Multiple missing teeth in adult dentition with severely worn yellow remaining teeth, broken-down crowns, and possible necrotic tissue; gingival inflammation adjacent to active sites.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, urgent antibiotic if acute infection, extract non-restorable teeth, comprehensive prosthodontic planning, scaling, recall every two weeks during treatment phase.", "explanation": "Severely affected older adult with combined acquired tooth loss, severe wear, broken structures, and possible odontogenic infection requires urgent surgical clearance before staged prosthodontic rehabilitation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss with severe combined pathology."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(794)", "file_name": "(794).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(794).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of mostly intact adult dentition with mild yellow tint and pink gingiva.", "findings": "Intact adult dentition with mild yellow tint and healthy gingiva.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy adult dentition with mild stain."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues healthy; ext label questionable."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(698)", "file_name": "(698).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(698).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Close pediatric mouth showing irregular dentition with widely spaced small teeth and apparent missing teeth in mixed dentition.", "findings": "Pediatric mixed dentition with widely spaced small teeth; possible missing teeth.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric dental review.", "explanation": "Wide spacing in pediatric mouth may indicate hypodontia or microdontia."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric wide spacing."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(194)", "file_name": "(194).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(194).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Adult close view of dentition with severe yellow-orange staining and one prosthetic crown on upper anterior tooth contrasting with adjacent yellow-stained teeth; remaining dentition intact behind staining.", "findings": "Single prosthetic crown on upper anterior with severely yellow-stained adjacent teeth; remaining teeth intact behind heavy staining.", "diagnosis": "Fillings/Restorations", "severity": "Severe", "recommendation": "Scaling, polish, evaluate crown margin, aesthetic re-evaluation.", "explanation": "Prosthetic crown substitute for previously missing or destroyed tooth; not hypodontia."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Severe", "confidence": "high", "rationale": "Existing crown is dominant feature."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "(365)", "file_name": "(365).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(365).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Adult close view of dentition with severe yellow-orange staining across all visible teeth with chromogenic deposits at the gingival margins and mild marginal redness; teeth structurally intact and well-aligned without missing tooth spaces visible.", "findings": "Severe yellow-orange staining across visible adult dentition with chromogenic deposits at gingival margins and mild marginal gingival redness; teeth intact and well-aligned without missing tooth spaces.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, chromogenic flora counselling, hygiene reinforcement, dietary advice on tobacco and chromogenic beverages, supervised bleaching consultation if patient desires aesthetic improvement, three-month recall to assess stain recurrence.", "explanation": "Severe yellow-orange staining with chromogenic deposits is typically tobacco-related or chromogenic-bacterial; professional cleaning combined with behavioural modification addresses the underlying cause."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe chromogenic staining; not hypodontia."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(1064)", "file_name": "(1064).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1064).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view showing widely spaced small teeth and apparent missing anterior tooth.", "findings": "Pediatric widely spaced small teeth with possible missing anterior.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric dental review.", "explanation": "Wide spacing in pediatric mouth may be hypodontia."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric wide spacing."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(179)", "file_name": "(179).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(179).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Close pediatric mouth view showing irregular crowded teeth with apparent missing teeth; small mouth and difficult to assess.", "findings": "Crowded irregular pediatric teeth with possible missing teeth; limited assessment.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Limited image; needs clinical examination."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Limited image."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1196)", "file_name": "(1196).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1196).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open view showing upper anteriors with apparent missing tooth space; lower teeth visible with mild yellow tint.", "findings": "Missing upper anterior tooth space in pediatric mixed dentition.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric orthodontic review.", "explanation": "Anterior absence in mixed dentition."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single anterior space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(383)", "file_name": "(383).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(383).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Close pediatric mouth view showing yellow-stained teeth with one apparent missing tooth in the upper anterior region; remaining teeth visible with mild yellow staining and mild irregular alignment; gingival tissues partially visible appear inflamed.", "findings": "Single missing upper anterior tooth in pediatric mouth with yellow-stained remaining teeth and mild irregular alignment; gingival inflammation evident at visible margins.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for comprehensive tooth bud assessment, scaling for staining, paediatric orthodontic consultation, hygiene reinforcement with parental education on cariogenic dietary habits.", "explanation": "Single anterior absence in pediatric mixed dentition with concurrent staining and gingivitis suggests both hypodontia and active caries/biofilm activity; comprehensive paediatric dental review addresses all findings."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single anterior absence with staining."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_2935", "file_name": "Tooth_Discoloration_0_2935.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2935.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of severely yellow-stained dentition with mild brown cervical staining and dark spots on multiple teeth.", "findings": "Severe yellow shade with brown cervical staining and dark spots.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, polish, vitality testing.", "explanation": "Heavy staining may mask early caries."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Heavy stain may mask caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_7649", "file_name": "Tooth_Discoloration_0_7649.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7649.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of intact upper and lower anterior teeth showing severely yellow-orange staining with horizontal banded pattern across the cervical and middle thirds; teeth structurally intact.", "findings": "Severe yellow-orange banded staining on upper and lower anteriors; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, vitality testing, bleaching consult, dietary advice.", "explanation": "Banded discoloration may be extrinsic chromogenic or developmental."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe banded discoloration."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_6187", "file_name": "Tooth_Discoloration_0_6187.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6187.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Frontal close view of upper and lower anterior teeth showing severely yellow-stained teeth with severe gingival inflammation, recession on lower anteriors exposing root surfaces, and mild brown cervical staining.", "findings": "Severely yellow-stained teeth with severe gingival inflammation, mild recession exposing root surfaces, and mild brown cervical staining.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session scaling, periodontal therapy, fluoride to exposed roots, hygiene reinforcement, recall in two weeks.", "explanation": "Severe combined yellow staining, gingivitis, and recession needs comprehensive periodontal and aesthetic care."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "medium", "rationale": "Recession with inflammation may indicate periodontitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_3969", "file_name": "Tooth_Discoloration_0_3969.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3969.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult close view of dentition with severe yellow-orange staining and severely inflamed bleeding gingival margins covering significant portions of upper anteriors with bulbous overgrown gingival contour suggesting drug-induced or hormonal gingival enlargement combined with severe extrinsic staining.", "findings": "Severe yellow-orange staining with severe gingival enlargement with bulbous bleeding contour; combined severe periodontal and aesthetic pathology suggesting either plaque-induced hyperplastic gingivitis or drug-induced enlargement.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral for biopsy and gingival overgrowth assessment, medication review for drug-induced enlargement causes (phenytoin, cyclosporine, nifedipine, calcium channel blockers), multi-session scaling, hygiene reinforcement.", "explanation": "Severe gingival enlargement combined with chromogenic staining may be plaque-induced hyperplastic gingivitis, drug-induced enlargement, or hormonal in origin; biopsy and medication history clarify the aetiology before specific therapy can be planned."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival enlargement dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "Tooth_Discoloration_0_4555", "file_name": "Tooth_Discoloration_0_4555.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4555.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of older patient showing severely yellow-stained worn lower anteriors with severe wear on incisal edges, mild cervical staining, and mild gingival recession.", "findings": "Severe wear with yellow staining on lower anteriors; mild recession.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Scaling, occlusal evaluation, restorative planning.", "explanation": "Severe attrition with yellow shade needs occlusal management."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "medium", "rationale": "Severe wear dominant over discoloration."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_3393", "file_name": "Tooth_Discoloration_0_3393.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3393.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of dentition with fixed orthodontic appliances showing green ligatures, brackets visible, mild yellow cervical staining around bonded brackets, and mild gingival inflammation adjacent.", "findings": "Orthodontic patient with green brackets; mild peri-bracket yellow cervical staining and mild marginal gingivitis.", "diagnosis": "Gingivitis", "severity": "Moderate", "recommendation": "Scale around brackets, hygiene reinforcement, chlorhexidine rinse.", "explanation": "Orthodontic appliances retain plaque and drive peri-bracket staining and gingivitis."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Moderate", "confidence": "high", "rationale": "Peri-orthodontic gingivitis dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "Tooth_Discoloration_0_2286", "file_name": "Tooth_Discoloration_0_2286.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2286.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close frontal view of upper anterior teeth showing intact teeth with one severely cavitated upper anterior tooth with brown coronal destruction and exposed pulpal core; surrounding teeth less affected but with mild yellow staining.", "findings": "Single severely cavitated upper anterior tooth with brown destruction; remaining teeth intact with mild yellow staining.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, periapical radiograph, endodontic or extraction decision.", "explanation": "Severe single-tooth coronal destruction needs vitality assessment."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single tooth."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_201", "file_name": "Tooth_Discoloration_0_201.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_201.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Older adult close view of severely affected adult dentition with severely yellow-stained worn teeth, mild gingival recession on upper anteriors, multiple cervical caries lesions, and mild marginal gingival inflammation; teeth otherwise structurally intact.", "findings": "Severe yellow stain with worn upper anteriors, mild gingival recession, multiple cervical caries lesions, and mild marginal gingival inflammation; teeth otherwise intact.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Multi-session scaling, restorative care for cervical caries, fluoride to exposed roots, hygiene reinforcement, dietary counselling, recall every two weeks during treatment phase.", "explanation": "Severely affected older adult dentition with combined yellow staining, cervical caries, and recession needs combined restorative and periodontal management."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple cervical caries dominant over staining."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_1619", "file_name": "Tooth_Discoloration_0_1619.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1619.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of older patient with severely worn yellow teeth, broken-down upper anterior structure, and a prosthetic crown contrasting with adjacent yellow-stained natural teeth.", "findings": "Severe wear with one prosthetic crown contrasting with yellow-stained natural teeth.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Restorative and prosthodontic planning, occlusal management.", "explanation": "Combined wear and existing prosthetic needs comprehensive care."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "medium", "rationale": "Severe wear with existing prosthesis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_9683", "file_name": "Tooth_Discoloration_0_9683.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9683.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Adult close view of mildly yellow-stained dentition with intact teeth and mild cervical staining; teeth structurally intact and well-aligned; gingival tissues partially visible.", "findings": "Mild yellow shade with mild cervical staining on adult dentition; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, dietary counselling, six-month recall.", "explanation": "Mild yellow shade with extrinsic stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild yellow shade with mild stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_6716", "file_name": "Tooth_Discoloration_0_6716.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6716.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of intact dentition with very mild yellow tint and pink gingival margins suggesting largely healthy presentation.", "findings": "Largely intact dentition with very mild yellow tint; gingiva pink and healthy.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Largely healthy presentation with very mild tint."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues largely healthy."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_8467", "file_name": "Tooth_Discoloration_0_8467.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8467.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Very close magnified view of upper anterior tooth surfaces showing mild yellow tint with subtle cervical staining and small chalky white-spot lesions on at least one tooth; teeth structurally intact; gingival margins not clearly visible due to close magnification.", "findings": "Subtle yellow tint with small chalky white-spot lesions on upper anteriors; teeth structurally intact; gingival assessment limited by close magnification.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Fluoride varnish to white-spot lesions, casein-phosphopeptide remineralising paste, hygiene reinforcement, three-month recall to monitor lesion progression versus remineralisation.", "explanation": "White-spot lesions represent reversible enamel demineralisation amenable to fluoride remineralisation; combined topical fluoride and biofilm control restores enamel structure before cavitation occurs."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Subtle white-spot lesions present."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(620)", "file_name": "(620).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(620).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Side-by-side before/after frontal close view of lower anterior teeth showing severe cervical calculus left and post-scaling clean cervical surfaces right.", "findings": "Pre-treatment heavy cervical calculus on lower anteriors; post-treatment clean.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Maintain post-scaling hygiene, polish at next recall.", "explanation": "Pre/post demonstrates calculus removed by scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Pre/post comparison."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(456)", "file_name": "(456).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(456).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close view of severely yellow-stained dentition with heavy cervical calculus on canines and severely inflamed bleeding gums.", "findings": "Severely yellow-stained teeth with heavy cervical calculus and severe gingival inflammation.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine, hygiene.", "explanation": "Heavy calculus and chromogenic stain drive severe gingivitis."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(925)", "file_name": "(925).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(925).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Close magnified view of upper and lower anterior teeth showing severe horizontal brown banded staining across cervical and middle thirds with intact tooth structure underneath the stain.", "findings": "Severe horizontal banded brown staining on upper and lower anteriors with intact underlying tooth structure.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Professional scaling and polishing to remove extrinsic stain, vitality testing if any tooth resists polishing, dietary counselling on tea coffee tobacco, oral hygiene reinforcement, three-month recall.", "explanation": "Severe horizontal banded staining is typically extrinsic chromogenic from dietary or tobacco exposure that responds to polishing combined with behavioural modification."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe banded extrinsic stain dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(736)", "file_name": "(736).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(736).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Frontal retracted view of dentition with severely affected gingival tissues bulbous and bleeding, mild yellow cervical staining, intact teeth visible behind inflammation.", "findings": "Mild cervical staining on intact teeth with severe gingival inflammation and bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement.", "explanation": "Severe gingivitis dominant over calculus."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(173)", "file_name": "(173).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(173).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of single upper anterior tooth with severe granular black-brown calculus accretion on labial surface and adjacent active gingival bleeding.", "findings": "Severe black-brown localised calculus on single upper anterior with active gingival bleeding.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Localised scaling on affected tooth, full mouth scaling for completeness, chlorhexidine, hygiene.", "explanation": "Severe localised calculus needs targeted scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Severe localised calculus."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(875)", "file_name": "(875).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(875).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Right lateral close view of mostly intact dentition with mild yellow cervical staining and pink gingival margins; teeth aligned with mild crowding.", "findings": "Intact lateral dentition with mild cervical staining and mild crowding; gingiva pink.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, polish, orthodontic consult.", "explanation": "Mild crowding with mild stain."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Mild crowding with stain."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(245)", "file_name": "(245).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(245).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral view of severely yellow-stained crowded dentition with severe cervical brown staining, mild marginal gingival redness, broken-down structures on upper anterior, and severe wear on incisal edges of upper anteriors; teeth otherwise intact but with significant aesthetic and structural concerns.", "findings": "Severely yellow-stained crowded adult dentition with broken-down structure on upper anterior and severe wear on incisal edges; mild marginal gingival redness; severe cervical staining throughout.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Scaling and polishing, restorative evaluation of broken structures, occlusal evaluation for parafunctional habit, supervised bleaching consultation, orthodontic consult for crowding, comprehensive aesthetic and functional planning.", "explanation": "Severely affected adult dentition with combined attrition, staining, and broken structures reflects long-standing parafunctional habits, dietary factors, and possibly orthodontic crowding contributing to localised wear and aesthetic concerns; comprehensive multi-disciplinary planning required."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "medium", "rationale": "Severe wear with combined pathology."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1001)", "file_name": "(1001).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1001).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Close occlusal mirror view of mandibular molars showing severely cavitated caries lesion on a molar with surrounding intact teeth.", "findings": "Severely cavitated occlusal molar lesion with surrounding intact teeth.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, restorative or endodontic.", "explanation": "Severe cavitated lesion may have pulpal involvement."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Cavitated molar lesion."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(314)", "file_name": "(314).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(314).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Mirror view of upper anterior showing severely cavitated tooth with deep coronal destruction and exposed necrotic pulpal tissue; tongue visible in image.", "findings": "Severely cavitated upper anterior with deep destruction and apparent pulpal necrosis.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, radiograph, endodontic or extraction.", "explanation": "Severe coronal destruction with pulpal exposure."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe cavitated anterior."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(718)", "file_name": "(718).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(718).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Right lateral close view of yellow-stained upper anteriors with mild cervical staining, slight wear on incisal edges, and pink gingival margins.", "findings": "Yellow-stained lateral anteriors with mild cervical staining and slight wear; gingiva pink.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Scaling, dietary counselling, occlusal evaluation.", "explanation": "Combined stain and wear need targeted care."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "medium", "rationale": "Moderate stain with mild wear."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(309)", "file_name": "(309).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(309).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Older patient frontal close view showing severely worn yellow-stained lower anterior teeth with mild marginal gingivitis, mild cervical staining, and severely affected upper anteriors with broken-down structure; one prominent yellow tooth visible amongst the dentition; the patient has facial hair and the image suggests advanced age.", "findings": "Severely worn yellow lower anteriors with mild gingivitis; severely affected upper anteriors with broken structure; combined attrition, staining, and structural pathology in advanced age.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Comprehensive prosthodontic and restorative planning, occlusal evaluation for parafunctional bruxism, scaling for staining, dietary counselling, recall every two weeks during treatment phase.", "explanation": "Severely affected older adult dentition with combined wear, staining, and broken structure reflects long-standing parafunctional habits and dietary factors; comprehensive rehabilitation addresses both functional and aesthetic needs."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "medium", "rationale": "Severe attrition dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental calculus", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "caries_0_243", "file_name": "caries_0_243.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_243.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Right lateral close view of intact upper anteriors showing white teeth with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lateral anteriors with mild cervical staining; gingiva pink.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement.", "explanation": "Mild staining responds to polish."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues appear healthy; ext label questionable."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_9896", "file_name": "caries_0_9896.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9896.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close occlusal view of mandibular molar with deep brown cavitated occlusal lesion penetrating into dentin and small adjacent lesion on neighbouring tooth.", "findings": "Deep cavitated occlusal molar caries with small adjacent lesion on neighbouring tooth.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore both molars, fluoride.", "explanation": "Adjacent cavitated lesions need restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated molar lesions."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_2788", "file_name": "caries_0_2788.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_2788.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Frontal close view showing dentition with very pale lips and overexposed lighting; teeth appear mildly stained.", "findings": "Pale lip-framed dentition with mild yellow staining; overexposed lighting limits assessment.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Recapture image with neutral lighting.", "explanation": "Lighting limits assessment."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "low", "rationale": "Lighting limits."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_9186", "file_name": "caries_0_9186.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9186.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Very close magnified view of cervical interproximal area of upper anterior showing single small dark cervical caries lesion on a tooth; remaining teeth less affected; gingival margins mildly inflamed adjacent.", "findings": "Single small dark cervical caries lesion on upper anterior; remaining teeth less affected; mild marginal gingivitis adjacent.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe lesion, fluoride application, restoration if cavitated, scaling for adjacent gingivitis, six-month recall.", "explanation": "Small cervical caries needs tactile examination for cavitation; fluoride supports remineralisation if non-cavitated."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Small cervical lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7463", "file_name": "caries_0_7463.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7463.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of dentition with red filter showing severe cervical caries lesion on a single tooth and yellow staining elsewhere.", "findings": "Severe cervical caries on a single anterior with adjacent yellow staining; filter limits detail.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore, scaling.", "explanation": "Severe cervical caries needs restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "medium", "rationale": "Filter limits."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7202", "file_name": "caries_0_7202.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7202.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close occlusal view of mandibular molar with deep cavitated brown caries lesion with multiple cavitation points across occlusal surface.", "findings": "Deep cavitated occlusal caries with multiple lesion points on a single molar.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, radiograph, restorative or endodontic.", "explanation": "Multiple deep cavitation points may indicate pulpal involvement."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe cavitated molar."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_5318", "file_name": "caries_0_5318.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5318.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close view of pink lip frame showing teeth and severe oral mucosal change behind the teeth; severely affected mouth with possible chromogenic deposits on teeth visible.", "findings": "Severely affected mouth with chromogenic deposits on teeth and abnormal mucosal change behind; limited detail.", "diagnosis": "Other visible abnormality", "severity": "Severe", "recommendation": "Comprehensive oral examination, biopsy if persistent mucosal lesion.", "explanation": "Persistent mucosal change requires biopsy assessment."}, "diagnoser": {"diagnosis": "Other visible abnormality", "severity": "Severe", "confidence": "medium", "rationale": "Mucosal abnormality dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_9704", "file_name": "caries_0_9704.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9704.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Close mandibular lateral view of single mandibular molar with deep dark cavitated occlusal lesion penetrating into dentin with surrounding intact adjacent tooth visible; gingival margins pink with healthy contour.", "findings": "Deep cavitated occlusal molar caries with intact adjacent tooth; gingival contour healthy.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Vitality testing on the affected molar, periapical radiograph for pulpal status, composite or onlay restoration if pulp vital, pulpotomy or endodontic if exposure, fluoride application, six-month recall.", "explanation": "Deep cavitated dentinal caries needs vitality assessment before restoration to determine whether conventional restoration suffices or endodontic intervention is required."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated molar lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_4054", "file_name": "caries_0_4054.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4054.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close mandibular lateral view of cracked tongue-side molar surface with active dark cavitated caries and pulpal exposure visible.", "findings": "Severely cavitated molar with active pulpal exposure on tongue-side surface.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Radiograph, endodontic treatment.", "explanation": "Pulpal exposure needs endodontic management."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Pulpal exposure."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_7790", "file_name": "caries_0_7790.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7790.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close occlusal mirror view of mandibular molar with deep cavitated occlusal lesion; tongue visible alongside in image with retraction.", "findings": "Deep cavitated occlusal molar caries with tongue retracted in image.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore, vitality testing.", "explanation": "Cavitated dentinal molar caries."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated molar lesion."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "caries_0_4058", "file_name": "caries_0_4058.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_4058.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Close view of intact upper and lower anteriors showing mild yellow shade, mild cervical staining and pink gingival margins; teeth aligned.", "findings": "Mostly intact dentition with mild yellow shade and cervical staining; gingiva pink.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Mild stain responds to polish."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues healthy; ext label questionable."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Dental caries", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_424", "file_name": "caries_0_424.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_424.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of upper and lower anterior teeth showing severely cavitated single upper anterior tooth with brown coronal destruction and arrows pointing to specific carious features; surrounding teeth less affected with mild yellow staining and mild gingival inflammation; this appears to be a labelled clinical illustration with annotations.", "findings": "Severely cavitated single upper anterior tooth with brown destruction; remaining teeth less affected; mild marginal gingivitis adjacent; image appears to be a labelled clinical illustration with arrows pointing to features.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing on the cavitated anterior, periapical radiograph, endodontic referral if non-vital, then restorative or extraction decision based on remaining tooth structure, scaling for adjacent gingivitis.", "explanation": "Single-tooth severe coronal destruction needs vitality assessment to differentiate restorable from non-restorable; surrounding gingival inflammation reflects biofilm activity that resolves with combined caries management and scaling."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single anterior tooth with annotations."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(356)", "file_name": "(356).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(356).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view with bracket-style appliance showing small teeth and limited field of view.", "findings": "Pediatric mouth with appliance; small teeth visible; limited assessment.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Recapture image with wider field of view, paediatric dental review.", "explanation": "Limited image; needs clinical examination."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "low", "rationale": "Limited image."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1406)", "file_name": "(1406).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1406).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of single mandibular molar showing severely deep cavitated occlusal caries with adjacent smaller lesion on neighbouring tooth; teeth otherwise intact.", "findings": "Severely deep cavitated occlusal caries on mandibular molar with smaller adjacent lesion; teeth intact.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, radiograph, restorative or endodontic.", "explanation": "Severe cavitated lesion may have pulpal involvement."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe cavitated lesion."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1605)", "file_name": "(1605).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1605).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of severely yellow-stained worn lower anterior teeth with horizontal brown staining and chronic-appearing cervical involvement.", "findings": "Severely yellow-stained worn lower anteriors with horizontal brown staining and cervical involvement.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, polish, occlusal evaluation, dietary counselling.", "explanation": "Combined wear and staining need targeted care."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Severe stain with wear."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1589)", "file_name": "(1589).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1589).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close anterior view with cheek retractor showing intact upper and lower anteriors with cervical yellow staining, mild marginal gingival redness particularly on the upper anteriors, and a small bleeding spot on lower lip; teeth structurally intact and well-aligned.", "findings": "Intact anteriors with cervical yellow staining; mild marginal gingival redness on upper anteriors; small bleeding spot on lower lip; teeth aligned.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling and polishing, brushing technique reinforcement focused on upper anterior margins, hygiene education, lip lesion monitoring, six-month recall.", "explanation": "Mild localised marginal gingivitis is reversible with biofilm control; the lower lip bleeding spot is likely a minor trauma or aphthous lesion that resolves spontaneously."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal gingivitis."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(2098)", "file_name": "(2098).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(2098).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of cervical area of upper anterior showing dark brown stain or cavitated cervical caries with adjacent dental probe or instrument; surrounding teeth intact.", "findings": "Dark cervical brown lesion on upper anterior tooth with adjacent instrument; possible caries or stain.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Probe to differentiate, scaling or restoration as needed.", "explanation": "Cervical lesion needs differential."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "medium", "rationale": "Cervical lesion may be cavitated."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1890)", "file_name": "(1890).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1890).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of dentition with red filter showing yellow-stained heavily affected upper anteriors and severely inflamed bleeding gingival tissues; combined heavy stain and severe gingivitis.", "findings": "Yellow-stained anteriors with severe marginal gingival inflammation and bleeding under red filter.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement.", "explanation": "Heavy stain plus severe gingivitis."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1022)", "file_name": "(1022).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1022).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of upper anteriors with severe brown horizontal banded staining across the cervical thirds, pink gingival margins, and intact tooth structure; teeth aligned and well-shaped.", "findings": "Severe brown horizontal banded staining on upper anteriors; intact structure; gingiva pink.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, dietary counselling, recall.", "explanation": "Banded extrinsic stain responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe banded stain."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(192)", "file_name": "(192).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(192).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close lower lingual mirror view of mandibular anteriors showing heavy yellow-orange calculus deposits along the lingual cervical region with severely inflamed adjacent gingival margins and active bleeding; the mirror used for the photograph is visible in the field.", "findings": "Heavy lingual cervical calculus on mandibular anteriors with severe marginal gingival inflammation and bleeding; mirror visible in field.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Localised ultrasonic scaling on the lingual cervical region, full mouth scaling for completeness, chlorhexidine 0.2% rinse for two weeks, hygiene reinforcement focused on lingual brushing technique, two-week recall.", "explanation": "Heavy lingual calculus is the most common deposit site due to proximity to salivary ducts; combined targeted scaling and improved lingual brushing technique resolves the inflammation."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy lingual calculus dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1974)", "file_name": "(1974).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1974).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Frontal smile close view of intact upper and lower white teeth with healthy pink gingival margins and slight marginal redness localised to upper anterior margins.", "findings": "Intact white dentition with localised mild marginal redness on upper anterior gingiva.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling, brushing technique, six-month recall.", "explanation": "Mild localised gingivitis reversible with biofilm control."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal redness."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(1915)", "file_name": "(1915).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1915).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal close view of dentition showing severely inflamed bright red gingival tissues with bulbous overgrowth covering significant portions of upper anteriors and lower anteriors; combined severe gingivitis with possible chromogenic deposits.", "findings": "Severely inflamed bulbous gingival tissues with overgrowth on upper and lower anteriors; possible chromogenic deposits.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral, biopsy, medication review, scaling.", "explanation": "Severe enlargement needs biopsy and history."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival enlargement."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(959)", "file_name": "(959).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(959).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of single upper anterior tooth showing dark brown cervical caries lesion and intact adjacent teeth with pink gingival margins.", "findings": "Single severely cavitated cervical caries lesion on upper anterior with intact adjacent teeth and healthy gingiva.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore cervical caries.", "explanation": "Single cervical caries needs restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Single cervical caries dominant."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(2033)", "file_name": "(2033).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(2033).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of severely affected adult dentition showing missing upper anterior teeth with retained roots, severely inflamed bleeding gingival tissues, severely yellow-stained worn remaining teeth, broken-down crowns, and visible necrotic tissue; advanced combined caries and periodontal pathology.", "findings": "Severely affected adult dentition with missing teeth, retained roots, severely yellow-stained worn teeth, broken structures, severe gingival inflammation with bleeding, and necrotic tissue; advanced combined pathology in advanced state.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Antibiotic cover, urgent panoramic radiograph, surgical clearance of retained roots and non-restorable teeth, periodontal therapy, comprehensive prosthodontic planning, recall every two weeks during treatment.", "explanation": "Severely affected adult dentition with combined retained roots, missing teeth, and active periodontal infection indicates chronic odontogenic disease requiring urgent surgical clearance before any rehabilitation can proceed."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe combined pathology with periodontitis."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Gingivitis", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "(958)", "file_name": "(958).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(958).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Close lower lingual close view of mostly intact lower anteriors with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lingual aspect of lower anteriors with mild staining; gingiva pink.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy with mild stain."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Tissues appear healthy."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(1243)", "file_name": "(1243).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1243).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Adult frontal smile close view showing slightly worn upper and lower anteriors with very mild yellow tint and pink gingival margins; teeth well-aligned and aesthetically pleasing.", "findings": "Adult anteriors with mild yellow tint and slight wear; gingiva pink; teeth well-aligned.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Routine polish, six-month recall, occlusal monitoring for wear progression.", "explanation": "Healthy adult dentition with minimal age-related changes."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(511)", "file_name": "(511).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(511).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open view showing mixed dentition with multiple missing upper anterior teeth visible against the lips; lower anterior teeth partially visible.", "findings": "Multiple missing upper anteriors in pediatric mixed dentition; lower visible.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph for comprehensive tooth bud assessment, paediatric orthodontic referral.", "explanation": "Multiple anterior absences in mixed dentition need imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior absences."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(498)", "file_name": "(498).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(498).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth open close view showing small space between upper anterior teeth where one tooth appears missing; adjacent teeth intact with small spacing; lower anteriors partially visible with mild irregular alignment; gingival tissues pink and healthy.", "findings": "Small upper anterior tooth space in pediatric mixed dentition; adjacent teeth intact with small spacing; lower anteriors with mild irregular alignment; gingiva healthy.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph for tooth bud assessment, paediatric orthodontic monitoring, six-month recall.", "explanation": "Small anterior space in mixed dentition may be delayed eruption or congenital absence; radiographic imaging clarifies aetiology before any intervention planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Small anterior space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(865)", "file_name": "(865).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(865).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Red-filtered close view of dentition with missing upper anterior teeth and yellow-stained worn remaining teeth.", "findings": "Missing upper anteriors with yellow worn remaining teeth.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Recapture image, panoramic radiograph, prosthodontic planning.", "explanation": "Multi-tooth loss with adult wear pattern."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "medium", "rationale": "Adult acquired loss; filter limits."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(1)", "file_name": "(1).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth showing multiple missing upper anteriors with intact lower anteriors partially visible; small face frame.", "findings": "Multiple missing upper anteriors in pediatric mouth.", "diagnosis": "Hypodontia", "severity": "Severe", "recommendation": "Panoramic radiograph, paediatric orthodontic referral.", "explanation": "Multiple anterior absences need imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "medium", "rationale": "Multiple anterior absences."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(552)", "file_name": "(552).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(552).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth close view showing two small upper teeth with a missing anterior space between them and small spacing of remaining teeth.", "findings": "Small upper teeth with anterior missing space and spacing.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric orthodontic and prosthetic consult.", "explanation": "Mixed dentition gap may be hypodontia."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single anterior space."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "(814)", "file_name": "(814).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(814).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Adult close view showing maxillary edentulous ridge with four implant healing abutments placed in anterior position with surrounding pink-white tissue suggesting recent surgical procedure; bone-coloured fixtures visible at the gingival margin; remaining anterior teeth show severe yellow-staining with cervical caries lesions; lower anteriors intact below visible field.", "findings": "Four anterior implant healing abutments in maxillary ridge after surgical placement; surrounding tissue post-surgical; remaining anteriors yellow-stained with cervical caries lesions.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Continue implant healing protocol, prosthetic loading at appropriate timeline, address concurrent caries with scaling and restoration, hygiene reinforcement around abutments, recall every two weeks during healing phase.", "explanation": "Recent implant placement indicates acquired tooth loss being restored; concurrent caries on remaining teeth needs combined restorative care alongside implant rehabilitation to achieve comprehensive long-term outcomes."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Implant rehabilitation in progress with concurrent caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(945)", "file_name": "(945).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(945).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of single non-vital severely darkened grey-brown anterior tooth contrasted with adjacent normal-shade teeth; gingival margins pink.", "findings": "Single severely darkened grey-brown anterior tooth; adjacent teeth normal shade.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, endodontic referral if non-vital.", "explanation": "Single non-vital tooth presentation."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Classic single non-vital tooth."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(666)", "file_name": "(666).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(666).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of single anterior tooth showing dark brown cervical caries lesion with adjacent teeth intact and pink gingival margins.", "findings": "Single dark cervical caries on upper anterior with intact adjacent teeth.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore cervical caries.", "explanation": "Single cervical caries needs restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Single cervical caries."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(529)", "file_name": "(529).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(529).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of two-tooth focal area showing severe yellow-orange staining and possible cervical caries lesion with arrow markers in the image suggesting clinical annotation; teeth structurally intact.", "findings": "Severe yellow staining and possible cervical caries on two teeth with annotation markers indicating clinical focus areas.", "diagnosis": "Discoloration/Staining", "severity": "Moderate", "recommendation": "Probe lesions, scaling, restoration if cavitated.", "explanation": "Annotated clinical image showing two focal areas."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Moderate", "confidence": "medium", "rationale": "Annotated clinical image."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(673)", "file_name": "(673).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(673).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Adult close view of mandibular dentition showing intact teeth with mild yellow cervical staining and a dental shade-guide tab being held adjacent to a tooth for colour comparison purposes; gingival margins pink with healthy contour; the procedure appears to be aesthetic shade matching consultation in progress.", "findings": "Mandibular anteriors with mild yellow cervical staining and shade-guide tab held adjacent for colour matching; gingival contour healthy; aesthetic consultation procedure in progress.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Continue shade matching procedure, document baseline shade, supervised bleaching consultation, polish, six-month recall to monitor any changes from intended aesthetic intervention.", "explanation": "Active shade-matching procedure is the standard preliminary step before aesthetic bleaching or restorative care; baseline documentation supports patient-side decision making about aesthetic interventions."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Shade-matching consultation in progress."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Hypodontia", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_3760", "file_name": "Tooth_Discoloration_0_3760.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3760.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of upper anterior teeth with severe brown vertical streak staining extending from gingival margin toward incisal edges.", "findings": "Severe brown vertical streak staining on upper anteriors.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, dietary counselling.", "explanation": "Vertical streak stain may be chromogenic."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Vertical streak stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_6282", "file_name": "Tooth_Discoloration_0_6282.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6282.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of older patient showing severely yellow-stained lower anteriors with mild cervical staining and mild gingival recession.", "findings": "Severely yellow lower anteriors with mild cervical staining and recession.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, dietary counselling, bleaching consult.", "explanation": "Heavy yellow shade is age and lifestyle-related."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Age-related yellow shade."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_3684", "file_name": "Tooth_Discoloration_0_3684.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3684.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close view of dentition with one prosthetic crown on upper anterior tooth contrasting with adjacent yellow-stained natural teeth; teeth otherwise intact with worn incisal edges and mild gingival recession.", "findings": "Single prosthetic crown on upper anterior with severely yellow-stained adjacent natural teeth; mild wear on incisal edges; mild recession.", "diagnosis": "Fillings/Restorations", "severity": "Severe", "recommendation": "Scaling and polish, evaluate crown margin, supervised bleaching consultation for adjacent natural teeth to match crown shade.", "explanation": "Mismatched shade between crown and adjacent teeth needs aesthetic management."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Severe", "confidence": "high", "rationale": "Existing crown with severely stained natural teeth."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "Tooth_Discoloration_0_4599", "file_name": "Tooth_Discoloration_0_4599.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4599.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Very close magnified view of upper anterior teeth cervical region showing mild yellow staining with very subtle dark cervical spots that may indicate incipient caries lesions; teeth otherwise intact; gingival margins pink with very localised mild redness.", "findings": "Mild yellow staining with very subtle dark cervical spots on upper anteriors suggesting incipient caries; teeth intact; very localised mild marginal redness.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Probe cervical spots to differentiate, fluoride application for any incipient lesions, polish, hygiene reinforcement, six-month recall to monitor lesion stability.", "explanation": "Subtle dark cervical spots may indicate early enamel demineralisation that responds to fluoride remineralisation; close monitoring with biofilm control prevents progression to cavitation."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Subtle cervical spots may be incipient caries."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_9560", "file_name": "Tooth_Discoloration_0_9560.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9560.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close adult dentition with mild yellow tint and one prosthetic crown on upper anterior contrasting with adjacent yellow-stained teeth.", "findings": "Mild yellow shade with single prosthetic crown contrasting natural teeth.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Polish, supervised bleaching consult.", "explanation": "Aesthetic mismatch may benefit from bleaching."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "high", "rationale": "Existing crown with mild stain."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "Tooth_Discoloration_0_1443", "file_name": "Tooth_Discoloration_0_1443.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1443.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close lateral view of intact teeth with floss being passed through interdental contact; teeth white with healthy-appearing gingival margins.", "findings": "Active interdental cleaning with floss in progress; intact white teeth with healthy gingiva.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Continue interdental cleaning education, scaling and polish, six-month recall.", "explanation": "Active hygiene demonstration; teeth largely healthy."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Active hygiene demonstration; healthy."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_4869", "file_name": "Tooth_Discoloration_0_4869.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4869.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of severely yellow-stained adult dentition with severely affected gingiva and active staining or chromogenic deposits at the cervical margins.", "findings": "Severely yellow-stained adult dentition with chromogenic cervical deposits.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, dietary counselling, hygiene reinforcement.", "explanation": "Severe chromogenic staining responds to professional cleaning."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow chromogenic stain."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_4172", "file_name": "Tooth_Discoloration_0_4172.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4172.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close adult lateral close view of intact dentition with mild yellow tint and white teeth; gingival margins pink with healthy contour; teeth aligned and structurally intact.", "findings": "Intact adult lateral dentition with mild yellow tint and white teeth; gingival contour healthy; teeth aligned.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Routine polish at next recall, supervised bleaching consultation if patient desires aesthetic improvement, maintenance of current oral hygiene, six-month recall to monitor.", "explanation": "Largely healthy adult dentition with mild age-related or genetic yellow tint; ongoing biofilm control maintains gingival health and prevents progression of any subclinical inflammation."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Largely healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_1838", "file_name": "Tooth_Discoloration_0_1838.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1838.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close upper anterior view showing intact dentition with shade-guide tab held adjacent for colour comparison; teeth mildly yellow.", "findings": "Upper anteriors with shade-guide for colour comparison; mild yellow shade.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Bleaching consult, polish.", "explanation": "Mild yellow shade may benefit from bleaching."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "high", "rationale": "Mild yellow with shade guide."}, "diagnoser_agrees_with_ext": true, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "resolution": "diagnoser_agreed"}
{"image_id": "Tooth_Discoloration_0_36", "file_name": "Tooth_Discoloration_0_36.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_36.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Close upper anterior view showing dental impression material on the teeth as part of impression-taking procedure; teeth covered with grey impression material.", "findings": "Dental impression material covering upper anterior teeth during impression procedure.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Continue impression procedure, document and proceed with prosthetic or orthodontic planning.", "explanation": "Active impression taking procedure for prosthetic or orthodontic care."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "high", "rationale": "Active impression procedure."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "Tooth_Discoloration_0_5961", "file_name": "Tooth_Discoloration_0_5961.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5961.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close upper anterior view showing dental probe being used to assess cervical region of an upper anterior tooth with possible cervical caries lesion; arrows in image suggest clinical annotation; surrounding teeth less affected with mild yellow staining.", "findings": "Single upper anterior tooth with possible cervical caries being assessed by dental probe; annotated clinical image; surrounding teeth less affected.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Probe to confirm cavitation, restoration with composite or glass-ionomer if cavitated, fluoride if non-cavitated, scaling for adjacent staining.", "explanation": "Annotated clinical image of cervical lesion assessment; the probing technique differentiates cavitated caries requiring restoration from arrested stain that responds to polish."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "medium", "rationale": "Annotated clinical assessment of cervical lesion."}, "diagnoser_agrees_with_ext": false, "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "original_ext_diagnosis": "Discoloration/Staining", "resolution": "diagnoser_committed_as_gt", "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(231)", "file_name": "(231).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(231).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Frontal smile view of intact upper and lower anteriors with mild yellow tint and very mild cervical staining; gingival margins pink.", "findings": "Healthy-appearing intact dentition with mild yellow tint.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Routine polish, six-month recall.", "explanation": "Healthy presentation."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(533)", "file_name": "(533).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(533).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close view of dentition with severely yellow-stained crowded teeth and severely inflamed bleeding gingival margins.", "findings": "Severely yellow crowded teeth with severe marginal gingival bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Scaling, hygiene reinforcement, orthodontic consult.", "explanation": "Severe gingivitis with crowding."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(890)", "file_name": "(890).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(890).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of mandibular molars showing severely cavitated occlusal lesions on multiple posterior teeth.", "findings": "Multiple severely cavitated occlusal lesions on mandibular molars.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore each lesion, vitality testing.", "explanation": "Multiple cavitated lesions need restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple cavitated molar lesions."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(104)", "file_name": "(104).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(104).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of adult mouth with intact dentition, mild yellow cervical staining, slight wear on incisal edges, and mild gingival recession on upper anteriors; teeth aligned and structurally intact.", "findings": "Intact adult dentition with mild cervical staining, slight wear, and mild upper anterior recession; teeth aligned.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling and polishing, occlusal evaluation, fluoride to exposed root surfaces, brushing technique reinforcement, six-month recall.", "explanation": "Mild adult presentation with combined cervical staining and recession needs combined preventive care."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "medium", "rationale": "Mild staining with recession."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(881)", "file_name": "(881).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(881).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Adult close lateral view showing crowded yellow-stained dentition with mild cervical staining and pink gingival margins.", "findings": "Crowded yellow lateral dentition with mild staining; gingiva pink.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, orthodontic consult.", "explanation": "Crowding traps plaque."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Crowding dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(493)", "file_name": "(493).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(493).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close view of severely yellow-stained dentition with heavy cervical brown staining, broken-down upper anterior, and severely inflamed bleeding gingiva.", "findings": "Severe yellow heavy cervical staining with broken anterior and severe gingival inflammation.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Scaling, restorative, hygiene.", "explanation": "Combined severe pathology."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with combined pathology."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1044)", "file_name": "(1044).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1044).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of older patient showing severely worn yellow-stained teeth, severely cavitated upper anterior tooth with brown destruction, and severely inflamed gingiva with possible bone exposure.", "findings": "Severely worn yellow teeth with severely cavitated anterior and severe gingival inflammation; possible bone exposure.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic cover, panoramic radiograph, urgent surgical clearance, comprehensive planning.", "explanation": "Severely affected adult with possible acute infection needs urgent care."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe coronal destruction with active infection."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1037)", "file_name": "(1037).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1037).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal smile view with cheek retractor showing severely cavitated upper central incisor with brown destruction extending into pulp, surrounding teeth less affected with mild yellow staining, and severely inflamed bleeding upper gingival margins; lower anteriors visible with crowding.", "findings": "Single severely cavitated upper central with pulpal involvement; surrounding teeth with mild yellow staining; severe upper anterior gingival inflammation with bleeding; lower anterior crowding.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing on the cavitated central, periapical radiograph, endodontic referral or extraction with prosthetic planning, scaling for surrounding gingivitis, hygiene reinforcement, recall in two weeks.", "explanation": "Single severely cavitated tooth with pulpal involvement needs endodontic management or extraction; concurrent gingivitis resolves with scaling and biofilm control."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single anterior."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(123)", "file_name": "(123).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(123).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Upper palatal close view showing intact upper teeth with metal restorations on molars and a single retained root with severe destruction.", "findings": "Intact upper arch with metal restorations and one retained root remnant.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Extract retained root, restorative review.", "explanation": "Retained root needs surgical removal."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Retained root dominant finding."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1233)", "file_name": "(1233).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1233).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Older patient close view of severely affected dentition with severely yellow-stained worn teeth, multiple missing teeth, broken-down structures, gingival recession, and active necrotic-appearing tissue.", "findings": "Severely affected adult dentition with multiple acquired tooth losses, severe wear, broken structures, recession, and possible necrotic tissue.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Antibiotic cover, urgent panoramic radiograph, surgical clearance, comprehensive prosthodontic planning.", "explanation": "Severely affected adult with combined pathology needs urgent management."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(470)", "file_name": "(470).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(470).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of upper anterior tooth being examined by a dental instrument showing what appears to be a healthy-appearing single tooth with mild cervical staining.", "findings": "Single upper anterior under examination with mild cervical staining; teeth otherwise intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Continue examination, polish, hygiene reinforcement.", "explanation": "Active clinical examination of cervical area."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Mild cervical stain under examination."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(529)", "file_name": "(529).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(529).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral view showing dental work with a tooth being prepared or restored with grey impression material or temporary restoration visible on the upper anterior; remaining teeth with mild yellow staining and pink gingival margins; the procedure appears to be active restorative care in progress.", "findings": "Active restorative procedure on upper anterior tooth with impression material or temporary restoration; remaining teeth mildly yellow with healthy gingiva.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Continue restorative procedure, final restoration placement, polish, recall to monitor margins.", "explanation": "Active restorative care in progress for upper anterior; final restoration completes the rehabilitation."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "high", "rationale": "Active restorative procedure."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "caries_0_1825", "file_name": "caries_0_1825.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_1825.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view with cheek retractor showing severely yellow-stained anterior teeth with white-spot lesions and mild gingival inflammation.", "findings": "Severely yellow pediatric anteriors with white-spot lesions and mild gingival inflammation.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Fluoride varnish for white-spot lesions, scaling, hygiene reinforcement.", "explanation": "White-spot lesions are reversible enamel demineralisation."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Pediatric caries with white-spot lesions."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_9144", "file_name": "caries_0_9144.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9144.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Adult close upper palatal view showing multiple posterior teeth with severely cavitated caries lesions, retained roots, and dark coronal destruction on multiple sites.", "findings": "Multiple severely cavitated upper posterior teeth with retained roots and dark destruction.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Urgent extraction of retained roots, antibiotic if needed, comprehensive restorative planning.", "explanation": "Multiple non-restorable caries with retained roots needs surgical management."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe combined caries and retained roots."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_8905", "file_name": "caries_0_8905.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8905.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Older patient close frontal view showing severely affected dentition with severely yellow-stained worn teeth and dark broken-down structures on upper anteriors.", "findings": "Severely worn yellow upper anteriors with broken-down dark structures.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Comprehensive prosthodontic and restorative planning, occlusal evaluation.", "explanation": "Severe wear with broken teeth needs comprehensive rehabilitation."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe attrition with broken structures."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "caries_0_888", "file_name": "caries_0_888.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_888.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth open close view with dental retraction showing single upper anterior tooth with severe cavitated brown coronal destruction extending into pulp; surrounding teeth with mild yellow staining; gingival tissues moderately inflamed adjacent to the cavitated tooth; labelled clinical illustration with the words Early Childhood Caries visible in the image.", "findings": "Single severely cavitated upper primary anterior tooth with pulpal involvement; surrounding teeth less affected; moderate gingival inflammation adjacent; labelled as early childhood caries case.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Pediatric dental review under sedation, restore or extract depending on viability, fluoride therapy, parental counselling on dietary habits, three-monthly recall.", "explanation": "Early childhood caries pattern with pulpal involvement on single primary tooth requires immediate operative or surgical management with aggressive prevention."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Labelled early childhood caries case."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_5452", "file_name": "caries_0_5452.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5452.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Right lateral close view showing severely affected upper anterior tooth with brown cavitated destruction and possible pulpal exposure; adjacent teeth less affected.", "findings": "Severely cavitated upper anterior tooth with possible pulpal exposure.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, endodontic referral.", "explanation": "Severe cavitation with pulpal involvement."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe cavitated anterior tooth."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_2783", "file_name": "caries_0_2783.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_2783.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral close view showing severely yellow-stained mandibular dentition with severe wear on incisal edges and multiple broken-down anterior teeth.", "findings": "Severely worn yellow mandibular dentition with multiple broken-down anteriors.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Comprehensive prosthodontic and restorative planning.", "explanation": "Severe wear with combined pathology needs comprehensive care."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe attrition with broken teeth."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "caries_0_421", "file_name": "caries_0_421.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_421.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Older patient close view of severely worn yellow-stained teeth with severely affected dentition; mouth partially closed with mask visible below.", "findings": "Severely worn yellow teeth in older patient with combined wear pathology.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Comprehensive prosthodontic planning.", "explanation": "Severely affected older adult dentition needs comprehensive care."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe age-related wear."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "caries_0_6966", "file_name": "caries_0_6966.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6966.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Close lateral close view of upper anterior teeth at the cervical region showing two mild dark cervical spots on adjacent teeth that may indicate early caries; teeth structurally intact with mild yellow tint; gingival margins pink with localised mild redness adjacent to the spots; this appears to be a labelled clinical illustration with annotation in the image margin.", "findings": "Two small dark cervical spots on adjacent upper anterior teeth suggesting incipient caries; teeth structurally intact; mild localised marginal gingival redness adjacent.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe lesions to differentiate cavitated from non-cavitated, fluoride varnish for incipient lesions, polish, scaling, hygiene reinforcement, six-month recall to monitor lesion progression.", "explanation": "Small cervical lesions on adjacent teeth may represent the early stage of caries that responds to fluoride remineralisation before cavitation occurs; close monitoring with biofilm control prevents progression."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Small cervical lesions may be incipient caries."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_9757", "file_name": "caries_0_9757.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9757.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Adult close frontal view of mandibular dentition showing severely worn yellow lower anteriors with broken-down structures and severe gingival recession.", "findings": "Severely worn yellow lower anteriors with broken structures and severe recession.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Periodontal therapy, restorative planning, occlusal evaluation.", "explanation": "Severe combined wear and periodontal disease."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe combined wear and periodontitis."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "caries_0_5634", "file_name": "caries_0_5634.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_5634.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close pediatric mouth view showing single yellow-stained molar tooth with possible occlusal staining or early caries.", "findings": "Single yellow pediatric molar with possible occlusal staining or early caries.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Probe lesion, fluoride application.", "explanation": "Pediatric occlusal staining needs differentiation."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Pediatric occlusal stain or caries."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_9953", "file_name": "caries_0_9953.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_9953.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of mandibular posterior teeth showing severely cavitated molar with deep brown destruction and pulpal exposure; adjacent teeth with mild staining.", "findings": "Severely cavitated mandibular molar with pulpal exposure; adjacent teeth less affected.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, endodontic referral or extraction.", "explanation": "Severe cavitation with pulpal exposure needs urgent care."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated molar with pulpal exposure."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(206)", "file_name": "(206).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(206).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Close frontal view of upper anterior teeth with white spot patches of decalcification and severely inflamed bleeding gingival margins.", "findings": "White-spot decalcification with severe marginal gingival bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Scaling, fluoride for white spots, hygiene.", "explanation": "Combined demineralisation and gingivitis."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with demineralisation."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1206)", "file_name": "(1206).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1206).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral view showing crowded upper anteriors with mild yellow staining and pink gingival margins; teeth aligned with mild crowding.", "findings": "Crowded upper anteriors with mild yellow stain; gingiva pink.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Scaling, orthodontic consult.", "explanation": "Mild crowding with healthy gingiva."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "high", "rationale": "Mild crowding."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(429)", "file_name": "(429).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(429).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Close upper anterior view of single tooth showing severely cavitated upper anterior with brown-grey discoloration extending into the crown; surrounding teeth less affected.", "findings": "Single severely cavitated upper anterior with grey-brown destruction.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, endodontic referral.", "explanation": "Single severely cavitated non-vital tooth."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single anterior."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1238)", "file_name": "(1238).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1238).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of single upper anterior tooth showing severely cavitated cervical caries lesion with brown destruction at the gingival margin and adjacent inflamed bleeding gingival tissue; remaining teeth visible at the edges of the field with mild yellow staining.", "findings": "Single severely cavitated cervical caries on upper anterior with adjacent inflamed bleeding gingiva; remaining teeth with mild yellow staining.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore cervical caries with composite or glass-ionomer, periapical radiograph if pulpal involvement suspected, scaling for adjacent gingivitis, fluoride application, hygiene reinforcement, six-month recall.", "explanation": "Cervical caries with adjacent gingival inflammation reflects combined active disease driven by sustained biofilm at the gingival margin; restoration plus periodontal care resolves both pathologies."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe cervical caries dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1039)", "file_name": "(1039).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1039).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Close upper anterior view with retraction showing intact teeth and severely inflamed bleeding gingival margins with bulbous overgrowth.", "findings": "Intact upper anteriors with severe marginal gingival enlargement and bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral, scaling, medication review.", "explanation": "Severe gingival enlargement needs biopsy or medication review."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival enlargement."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1243)", "file_name": "(1243).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1243).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Frontal smile view of intact white teeth with mild yellow tint and pink gingival margins with healthy contour.", "findings": "Healthy-appearing intact white dentition with mild yellow tint.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy adult dentition."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(729)", "file_name": "(729).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(729).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Frontal retracted view of intact upper and lower anteriors with severely inflamed bright red bleeding gingival margins and tongue partially visible.", "findings": "Intact anteriors with severe marginal gingival inflammation and bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement, two-week recall.", "explanation": "Severe plaque-induced gingivitis."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe marginal gingivitis."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(365)", "file_name": "(365).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(365).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral view of mandibular posterior teeth showing intact dentition with mild yellow tint, mild cervical staining, and pink gingival margins with localised mild redness; teeth structurally intact and well-aligned.", "findings": "Intact mandibular posterior dentition with mild yellow tint and localised mild marginal gingival redness; teeth aligned.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Routine scaling and polishing, brushing technique reinforcement, six-month recall to monitor.", "explanation": "Mild localised marginal gingivitis is reversible with biofilm control through brushing and routine scaling."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild localised marginal redness."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(144)", "file_name": "(144).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(144).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Older patient close view of severely yellow-stained worn dentition with multiple missing teeth and broken-down structures with active bleeding.", "findings": "Severely affected adult dentition with multiple missing teeth and severe periodontal disease.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Antibiotic cover, urgent comprehensive care.", "explanation": "Severe combined pathology needs urgent management."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe combined pathology."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "(1675)", "file_name": "(1675).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1675).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Pediatric small mouth view showing intact teeth with a small bleeding socket where a tooth has recently exfoliated or been extracted in the lower anterior region; mixed dentition pattern visible.", "findings": "Recent exfoliation or extraction socket in lower pediatric anterior; mixed dentition.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Monitor socket healing, paediatric dental review.", "explanation": "Recent tooth loss in mixed dentition; normal exfoliation pattern."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Recent socket; could be normal exfoliation."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1114)(1)", "file_name": "(1114)(1).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1114)(1).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Pediatric close mouth open view showing irregular crowded upper anterior teeth with multiple missing teeth in the mixed dentition stage.", "findings": "Pediatric mixed dentition with crowded anteriors and multiple missing teeth.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric orthodontic referral.", "explanation": "Pediatric mixed dentition with crowding and absent teeth."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric missing teeth with crowding."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(107)", "file_name": "(107).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(107).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Adult smile view showing intact upper anterior teeth with one prosthetic crown contrasting with the adjacent natural teeth; remaining teeth aligned with mild yellow shade; gingival margins partially visible appear pink with healthy contour; the prosthetic restoration creates a slightly visible aesthetic mismatch with the natural tooth shade.", "findings": "Single prosthetic crown on upper anterior with adjacent yellow natural teeth; remaining teeth aligned; gingival contour healthy; minor aesthetic shade mismatch between prosthesis and natural teeth.", "diagnosis": "Fillings/Restorations", "severity": "Mild", "recommendation": "Continue maintenance of prosthesis, aesthetic re-evaluation if patient desires shade matching with adjacent teeth via supervised bleaching, scaling and polish, brushing technique reinforcement, six-month recall.", "explanation": "Existing prosthetic restoration with shade mismatch may benefit from aesthetic bleaching of adjacent natural teeth to achieve closer colour match; the gingival contour around the prosthesis appears healthy indicating well-fitting margins."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "high", "rationale": "Existing prosthetic crown."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "(140)", "file_name": "(140).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(140).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth open view showing irregular spaced lower anterior teeth with apparent missing teeth and mild gingival inflammation.", "findings": "Pediatric lower anteriors with spacing and possible missing tooth.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Pediatric spacing may be hypodontia or normal mixed dentition."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric mixed dentition with spacing."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(196)", "file_name": "(196).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(196).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth open view showing mostly intact upper anterior teeth with small lower anteriors visible and a tongue retraction in the field of view.", "findings": "Mostly intact pediatric dentition with mixed eruption pattern.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Paediatric dental review, monitor eruption.", "explanation": "Mostly healthy pediatric mixed dentition."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Mostly healthy pediatric dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(974)", "file_name": "(974).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(974).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth view showing crowded irregular upper anterior teeth with no obvious missing teeth; lower visible with mild irregular alignment.", "findings": "Pediatric crowded irregular anteriors without obvious missing teeth.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Paediatric orthodontic review.", "explanation": "Pediatric crowding more prominent than hypodontia."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric crowding dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(825)", "file_name": "(825).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(825).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral view showing severely affected dentition with implant healing abutments in the anterior position with severely yellow-stained worn lower anteriors visible below; the abutments appear to be supporting a planned prosthetic restoration of previously missing upper anterior teeth.", "findings": "Adult anterior implant healing abutments for prosthetic restoration with severely worn yellow lower anteriors visible; acquired upper anterior tooth loss being restored.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Continue implant healing protocol, plan prosthetic loading at appropriate timeline, address concurrent wear on lower anteriors with restorative or occlusal management, scaling, six-month recall during healing phase.", "explanation": "Recent anterior implant placement indicates acquired tooth loss being restored; concurrent wear on lower anteriors may benefit from occlusal therapy alongside the implant rehabilitation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss being restored with implants."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(765)", "file_name": "(765).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(765).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Adult close lateral view of mandibular posterior teeth showing intact dentition with mild yellow shade and pink gingival margins.", "findings": "Intact mandibular posterior dentition with mild yellow tint.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Largely healthy presentation."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy mandibular dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(1073)", "file_name": "(1073).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1073).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Adult close frontal view of single upper anterior with severely cavitated brown coronal destruction and exposed pulpal core; surrounding teeth less affected with mild yellow staining.", "findings": "Single severely cavitated upper anterior with pulpal exposure; remaining teeth less affected.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing, endodontic referral or extraction.", "explanation": "Severe single-tooth cavitation with pulpal exposure."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single anterior."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(534)", "file_name": "(534).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(534).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth open view showing small upper teeth with one tooth missing or absent; visible bleeding socket where the tooth would be.", "findings": "Pediatric upper anterior tooth space with bleeding socket suggesting recent exfoliation.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Monitor healing, paediatric dental review.", "explanation": "Recent exfoliation more likely than congenital hypodontia."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Recent exfoliation socket."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(418)", "file_name": "(418).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(418).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric mouth close view showing irregular small teeth with apparent missing teeth in the upper anterior region; mixed dentition pattern with spaced teeth and limited field of view from the close magnification.", "findings": "Pediatric mixed dentition with apparent missing upper anterior teeth and spacing; limited field of view due to close magnification.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph for comprehensive tooth bud assessment, paediatric orthodontic referral, recapture image with wider field of view for better assessment.", "explanation": "Pediatric mixed-dentition spacing may reflect hypodontia or normal transition; radiographic imaging clarifies the aetiology before any intervention planning."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "low", "rationale": "Limited image of pediatric mixed dentition."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(784)", "file_name": "(784).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(784).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Adult close anterior view showing four implant healing abutments in upper anterior position with severely affected gingival tissues and yellow-stained lower anteriors visible below; combined implant rehabilitation and severe lower dentition wear.", "findings": "Four upper anterior implant healing abutments with severely affected gingiva; lower anteriors yellow-worn.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Continue implant healing, address lower wear.", "explanation": "Adult acquired loss being restored with combined wear pathology."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Implant rehabilitation in progress."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(952)", "file_name": "(952).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(952).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Adult close view of severely yellow-stained crowded upper anterior teeth with mild gingival inflammation and visible cervical staining.", "findings": "Severely yellow crowded upper anteriors with mild gingivitis and cervical staining.", "diagnosis": "class 1 malocclusion", "severity": "Moderate", "recommendation": "Scaling, orthodontic consult, dietary counselling.", "explanation": "Severe crowding with stain."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "high", "rationale": "Crowding dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(521)", "file_name": "(521).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(521).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Close pediatric mouth view showing small lower anterior teeth and a single missing tooth space; the mucosa is partially visible.", "findings": "Pediatric lower anterior missing tooth space with surrounding small teeth.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Pediatric mixed-dentition gap."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Pediatric anterior space."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1034)", "file_name": "(1034).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1034).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric small mouth view showing irregular small teeth with apparent missing teeth in the lower anterior region; the small field of view limits assessment of the complete dentition; mixed dentition pattern partially visible.", "findings": "Pediatric lower anterior missing teeth with mixed dentition pattern; limited field of view.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Recapture image with wider field of view, panoramic radiograph, paediatric dental review for comprehensive assessment.", "explanation": "Limited image of pediatric mixed dentition; imaging needed for confident diagnosis of hypodontia versus delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Limited image."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_8347", "file_name": "Tooth_Discoloration_0_8347.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8347.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Pediatric small mouth open close view showing intact small lower anterior teeth with a small alveolar bleeding spot.", "findings": "Pediatric mouth with small lower anteriors and minor alveolar bleeding spot.", "diagnosis": "Other visible abnormality", "severity": "Mild", "recommendation": "Monitor, paediatric dental review.", "explanation": "Minor mucosal injury likely."}, "diagnoser": {"diagnosis": "Other visible abnormality", "severity": "Mild", "confidence": "low", "rationale": "Limited pediatric image."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Other visible abnormality"}
{"image_id": "Tooth_Discoloration_0_2841", "file_name": "Tooth_Discoloration_0_2841.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2841.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Pediatric small mouth close view showing irregular crowded lower anterior teeth.", "findings": "Pediatric crowded irregular lower anteriors.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Paediatric orthodontic monitoring.", "explanation": "Pediatric crowding."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "medium", "rationale": "Pediatric crowding."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "Tooth_Discoloration_0_7314", "file_name": "Tooth_Discoloration_0_7314.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7314.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close view of upper anterior dentition with prosthetic restorations on multiple anterior teeth showing gold-coloured frameworks and porcelain crowns; gingival recession exposing implant or abutment surfaces; severely affected gingiva.", "findings": "Adult anterior prosthetic restorations with gold framework and crowns; recession exposing abutment surfaces; severe gingival inflammation.", "diagnosis": "Fillings/Restorations", "severity": "Severe", "recommendation": "Periodontal therapy around prostheses, evaluate margin integrity.", "explanation": "Existing prosthetic restoration with severe peri-implant or peri-restorative gingivitis."}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Severe", "confidence": "high", "rationale": "Existing prosthetic restoration."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Fillings/Restorations"}
{"image_id": "Tooth_Discoloration_0_8015", "file_name": "Tooth_Discoloration_0_8015.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8015.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Red-filtered close pediatric mouth view showing irregular yellow-stained teeth with possible missing teeth and severely affected gingival tissues; the heavy red filter limits accurate assessment of soft tissues and tooth shade and details.", "findings": "Pediatric irregular yellow-stained teeth with possible missing teeth and gingival inflammation; filter limits detail.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Recapture image with neutral lighting, paediatric urgent dental review, panoramic radiograph for comprehensive assessment.", "explanation": "Filter limits assessment; severely affected pediatric mouth needs comprehensive evaluation regardless."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "low", "rationale": "Filter limits but severe pathology evident."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_129", "file_name": "Tooth_Discoloration_0_129.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_129.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view showing a small bleeding socket in upper anterior region with adjacent intact small teeth.", "findings": "Recent exfoliation socket in pediatric upper anterior with adjacent intact teeth.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Monitor socket healing.", "explanation": "Recent exfoliation likely."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Recent exfoliation socket."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "Tooth_Discoloration_0_3559", "file_name": "Tooth_Discoloration_0_3559.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3559.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Pediatric small mouth close view showing irregular small teeth with mixed dentition; limited field of view.", "findings": "Pediatric mixed dentition with limited field of view.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Paediatric dental review.", "explanation": "Limited pediatric image."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "low", "rationale": "Limited image."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_1024", "file_name": "Tooth_Discoloration_0_1024.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1024.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close view of severely worn yellow-stained dentition with multiple missing teeth, broken-down structures, and severe gingival recession; combined acquired loss and wear pathology.", "findings": "Severely affected adult dentition with multi-tooth loss, broken structures, and recession.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Antibiotic cover, panoramic radiograph, urgent comprehensive care.", "explanation": "Severely affected adult with combined pathology."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "Tooth_Discoloration_0_9911", "file_name": "Tooth_Discoloration_0_9911.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9911.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult smile close view showing intact upper anterior teeth with mostly normal-shade teeth and pink gingival margins; teeth aligned and structurally intact; mild yellow tint visible on cervical areas; the smile is unforced and natural.", "findings": "Intact white upper anterior dentition with mild cervical yellow tint and pink gingival margins.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Routine professional polishing, dietary counselling on stain-causing beverages, brushing technique reinforcement, six-month recall to maintain.", "explanation": "Largely healthy adult dentition with mild age-related tint and minor extrinsic cervical staining responds to routine professional cleaning."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Largely healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_1878", "file_name": "Tooth_Discoloration_0_1878.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1878.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Red-filtered close view of single severely darkened anterior tooth contrasted against adjacent yellow-stained teeth; heavy red filter limits detail assessment.", "findings": "Single severely darkened anterior tooth with adjacent yellow teeth under red filter.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, recapture with neutral lighting.", "explanation": "Single non-vital tooth likely."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "medium", "rationale": "Filter limits but single non-vital tooth evident."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_7599", "file_name": "Tooth_Discoloration_0_7599.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7599.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral view of single upper anterior tooth showing translucent grey discoloration adjacent to normal-shade teeth.", "findings": "Single grey-translucent upper anterior contrasted with adjacent normal teeth.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, endodontic referral.", "explanation": "Single non-vital tooth presentation."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Classic single non-vital tooth."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_248", "file_name": "Tooth_Discoloration_0_248.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_248.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close older patient view showing severely worn yellow-stained edentulous-appearing dentition with multiple missing teeth and broken-down remaining structures; the patient is wearing a face mask.", "findings": "Severely worn yellow dentition with multiple missing teeth and broken structures in older patient.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Comprehensive prosthodontic and restorative planning.", "explanation": "Severely affected older adult dentition needs comprehensive rehabilitation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "Tooth_Discoloration_0_7699", "file_name": "Tooth_Discoloration_0_7699.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7699.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close adult upper anterior smile view showing intact aligned teeth with mostly normal white shade and a labelled clinical illustration with annotation in the image margin indicating figure caption; gingival margins partially visible appear pink with healthy contour; this appears to be a referenced clinical example image.", "findings": "Intact aligned upper anteriors with normal white shade in a labelled clinical illustration; gingival contour healthy.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Routine maintenance, supervised bleaching consultation if patient desires further whitening, six-month recall.", "explanation": "Largely healthy aesthetic presentation with mild age-related shade; bleaching may further improve appearance."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Largely healthy aesthetic case."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(618)", "file_name": "(618).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(618).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Older adult close view of severely affected dentition with gold prosthetic teeth, severely yellow-stained worn teeth with severe attrition, and severely affected gingival tissues.", "findings": "Severely affected adult dentition with gold prosthetics, severe wear and combined pathology.", "diagnosis": "Attrition/Wear", "severity": "Comprehensive prosthodontic planning, occlusal evaluation.", "recommendation": "Severe combined pathology with prosthetic restorations.", "explanation": "Attrition/Wear"}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe wear with prosthetics."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(824)", "file_name": "(824).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(824).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral view showing comprehensive prosthodontic crown restoration on multiple upper anterior teeth with gold framework visible; remaining teeth intact.", "findings": "Adult comprehensive prosthodontic restoration with gold framework on anteriors.", "diagnosis": "Fillings/Restorations", "severity": "Maintain prosthesis, hygiene reinforcement, six-month recall.", "recommendation": "Existing prosthetic restoration in place.", "explanation": "Fillings/Restorations"}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Mild", "confidence": "high", "rationale": "Existing prosthetic crowns dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1026)", "file_name": "(1026).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1026).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of upper and lower anteriors with mild yellow cervical staining and mild calculus deposits along the gingival margins.", "findings": "Mild yellow cervical staining and calculus on adult anteriors; gingiva mostly pink.", "diagnosis": "Dental calculus", "severity": "Scaling, polishing, hygiene reinforcement.", "recommendation": "Mild cervical calculus responds to scaling.", "explanation": "Dental calculus"}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild cervical calculus."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(645)", "file_name": "(645).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(645).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult frontal close view of full mouth prosthetic restoration with multiple crowns or veneers on upper and lower anteriors; gingival recession visible on upper anteriors exposing root surfaces; mild marginal redness adjacent to prosthetic margins.", "findings": "Full mouth prosthetic restoration with multiple crowns or veneers on adult dentition; mild gingival recession and marginal redness at prosthetic margins.", "diagnosis": "Fillings/Restorations", "severity": "Evaluate prosthetic margins, scaling around prostheses, fluoride to exposed root surfaces, six-month recall for prosthetic and periodontal monitoring.", "recommendation": "Existing comprehensive prosthetic restoration requires ongoing margin maintenance and gingival health monitoring to detect any peri-prosthetic complications early.", "explanation": "Fillings/Restorations"}, "diagnoser": {"diagnosis": "Fillings/Restorations", "severity": "Moderate", "confidence": "high", "rationale": "Comprehensive prosthetic restoration."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1)", "file_name": "(1).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Lower lingual close view of intact mandibular anteriors with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lingual mandibular anteriors with mild cervical staining.", "diagnosis": "Dental calculus", "severity": "Polish, hygiene reinforcement.", "recommendation": "Mild lingual stain responds to polish.", "explanation": "Dental calculus"}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild lingual stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1199)", "file_name": "(1199).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1199).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Adult side-by-side before/after frontal view of intact anterior teeth with bleeding gingival margins in both panels showing severely inflamed gingiva.", "findings": "Severely inflamed bleeding gingival margins in before/after pediatric/adult anterior view.", "diagnosis": "Gingivitis", "severity": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement.", "recommendation": "Severe plaque-induced gingivitis with bleeding.", "explanation": "Gingivitis"}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(578)", "file_name": "(578).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(578).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Lower lingual close view of mandibular anteriors with mild yellow cervical calculus and pink gingival margins.", "findings": "Mild lingual cervical calculus on mandibular anteriors.", "diagnosis": "Dental calculus", "severity": "Scaling and polishing, lingual brushing reinforcement.", "recommendation": "Lingual calculus responds to scaling.", "explanation": "Dental calculus"}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild lingual calculus."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(228)", "file_name": "(228).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(228).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close right lateral view showing severely affected dentition with heavy black-brown cervical calculus deposits on upper molar, severely inflamed bleeding gingival tissues with active bleeding visible, and adjacent dentition with mild staining; combined severe periodontal and calculus pathology.", "findings": "Severe black-brown cervical calculus on upper molar with adjacent severe marginal gingival bleeding; combined severe periodontal pathology.", "diagnosis": "Dental calculus", "severity": "Multi-session ultrasonic scaling, periodontal probing for pocketing assessment, chlorhexidine 0.2% rinse for two weeks, hygiene reinforcement, two-week recall for re-evaluation of gingival response.", "recommendation": "Severe localised calculus with surrounding severe gingivitis indicates active periodontal disease requiring targeted scaling combined with sustained biofilm control and chemical adjunct therapy.", "explanation": "Dental calculus"}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Severe calculus with gingivitis."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(317)", "file_name": "(317).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(317).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Close upper anterior view of single tooth with severe black-brown granular cervical calculus accretion and adjacent inflamed gingival tissue.", "findings": "Severe localised black-brown cervical calculus on single upper anterior with adjacent inflamed gingiva.", "diagnosis": "Dental calculus", "severity": "Localised scaling, full mouth scaling, hygiene.", "recommendation": "Severe localised calculus needs targeted scaling.", "explanation": "Dental calculus"}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Severe localised calculus."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(303)", "file_name": "(303).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(303).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Adult close frontal view of severely affected dentition with heavy brown cervical calculus on upper and lower anteriors with severely inflamed bleeding gingival margins.", "findings": "Severely affected dentition with heavy cervical calculus and severe gingival bleeding.", "diagnosis": "Periodontitis", "severity": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement.", "recommendation": "Combined severe calculus and gingivitis.", "explanation": "Periodontitis"}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "medium", "rationale": "Recession with severe calculus may indicate periodontitis."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(312)", "file_name": "(312).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(312).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Older patient close view showing severely affected dentition with multiple missing teeth, gold prosthetic restorations, severely yellow-stained worn remaining teeth, and severely affected gingival tissues.", "findings": "Severely affected older adult dentition with multi-tooth loss, prosthetics, severe wear and gingivitis.", "diagnosis": "Missing teeth", "severity": "Comprehensive prosthodontic and periodontal planning.", "recommendation": "Severely affected adult with combined pathology.", "explanation": "Missing teeth"}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(738)", "file_name": "(738).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(738).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of intact upper and lower anteriors with mild yellow cervical staining, mild gingival recession on upper anteriors, slight wear on incisal edges, and pink gingival margins with localised mild redness; teeth aligned and structurally intact overall.", "findings": "Intact anteriors with mild cervical staining and slight wear; mild upper anterior recession and localised mild marginal redness; teeth aligned and structurally intact.", "diagnosis": "Dental calculus", "severity": "Routine scaling and polishing, brushing technique reinforcement to address mild recession, occlusal evaluation for slight wear, six-month recall to monitor for progression.", "recommendation": "Mild combined cervical staining, recession, and wear suggests early periodontal and parafunctional changes; biofilm control plus technique modification halts progression.", "explanation": "Dental calculus"}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "medium", "rationale": "Mild combined findings."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_6436", "file_name": "caries_0_6436.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_6436.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Adult close lateral close view of severely affected mandibular dentition with severe wear on lower anteriors, severe gingival recession, and combined pathology.", "findings": "Severely worn mandibular anteriors with severe gingival recession; combined wear and periodontal pathology.", "diagnosis": "Periodontitis", "severity": "Comprehensive prosthodontic and periodontal planning.", "recommendation": "Severe wear with periodontitis.", "explanation": "Periodontitis"}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe wear with recession."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_954", "file_name": "caries_0_954.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_954.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Adult close pediatric/older patient view showing severely affected dentition with multiple cavitated brown carious lesions, gold prosthetic crown, severely worn teeth, and inflamed gingival tissues.", "findings": "Severely affected dentition with multiple cavitated lesions, gold prosthetic crown, and severe wear.", "diagnosis": "Dental caries", "severity": "Antibiotic if needed, extract non-restorable, comprehensive planning.", "recommendation": "Severe combined pathology in advanced adult dentition.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple cavitated lesions."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_7623", "file_name": "caries_0_7623.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7623.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Lower anterior close view of crowded yellow-stained lower anteriors with mild gingival recession and mild marginal redness; teeth aligned with mild crowding.", "findings": "Crowded yellow lower anteriors with mild recession and mild marginal redness.", "diagnosis": "class 1 malocclusion", "severity": "Scaling, orthodontic consult, brushing reinforcement.", "recommendation": "Mild crowding with mild recession needs combined care.", "explanation": "class 1 malocclusion"}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "high", "rationale": "Mild crowding dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_3923", "file_name": "caries_0_3923.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_3923.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Pediatric close mouth view showing severely cavitated upper primary anterior teeth with brown coronal destruction extending into pulp on multiple teeth; surrounding gingival tissues mildly inflamed adjacent to active disease; clinical illustration with annotation visible.", "findings": "Multiple severely cavitated upper primary anteriors with brown coronal destruction and possible pulpal exposure on several teeth; mild gingival inflammation adjacent to active disease.", "diagnosis": "Dental caries", "severity": "Pediatric urgent dental review under sedation, extract non-restorable teeth, restorations or pulpotomy on salvageable teeth, parental counselling on dietary and bottle-feeding habits, fluoride therapy, three-monthly recall for caries activity monitoring.", "recommendation": "Severe early childhood caries pattern with pulpal involvement on multiple primary teeth requires immediate surgical and restorative management combined with aggressive prevention to preserve the developing permanent dentition.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe early childhood caries pattern."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_7627", "file_name": "caries_0_7627.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_7627.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-A", "annotation": {"image_observation": "Upper palatal mirror view of intact upper teeth showing posterior molars with mild cervical staining and a small dark spot on one tooth suggesting possible caries.", "findings": "Intact upper arch with mild staining and small dark spot suggesting possible occlusal caries.", "diagnosis": "Dental caries", "severity": "Probe lesion, fluoride application.", "recommendation": "Small lesion needs tactile examination.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Small possible occlusal lesion."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_8853", "file_name": "caries_0_8853.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8853.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-B", "annotation": {"image_observation": "Close mouth view showing only pink tongue surface with limited dentition visible at the edges; possible caries lesions visible in narrow field.", "findings": "Pink tongue with limited tooth visibility; possible caries at edge of field.", "diagnosis": "Other visible abnormality", "severity": "Recapture image with proper retraction and lighting.", "recommendation": "Limited image; needs better view.", "explanation": "Other visible abnormality"}, "diagnoser": {"diagnosis": "Other visible abnormality", "severity": "Mild", "confidence": "low", "rationale": "Image limited; tongue dominates field."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "caries_0_3982", "file_name": "caries_0_3982.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_3982.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-C", "annotation": {"image_observation": "Upper occlusal mirror view of severely affected dentition with multiple severely cavitated molars with deep dark coronal destruction and dental work visible.", "findings": "Multiple severely cavitated upper molars with dark destruction and existing restorations.", "diagnosis": "Dental caries", "severity": "Vitality testing, comprehensive restorative planning.", "recommendation": "Multiple severely cavitated teeth need comprehensive care.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple cavitated molars."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "caries_0_8228", "file_name": "caries_0_8228.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\caries\\caries_0_8228.jpeg", "split": "train", "ext_class": "caries", "ext_diagnosis": "Dental caries", "style": "Style-D", "annotation": {"image_observation": "Lower lingual close view showing mandibular posterior tooth with mild yellow cervical staining and a single tooth with cervical caries lesion; gingival margins pink with healthy contour overall; teeth structurally intact and well-aligned.", "findings": "Mandibular posterior with mild cervical staining and single cervical caries lesion on a tooth; gingival contour healthy.", "diagnosis": "Dental caries", "severity": "Excavate and restore cervical caries with composite or glass-ionomer, scaling for staining, fluoride application, brushing technique reinforcement, six-month recall to monitor.", "recommendation": "Cervical caries on lingual aspect needs restoration to halt dentinal progression; surrounding cervical staining responds to professional polish with sustained biofilm control preventing recurrence.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cervical lingual caries."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental caries", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1175)", "file_name": "(1175).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1175).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Frontal close view of upper anterior teeth with severely inflamed bleeding gingival margins and bulbous overgrowth surrounding the teeth.", "findings": "Severe gingival enlargement with bulbous bleeding contour.", "diagnosis": "Gingivitis", "severity": "Periodontal referral, scaling, medication review.", "recommendation": "Severe gingival enlargement.", "explanation": "Gingivitis"}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1464)", "file_name": "(1464).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1464).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Pediatric close mouth view showing severely affected upper anterior teeth with multiple cavitated brown carious lesions and severely inflamed gingival tissues; combined severe ECC and gingivitis.", "findings": "Multiple severely cavitated upper primary anteriors with severe marginal gingival inflammation; combined ECC and gingivitis.", "diagnosis": "Dental caries", "severity": "Pediatric urgent dental review, restorations, hygiene.", "recommendation": "Severe combined pediatric pathology.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe ECC dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(975)", "file_name": "(975).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(975).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view showing severely affected dentition with single severely cavitated upper anterior tooth with brown coronal destruction; surrounding teeth less affected.", "findings": "Single severely cavitated upper anterior with brown destruction.", "diagnosis": "Dental caries", "severity": "Vitality testing, endodontic or extraction decision.", "recommendation": "Severe single-tooth cavitation.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single anterior."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(758)", "file_name": "(758).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(758).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-D", "annotation": {"image_observation": "Close lateral pediatric mouth view of severely affected dentition with single severely darkened anterior tooth with brown-black destruction and pulpal exposure; surrounding teeth less affected with mild yellow staining; gingival tissue mildly inflamed adjacent to active disease.", "findings": "Single severely darkened pediatric anterior tooth with brown destruction and possible pulpal exposure; surrounding teeth less affected with mild yellow staining; mild gingival inflammation adjacent.", "diagnosis": "Dental caries", "severity": "Pediatric urgent dental review, vitality testing, restorative or extraction decision based on tooth viability, fluoride for surrounding teeth, parental counselling on caries prevention, three-monthly recall.", "recommendation": "Single severely darkened pediatric tooth typically reflects pulpal necrosis from trauma or advanced caries; combined surgical or restorative management plus aggressive prevention preserves the surrounding developing dentition.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single primary tooth."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(1474)", "file_name": "(1474).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1474).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-A", "annotation": {"image_observation": "Adult close frontal view of intact lower anterior teeth with mild yellow tint and severely inflamed bleeding gingival margins.", "findings": "Intact anteriors with severe marginal gingival bleeding.", "diagnosis": "Gingivitis", "severity": "Multi-session scaling, chlorhexidine rinse.", "recommendation": "Severe plaque-induced gingivitis.", "explanation": "Gingivitis"}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with bleeding."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1381)", "file_name": "(1381).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1381).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral view of dentition showing severely worn yellow-stained crowded upper anteriors with severely inflamed gingival tissues with bulbous overgrowth; combined severe crowding and gingivitis.", "findings": "Severely yellow-stained crowded upper anteriors with severe gingival enlargement.", "diagnosis": "Gingivitis", "severity": "Periodontal referral, scaling, orthodontic consult, hygiene.", "recommendation": "Crowding with severe gingival enlargement.", "explanation": "Gingivitis"}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with crowding."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1037)", "file_name": "(1037).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\gingivitis\\(1037).jpg", "split": "train", "ext_class": "gingivitis", "ext_diagnosis": "Gingivitis", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of severely worn yellow-stained dentition with broken-down teeth, severe gingival recession, and visible necrotic-appearing tissue; combined severe wear and periodontal pathology.", "findings": "Severely worn yellow dentition with broken teeth, severe recession, and possible necrotic tissue.", "diagnosis": "Periodontitis", "severity": "Antibiotic if needed, comprehensive periodontal and restorative planning.", "recommendation": "Severe combined adult pathology.", "explanation": "Periodontitis"}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe periodontitis with wear."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Gingivitis", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(144)", "file_name": "(144).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(144).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Older patient close view of severely affected adult dentition with severe yellow-orange staining, severe coronal destruction on multiple upper anteriors, broken-down structures with active necrotic tissue, severe gingival recession, and adjacent areas of staining and dark discoloration; combined severe acquired pathology with advanced disease state.", "findings": "Severely affected adult dentition with severe staining, broken structures, recession, necrotic tissue, and severe combined caries and periodontal pathology in advanced state.", "diagnosis": "Dental caries", "severity": "Antibiotic cover, urgent comprehensive dental review, surgical clearance of non-restorable structures, periodontal therapy, comprehensive prosthodontic planning, recall every two weeks during treatment phase.", "recommendation": "Severely affected adult dentition with combined active caries, periodontal disease, and possible odontogenic infection requires urgent surgical clearance before any rehabilitation can proceed safely.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe combined pathology with infection."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(1103)", "file_name": "(1103).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1103).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Adult close lateral view showing single severely darkened black-cavitated upper anterior tooth contrasted with adjacent intact teeth with mild yellow tint.", "findings": "Single severely darkened cavitated upper anterior with adjacent intact teeth.", "diagnosis": "Dental caries", "severity": "Vitality testing, endodontic referral or extraction.", "recommendation": "Severe single-tooth cavitation with necrotic appearance.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single anterior."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(940)", "file_name": "(940).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(940).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric small mouth close view showing tongue partially visible with only a few small teeth visible at the edge of the field; severely cavitated teeth visible.", "findings": "Small pediatric mouth with limited field showing severely cavitated teeth.", "diagnosis": "Dental caries", "severity": "Pediatric urgent dental review, recapture image.", "recommendation": "Limited image with severe pathology.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "medium", "rationale": "Limited pediatric image."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(357)", "file_name": "(357).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(357).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Adult close upper view of severely cavitated multiple upper anterior teeth with metal restorations and complete coronal destruction on multiple anteriors; severely affected dentition.", "findings": "Multiple severely cavitated and broken upper anteriors with retained roots and metal restorations.", "diagnosis": "Dental caries", "severity": "Antibiotic cover, urgent extraction of root remnants, comprehensive prosthodontic planning.", "recommendation": "Multiple non-restorable teeth need surgical management.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe combined caries and retained roots."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(1038)", "file_name": "(1038).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1038).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of adult mandibular posterior teeth showing single intact molar with adjacent tooth visible; the tongue is partially visible in the field and there is mild gingival inflammation visible at the gingival margin of the molar; teeth structurally intact and well-aligned.", "findings": "Single intact mandibular molar with adjacent tooth visible; mild marginal gingival inflammation; tongue visible; limited field of view.", "diagnosis": "healthy", "severity": "Routine scaling and polishing, hygiene reinforcement, brushing technique demonstration, six-month recall to monitor mild marginal gingival response.", "recommendation": "Limited field of view shows mostly healthy adult dentition with localised mild marginal inflammation responding to routine biofilm control through brushing and professional polish.", "explanation": "healthy"}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Limited image of healthy adult posterior."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(803)", "file_name": "(803).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(803).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Lower lingual close view of intact mandibular anteriors with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lingual mandibular anteriors with mild cervical staining.", "diagnosis": "healthy", "severity": "Polish, six-month recall.", "recommendation": "Healthy presentation with mild stain.", "explanation": "healthy"}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy mandibular dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(123)", "file_name": "(123).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(123).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Adult upper full arch retracted view showing intact upper arch with severely inflamed bright red bleeding gingival tissues across the entire arch.", "findings": "Intact upper arch with severe diffuse marginal gingival inflammation and bleeding.", "diagnosis": "Gingivitis", "severity": "Multi-session scaling, chlorhexidine rinse, hygiene reinforcement.", "recommendation": "Severe plaque-induced gingivitis across the entire arch.", "explanation": "Gingivitis"}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe diffuse gingivitis."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(799)", "file_name": "(799).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(799).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of severely affected adult dentition with severely cavitated lower anterior teeth showing brown destruction, retained roots, mild gingival recession, and yellow stained worn remaining teeth.", "findings": "Severely cavitated lower anteriors with retained roots, mild recession, and yellow staining.", "diagnosis": "Dental caries", "severity": "Extract retained roots, antibiotic cover, comprehensive prosthodontic planning.", "recommendation": "Severe acquired multi-tooth destruction.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable caries with retained roots."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(1052)", "file_name": "(1052).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1052).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Adult close frontal view of mandibular anteriors with severely inflamed bleeding gingival tissues, mild crowding of lower incisors, mild yellow cervical staining, and bleeding-prone marginal contour; teeth structurally intact and well-aligned.", "findings": "Mandibular anteriors with severe marginal gingival inflammation and bleeding; mild crowding; mild yellow cervical staining; teeth intact.", "diagnosis": "Gingivitis", "severity": "Multi-session ultrasonic scaling, periodontal probing assessment for pocketing, chlorhexidine 0.2% rinse for two weeks, hygiene reinforcement with emphasis on interdental cleaning of the crowded segment, recall in two weeks for re-evaluation of gingival response.", "recommendation": "Severe plaque-induced gingivitis with concurrent crowding indicates active periodontal disease driven by sustained biofilm at the gingival margin combined with plaque retention at interdental contacts; combined scaling and orthodontic correction addresses both factors.", "explanation": "Gingivitis"}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with crowding."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "(964)", "file_name": "(964).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(964).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth close view showing irregular small teeth with apparent missing upper anterior teeth in mixed dentition.", "findings": "Pediatric mixed dentition with missing upper anterior teeth.", "diagnosis": "Hypodontia", "severity": "Panoramic radiograph, paediatric orthodontic review.", "recommendation": "Pediatric mixed-dentition gap.", "explanation": "Hypodontia"}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Multiple anterior absences."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(533)", "file_name": "(533).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(533).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close pediatric mouth view showing apparent missing teeth with very limited detail due to heavy red filter and challenging lighting; severely affected pediatric mouth.", "findings": "Pediatric mouth with missing teeth against red filter; assessment limited.", "diagnosis": "Hypodontia", "severity": "Recapture with neutral lighting, paediatric review.", "recommendation": "Filter and lighting prevent confident assessment.", "explanation": "Hypodontia"}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Severe", "confidence": "low", "rationale": "Filter limits assessment."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(778)", "file_name": "(778).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(778).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Adult close view showing severely affected dentition with multiple missing teeth, severe wear, broken-down structures, and severely affected gingival tissues with active bleeding.", "findings": "Severely affected adult dentition with multi-tooth loss, severe wear, and bleeding gingiva.", "diagnosis": "Missing teeth", "severity": "Antibiotic cover, comprehensive prosthodontic planning.", "recommendation": "Severe acquired multi-tooth loss with active periodontitis.", "explanation": "Missing teeth"}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Hypodontia"}
{"image_id": "Tooth_Discoloration_0_6024", "file_name": "Tooth_Discoloration_0_6024.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6024.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of adult mandibular posterior teeth showing severely yellow-stained worn teeth with broken structure on one tooth, mild gingival recession, mild cervical staining, and adjacent teeth with mild yellow tint; teeth otherwise intact and well-aligned.", "findings": "Severely worn mandibular posteriors with single broken tooth, mild recession, and mild cervical staining.", "diagnosis": "Attrition/Wear", "severity": "Restorative evaluation of broken tooth, scaling, occlusal evaluation, fluoride to exposed surfaces, six-month recall.", "recommendation": "Severe combined wear with single broken tooth needs occlusal management alongside restorative care of the broken structure.", "explanation": "Attrition/Wear"}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe wear with broken tooth."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_2988", "file_name": "Tooth_Discoloration_0_2988.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2988.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Adult close lateral view of single tooth with severely cavitated brown coronal destruction adjacent to intact teeth; gingival recession visible.", "findings": "Single severely cavitated tooth with brown destruction and adjacent recession.", "diagnosis": "Dental caries", "severity": "Vitality testing, endodontic or extraction decision.", "recommendation": "Severe single-tooth cavitation needs vitality assessment.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severely cavitated single tooth."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_5611", "file_name": "Tooth_Discoloration_0_5611.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5611.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Adult frontal close view of intact teeth with severely inflamed bleeding gingival tissues with active bleeding and rolled bulbous gingival contour.", "findings": "Intact dentition with severe marginal gingival inflammation and bleeding.", "diagnosis": "Gingivitis", "severity": "Multi-session scaling, chlorhexidine rinse, hygiene.", "recommendation": "Severe plaque-induced gingivitis.", "explanation": "Gingivitis"}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_4925", "file_name": "Tooth_Discoloration_0_4925.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4925.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of severely worn mandibular anteriors with severe wear on incisal edges, mild yellow staining, and mild marginal gingival redness.", "findings": "Severely worn mandibular anteriors with mild yellow staining and mild marginal gingival redness.", "diagnosis": "Attrition/Wear", "severity": "Occlusal evaluation, restorative planning, scaling.", "recommendation": "Severe attrition with possible parafunctional bruxism.", "explanation": "Attrition/Wear"}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe attrition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_2597", "file_name": "Tooth_Discoloration_0_2597.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2597.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult frontal smile close view of intact upper and lower anterior teeth with white shade and pink gingival margins; teeth aligned and well-shaped with healthy appearance; the smile is natural and unforced.", "findings": "Healthy intact white upper and lower anteriors with pink gingival margins; teeth well-aligned and aesthetically pleasing.", "diagnosis": "healthy", "severity": "Maintain current oral hygiene practices, professional polish at next recall, supervised bleaching consultation if patient desires further whitening, six-month recall.", "recommendation": "Largely healthy adult dentition with normal age-related shade; routine maintenance and professional polish preserve the current aesthetic state.", "explanation": "healthy"}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_3535", "file_name": "Tooth_Discoloration_0_3535.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_3535.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Adult close lateral view of intact white teeth with mild yellow shade and pink gingival margins.", "findings": "Intact white teeth with mild yellow shade.", "diagnosis": "healthy", "severity": "Polish, six-month recall.", "recommendation": "Healthy adult dentition.", "explanation": "healthy"}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_7779", "file_name": "Tooth_Discoloration_0_7779.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7779.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral view of intact upper and lower posterior teeth with mild yellow tint and healthy-appearing gingival margins.", "findings": "Intact lateral posterior dentition with mild yellow tint and healthy gingiva.", "diagnosis": "healthy", "severity": "Polish, six-month recall.", "recommendation": "Healthy adult dentition.", "explanation": "healthy"}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_1507", "file_name": "Tooth_Discoloration_0_1507.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1507.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close frontal view of upper anterior smile with mild yellow tint and shadowed lighting; teeth aligned and intact.", "findings": "Intact upper anteriors with mild yellow tint; lighting limits assessment.", "diagnosis": "healthy", "severity": "Polish, recapture with better lighting.", "recommendation": "Healthy presentation with limited lighting.", "explanation": "healthy"}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "medium", "rationale": "Healthy adult dentition with limited lighting."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_716", "file_name": "Tooth_Discoloration_0_716.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_716.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral view of single upper anterior tooth showing severe cervical brown caries lesion at the gingival margin and adjacent teeth with mild yellow tint and healthy gingival margins; teeth structurally intact otherwise.", "findings": "Single severe cervical caries lesion on upper anterior with intact adjacent teeth and healthy gingiva.", "diagnosis": "Dental caries", "severity": "Excavate and restore cervical caries with composite or glass-ionomer, fluoride application, brushing technique reinforcement.", "recommendation": "Cervical caries on a single tooth needs restoration to halt dentinal progression and prevent pulpal involvement.", "explanation": "Dental caries"}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe single cervical caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_2097", "file_name": "Tooth_Discoloration_0_2097.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2097.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Adult close lateral view of upper anteriors with severe brown vertical streak staining and pink gingival margins.", "findings": "Severe brown vertical streak staining on upper anteriors.", "diagnosis": "Discoloration/Staining", "severity": "Scaling, dietary counselling.", "recommendation": "Vertical streak stain responds to polish.", "explanation": "Discoloration/Staining"}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe banded stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_5599", "file_name": "Tooth_Discoloration_0_5599.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5599.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Adult close frontal view of severely yellow-stained teeth with severely affected gingiva.", "findings": "Severely yellow-stained adult dentition with severely affected gingiva.", "diagnosis": "Gingivitis", "severity": "Multi-session scaling, chlorhexidine rinse, hygiene.", "recommendation": "Combined heavy staining and severe gingivitis.", "explanation": "Gingivitis"}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingivitis with stain."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "Tooth_Discoloration_0_26", "file_name": "Tooth_Discoloration_0_26.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_26.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of severely yellow-stained mandibular anteriors with mild gingival recession and intact tooth structure.", "findings": "Severely yellow mandibular anteriors with mild recession; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Scaling, polishing, bleaching consult.", "recommendation": "Heavy yellow shade with mild recession.", "explanation": "Discoloration/Staining"}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow shade."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(901)", "file_name": "(901).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(901).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Adult smile close view of severely yellow-stained crowded teeth with chipped incisal edges and mild gingival recession.", "findings": "Severely yellow crowded adult teeth with chipped edges.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, bleaching consult, occlusal evaluation.", "explanation": "Severe stain with wear."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow stain dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(417)", "file_name": "(417).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(417).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Close adult upper anterior view showing severely bulbous overgrown bleeding gingival tissues nearly covering crowns with brown cervical staining visible behind enlarged gingiva.", "findings": "Severe gingival enlargement covering upper anterior crowns with brown cervical staining.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral for biopsy, medication review, scaling.", "explanation": "Severe gingival enlargement needs biopsy."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival enlargement."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(155)", "file_name": "(155).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(155).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Close upper lateral view of single tooth with very heavy yellow-orange calculus deposit and mild adjacent inflammation.", "findings": "Heavy yellow calculus on single upper tooth.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Localised scaling, full mouth scaling.", "explanation": "Severe localised calculus."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Severe localised calculus."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1292)", "file_name": "(1292).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1292).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult frontal retracted view of upper and lower anteriors with severe brown cervical staining and calculus deposits along gingival margins; severe gingival inflammation; mild crowding visible; teeth structurally intact behind heavy stain.", "findings": "Severe brown cervical calculus on upper and lower anteriors with severe marginal gingival inflammation and mild crowding; teeth intact.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling, chlorhexidine 0.2% rinse for two weeks, orthodontic consultation for mild crowding, hygiene reinforcement with interdental cleaning education, two-week recall.", "explanation": "Severe combined calculus burden and gingivitis with crowding indicates active periodontal disease driven by plaque retention at crowded contacts."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy cervical calculus."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(590)", "file_name": "(590).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(590).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Upper lingual mirror view of intact upper anteriors with mild brown cervical staining at gingival margins.", "findings": "Mild brown lingual cervical staining on upper anteriors.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Scaling, polish.", "explanation": "Mild lingual stain responds to polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild lingual stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(107)", "file_name": "(107).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(107).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Right lateral close view of mostly intact upper and lower posterior teeth with mild crowding, mild yellow tint, and pink gingival margins with healthy contour.", "findings": "Mostly intact lateral dentition with mild crowding and pink gingiva.", "diagnosis": "class 1 malocclusion", "severity": "Mild", "recommendation": "Polish, orthodontic monitoring.", "explanation": "Mild crowding with healthy gingiva."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Mild", "confidence": "high", "rationale": "Mild crowding."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "(679)", "file_name": "(679).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(679).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Side-by-side comparison view of mandibular molars showing single cavitated occlusal lesion in left panel and adjacent cavitation in right panel; teeth otherwise intact.", "findings": "Cavitated occlusal molar lesions visible in side-by-side panels.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore both lesions.", "explanation": "Cavitated lesions need restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated molar lesions."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(466)", "file_name": "(466).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(466).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Red-filtered close view of severely cavitated upper anterior teeth with brown coronal destruction, severely affected gingival tissues with bleeding, and broken-down structures across multiple teeth; the heavy red filter limits accurate colour assessment of soft tissues.", "findings": "Severe combined cavitation on upper anteriors with broken-down structures and severe gingival bleeding; filter limits soft-tissue assessment.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic cover if signs of acute infection, recapture image with neutral lighting, urgent comprehensive dental review, extract non-restorable structures, periodontal therapy, recall every two weeks during treatment phase.", "explanation": "Severely affected dentition with combined caries and periodontal disease requires urgent surgical clearance combined with periodontal therapy."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(832)", "file_name": "(832).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(832).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Adult close view of severely affected dentition with multiple broken-down brown stumps, heavy cervical staining, and severely inflamed gingival tissues; combined severe pathology.", "findings": "Severely affected adult dentition with broken stumps, heavy staining, and severe gingivitis.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic if needed, urgent surgical clearance, comprehensive planning.", "explanation": "Severe combined adult pathology."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(147)", "file_name": "(147).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(147).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Older patient close upper view showing severely affected dentition with missing upper anterior tooth, gold prosthetic crown on adjacent tooth, severely yellow-stained worn remaining teeth, and broken-down structures.", "findings": "Severely affected adult dentition with missing tooth, gold prosthesis, severe wear and broken structures.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Panoramic radiograph, comprehensive prosthodontic planning.", "explanation": "Severe acquired multi-tooth loss with combined pathology."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss with combined pathology."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(336)", "file_name": "(336).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(336).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Adult frontal close view of severely yellow-stained crowded upper anteriors with mild cervical staining and adjacent inflamed gingival tissues.", "findings": "Severely yellow crowded upper anteriors with mild marginal gingivitis.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, orthodontic consult, dietary counselling.", "explanation": "Severe yellow staining with crowding."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow stain dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(1159)", "file_name": "(1159).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1159).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close frontal view of severely affected dentition with severe attrition and broken-down upper anteriors with brown destruction, severely worn yellow remaining teeth, severe gingival recession, and combined acquired tooth wear and possible cavitation; combined severe pathology in advanced state.", "findings": "Severely worn and broken adult upper anteriors with cavitation, severe recession, and yellow staining; combined severe wear and possible caries.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Antibiotic if acute infection, panoramic radiograph, comprehensive prosthodontic planning with occlusal evaluation, periodontal therapy for recession, recall every two weeks during treatment phase.", "explanation": "Severely affected adult dentition with combined wear, broken structures, and recession reflects long-standing parafunctional bruxism plus periodontal disease; comprehensive multi-disciplinary management required."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe wear with combined pathology."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "(392)", "file_name": "(392).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(392).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth close view showing single missing tooth space with adjacent intact teeth and bleeding socket; surrounding mucosa pink.", "findings": "Pediatric anterior missing tooth space with bleeding socket.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Monitor socket healing.", "explanation": "Recent exfoliation likely."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Recent exfoliation."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1035)", "file_name": "(1035).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1035).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Adult close frontal view of severely affected upper anteriors with three implant healing abutments visible in upper anterior position with severely affected gingival tissues; lower anteriors yellow-worn.", "findings": "Adult anterior implant healing abutments with severely affected gingiva and worn lower anteriors.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Continue implant healing, periodontal therapy, address lower wear.", "explanation": "Adult acquired loss being restored."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss with implants."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(395)", "file_name": "(395).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(395).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view showing single missing upper anterior tooth with adjacent intact teeth and yellow-tinted shade; mild gingival recession.", "findings": "Single missing upper anterior in adult dentition with mild recession.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Panoramic radiograph, prosthetic planning.", "explanation": "Adult acquired single tooth loss."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "high", "rationale": "Adult acquired loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(376)", "file_name": "(376).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(376).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric small mouth close view showing irregular small teeth with apparent missing teeth and crowding; limited field of view due to small mouth size and close magnification; mixed dentition pattern partially visible.", "findings": "Pediatric mixed dentition with apparent missing teeth and crowding; limited field of view.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph for tooth bud assessment, paediatric orthodontic monitoring, recapture image with wider field if needed.", "explanation": "Limited image of pediatric mixed dentition; imaging clarifies hypodontia versus delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Limited image of pediatric mouth."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(372)", "file_name": "(372).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(372).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Adult close frontal view of severely affected dentition with multiple cavitated and broken upper anterior teeth, retained roots, gold prosthetic crown on adjacent tooth, and severely affected gingival tissues.", "findings": "Severely affected adult dentition with cavitated and broken anterior teeth, retained roots, and severely inflamed gingiva.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic cover, urgent extraction of retained roots, periodontal therapy, comprehensive prosthodontic planning.", "explanation": "Severely affected adult with combined pathology."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe combined caries and retained roots."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(230)", "file_name": "(230).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(230).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth close view showing irregular crowded anterior teeth with apparent missing or unerupted tooth in upper anterior region.", "findings": "Pediatric crowded irregular anteriors with possible missing or unerupted tooth.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric orthodontic review.", "explanation": "Pediatric mixed-dentition gap or crowding."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric mixed-dentition gap."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(375)", "file_name": "(375).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(375).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Red-filtered close pediatric mouth view showing limited dentition with apparent missing tooth; heavy red filter limits detail.", "findings": "Apparent missing tooth in pediatric mouth under red filter.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Recapture with neutral lighting, paediatric review.", "explanation": "Filter limits assessment."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Filter limits."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(774)", "file_name": "(774).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(774).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Pediatric small mouth close view showing mixed dentition with apparent missing teeth and irregular small teeth; the small field of view and pediatric mouth size limit complete assessment; gingival tissues appear pink.", "findings": "Pediatric mixed dentition with apparent missing teeth and irregular alignment; limited field of view.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph for comprehensive tooth bud assessment, paediatric orthodontic referral, monitor eruption pattern, recapture image with wider field.", "explanation": "Limited image of pediatric mixed dentition; imaging needed for confident diagnosis of hypodontia versus delayed eruption."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Limited pediatric image."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1201)", "file_name": "(1201).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1201).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth close view showing missing upper anterior teeth with intact lower anteriors visible.", "findings": "Multiple missing upper anteriors in pediatric mouth.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric orthodontic referral.", "explanation": "Multiple anterior absences need imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Multiple anterior absences."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(414)", "file_name": "(414).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(414).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close pediatric mouth view showing yellow stained irregular small teeth with apparent missing teeth and severely affected dentition; filter limits detail.", "findings": "Severely affected pediatric mouth with apparent missing teeth and yellow staining under filter.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Recapture with neutral lighting, paediatric urgent dental review.", "explanation": "Filter limits but severe pediatric pathology evident."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "low", "rationale": "Filter limits but severe pathology."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(820)", "file_name": "(820).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(820).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view showing single missing upper anterior tooth with adjacent dark cavitated lesion on a tooth and intact remaining anteriors.", "findings": "Single missing upper anterior tooth with cavitated adjacent lesion.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Radiograph, prosthetic planning, restoration of adjacent caries.", "explanation": "Adult acquired loss with adjacent caries."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "high", "rationale": "Adult acquired loss with caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1071)", "file_name": "(1071).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1071).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-D", "annotation": {"image_observation": "Frontal close view of mandibular anteriors showing intact teeth with severely inflamed bright red bleeding gingival margins and active bleeding at the gum line; teeth structurally intact and well-aligned.", "findings": "Intact mandibular anteriors with severe marginal gingival inflammation and active bleeding.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling, chlorhexidine 0.2% rinse for two weeks, hygiene reinforcement, recall in two weeks for re-evaluation of gingival response.", "explanation": "Severe plaque-induced gingivitis driven by sustained biofilm at gingival margin; combined scaling and adjunct chemical therapy plus improved daily biofilm control resolves the active disease."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe marginal gingivitis."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "Tooth_Discoloration_0_999", "file_name": "Tooth_Discoloration_0_999.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_999.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Adult close frontal view of severely yellow-stained worn teeth with severe wear on incisal edges and mild gingival inflammation.", "findings": "Severely worn yellow adult teeth with mild gingivitis.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Occlusal evaluation, restorative planning, scaling.", "explanation": "Severe attrition with mild gingivitis."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe attrition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "Tooth_Discoloration_0_7514", "file_name": "Tooth_Discoloration_0_7514.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7514.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral view of severely yellow-stained teeth with mild cervical staining and mild gingival inflammation.", "findings": "Severely yellow lateral dentition with mild cervical stain and mild gingivitis.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, polishing, dietary counselling.", "explanation": "Severe yellow staining responds to polish."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow shade."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_6070", "file_name": "Tooth_Discoloration_0_6070.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6070.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close lateral view of intact teeth with mostly white shade and mild yellow cervical tint; gingival margins pink and healthy.", "findings": "Intact teeth with mild yellow cervical tint; healthy gingiva.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy presentation."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_6791", "file_name": "Tooth_Discoloration_0_6791.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6791.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult close frontal view of severely yellow-orange stained dentition with combined heavy chromogenic deposits, mild cervical staining and mild gingival recession on upper anteriors; teeth structurally intact and well-aligned overall.", "findings": "Severe yellow-orange chromogenic staining across visible dentition with mild cervical staining and mild upper anterior recession.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling and professional polishing to remove extrinsic chromogenic deposits, dietary and tobacco cessation counselling, supervised vital bleaching consultation for residual intrinsic component, fluoride application to exposed root surfaces, three-month recall.", "explanation": "Severe yellow-orange chromogenic staining is typically tobacco or diet related and responds well to scaling combined with behavioural modification; supervised bleaching may further improve aesthetics."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe chromogenic stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_9676", "file_name": "Tooth_Discoloration_0_9676.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9676.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Pediatric small mouth close view showing crowded irregular teeth and severely yellow-stained dentition with possible early caries.", "findings": "Pediatric crowded yellow teeth with possible early caries.", "diagnosis": "class 1 malocclusion", "severity": "Moderate", "recommendation": "Paediatric orthodontic review, scaling.", "explanation": "Pediatric crowding with stain."}, "diagnoser": {"diagnosis": "class 1 malocclusion", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric crowding dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "class 1 malocclusion"}
{"image_id": "Tooth_Discoloration_0_253", "file_name": "Tooth_Discoloration_0_253.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_253.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Older patient close lateral view of severely worn yellow-stained anterior teeth with mild yellow cervical staining and mild gingival recession.", "findings": "Severely worn yellow anterior teeth with mild cervical staining and recession.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Occlusal evaluation, restorative planning, scaling.", "explanation": "Severe age-related wear."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe wear."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "Tooth_Discoloration_0_8625", "file_name": "Tooth_Discoloration_0_8625.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8625.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of intact white teeth with mild yellow tint and pink gingival margins.", "findings": "Intact lateral white dentition with mild yellow tint.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy adult dentition."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_5618", "file_name": "Tooth_Discoloration_0_5618.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_5618.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult close view of severely yellow-orange stained dentition with chromogenic deposits and heavy extrinsic discoloration across the visible teeth; close magnification shows the stain extends from gingival margin to occlusal third; teeth structurally intact behind the stain.", "findings": "Severe yellow-orange chromogenic staining across visible adult teeth with stain extending from gingival to occlusal third; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Multi-session scaling and polish for extrinsic stain, dietary and tobacco counselling, supervised bleaching consult, hygiene reinforcement, three-month recall.", "explanation": "Severe extrinsic chromogenic staining is typically tobacco or diet related and responds to professional cleaning combined with behavioural modification."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe chromogenic stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_4971", "file_name": "Tooth_Discoloration_0_4971.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4971.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close pediatric mouth view showing severely yellow-stained crowded irregular teeth with possible caries or staining patterns visible.", "findings": "Severely yellow crowded pediatric teeth with possible caries.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Paediatric dental review, scaling, possible caries assessment.", "explanation": "Pediatric crowding with possible caries."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "medium", "rationale": "Pediatric caries with crowding."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_8593", "file_name": "Tooth_Discoloration_0_8593.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8593.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral view of lower anterior teeth with severe yellow-brown cervical staining at the gingival margin, mild gingival recession exposing root surfaces, and mild marginal inflammation.", "findings": "Severe yellow-brown cervical staining on lower anteriors with mild recession and marginal inflammation.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Multi-session scaling, fluoride to exposed roots, dietary counselling, hygiene reinforcement.", "explanation": "Severe cervical staining with recession."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe cervical stain with recession."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_1593", "file_name": "Tooth_Discoloration_0_1593.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1593.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close frontal close view of intact white teeth with very mild yellow tint; gingiva pink with healthy contour.", "findings": "Intact white teeth with very mild yellow tint; gingiva healthy.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy adult dentition."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_9604", "file_name": "Tooth_Discoloration_0_9604.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9604.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close lateral view of single upper anterior tooth with severe internal yellow-brown discoloration extending from cervical to incisal third suggesting pulpal necrosis from prior trauma or caries; adjacent teeth normal shade; gingival margins partially visible appear pink with healthy contour.", "findings": "Single severely discoloured upper anterior tooth with intrinsic yellow-brown shade extending throughout the crown suggesting pulpal necrosis; adjacent teeth normal shade; gingival margins healthy.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality and percussion testing on the discoloured tooth, periapical radiograph to assess for periapical pathology, endodontic referral if non-vital, then internal bleaching or veneer for aesthetic management after pulpal status confirmed.", "explanation": "Single-tooth intrinsic discoloration in this pattern typically reflects pulpal necrosis from prior trauma or advanced caries during the developmental phase; endodontic management addresses any chronic periapical infection before aesthetic restoration."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Classic single non-vital tooth."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_8905", "file_name": "Tooth_Discoloration_0_8905.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_8905.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Side-by-side before/after smile view showing left panel with mild discoloration and right panel with darker tooth shade.", "findings": "Side-by-side comparison of upper anterior shade.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Polish, supervised bleaching consult.", "explanation": "Comparison view for shade matching."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Comparison image."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(579)", "file_name": "(579).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(579).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Adult close frontal view of severely affected dentition with heavy brown cervical staining on multiple anterior teeth, recession exposing root surfaces, and severely inflamed gingival tissues.", "findings": "Heavy cervical calculus with recession and severe inflammation.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session scaling, periodontal therapy, fluoride to roots.", "explanation": "Severe periodontitis with calculus."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Recession with severe calculus."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "(190)", "file_name": "(190).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(190).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Close lower anterior close view of cervical region showing severe brown cervical calculus deposits and yellow staining on multiple teeth.", "findings": "Severe brown cervical calculus on lower anteriors.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session scaling, hygiene reinforcement.", "explanation": "Severe cervical calculus needs scaling."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Severe cervical calculus."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(110)", "file_name": "(110).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(110).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close frontal view of severely affected dentition with severe brown cervical staining, recession on upper anteriors, mild crowding, slight wear on incisal edges, and severely affected gingival tissues with bleeding.", "findings": "Severe combined adult periodontal pathology with cervical staining, recession, and gingivitis.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session scaling, periodontal probing, chlorhexidine, fluoride to roots, recall in two weeks.", "explanation": "Severely affected adult dentition with combined periodontitis and calculus burden."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe periodontitis dominant."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "Tooth_Discoloration_0_1991", "file_name": "Tooth_Discoloration_0_1991.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1991.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of intact teeth with mild yellow tint and pink gingival margins; teeth aligned and structurally intact.", "findings": "Intact teeth with mild yellow tint.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy presentation."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(1072)", "file_name": "(1072).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1072).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Adult close smile view of intact aligned white teeth with mild yellow tint and pink gingival margins; one tooth appears to have a recent missing tooth space.", "findings": "Intact white teeth with one missing tooth space.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Prosthetic planning for missing tooth.", "explanation": "Adult acquired single tooth loss."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Adult acquired loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "Tooth_Discoloration_0_6055", "file_name": "Tooth_Discoloration_0_6055.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_6055.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth close view of severely affected upper anterior teeth with one severely darkened non-vital tooth and adjacent normal teeth.", "findings": "Single severely darkened pediatric anterior tooth.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, paediatric dental review.", "explanation": "Single non-vital pediatric tooth likely from trauma."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Classic single non-vital tooth."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(603)", "file_name": "(603).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(603).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult frontal close view of severely affected dentition with heavy brown cervical staining, severe gingival recession exposing root surfaces, mild crowding, broken-down structures on upper anteriors, and severely inflamed bleeding gingival margins with combined active disease.", "findings": "Severely affected adult dentition with cervical staining, recession, broken structures, and severe gingivitis.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session scaling, periodontal therapy, restorative evaluation, fluoride to exposed roots, recall every two weeks during treatment phase.", "explanation": "Severe combined adult pathology with chronic periodontal disease, calculus burden, and structural compromise."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe combined periodontitis."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "(747)", "file_name": "(747).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(747).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Adult lower lingual close view of mandibular anteriors with mild yellow cervical staining and clean lingual surfaces.", "findings": "Intact lingual mandibular anteriors with mild cervical staining.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement.", "explanation": "Mild lingual stain."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild lingual stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(184)", "file_name": "(184).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(184).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Pediatric small mouth close view showing missing teeth and small dentition with limited field of view.", "findings": "Pediatric mouth with apparent missing teeth and limited assessment.", "diagnosis": "Missing teeth", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Limited pediatric image with possible missing teeth."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Moderate", "confidence": "medium", "rationale": "Limited pediatric image."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(909)", "file_name": "(909).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(909).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Red-filtered close view of severely cavitated upper anteriors with brown coronal destruction and severely affected gingival tissues with bleeding under heavy red filter.", "findings": "Severely cavitated upper anteriors with severe gingival inflammation under red filter.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Recapture, urgent dental review.", "explanation": "Filter limits but severe pathology evident."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe combined pathology under filter."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(455)", "file_name": "(455).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(455).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Older patient close frontal close view of severely affected adult dentition with severe yellow staining, missing upper anterior tooth with gold prosthetic restoration on adjacent tooth, severely worn remaining teeth with broken-down structure, severe cervical caries lesions, and severely affected gingival tissues with mild recession.", "findings": "Severely affected older adult dentition with missing anterior tooth, gold prosthesis, severe wear, cervical caries, and severe gingival inflammation.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic if needed, urgent panoramic radiograph, surgical clearance of non-restorable, comprehensive prosthodontic planning, periodontal therapy.", "explanation": "Severely affected older adult with combined acquired tooth loss, severe caries, wear, and periodontal disease requires comprehensive multi-disciplinary management."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe combined caries with adult loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(600)", "file_name": "(600).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(600).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Adult close frontal view of severely affected dentition with severe yellow staining and broken-down anterior teeth.", "findings": "Severely yellow worn adult dentition with broken structures.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Restorative and prosthodontic planning.", "explanation": "Severe attrition with combined pathology."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe wear."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "(282)", "file_name": "(282).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(282).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth close view showing missing tooth space with bleeding socket and intact adjacent small teeth.", "findings": "Pediatric anterior recent exfoliation socket with adjacent intact teeth.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Monitor healing.", "explanation": "Recent exfoliation likely normal."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Recent exfoliation."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(908)", "file_name": "(908).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(908).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Adult close frontal close view of severely yellow-stained dentition with heavy brown cervical staining, mild gingival recession, severely affected anterior teeth with cervical lesions, and combined severe periodontal pathology.", "findings": "Severely yellow dentition with brown cervical staining, recession, and severe gingivitis.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session scaling, periodontal therapy.", "explanation": "Severe combined pathology."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe periodontitis."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "(641)", "file_name": "(641).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(641).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Very close magnified view of upper and lower anterior teeth with severe horizontal brown banded staining across cervical and middle thirds; teeth structurally intact behind heavy stain; gingival margins partially visible appear pink with localised mild redness; lip frames the image.", "findings": "Severe horizontal banded brown staining on upper and lower anteriors with intact tooth structure; mild localised marginal redness.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Professional scaling and polishing to remove extrinsic stain, dietary counselling on tea coffee tobacco, hygiene reinforcement, three-month recall to assess stain recurrence.", "explanation": "Severe horizontal banded stain is typically extrinsic chromogenic from dietary or tobacco exposure responding to polishing combined with behavioural modification."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe banded extrinsic stain."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(677)", "file_name": "(677).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(677).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Older patient close view of severely affected dentition with missing upper anterior tooth and severely worn yellow remaining teeth with broken-down structures.", "findings": "Severely affected older adult dentition with missing tooth and severe wear.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Comprehensive prosthodontic planning.", "explanation": "Adult acquired loss with severe wear."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(793)", "file_name": "(793).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(793).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Side-by-side adult lower close view comparison showing mild yellow staining and mild gingival recession in both panels.", "findings": "Side-by-side comparison of lower anteriors with mild staining and recession.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Polish, periodontal monitoring.", "explanation": "Pre/post comparison of routine care."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "medium", "rationale": "Side-by-side comparison."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental calculus"}
{"image_id": "(1003)", "file_name": "(1003).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1003).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Adult frontal close view of intact upper and lower anteriors with mild yellow tint and pink gingival margins.", "findings": "Intact white anteriors with mild yellow tint.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy adult dentition."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_4311", "file_name": "Tooth_Discoloration_0_4311.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4311.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult close frontal view of severely yellow-stained worn dentition with crowded mild anteriors, mild cervical staining, slight wear on incisal edges, and pink gingival margins; teeth otherwise structurally intact behind heavy staining.", "findings": "Severely yellow worn crowded adult dentition with mild cervical staining and slight wear; teeth intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polish, supervised bleaching consultation, orthodontic consult for crowding, occlusal evaluation for wear, six-month recall.", "explanation": "Severe yellow staining with concurrent crowding and wear reflects combined chromogenic exposure plus parafunctional habits in adult dentition."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow shade with wear."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(472)", "file_name": "(472).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(472).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Pediatric close mouth view of missing upper anterior tooth with bleeding socket.", "findings": "Recent pediatric anterior exfoliation socket.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Monitor healing.", "explanation": "Recent exfoliation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Recent exfoliation."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(176)", "file_name": "(176).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(176).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Red-filtered close view of severely affected upper anterior tooth with severe brown-black cervical staining and adjacent inflamed gingiva.", "findings": "Severe localised cervical staining on upper anterior under red filter.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Localised scaling, full mouth scaling.", "explanation": "Severe localised cervical staining."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "medium", "rationale": "Severe localised stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_2448", "file_name": "Tooth_Discoloration_0_2448.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2448.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close frontal smile view of mostly intact white anterior teeth with mild yellow tint and pink gingival margins.", "findings": "Intact aligned white anterior teeth with mild yellow tint.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, supervised bleaching consult if desired.", "explanation": "Healthy adult dentition."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(340)", "file_name": "(340).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(340).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral close view of single yellow-stained upper anterior tooth with mild brown cervical staining and pink adjacent gingival margin; remaining teeth visible at edges with mild yellow tint.", "findings": "Single yellow tooth with mild cervical staining; remaining teeth less affected with healthy gingiva.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement, six-month recall to monitor.", "explanation": "Mild localised cervical staining on a single tooth responds to professional polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "medium", "rationale": "Mild localised staining."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(457)", "file_name": "(457).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(457).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric small mouth close view showing missing upper anterior tooth space with intact lower anteriors.", "findings": "Pediatric missing upper anterior tooth space.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Pediatric anterior absence."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Pediatric anterior absence."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_300", "file_name": "Tooth_Discoloration_0_300.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_300.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Pediatric small mouth close view of side-by-side comparison showing mild yellow staining in both panels.", "findings": "Pediatric side-by-side comparison view of mild yellow staining.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Paediatric review, scaling.", "explanation": "Pediatric mild stain comparison view."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Pediatric comparison view."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1133)", "file_name": "(1133).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1133).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral close view of intact upper and lower anteriors with mild yellow shade and slight gingival recession on upper anteriors.", "findings": "Intact lateral anteriors with mild yellow shade and slight recession.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement.", "explanation": "Mild presentation with slight recession."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Largely healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "Tooth_Discoloration_0_4985", "file_name": "Tooth_Discoloration_0_4985.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4985.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Close adult lateral close view of mandibular anterior teeth with mild yellow staining on cervical thirds, mild gingival recession, and pink gingival margins with localised mild redness; teeth structurally intact and well-aligned.", "findings": "Mandibular anteriors with mild cervical staining, mild recession, and localised mild marginal gingival redness; teeth aligned and intact.", "diagnosis": "Discoloration/Staining", "severity": "Mild", "recommendation": "Routine scaling and polishing, brushing technique demonstration with soft-bristled brush to address mild recession, fluoride to exposed root surfaces if any, six-month recall to monitor for recession progression.", "explanation": "Mild cervical staining with mild recession may reflect aggressive brushing technique requiring soft-bristled gentle approach plus routine biofilm control."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Mild", "confidence": "medium", "rationale": "Mild cervical staining with recession."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(241)", "file_name": "(241).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(241).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Adult lateral close view of intact upper and lower posterior teeth with mild yellow tint and severely affected gingival tissues with mild recession.", "findings": "Intact lateral posteriors with mild gingival inflammation.", "diagnosis": "Gingivitis", "severity": "Mild", "recommendation": "Scaling, hygiene reinforcement.", "explanation": "Mild adult presentation."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Mild", "confidence": "medium", "rationale": "Mild marginal gingivitis."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(406)", "file_name": "(406).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(406).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric mouth close view of irregular small teeth with apparent missing teeth and mixed dentition pattern; small mouth size limits assessment.", "findings": "Pediatric mixed dentition with missing teeth; limited assessment.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Limited pediatric image."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Limited pediatric image."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(467)", "file_name": "(467).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(467).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral close view of intact aligned upper and lower posterior teeth with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lateral posteriors with mild cervical staining; gingiva pink.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Polish, six-month recall.", "explanation": "Healthy adult dentition."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(605)", "file_name": "(605).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(605).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close lateral close view of severely affected dentition with severe wear on upper anterior teeth, broken-down structures, severely yellow-stained worn remaining teeth, and mild gingival recession on upper anteriors; combined severe wear and aging pathology.", "findings": "Severely worn yellow-stained upper anteriors with broken structures and mild recession.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Comprehensive restorative and prosthodontic planning, occlusal evaluation, scaling.", "explanation": "Severe age-related wear with broken structures needs comprehensive rehabilitation."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe age-related attrition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "Tooth_Discoloration_0_7520", "file_name": "Tooth_Discoloration_0_7520.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7520.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Older patient close view of severely worn yellow-stained dentition with severe wear on incisal edges and mild gingival recession.", "findings": "Severely worn yellow older adult dentition with mild recession.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Occlusal evaluation, restorative planning.", "explanation": "Severe age-related wear."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe age-related wear."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "(1018)", "file_name": "(1018).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1018).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Older patient close upper view of severely affected dentition with multiple missing upper anterior teeth, broken-down structures, gold prosthetic crown, and severely yellow-stained worn remaining teeth.", "findings": "Severely affected older adult dentition with multi-tooth loss, gold prosthesis, broken structures, and severe wear.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Antibiotic if needed, comprehensive prosthodontic planning.", "explanation": "Severely affected older adult with combined acquired tooth loss."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired multi-tooth loss."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(903)", "file_name": "(903).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(903).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth close view of missing upper anterior tooth space and intact adjacent teeth.", "findings": "Pediatric missing upper anterior tooth space.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Pediatric anterior absence."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Pediatric anterior absence."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_2546", "file_name": "Tooth_Discoloration_0_2546.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_2546.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult close frontal smile view of intact aligned upper and lower anterior teeth with mostly normal white shade and natural smile; gingival margins partially visible appear pink and healthy; the smile is unforced and aesthetic.", "findings": "Healthy aesthetic intact white aligned upper and lower anteriors with pink gingival margins.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Maintain current oral hygiene practices, professional polish at next recall, six-month recall to monitor.", "explanation": "Largely healthy adult dentition with normal age-related shade; ongoing biofilm control maintains the aesthetic state."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "high", "rationale": "Healthy aesthetic adult dentition."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(1021)", "file_name": "(1021).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1021).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Adult close lateral view of single upper anterior tooth with severe cervical caries lesion and intact adjacent teeth.", "findings": "Single severe cervical caries on upper anterior; adjacent teeth intact.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore cervical caries.", "explanation": "Severe cervical caries needs restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe single cervical caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(688)", "file_name": "(688).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(688).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Adult close upper palatal mirror view showing intact upper teeth with mild cervical staining and yellow shade.", "findings": "Intact upper arch with mild cervical staining.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement.", "explanation": "Mild palatal stain."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild palatal stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1220)", "file_name": "(1220).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1220).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Older patient close lateral view of severely affected dentition with missing upper anterior tooth, severely worn yellow remaining teeth with broken structures, gingival recession, and gingival inflammation.", "findings": "Severely affected older adult dentition with missing tooth, severe wear, and recession.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Antibiotic if needed, comprehensive prosthodontic planning.", "explanation": "Severely affected older adult."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss with severe wear."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(530)", "file_name": "(530).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(530).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close frontal close view of severely affected dentition with severely yellow-stained worn teeth, severe gingival inflammation with bulbous overgrowth covering significant portions of upper anteriors, mild crowding, bleeding-prone gingival contour; teeth structurally intact behind heavy stain and overgrowth.", "findings": "Severely yellow worn dentition with severe gingival enlargement covering upper anterior crowns; mild crowding; bleeding-prone contour.", "diagnosis": "Gingivitis", "severity": "Severe", "recommendation": "Periodontal referral for gingival overgrowth biopsy, medication review for drug-induced enlargement, multi-session scaling, chlorhexidine, hygiene reinforcement, recall in two weeks for re-evaluation.", "explanation": "Severe gingival overgrowth with concurrent yellow staining and crowding may be plaque-induced hyperplastic gingivitis or drug-induced enlargement requiring biopsy and history."}, "diagnoser": {"diagnosis": "Gingivitis", "severity": "Severe", "confidence": "high", "rationale": "Severe gingival enlargement."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Gingivitis"}
{"image_id": "(547)", "file_name": "(547).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(547).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-A", "annotation": {"image_observation": "Adult lower lingual close view of mandibular anteriors with mild yellow cervical staining and pink gingival margins.", "findings": "Intact lingual mandibular anteriors with mild cervical staining.", "diagnosis": "Dental calculus", "severity": "Mild", "recommendation": "Polish, hygiene reinforcement.", "explanation": "Mild lingual staining responds to polish."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Mild", "confidence": "high", "rationale": "Mild lingual stain."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(152)", "file_name": "(152).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(152).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Adult close upper view of severely cavitated upper anterior teeth with brown coronal destruction and severely affected gingival tissues with bleeding; combined severe pathology.", "findings": "Severely cavitated upper anteriors with severe gingival inflammation.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Antibiotic if needed, urgent comprehensive review, extraction of non-restorable.", "explanation": "Severe combined caries and periodontitis."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe non-restorable caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(584)", "file_name": "(584).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(584).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of severely yellow-orange stained dentition with combined heavy chromogenic deposits and mild gingival recession.", "findings": "Severely yellow-orange stained adult dentition with mild recession.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling, dietary counselling, bleaching consult.", "explanation": "Severe chromogenic staining."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow shade."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(752)", "file_name": "(752).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(752).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Older patient close view of severely affected dentition with multiple missing upper anterior teeth with retained roots, severely affected gingival tissues with bleeding around root remnants, and severely yellow-stained worn remaining teeth with broken structures; combined severe acquired multi-tooth loss with chronic odontogenic infection.", "findings": "Severely affected older adult dentition with multiple retained roots, severe gingival inflammation around remnants, severe wear, and broken structures.", "diagnosis": "Missing teeth", "severity": "Severe", "recommendation": "Antibiotic cover for chronic infection, urgent panoramic radiograph, surgical clearance of retained roots, comprehensive prosthodontic planning, periodontal therapy, recall every two weeks during treatment phase.", "explanation": "Severely affected older adult with combined retained roots and active periodontal infection requires urgent surgical clearance before any prosthodontic rehabilitation can proceed safely."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Severe", "confidence": "high", "rationale": "Adult acquired loss with retained roots."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(1174)", "file_name": "(1174).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1174).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth close view of missing tooth with bleeding socket in upper anterior region.", "findings": "Recent pediatric anterior exfoliation socket.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Monitor healing.", "explanation": "Recent exfoliation."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Recent exfoliation."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "(744)", "file_name": "(744).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(744).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Older patient close view of severely affected dentition with severely worn yellow teeth, gold prosthetic crown, multiple broken-down structures, and severely affected gingival tissues with mild recession.", "findings": "Severely worn yellow dentition with gold prosthesis, broken structures, and recession.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Comprehensive prosthodontic planning.", "explanation": "Severely affected older adult dentition."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe wear with prosthesis."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "(816)", "file_name": "(816).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(816).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric small mouth close view of mostly intact small teeth with single missing tooth in anterior region.", "findings": "Pediatric mostly intact teeth with single missing anterior.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Pediatric single anterior absence."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Single anterior absence."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "Tooth_Discoloration_0_4259", "file_name": "Tooth_Discoloration_0_4259.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4259.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-D", "annotation": {"image_observation": "Adult close frontal close view of severely affected dentition with severely yellow stained chromogenic deposits on upper and lower anteriors, severe gingival recession on upper anteriors exposing root surfaces, and combined heavy chromogenic staining and recession pathology.", "findings": "Severely yellow chromogenic stained adult anteriors with severe recession exposing root surfaces.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session scaling, dietary and tobacco counselling, fluoride to exposed roots, hygiene reinforcement.", "explanation": "Severe combined chromogenic staining and periodontitis."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe periodontitis with chromogenic stain."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "(1091)", "file_name": "(1091).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1091).jpg", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric small mouth close view of single small intact tooth visible in foreground with surrounding tongue and mucosa.", "findings": "Single pediatric tooth visible with limited field.", "diagnosis": "healthy", "severity": "Mild", "recommendation": "Recapture, paediatric review.", "explanation": "Limited image."}, "diagnoser": {"diagnosis": "healthy", "severity": "None", "confidence": "low", "rationale": "Limited image; tongue dominates."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "healthy"}
{"image_id": "(323)", "file_name": "(323).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(323).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Adult close lateral close view of single upper anterior tooth with severe yellow-brown cervical caries lesion and adjacent inflamed bleeding gingival tissue.", "findings": "Severe cervical caries on upper anterior with adjacent gingival bleeding.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore, scaling.", "explanation": "Severe cervical caries with adjacent inflammation."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Severe cervical caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_4232", "file_name": "Tooth_Discoloration_0_4232.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4232.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Close cervical area of mandibular anterior teeth showing very subtle chalky white-spot lesions on adjacent teeth at the cervical region.", "findings": "Very subtle white-spot lesions on cervical mandibular anteriors.", "diagnosis": "Dental caries", "severity": "Mild", "recommendation": "Fluoride varnish, monitor.", "explanation": "White-spot lesions reversible."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Mild", "confidence": "medium", "rationale": "Subtle white-spot lesions."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(891)", "file_name": "(891).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(891).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Pediatric close mouth view of recent anterior exfoliation socket with bleeding and adjacent small intact teeth in mixed dentition.", "findings": "Recent pediatric anterior exfoliation socket with bleeding; mixed dentition pattern.", "diagnosis": "Missing teeth", "severity": "Mild", "recommendation": "Monitor socket healing, paediatric dental review at next appointment.", "explanation": "Recent exfoliation likely follows normal mixed-dentition transition; permanent successor should emerge in coming months."}, "diagnoser": {"diagnosis": "Missing teeth", "severity": "Mild", "confidence": "medium", "rationale": "Recent normal exfoliation."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Missing teeth"}
{"image_id": "Tooth_Discoloration_0_7125", "file_name": "Tooth_Discoloration_0_7125.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_7125.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Older adult close view of severely affected dentition with severely worn yellow-stained crowded anterior teeth, broken-down structures, severe gingival recession exposing root surfaces, and chromogenic deposits.", "findings": "Severely worn yellow crowded older adult dentition with broken structures and severe recession.", "diagnosis": "Attrition/Wear", "severity": "Severe", "recommendation": "Comprehensive prosthodontic and periodontal planning.", "explanation": "Severely affected older adult."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Severe", "confidence": "high", "rationale": "Severe age-related wear."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "(1057)", "file_name": "(1057).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1057).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Close cervical view of upper anterior teeth with severe brown cervical caries lesions on multiple teeth and mild gingival recession.", "findings": "Multiple severe cervical caries on upper anteriors with mild recession.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Excavate and restore each lesion, fluoride to roots.", "explanation": "Multiple severe cervical caries."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple severe cervical caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "(1206)", "file_name": "(1206).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1206).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-C", "annotation": {"image_observation": "Pediatric mouth close view of missing upper central incisor with intact adjacent small teeth.", "findings": "Single missing upper central incisor in pediatric mouth.", "diagnosis": "Hypodontia", "severity": "Moderate", "recommendation": "Panoramic radiograph, paediatric orthodontic referral.", "explanation": "Single central absence needs imaging."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Moderate", "confidence": "medium", "rationale": "Single central space."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(386)", "file_name": "(386).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(386).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Older patient close frontal close view of severely affected adult dentition with severely yellow-stained worn teeth, severe gingival inflammation with active bleeding, mild crowding, severe gingival recession on upper anteriors exposing root surfaces, and combined heavy chromogenic staining; advanced periodontal disease state.", "findings": "Severely affected older adult dentition with yellow staining, severe gingival inflammation with bleeding, mild crowding, and severe recession; advanced periodontitis.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Antibiotic cover if needed, multi-session ultrasonic scaling with periodontal probing, periodontal referral for advanced disease, chlorhexidine 0.2% rinse for two weeks, fluoride to exposed root surfaces, recall in two weeks for re-evaluation.", "explanation": "Severely affected older adult dentition with combined chromogenic staining and advanced periodontitis with recession reflects long-standing periodontal disease requiring comprehensive periodontal therapy combined with chemical adjuncts and sustained biofilm control."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe periodontitis with chromogenic stain."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "Tooth_Discoloration_0_212", "file_name": "Tooth_Discoloration_0_212.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_212.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close lateral view of single tooth with mild incisal chip and adjacent intact teeth.", "findings": "Single tooth with mild incisal chip; adjacent teeth intact.", "diagnosis": "Attrition/Wear", "severity": "Mild", "recommendation": "Smoothing of chipped edge or composite restoration.", "explanation": "Mild incisal chip from trauma or wear."}, "diagnoser": {"diagnosis": "Attrition/Wear", "severity": "Mild", "confidence": "medium", "rationale": "Mild incisal chip."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Attrition/Wear"}
{"image_id": "(1179)", "file_name": "(1179).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1179).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-B", "annotation": {"image_observation": "Adult close occlusal mirror view of mandibular posterior teeth showing single tooth with cavitated occlusal caries lesion.", "findings": "Single cavitated occlusal mandibular molar caries.", "diagnosis": "Dental caries", "severity": "Moderate", "recommendation": "Excavate and restore.", "explanation": "Cavitated molar caries needs restoration."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Moderate", "confidence": "high", "rationale": "Cavitated molar caries."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_4591", "file_name": "Tooth_Discoloration_0_4591.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_4591.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-C", "annotation": {"image_observation": "Adult close lateral view of single upper anterior tooth with severe darkening from cervical region toward incisal edge, suggesting non-vitality; adjacent teeth normal shade.", "findings": "Single severely darkened upper anterior contrasted with adjacent normal teeth.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Vitality testing, endodontic referral.", "explanation": "Single non-vital tooth presentation."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Classic single non-vital tooth."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1234)", "file_name": "(1234).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1234).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Adult close occlusal mirror view of mandibular posterior teeth showing multiple severely cavitated occlusal lesions with deep brown coronal destruction on adjacent teeth; teeth otherwise intact behind active disease.", "findings": "Multiple severely cavitated occlusal molar lesions with deep brown coronal destruction.", "diagnosis": "Dental caries", "severity": "Severe", "recommendation": "Vitality testing on cavitated teeth, periapical radiographs, endodontic or restorative based on pulpal status, comprehensive restorative planning, fluoride application, hygiene reinforcement, recall every two weeks during treatment.", "explanation": "Multiple severely cavitated molar lesions with deep coronal destruction need urgent vitality assessment and comprehensive restorative care to halt active progression and preserve remaining tooth structure."}, "diagnoser": {"diagnosis": "Dental caries", "severity": "Severe", "confidence": "high", "rationale": "Multiple severe cavitated lesions."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Dental caries"}
{"image_id": "Tooth_Discoloration_0_1122", "file_name": "Tooth_Discoloration_0_1122.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_1122.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-A", "annotation": {"image_observation": "Close frontal view of severely affected dentition with severely yellow-orange stained teeth, heavy cervical brown staining, mild gingival recession, and severely affected gingival tissues with active bleeding.", "findings": "Severely yellow-orange stained dentition with brown cervical staining, recession, and severe gingival inflammation.", "diagnosis": "Periodontitis", "severity": "Severe", "recommendation": "Multi-session scaling, periodontal therapy, dietary counselling.", "explanation": "Severe combined chromogenic staining and periodontitis."}, "diagnoser": {"diagnosis": "Periodontitis", "severity": "Severe", "confidence": "high", "rationale": "Severe periodontitis with stain."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Periodontitis"}
{"image_id": "Tooth_Discoloration_0_9080", "file_name": "Tooth_Discoloration_0_9080.jpeg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\toothDiscoloration\\Tooth_Discoloration_0_9080.jpeg", "split": "train", "ext_class": "toothDiscoloration", "ext_diagnosis": "Discoloration/Staining", "style": "Style-B", "annotation": {"image_observation": "Adult frontal smile view of severely yellow-stained teeth with intact structure and pink gingival margins.", "findings": "Severely yellow stained adult dentition; teeth structurally intact.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Scaling and polishing, dietary counselling, supervised bleaching consult.", "explanation": "Severe yellow staining responds to professional cleaning and bleaching."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe yellow shade."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Discoloration/Staining", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(870)", "file_name": "(870).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(870).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-C", "annotation": {"image_observation": "Lower lingual mirror view of mandibular anteriors showing heavy yellow-brown cervical calculus deposits on the lingual surfaces and adjacent inflamed gingival margins.", "findings": "Heavy lingual cervical calculus on mandibular anteriors with adjacent gingival inflammation.", "diagnosis": "Dental calculus", "severity": "Severe", "recommendation": "Multi-session ultrasonic scaling targeting lingual cervical region, polish, hygiene reinforcement with lingual brushing technique, two-week recall.", "explanation": "Heavy lingual calculus harbours biofilm; targeted scaling resolves the inflammation."}, "diagnoser": {"diagnosis": "Dental calculus", "severity": "Severe", "confidence": "high", "rationale": "Heavy lingual calculus."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1213)", "file_name": "(1213).jpg", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\calculus\\(1213).jpg", "split": "train", "ext_class": "calculus", "ext_diagnosis": "Dental calculus", "style": "Style-D", "annotation": {"image_observation": "Very close magnified view of upper and lower anterior teeth showing severely yellow-brown stained cervical regions with heavy brown extrinsic deposits extending from gingival margin toward the middle thirds of multiple teeth; teeth structurally intact behind the heavy staining; gingival margins partially visible appear pink with localised mild redness.", "findings": "Severely yellow-brown cervical extrinsic staining on upper and lower anteriors with heavy chromogenic deposits; teeth structurally intact; localised mild marginal gingival redness adjacent to deposits.", "diagnosis": "Discoloration/Staining", "severity": "Severe", "recommendation": "Multi-session professional scaling and polishing to remove heavy extrinsic stain, dietary counselling on chromogenic beverages, tobacco cessation if applicable, hygiene reinforcement with brushing technique focused on cervical region, three-month recall to assess stain recurrence and maintain gingival health.", "explanation": "Severe chromogenic cervical staining is typically driven by combined dietary chromogen exposure, mature plaque biofilm interaction, and possibly tobacco use; professional cleaning combined with behavioural modification addresses the underlying causes and reduces recurrence rate."}, "diagnoser": {"diagnosis": "Discoloration/Staining", "severity": "Severe", "confidence": "high", "rationale": "Severe chromogenic cervical stain."}, "diagnoser_agrees_with_ext": false, "resolution": "diagnoser_committed_as_gt", "original_ext_diagnosis": "Dental calculus", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}, "prior_annotation_diagnosis": "Discoloration/Staining"}
{"image_id": "(914)", "file_name": "(914).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(914).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-A", "annotation": {"image_observation": "Pediatric mouth close view of small irregular teeth with apparent missing teeth in mixed dentition.", "findings": "Pediatric mixed dentition with apparent missing teeth and small irregular alignment.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Pediatric mixed-dentition gap likely."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "medium", "rationale": "Pediatric mixed dentition."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}
{"image_id": "(1104)", "file_name": "(1104).JPG", "source_path": "C:\\Users\\vikas\\Downloads\\Dental Research\\hypodontia\\(1104).JPG", "split": "train", "ext_class": "hypodontia", "ext_diagnosis": "Hypodontia", "style": "Style-B", "annotation": {"image_observation": "Pediatric close mouth view of small irregular teeth with apparent missing tooth in mixed dentition; limited field of view due to small mouth.", "findings": "Pediatric mixed dentition with apparent missing tooth; limited field of view.", "diagnosis": "Hypodontia", "severity": "Mild", "recommendation": "Panoramic radiograph, paediatric review.", "explanation": "Limited pediatric image."}, "diagnoser": {"diagnosis": "Hypodontia", "severity": "Mild", "confidence": "low", "rationale": "Limited pediatric image."}, "diagnoser_agrees_with_ext": true, "resolution": "writer_assigned", "original_ext_diagnosis": "Hypodontia", "provenance": {"source": "external_dental_research", "class_only_label": true, "annotator": "claude-opus-4-7-vision-manual"}}