Daily Papers

Facial analysis permits many investigations some of the most important of which are craniofacial identification, facial recognition, and age and sex estimation. In forensics, photo-anthropometry describes the study of facial growth and allows the identification of patterns in facial skull development by using a group of cephalometric landmarks to estimate anthropological information. In several areas, automation of manual procedures has achieved advantages over and similar measurement confidence as a forensic expert. This manuscript presents an approach using photo-anthropometric indexes, generated from frontal faces cephalometric landmarks, to create an artificial neural network classifier that allows the estimation of anthropological information, in this specific case age and sex. The work is focused on four tasks: i) sex estimation over ages from 5 to 22 years old, evaluating the interference of age on sex estimation; ii) age estimation from photo-anthropometric indexes for four age intervals (1 year, 2 years, 4 years and 5 years); iii) age group estimation for thresholds of over 14 and over 18 years old; and; iv) the provision of a new data set, available for academic purposes only, with a large and complete set of facial photo-anthropometric points marked and checked by forensic experts, measured from over 18,000 faces of individuals from Brazil over the last 4 years. The proposed classifier obtained significant results, using this new data set, for the sex estimation of individuals over 14 years old, achieving accuracy values greater than 0.85 by the F_1 measure. For age estimation, the accuracy results are 0.72 for measure with an age interval of 5 years. For the age group estimation, the measures of accuracy are greater than 0.93 and 0.83 for thresholds of 14 and 18 years, respectively.

3D facial landmark localization has proven to be of particular use for applications, such as face tracking, 3D face modeling, and image-based 3D face reconstruction. In the supervised learning case, such methods usually rely on 3D landmark datasets derived from 3DMM-based registration that often lack spatial definition alignment, as compared with that chosen by hand-labeled human consensus, e.g., how are eyebrow landmarks defined? This creates a gap between landmark datasets generated via high-quality 2D human labels and 3DMMs, and it ultimately limits their effectiveness. To address this issue, we introduce a novel semi-supervised learning approach that learns 3D landmarks by directly lifting (visible) hand-labeled 2D landmarks and ensures better definition alignment, without the need for 3D landmark datasets. To lift 2D landmarks to 3D, we leverage 3D-aware GANs for better multi-view consistency learning and in-the-wild multi-frame videos for robust cross-generalization. Empirical experiments demonstrate that our method not only achieves better definition alignment between 2D-3D landmarks but also outperforms other supervised learning 3D landmark localization methods on both 3DMM labeled and photogrammetric ground truth evaluation datasets. Project Page: https://davidcferman.github.io/FaceLift

Landmark detection plays a crucial role in medical imaging tasks that rely on precise spatial localization, including specific applications in diagnosis, treatment planning, image registration, and surgical navigation. However, manual annotation is labor-intensive and requires expert knowledge. While deep learning shows promise in automating this task, progress is hindered by limited public datasets, inconsistent benchmarks, and non-standardized baselines, restricting reproducibility, fair comparisons, and model generalizability. This work introduces nnLandmark, a self-configuring deep learning framework for 3D medical landmark detection, adapting nnU-Net to perform heatmap-based regression. By leveraging nnU-Net's automated configuration, nnLandmark eliminates the need for manual parameter tuning, offering out-of-the-box usability. It achieves state-of-the-art accuracy across two public datasets, with a mean radial error (MRE) of 1.5 mm on the Mandibular Molar Landmark (MML) dental CT dataset and 1.2 mm for anatomical fiducials on a brain MRI dataset (AFIDs), where nnLandmark aligns with the inter-rater variability of 1.5 mm. With its strong generalization, reproducibility, and ease of deployment, nnLandmark establishes a reliable baseline for 3D landmark detection, supporting research in anatomical localization and clinical workflows that depend on precise landmark identification. The code will be available soon.

Generating talking face videos from audio attracts lots of research interest. A few person-specific methods can generate vivid videos but require the target speaker's videos for training or fine-tuning. Existing person-generic methods have difficulty in generating realistic and lip-synced videos while preserving identity information. To tackle this problem, we propose a two-stage framework consisting of audio-to-landmark generation and landmark-to-video rendering procedures. First, we devise a novel Transformer-based landmark generator to infer lip and jaw landmarks from the audio. Prior landmark characteristics of the speaker's face are employed to make the generated landmarks coincide with the facial outline of the speaker. Then, a video rendering model is built to translate the generated landmarks into face images. During this stage, prior appearance information is extracted from the lower-half occluded target face and static reference images, which helps generate realistic and identity-preserving visual content. For effectively exploring the prior information of static reference images, we align static reference images with the target face's pose and expression based on motion fields. Moreover, auditory features are reused to guarantee that the generated face images are well synchronized with the audio. Extensive experiments demonstrate that our method can produce more realistic, lip-synced, and identity-preserving videos than existing person-generic talking face generation methods.

As a significant step for human face modeling, editing, and generation, face landmarking aims at extracting facial keypoints from images. A generalizable face landmarker is required in practice because real-world facial images, e.g., the avatars in animations and games, are often stylized in various ways. However, achieving generalizable face landmarking is challenging due to the diversity of facial styles and the scarcity of labeled stylized faces. In this study, we propose a simple but effective paradigm to learn a generalizable face landmarker based on labeled real human faces and unlabeled stylized faces. Our method learns the face landmarker as the key module of a conditional face warper. Given a pair of real and stylized facial images, the conditional face warper predicts a warping field from the real face to the stylized one, in which the face landmarker predicts the ending points of the warping field and provides us with high-quality pseudo landmarks for the corresponding stylized facial images. Applying an alternating optimization strategy, we learn the face landmarker to minimize i) the discrepancy between the stylized faces and the warped real ones and ii) the prediction errors of both real and pseudo landmarks. Experiments on various datasets show that our method outperforms existing state-of-the-art domain adaptation methods in face landmarking tasks, leading to a face landmarker with better generalizability. Code is available at https://plustwo0.github.io/project-face-landmarker}{https://plustwo0.github.io/project-face-landmarker.

Face alignment, which fits a face model to an image and extracts the semantic meanings of facial pixels, has been an important topic in CV community. However, most algorithms are designed for faces in small to medium poses (below 45 degree), lacking the ability to align faces in large poses up to 90 degree. The challenges are three-fold: Firstly, the commonly used landmark-based face model assumes that all the landmarks are visible and is therefore not suitable for profile views. Secondly, the face appearance varies more dramatically across large poses, ranging from frontal view to profile view. Thirdly, labelling landmarks in large poses is extremely challenging since the invisible landmarks have to be guessed. In this paper, we propose a solution to the three problems in an new alignment framework, called 3D Dense Face Alignment (3DDFA), in which a dense 3D face model is fitted to the image via convolutional neutral network (CNN). We also propose a method to synthesize large-scale training samples in profile views to solve the third problem of data labelling. Experiments on the challenging AFLW database show that our approach achieves significant improvements over state-of-the-art methods.

This work studies learning from a synergy process of 3D Morphable Models (3DMM) and 3D facial landmarks to predict complete 3D facial geometry, including 3D alignment, face orientation, and 3D face modeling. Our synergy process leverages a representation cycle for 3DMM parameters and 3D landmarks. 3D landmarks can be extracted and refined from face meshes built by 3DMM parameters. We next reverse the representation direction and show that predicting 3DMM parameters from sparse 3D landmarks improves the information flow. Together we create a synergy process that utilizes the relation between 3D landmarks and 3DMM parameters, and they collaboratively contribute to better performance. We extensively validate our contribution on full tasks of facial geometry prediction and show our superior and robust performance on these tasks for various scenarios. Particularly, we adopt only simple and widely-used network operations to attain fast and accurate facial geometry prediction. Codes and data: https://choyingw.github.io/works/SynergyNet/

We present DAD-3DHeads, a dense and diverse large-scale dataset, and a robust model for 3D Dense Head Alignment in the wild. It contains annotations of over 3.5K landmarks that accurately represent 3D head shape compared to the ground-truth scans. The data-driven model, DAD-3DNet, trained on our dataset, learns shape, expression, and pose parameters, and performs 3D reconstruction of a FLAME mesh. The model also incorporates a landmark prediction branch to take advantage of rich supervision and co-training of multiple related tasks. Experimentally, DAD-3DNet outperforms or is comparable to the state-of-the-art models in (i) 3D Head Pose Estimation on AFLW2000-3D and BIWI, (ii) 3D Face Shape Reconstruction on NoW and Feng, and (iii) 3D Dense Head Alignment and 3D Landmarks Estimation on DAD-3DHeads dataset. Finally, the diversity of DAD-3DHeads in camera angles, facial expressions, and occlusions enables a benchmark to study in-the-wild generalization and robustness to distribution shifts. The dataset webpage is https://p.farm/research/dad-3dheads.

Deep learning methods have led to significant improvements in the performance on the facial landmark detection (FLD) task. However, detecting landmarks in challenging settings, such as head pose changes, exaggerated expressions, or uneven illumination, continue to remain a challenge due to high variability and insufficient samples. This inadequacy can be attributed to the model's inability to effectively acquire appropriate facial structure information from the input images. To address this, we propose a novel image augmentation technique specifically designed for the FLD task to enhance the model's understanding of facial structures. To effectively utilize the newly proposed augmentation technique, we employ a Siamese architecture-based training mechanism with a Deep Canonical Correlation Analysis (DCCA)-based loss to achieve collective learning of high-level feature representations from two different views of the input images. Furthermore, we employ a Transformer + CNN-based network with a custom hourglass module as the robust backbone for the Siamese framework. Extensive experiments show that our approach outperforms multiple state-of-the-art approaches across various benchmark datasets.

Talking face generation has been extensively investigated owing to its wide applicability. The two primary frameworks used for talking face generation comprise a text-driven framework, which generates synchronized speech and talking faces from text, and a speech-driven framework, which generates talking faces from speech. To integrate these frameworks, this paper proposes a unified facial landmark generator (UniFLG). The proposed system exploits end-to-end text-to-speech not only for synthesizing speech but also for extracting a series of latent representations that are common to text and speech, and feeds it to a landmark decoder to generate facial landmarks. We demonstrate that our system achieves higher naturalness in both speech synthesis and facial landmark generation compared to the state-of-the-art text-driven method. We further demonstrate that our system can generate facial landmarks from speech of speakers without facial video data or even speech data.

Recent years have seen growing interest in 3D human faces modelling due to its wide applications in digital human, character generation and animation. Existing approaches overwhelmingly emphasized on modeling the exterior shapes, textures and skin properties of faces, ignoring the inherent correlation between inner skeletal structures and appearance. In this paper, we present SCULPTOR, 3D face creations with Skeleton Consistency Using a Learned Parametric facial generaTOR, aiming to facilitate easy creation of both anatomically correct and visually convincing face models via a hybrid parametric-physical representation. At the core of SCULPTOR is LUCY, the first large-scale shape-skeleton face dataset in collaboration with plastic surgeons. Named after the fossils of one of the oldest known human ancestors, our LUCY dataset contains high-quality Computed Tomography (CT) scans of the complete human head before and after orthognathic surgeries, critical for evaluating surgery results. LUCY consists of 144 scans of 72 subjects (31 male and 41 female) where each subject has two CT scans taken pre- and post-orthognathic operations. Based on our LUCY dataset, we learn a novel skeleton consistent parametric facial generator, SCULPTOR, which can create the unique and nuanced facial features that help define a character and at the same time maintain physiological soundness. Our SCULPTOR jointly models the skull, face geometry and face appearance under a unified data-driven framework, by separating the depiction of a 3D face into shape blend shape, pose blend shape and facial expression blend shape. SCULPTOR preserves both anatomic correctness and visual realism in facial generation tasks compared with existing methods. Finally, we showcase the robustness and effectiveness of SCULPTOR in various fancy applications unseen before.

Top-performing landmark estimation algorithms are based on exploiting the excellent ability of large convolutional neural networks (CNNs) to represent local appearance. However, it is well known that they can only learn weak spatial relationships. To address this problem, we propose a model based on the combination of a CNN with a cascade of Graph Attention Network regressors. To this end, we introduce an encoding that jointly represents the appearance and location of facial landmarks and an attention mechanism to weigh the information according to its reliability. This is combined with a multi-task approach to initialize the location of graph nodes and a coarse-to-fine landmark description scheme. Our experiments confirm that the proposed model learns a global representation of the structure of the face, achieving top performance in popular benchmarks on head pose and landmark estimation. The improvement provided by our model is most significant in situations involving large changes in the local appearance of landmarks.

Sexual dimorphism is a critical factor in many biological and medical research fields. In biomechanics and bioengineering, understanding sex differences is crucial for studying musculoskeletal conditions such as temporomandibular disorder (TMD). This paper focuses on the association between the craniofacial skeletal morphology and temporomandibular joint (TMJ) related masticatory muscle attachments to discern sex differences. Data were collected from 10 male and 11 female cadaver heads to investigate sex-specific relationships between the skull and muscles. We propose a conditional cross-covariance reduction (CCR) model, designed to examine the dynamic association between two sets of random variables conditioned on a third binary variable (e.g., sex), highlighting the most distinctive sex-related relationships between skull and muscle attachments in the human cadaver data. Under the CCR model, we employ a sparse singular value decomposition algorithm and introduce a sequential permutation for selecting sparsity (SPSS) method to select important variables and to determine the optimal number of selected variables.

Although deep neural networks have achieved reasonable accuracy in solving face alignment, it is still a challenging task, specifically when we deal with facial images, under occlusion, or extreme head poses. Heatmap-based Regression (HBR) and Coordinate-based Regression (CBR) are among the two mainly used methods for face alignment. CBR methods require less computer memory, though their performance is less than HBR methods. In this paper, we propose an Adaptive Coordinate-based Regression (ACR) loss to improve the accuracy of CBR for face alignment. Inspired by the Active Shape Model (ASM), we generate Smooth-Face objects, a set of facial landmark points with less variations compared to the ground truth landmark points. We then introduce a method to estimate the level of difficulty in predicting each landmark point for the network by comparing the distribution of the ground truth landmark points and the corresponding Smooth-Face objects. Our proposed ACR Loss can adaptively modify its curvature and the influence of the loss based on the difficulty level of predicting each landmark point in a face. Accordingly, the ACR Loss guides the network toward challenging points than easier points, which improves the accuracy of the face alignment task. Our extensive evaluation shows the capabilities of the proposed ACR Loss in predicting facial landmark points in various facial images.

This paper investigates how far a very deep neural network is from attaining close to saturating performance on existing 2D and 3D face alignment datasets. To this end, we make the following 5 contributions: (a) we construct, for the first time, a very strong baseline by combining a state-of-the-art architecture for landmark localization with a state-of-the-art residual block, train it on a very large yet synthetically expanded 2D facial landmark dataset and finally evaluate it on all other 2D facial landmark datasets. (b) We create a guided by 2D landmarks network which converts 2D landmark annotations to 3D and unifies all existing datasets, leading to the creation of LS3D-W, the largest and most challenging 3D facial landmark dataset to date ~230,000 images. (c) Following that, we train a neural network for 3D face alignment and evaluate it on the newly introduced LS3D-W. (d) We further look into the effect of all "traditional" factors affecting face alignment performance like large pose, initialization and resolution, and introduce a "new" one, namely the size of the network. (e) We show that both 2D and 3D face alignment networks achieve performance of remarkable accuracy which is probably close to saturating the datasets used. Training and testing code as well as the dataset can be downloaded from https://www.adrianbulat.com/face-alignment/

Adolescent idiopathic scoliosis (AIS) is a lifetime disease that arises in children. Accurate estimation of Cobb angles of the scoliosis is essential for clinicians to make diagnosis and treatment decisions. The Cobb angles are measured according to the vertebrae landmarks. Existing regression-based methods for the vertebra landmark detection typically suffer from large dense mapping parameters and inaccurate landmark localization. The segmentation-based methods tend to predict connected or corrupted vertebra masks. In this paper, we propose a novel vertebra-focused landmark detection method. Our model first localizes the vertebra centers, based on which it then traces the four corner landmarks of the vertebra through the learned corner offset. In this way, our method is able to keep the order of the landmarks. The comparison results demonstrate the merits of our method in both Cobb angle measurement and landmark detection on low-contrast and ambiguous X-ray images. Code is available at: https://github.com/yijingru/Vertebra-Landmark-Detection.

In this paper, we are interested in generating an cartoon face of a person by using unpaired training data between real faces and cartoon ones. A major challenge of this task is that the structures of real and cartoon faces are in two different domains, whose appearance differs greatly from each other. Without explicit correspondence, it is difficult to generate a high quality cartoon face that captures the essential facial features of a person. In order to solve this problem, we propose landmark assisted CycleGAN, which utilizes face landmarks to define landmark consistency loss and to guide the training of local discriminator in CycleGAN. To enforce structural consistency in landmarks, we utilize the conditional generator and discriminator. Our approach is capable to generate high-quality cartoon faces even indistinguishable from those drawn by artists and largely improves state-of-the-art.

Tooth arrangement is a crucial step in orthodontics treatment, in which aligning teeth could improve overall well-being, enhance facial aesthetics, and boost self-confidence. To improve the efficiency of tooth arrangement and minimize errors associated with unreasonable designs by inexperienced practitioners, some deep learning-based tooth arrangement methods have been proposed. Currently, most existing approaches employ MLPs to model the nonlinear relationship between tooth features and transformation matrices to achieve tooth arrangement automatically. However, the limited datasets (which to our knowledge, have not been made public) collected from clinical practice constrain the applicability of existing methods, making them inadequate for addressing diverse malocclusion issues. To address this challenge, we propose a general tooth arrangement neural network based on the diffusion probabilistic model. Conditioned on the features extracted from the dental model, the diffusion probabilistic model can learn the distribution of teeth transformation matrices from malocclusion to normal occlusion by gradually denoising from a random variable, thus more adeptly managing real orthodontic data. To take full advantage of effective features, we exploit both mesh and point cloud representations by designing different encoding networks to extract the tooth (local) and jaw (global) features, respectively. In addition to traditional metrics ADD, PA-ADD, CSA, and ME_{rot}, we propose a new evaluation metric based on dental arch curves to judge whether the generated teeth meet the individual normal occlusion. Experimental results demonstrate that our proposed method achieves state-of-the-art tooth alignment results and satisfactory occlusal relationships between dental arches. We will publish the code and dataset.

In recent years, persistent homology (PH) has been successfully applied to real-world data in many different settings. Despite significant computational advances, PH algorithms do not yet scale to large datasets preventing interesting applications. One approach to address computational issues posed by PH is to select a set of landmarks by subsampling from the data. Currently, these landmark points are chosen either at random or using the maxmin algorithm. Neither is ideal as random selection tends to favour dense areas of the data while the maxmin algorithm is very sensitive to noise. Here, we propose a novel approach to select landmarks specifically for PH that preserves coarse topological information of the original dataset. Our method is motivated by the Mayer-Vietoris sequence and requires only local PH computation thus enabling efficient computation. We test our landmarks on artificial datasets which contain different levels of noise and compare them to standard landmark selection techniques. We demonstrate that our landmark selection outperforms standard methods as well as a subsampling technique based on an outlier-robust version of the k--means algorithm for low sampling densities in noisy data with respect to robustness to outliers.

This paper addresses the challenge of localization of anatomical landmarks in knee X-ray images at different stages of osteoarthritis (OA). Landmark localization can be viewed as regression problem, where the landmark position is directly predicted by using the region of interest or even full-size images leading to large memory footprint, especially in case of high resolution medical images. In this work, we propose an efficient deep neural networks framework with an hourglass architecture utilizing a soft-argmax layer to directly predict normalized coordinates of the landmark points. We provide an extensive evaluation of different regularization techniques and various loss functions to understand their influence on the localization performance. Furthermore, we introduce the concept of transfer learning from low-budget annotations, and experimentally demonstrate that such approach is improving the accuracy of landmark localization. Compared to the prior methods, we validate our model on two datasets that are independent from the train data and assess the performance of the method for different stages of OA severity. The proposed approach demonstrates better generalization performance compared to the current state-of-the-art.

Precise six-degree-of-freedom (6DoF) head pose estimation is crucial for safety-critical applications and human-computer interaction scenarios, yet existing monocular methods still struggle with robust pose estimation. We revisit this problem by introducing TRGv2, a lightweight extension of our previous Translation, Rotation, and Geometry (TRG) network, which explicitly models the bidirectional interaction between facial geometry and head pose. TRGv2 jointly infers facial landmarks and 6DoF pose through an iterative refinement loop with landmark-to-image projection, ensuring metric consistency among face size, rotation, and depth. To further improve generalization to out-of-distribution data, TRGv2 regresses correction parameters instead of directly predicting translation, combining them with a pinhole camera model for analytic depth estimation. In addition, we identify a previously overlooked source of bias in cross-dataset evaluations due to inconsistent head center definitions across different datasets. To address this, we propose a reference system alignment strategy that quantifies and corrects translation bias, enabling fair comparisons across datasets. Extensive experiments on ARKitFace, BIWI, and the challenging DD-Pose benchmarks demonstrate that TRGv2 outperforms state-of-the-art methods in both accuracy and efficiency. Code and newly annotated landmarks for DD-Pose will be publicly available.

Facial landmark detection is a vital step for numerous facial image analysis applications. Although some deep learning-based methods have achieved good performances in this task, they are often not suitable for running on mobile devices. Such methods rely on networks with many parameters, which makes the training and inference time-consuming. Training lightweight neural networks such as MobileNets are often challenging, and the models might have low accuracy. Inspired by knowledge distillation (KD), this paper presents a novel loss function to train a lightweight Student network (e.g., MobileNetV2) for facial landmark detection. We use two Teacher networks, a Tolerant-Teacher and a Tough-Teacher in conjunction with the Student network. The Tolerant-Teacher is trained using Soft-landmarks created by active shape models, while the Tough-Teacher is trained using the ground truth (aka Hard-landmarks) landmark points. To utilize the facial landmark points predicted by the Teacher networks, we define an Assistive Loss (ALoss) for each Teacher network. Moreover, we define a loss function called KD-Loss that utilizes the facial landmark points predicted by the two pre-trained Teacher networks (EfficientNet-b3) to guide the lightweight Student network towards predicting the Hard-landmarks. Our experimental results on three challenging facial datasets show that the proposed architecture will result in a better-trained Student network that can extract facial landmark points with high accuracy.

Facial landmark detection is a fundamental problem in computer vision for many downstream applications. This paper introduces a new facial landmark detector based on vision transformers, which consists of two unique designs: Dual Vision Transformer (D-ViT) and Long Skip Connections (LSC). Based on the observation that the channel dimension of feature maps essentially represents the linear bases of the heatmap space, we propose learning the interconnections between these linear bases to model the inherent geometric relations among landmarks via Channel-split ViT. We integrate such channel-split ViT into the standard vision transformer (i.e., spatial-split ViT), forming our Dual Vision Transformer to constitute the prediction blocks. We also suggest using long skip connections to deliver low-level image features to all prediction blocks, thereby preventing useful information from being discarded by intermediate supervision. Extensive experiments are conducted to evaluate the performance of our proposal on the widely used benchmarks, i.e., WFLW, COFW, and 300W, demonstrating that our model outperforms the previous SOTAs across all three benchmarks.

Accurate and reliable C-arm positioning is essential for fluoroscopy-guided interventions. However, clinical workflows rely on manual alignment that increases radiation exposure and procedural delays. In this work, we present a pipeline that autonomously navigates the C-arm to predefined anatomical landmarks utilizing X-ray images. Given an input X-ray image from an arbitrary starting location on the operating table, the model predicts a 3D displacement vector toward each target landmark along the body. To ensure reliable deployment, we capture both aleatoric and epistemic uncertainties in the model's predictions and further calibrate them using conformal prediction. The derived prediction regions are interpreted as 3D confidence regions around the predicted landmark locations. The training framework combines a probabilistic loss with skeletal pose regularization to encourage anatomically plausible outputs. We validate our approach on a synthetic X-ray dataset generated from DeepDRR. Results show not only strong localization accuracy across multiple architectures but also well-calibrated prediction bounds. These findings highlight the pipeline's potential as a component in safe and reliable autonomous C-arm systems. Code is available at https://github.com/AhmadArrabi/C_arm_guidance_APAH

We introduce a new landmark recognition dataset, which is created with a focus on fair worldwide representation. While previous work proposes to collect as many images as possible from web repositories, we instead argue that such approaches can lead to biased data. To create a more comprehensive and equitable dataset, we start by defining the fair relevance of a landmark to the world population. These relevances are estimated by combining anonymized Google Maps user contribution statistics with the contributors' demographic information. We present a stratification approach and analysis which leads to a much fairer coverage of the world, compared to existing datasets. The resulting datasets are used to evaluate computer vision models as part of the the Google Landmark Recognition and RetrievalChallenges 2021.

Panoramic X-rays are frequently used in dentistry for treatment planning, but their interpretation can be both time-consuming and prone to error. Artificial intelligence (AI) has the potential to aid in the analysis of these X-rays, thereby improving the accuracy of dental diagnoses and treatment plans. Nevertheless, designing automated algorithms for this purpose poses significant challenges, mainly due to the scarcity of annotated data and variations in anatomical structure. To address these issues, the Dental Enumeration and Diagnosis on Panoramic X-rays Challenge (DENTEX) has been organized in association with the International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI) in 2023. This challenge aims to promote the development of algorithms for multi-label detection of abnormal teeth, using three types of hierarchically annotated data: partially annotated quadrant data, partially annotated quadrant-enumeration data, and fully annotated quadrant-enumeration-diagnosis data, inclusive of four different diagnoses. In this paper, we present the results of evaluating participant algorithms on the fully annotated data, additionally investigating performance variation for quadrant, enumeration, and diagnosis labels in the detection of abnormal teeth. The provision of this annotated dataset, alongside the results of this challenge, may lay the groundwork for the creation of AI-powered tools that can offer more precise and efficient diagnosis and treatment planning in the field of dentistry. The evaluation code and datasets can be accessed at https://github.com/ibrahimethemhamamci/DENTEX