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AgenTeeth: A Model-Agnostic Framework for Suppressing Hallucination in Frozen Vision-Language Models on Dental X-Rays via Tool Evidence Injection

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arXiv:2609.17800v1 Announce Type: new Abstract: Vision-language models (VLMs) remain largely unreliable on panoramic dental radiographs and can rely on learned anatomical priors rather than evidence in the image. This is particularly problematic for tooth localization and spatial reasoning, and fine-tuned dental VLMs can retain the same spatial biases. We present AgenTeeth, a model-agnostic, tool-augmented framework that grounds frozen VLMs using seven specialized dental vision experts. A question-aware orchestrator selects the relevant tools, whose detections are mapped to FDI tooth numbers or anatomical regions and returned as structured findings together with annotated image overlays. A fresh synthesis call then answers the question using this evidence, without fine-tuning the underlyi…

SourcearXiv Computer VisionAuthor: Ahmed Rafid, Fariya Ahmed, Rumman Adib, Mehedi Ahamed, Ajwad Abrar, Tareque Mohmud Chowdhury
AgenTeeth: A Model-Agnostic Framework for Suppressing Hallucination in Frozen Vision-Language Models on Dental X-Rays via Tool Evidence Injection
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[Submitted on 15 Sep 2026]

Title:AgenTeeth: A Model-Agnostic Framework for Suppressing Hallucination in Frozen Vision-Language Models on Dental X-Rays via Tool Evidence Injection

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Abstract:Vision-language models (VLMs) remain largely unreliable on panoramic dental radiographs and can rely on learned anatomical priors rather than evidence in the image. This is particularly problematic for tooth localization and spatial reasoning, and fine-tuned dental VLMs can retain the same spatial biases. We present AgenTeeth, a model-agnostic, tool-augmented framework that grounds frozen VLMs using seven specialized dental vision experts. A question-aware orchestrator selects the relevant tools, whose detections are mapped to FDI tooth numbers or anatomical regions and returned as structured findings together with annotated image overlays. A fresh synthesis call then answers the question using this evidence, without fine-tuning the underlying VLM. On MMOral-OPG-Bench, AgenTeeth improves four backbone VLMs by 12.9-23.0 percentage points over their baselines. Our strongest configuration reaches 65.66% on open-ended VQA, compared with 45.35% for OralGPT-Plus. The advantage also holds at matched scale: a frozen Qwen2.5-VL-7B-Instruct with AgenTeeth reaches 48.11%, exceeding OralGPT-Plus built on the same backbone after supervised fine-tuning and reinforcement learning for tool use. We release the framework, all seven expert models, and a dentist-annotated dataset for alveolar bone-loss detection in panoramic radiographs.

Comments: 10 pages, 2 figures, 5 tables

Subjects:

Computer Vision and Pattern Recognition (cs.CV)

Cite as: arXiv:2609.17800 [cs.CV]

(or arXiv:2609.17800v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2609.17800

arXiv-issued DOI via DataCite (pending registration)

Submission history

From: Rumman Adib [view email] [v1] Tue, 15 Sep 2026 20:10:43 UTC (1,521 KB)

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  • arXiv:2609.17800v1 Announce Type: new Abstract: Vision-language models (VLMs) remain largely unreliable on panoramic dental radiographs and can rely on learned anatomical priors r…

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