Intended Use

Overjet Caries Assist (OCA) is a radiological, automated, concurrent-read, computer-assisted detection (CADe) software intended to aid in the detection and segmentation of caries on bitewing and periapical radiographs. The device provides additional information for the dentist to use in their diagnosis of a tooth surface suspected of being carious. The device is not intended as a replacement for a complete dentist’s review or their clinical judgment that takes into account other relevant information from the image, patient history, or actual in vivo clinical assessment.

Technology

Overjet Caries Assist uses a machine learning system composed of three layers: Network Layer (handles image transmission from clinic systems), Decision Layer (processes images, classifies them as bitewing or periapical, segments carious lesions using an ensemble of segmentation models, and assigns lesions to teeth), and Presentation Layer (provides a non-diagnostic viewer for dentists to view, filter, and edit annotations). It utilizes image preprocessing, tooth number assignment, caries segmentation modules, and post-processing for lesion-to-tooth association.

Performance

Performance was tested via standalone and clinical reader studies. Standalone testing showed overall sensitivity of 76.6% (bitewing) and 79.4% (periapical) with specificity over 99%. Clinical reader studies involving 28 dentists demonstrated statistically significant improvements in sensitivity (increase from about 65% to 79%) and Dice scores when using the software, with only minor specificity decreases. The device was tested on multiple sensor manufacturers and images greater than 500x500 resolution.

Predicate Devices

No predicate devices specified

Device Timeline

  • 1

    Submission

    9/12/2022

    6 months
  • 2

    FDA Approval

    3/27/2023

Other devices from Overjet, Inc.

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