Accurate segmentation of 3D dental structures is essential for oral diagnosis, orthodontic planning, and digital dentistry. With the rapid advancement of 3D scanning and modeling technologies, high-resolution dental data have become increasingly common. However, existing approaches still struggle to process such high-resolution data efficiently. Current models often suffer from excessive parameter counts, slow inference, high computational overhead, and substantial GPU memory usage. These limitations compel many studies to downsample the input data to reduce training and inference costs—an operation that inevitably diminishes critical geometric details, blurs tooth boundaries, and compromises both fine-grained structural accuracy and model robustness. To address these challenges, this study proposes DiffusionNet++, an end-to-end segmentation framework capable of operating directly on raw high-resolution dental data. Building upon the standard DiffusionNet architecture, our method introduces a normal-enhanced multi-feature input strategy together with a lightweight SE channel-attention mechanism, enabling the model to effectively exploit local directional cues, curvature variations, and other higher-order geometric attributes while adaptively emphasizing discriminative feature channels. Experimental results demonstrate that the coordinates + normal feature configuration consistently delivers the best performance. DiffusionNet++ achieves substantial improvements in overall accuracy (OA), mean Intersection over Union (mIoU), and individual class IoU across all data types, while maintaining strong robustness and generalization on challenging cases, such as missing teeth and partially scanned data. Qualitative visualizations further corroborate these findings, showing superior boundary consistency, finer structural preservation, and enhanced recovery of incomplete regions. Overall, DiffusionNet++ offers an efficient, stable, and highly accurate solution for high-resolution 3D tooth segmentation, providing a powerful foundation for automated digital dentistry research and real-world clinical applications.
Zhang et al. (Fri,) studied this question.