Background: Dental disorders, such as cavities, periodontal disease, and periapical infections, remain major global health issues, often resulting in pain, tooth loss, and systemic complications if not identified early. Traditional diagnostic methods rely heavily on visual inspection and manual interpretation of panoramic X-ray images by dental professionals, making them time-consuming, subjective, and less accessible in resource-limited settings. Objectives: Accurate and timely diagnosis is vital for effective treatment and prevention of disease progression, reducing healthcare costs and patient discomfort. Recent advances in deep learning (DL) have demonstrated remarkable potential to automate and improve the precision of dental diagnostics by objectively analyzing panoramic, periapical, and bitewing X-rays. Methods: In this research, a hybrid feature-fusion framework is proposed. It integrates handcrafted Histogram of Oriented Gradients (HOG) features with deep representations from DenseNet-201 and the Shifted Window (Swin) Transformer models. Sequential dependencies among the fused features were learned utilizing the Long Short-Term Memory (LSTM) classifier. The framework was evaluated on the Dental Radiography Analysis and Diagnosis (DRAD) dataset following preprocessing steps, including resizing, normalization, Contrast Limited Adaptive Histogram Equalization (CLAHE) enhancement, and image cropping. Results: The proposed LSTM-based hybrid model achieved 96.47% accuracy, 91.76% specificity, 94.92% precision, 91.76% recall, and 93.14% F1-score. Conclusions: The proposed framework offers flexibility, interpretability, and strong empirical performance, making it suitable for various image-based recognition applications and serving as a reproducible framework for future research on hybrid feature fusion and sequence-based classification.
El-Aziz et al. (2026) studied this question.