In clinical practice, panoramic dental radiography is a widely employed imaging technique that can provide a detailed and comprehensive view of dental structures and surrounding tissues for identifying various oral anomalies. However, due to the complexity of oral anomalies and the scarcity of available data, existing research still suffers from substantial challenges in automated oral anomaly detection. To this end, this paper presents a new hospital-scale panoramic X-ray benchmark, namely "OralXrays-91", which consists of 12,688 panoramic X-ray images with 84,113 meticulously annotated instances across nine common oral anomalies. Correspondingly, we propose a personalized Multi-Object Query-Aware Mining (MOQAM) paradigm, which jointly incorporates the Distribution-IoU Region Proposal Network (DI-RPN) and Class-Balanced Spherical Contrastive Regularization (CB-SCR) mechanisms to address the challenges posed by multi-scale variations and class-imbalanced distributions. To the best of our knowledge, this is the first attempt to develop AI-driven diagnostic systems specifically designed for multi-object oral anomaly detection, utilizing publicly available data resources. Extensive experiments on the newly-published OralXrays-9 dataset and real-world nature scenarios consistently demonstrate the superiority of our MOQAM in revolutionizing oral healthcare practices.

Few-Shot Class-Incremental Learning (FSCIL) aims to incrementally learn new class knowledge from limited samples while preserving previously knowledge from encountered classes. However, existing FSCIL methods encounter two primary challenges: (1) inadequate adaptation, where overfitting to new classes compromises the model’s adaptability, and (2) catastrophic forgetting, where previously learned knowledge is not well preserved. In this paper, we propose the Virtual Prototype Guidance Prompting (VPGP) paradigm, integrating the Multi-Grained Prompt (MGP) and Virtual-Prototype Guidance (VPG) strategies. Specifically, MGP enhances adaptation and prevents overfitting by introducing domain-general and fine-grained prompts, expanding the embedding space to capture core feature representations of novel classes. Meanwhile, VPG mitigates catastrophic forgetting by employing a dynamic fusion strategy to retrieve robust old class knowledge and generate virtual prototype, guiding the model to maintain learned knowledge across different sessions. Extensive experiments on multiple benchmark datasets demonstrate the superiority of our proposed VPGP framework.

Despite advancements in Transformer-based detectors for small object detection (SOD), recent studies show that these detectors still face challenges due to inherent noise sensitivity in feature pyramid networks (FPN) and diminished query quality in existing label assignment strategies. In this paper, we propose a novel Noise-Resilient Query Optimization (NRQO) paradigm, which innovatively incorporates the Noise-Tolerance Feature Pyramid Network (NT-FPN) and the Pairwise-Similarity Region Proposal Network (PS-RPN). Specifically, NTFPN mitigates noise during feature fusion in FPN by preserving spatial and semantic information integrity. Unlike existing label assignment strategies, PS-RPN generates a sufficient number of high-quality positive queries by enhancing anchor-ground truth matching through position and shape similarities, without the need for additional hyperparameters. Extensive experiments on multiple benchmarks consistently demonstrate the superiority of NRQO over state-of-the-art baselines.