Dental-TriageBench: Benchmarking Multimodal Reasoning for Hierarchical Dental Triage

Ziyi He, Yushi Feng, Shuangyu Yang, Yinghao Zhu, Xichen Zhang, Tai Pak Chuen Patrick, Lo Hei Yuet, Songying Wu, Weifa Yang, Lequan Yu


Abstract
Dental triage is a safety-critical clinical routing task that requires integrating multimodal clinical information (e.g., patient complaints and radiographic evidence) to determine complete referral plans. We present Dental-TriageBench, the first expert-annotated benchmark for reasoning-driven multimodal dental triage. Built from authentic outpatient workflows, it contains 246 de-identified cases annotated with expert-authored golden reasoning trajectories, together with hierarchical triage labels. We benchmark 19 proprietary, open-source, and medical-domain MLLMs against three junior dentists serving as the human baseline, and find a substantial human–model gap, on fine-grained treatment-level triage. Further analyses show that accurate triage requires both complaint and OPG information, and that model errors concentrate on cases with multiple referral domains, where MLLMs tend to produce overly narrow referral sets and omission-heavy errors. Dental-TriageBench provides a realistic testbed for developing multimodal clinical AI systems that are more clinically grounded, coverage-aware, and safer for downstream care.
Anthology ID:
2026.emnlp-main.174
Volume:
Proceedings of the 2026 Conference on Empirical Methods in Natural Language Processing
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Hung-Yi Lee, Sunipa Dev, Jessy Li, Desmond Elliott
Venue:
EMNLP
SIG:
SIGDAT
Publisher:
Association for Computational Linguistics
Note:
Pages:
3987–4012
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URL:
https://aclanthology.org/2026.emnlp-main.174/
DOI:
Bibkey:
Cite (ACL):
Ziyi He, Yushi Feng, Shuangyu Yang, Yinghao Zhu, Xichen Zhang, Tai Pak Chuen Patrick, Lo Hei Yuet, Songying Wu, Weifa Yang, and Lequan Yu. 2026. Dental-TriageBench: Benchmarking Multimodal Reasoning for Hierarchical Dental Triage. In Proceedings of the 2026 Conference on Empirical Methods in Natural Language Processing, pages 3987–4012, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
Dental-TriageBench: Benchmarking Multimodal Reasoning for Hierarchical Dental Triage (He et al., EMNLP 2026)
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PDF:
https://aclanthology.org/2026.emnlp-main.174.pdf