Caries Identification in Dental X ray images

i attach the four images two the original images and the other two is the desired results image, i am confused how to do this because disease part varies for teeth to teeth and same intensity pixels exist in the caries and root part of dental images but i wanted to highlight or segment out only the disease part from the teeth x-ray image. kindly help me on this. Many Thanks.

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Hi, I am doing this project too so kindly could you help me on this if you already done this project

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