CN114515202A - Intelligent appliance - Google Patents
Intelligent appliance Download PDFInfo
- Publication number
- CN114515202A CN114515202A CN202111683089.2A CN202111683089A CN114515202A CN 114515202 A CN114515202 A CN 114515202A CN 202111683089 A CN202111683089 A CN 202111683089A CN 114515202 A CN114515202 A CN 114515202A
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- dentition
- occlusion
- patient
- pressure
- silica gel
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/22—Ergometry; Measuring muscular strength or the force of a muscular blow
- A61B5/224—Measuring muscular strength
- A61B5/228—Measuring muscular strength of masticatory organs, e.g. detecting dental force
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/04—Measuring instruments specially adapted for dentistry
Abstract
The invention provides an intelligent appliance which comprises an individualized dentition correcting pad, an occlusion measuring component and a power supply module, wherein the individualized dentition correcting pad is used for being attached to a dentition of a patient, the occlusion measuring component is used for monitoring occlusion pressure of the dentition in a mouth of the patient in real time, the occlusion measuring component comprises a silica gel shell, a main board and a thin film pressure sensor, the main board is arranged in the silica gel shell, and the main board is provided with a microprocessor, a signal conversion module, a wireless communication module, a memory and a vibration module. The invention can monitor the occlusion pressure of the dentition in the mouth of a patient in real time, can accurately diagnose the habits of bruxism, tight clenching and poor contact of the upper dentition and the lower dentition in the daytime by recording, improves effective monitoring data, enables the patient to separate the upper teeth and the lower teeth in time by treatment reminding, relieves the fatigue of muscles around the mouth, and achieves the purpose of improving the habits of poor contact of the upper dentition and the lower dentition by utilizing biological feedback.
Description
Technical Field
The invention relates to an intelligent appliance, and relates to the technical field of oral appliances.
Background
Bruxism is an involuntary abnormal behavior of the oral cavity, which can cause bite trauma, not only cause damage to teeth and periodontal, but also cause headache, neck pain and temporomandibular joint disorder. Depending on the time and cause of the disease, it can be classified into daytime bruxism (AB) and nocturnal bruxism (SB). In the past, the daytime bruxism and the nocturnal bruxism are mostly studied as a whole, and the current research shows that the pathological psychological mechanisms of the daytime bruxism and the nocturnal bruxism are different. According to survey, the prevalence rate of bruxism is 35.2%, the prevalence rate of daytime bruxism is 31%, and the prevalence rate of nocturnal bruxism is 14%. Bruxism occurs at a much higher rate during the day than at night.
The Habit of poor contact between upper and lower dentition (Tooth Touching bite TCH) is not yet universal in the world, and the corresponding closer mechanism should be the daytime bruxism manifested as tight bite, but not exactly the same. The habit of poor contact between the upper and lower dentitions refers to the contact between the upper and lower dentitions in an unconscious state. Typically, there is only instantaneous contact between the upper and lower teeth of a human being during chewing or speaking, about 20 minutes a day. Gaps of 1-3mm degree are reserved between the upper and lower tooth rows at other times. In life, some people have a bad habit of continuous contact of upper and lower dentitions in a highly concentrated or unconscious state. Research shows that only light contact between the upper and lower teeth can cause large burden on muscles and temporomandibular joints for long-term duration, and cause temporomandibular joint pain and other symptoms. About 60% of patients with temporomandibular joint disorders clinically have a habit of poor contact of the upper and lower dentitions. However, the correlation between the occlusal contact time and the occlusion pressure and the temporomandibular joint disorder is not reported because no recording device is adapted.
At present, the research aiming at the grinding teeth at night is more, and the diagnosis method mainly comprises the following steps: 1) the other people indicated that the teeth were ground at night 2) there was fatigue in the chewing muscles from morning 3) there was significant wear on the teeth. The treatment mainly aims at relieving the damage of molar to a chewing system and relieving the symptoms of muscle and joint, and the clinical common methods are occlusion adjustment, jaw cushion wearing, medicament treatment and the like. Clinical diagnosis and treatment of daytime bruxism, i.e., the habit of clenching teeth and poor contact between upper and lower dentitions, are not well defined, and diagnosis is currently performed by clinical inquiry through questionnaire.
Behavioral cognitive therapy is considered to be effective in treating and alleviating the habit of upper and lower dentition contact failure. The action cognitive therapy is a therapy for separating upper and lower dentitions and relaxing muscles and tendons by consciously reminding a patient when the patient feels that the upper and lower dentitions are contacted together and burden muscles. For example, the patient can be reminded to improve the bad habit by sticking a small paper strip which can separate and relax the upper and lower teeth to a relatively close place of the patient.
However, the treatment method such as the above-described correction is highly dependent on the coordination and consciousness of the patient, and a good curative effect is often not obtained. Until now, there has been no report on the design of appliances used for the habit of bruxism in the daytime and poor contact between upper and lower dentitions.
The above problems should be considered and solved in the accurate diagnosis and correction of daytime bruxism and habit of poor contact of upper and lower dentitions.
Disclosure of Invention
The invention aims to provide an intelligent appliance to solve the problems that the existing diagnosis and treatment are insufficient, the effect is not ideal and depends on the conscious awareness of a patient to a great extent. And studies on the association of occlusal contact with temporomandibular joint disorders can be performed from the data obtained.
The technical solution of the invention is as follows:
the utility model provides a ware is rescued to intelligence, rescue the pad including individualized dentition, individualized dentition is rescued and is filled up and be used for the laminating on patient's dentition, still include interlock survey subassembly and power module, interlock survey subassembly is used for the intraoral dentition interlock pressure of real-time supervision patient, interlock survey subassembly includes the mainboard, silica gel shell and film pressure sensor, be equipped with the mainboard in the silica gel shell, the mainboard is equipped with microprocessor, signal conversion module, wireless communication module, memory and vibration module, film pressure sensor is the inboard occlusal surface that individualized dentition was rescued and is filled up in the shape of a hoof, film pressure sensor passes through signal conversion module and connects microprocessor, microprocessor connects wireless communication module respectively, memory and vibration module, power module is the power supply of interlock survey subassembly.
Further, the silica gel shell includes casing and connecting rod, and in the casing was located to the mainboard, the pad was rescued with individualized dentition through connecting rod in the first molar department of upper jaw and is connected at the both ends of casing respectively.
Furthermore, the silica gel shell is made of waterproof silica gel, and the silica gel shell is away from the palate soft tissue at a set distance in the middle of the palate.
Furthermore, the individualized dentition correction pad comprises a first attaching portion and a second attaching portion, wherein the first attaching portion is used for attaching front teeth of dentition of a patient, the second attaching portion is used for attaching abutment teeth of the dentition of the patient, and the two ends of the first attaching portion are respectively connected with the second attaching portion.
Furthermore, the personalized dentition correcting pad is made of a plastic film made of a high polymer material.
Further, the mobile terminal is further included, and the mobile terminal is wirelessly connected with the occlusion measuring component.
Furthermore, a recording mode and a treatment reminding mode are set in the mobile terminal;
the recording mode is used for displaying the occlusion pressure curve of the dentition in real time and recording the time sum that the occlusion contact of the upper dentition and the lower dentition exceeds a set value, and a doctor carries out diagnosis and judgment during the patient re-diagnosis;
and the treatment reminding mode is used for displaying the occlusion pressure curve of the dentition in real time and recording the continuous occlusion contact time, and also used for reminding the patient to separate the upper dentition from the lower dentition by judging that the upper dentition is in occlusion contact with the lower dentition and vibrating the vibration module of the occlusion measuring component when the occlusion contact time of the lower dentition exceeds the set time so as to relax the muscles around the mouth, thereby achieving the purpose of treatment reminding.
Further, in the recording mode, pressure values in different pressure ranges are displayed in different colors, arch form curves are formed at all tooth positions, and occlusion pressure real-time images are displayed.
Further, in the treatment reminding mode, the occlusal contact of the upper dentition and the lower dentition is judged, specifically, when a patient uses the treatment reminding mode for the first time, the patient is ordered to occlude, the whole occlusion process is recorded, the total occlusion pressure is calculated, one frame with the maximum total occlusion pressure is used as the maximum occlusion force, and the total pressure is recorded; and acquiring a total occlusal pressure value in the wearing process, and judging that the occlusal contact of the upper dentition and the lower dentition is realized when the total occlusal pressure value in the wearing process is more than a set proportion of the pressure sum when the maximum occlusal force is reached.
The invention has the beneficial effects that: this kind of ware is rescued to intelligence, can the intraoral dentition interlock pressure of real-time supervision patient, can be for accurate diagnosis bruxism daytime, the tight tooth of clenching, the bad contact custom of upper and lower dentition provides effectual monitoring data, and treat and remind, through the vibration module, make it vibrate in the oral cavity, remind the patient separately from the upper and lower dentition, and position when the muscle that makes the patient adapts to the separation of upper and lower tooth more when static rest position through biofeedback, thereby reach the purpose of the bad contact custom of upper and lower dentition of bruxism daytime of treatment and improvement.
Drawings
FIG. 1 is a schematic structural diagram of an intelligent appliance according to an embodiment of the invention;
FIG. 2 is a schematic diagram illustrating an occlusion measuring unit according to an embodiment;
FIG. 3 is a schematic view showing the flow of occlusion contact between upper and lower dentitions in the treatment reminding mode according to the embodiment;
wherein: 1-personalized dentition correcting pad, 2-occlusion measuring component, 3-power module and 4-mobile terminal;
11-a first attachment, 12-a second attachment;
21-a silica gel shell, 22-a main board, 23-a film pressure sensor, 24-a microprocessor, 25-a signal conversion module, 26-a wireless communication module, 27-a memory and 28-a vibration module;
211-housing, 212-link.
Detailed Description
Preferred embodiments of the present invention will be described in detail below with reference to the accompanying drawings.
Examples
An intelligent appliance comprises an individualized dentition correcting pad 1, an occlusion measuring component 2 and a power supply module 3, wherein the individualized dentition correcting pad 1 is used for being attached to the dentition of a patient, the occlusion measuring component 2 is used for monitoring the occlusion pressure of the dentition in the mouth of the patient in real time, the occlusion measuring component 2 comprises a silica gel shell 21, a mainboard 22 and a film pressure sensor 23, the mainboard 22 is arranged in the silica gel shell 21, the mainboard 22 is provided with a microprocessor 24 and a signal conversion module 25, the occlusion measuring device comprises a wireless communication module 26, a memory 27 and a vibration module 28, wherein the film pressure sensor 23 is arranged on the inner occlusal surface of the personalized dentition correcting pad 1 in a horseshoe shape, the film pressure sensor 23 is connected with a microprocessor 24 through a signal conversion module 25, the microprocessor 24 is respectively connected with the wireless communication module 26, the memory 27 and the vibration module 28, and the power module 3 supplies power to the occlusion measuring component 2.
This kind of ware is rescued to intelligence, can the intraoral dentition interlock pressure of real-time supervision patient, can be for accurate diagnosis bruxism daytime, the tight tooth of clenching, it provides effectual monitoring data to go up dentition contact failure custom, and treat and remind, when taking notes patient interlock contact pressure and surpassing the setting proportion of maximum cusp staggered position pressure sum for the time of the biggest occlusal force above, through vibration module 28, make it vibrate in the oral cavity, remind the patient about separately dentition, and position when tooth separation about the muscle that makes the patient adapt to more when static rest position through biofeedback, thereby reach the purpose of bruxism daytime of treatment and the bad custom of dentition contact about improving.
As shown in fig. 1, the silicone shell 21 includes a shell 211 and a connecting rod 212, the main plate 22 is disposed in the shell 21, two ends of the shell 21 are respectively connected to the personalized dentition correction pad 1 at a first molar position of the upper jaw through the connecting rod 212, the silicone shell 21 is made of waterproof silicone, and the silicone shell 21 is separated from the palate soft tissue by a set distance of, for example, 2mm in the middle of the palate. The personalized dentition correcting pad 1 is in a horseshoe shape. The personalized dentition correcting pad 1 is provided with the thin film pressure sensor 21, is of a horseshoe-shaped structure, is soft in texture, can be bent at will and is high in toughness and strength. The sensitivity H-1 of the occlusal force measurement is about 2700 induction points, the thickness is only 85 micrometers, the occlusal movement is not influenced, the repeated use can be carried out for about 15-27 times, the detailed conditions of occlusal contact points can be objectively reflected, and the stability is not influenced by saliva. The sensing points of 276 levels of force magnitude can be measured in real time, the positioning error of the contact point of each tooth does not exceed 0.5mm, and the recording process can be accurate to 0.01S.
In this kind of ware is rescued to intelligence, pad 1 is rescued to individualized dentition includes first laminating portion 11 and second laminating portion 12, and first laminating portion 11 is used for laminating the anterior tooth of patient's dentition, and second laminating portion 12 is used for laminating the abutment of patient's dentition, and second laminating portion 12 is connected respectively at the both ends of first laminating portion 11. The personalized dentition correcting pad 1 is close to the occlusal surface of the maxillary dentition, is made of a plastic film made of high polymer materials, and has the thickness of 0.5 mm. Can be taken off and worn by oneself, is convenient for cleaning the oral cavity and can not bring obvious influence to the periodontal. The width of the second attaching part 12 is preferably 2-3mm, and the second attaching part can be attached to the gum part at the root of the tooth, and the width of the first attaching part 11 is preferably 1-2mm, so that the close attachment of the appliance and the tooth is ensured, and the displacement in the wearing process is prevented.
When a user carries out occlusion contact on upper and lower jaw teeth, occlusion load is applied to the film pressure sensor 23 where a tooth contact point of an arch opposite to the sensor is located, a pressure signal is converted into analog quantity such as an electric signal through the sensor, then the electric signal is transmitted to the signal conversion module 25, and the occlusion signal is converted into a digital signal through the signal conversion module 25 and then sent to the microprocessor 24. The microprocessor 24 stores the digital data in the memory 27 and transmits the digital data to the mobile terminal 4 through the wireless communication module 26 for software processing.
And the mobile terminal 4 is also included, and the mobile terminal 4 is wirelessly connected with the occlusion measuring component 2. In the occlusion measuring unit 2, the wireless communication module 26 is a bluetooth module. After receiving the monitoring data collected by the film pressure sensor 23, the signal conversion module 24 sends the monitoring data to the microprocessor 24, the microprocessor 24 sends the monitoring data to the mobile terminal 4 through the wireless communication module 26, and the mobile terminal 4 processes the monitoring data to form a visual image including a pressure curve, contact time, reminding setting and the like so as to be checked by a patient.
In the mobile terminal 4, a recording mode and a treatment reminding mode are set;
the recording mode is used for displaying the occlusion pressure curve of the dentition in real time and recording the time sum that the occlusion contact of the upper dentition and the lower dentition exceeds a set value, such as 95 percent, and a doctor carries out diagnosis and judgment during the patient re-diagnosis;
in the recording mode, pressure values in different pressure ranges are displayed in different colors, arch form curves are formed at all tooth positions, and occlusion pressure real-time images are displayed.
And the treatment reminding mode is used for displaying the occlusion pressure curve of the dentition in real time and recording the continuous occlusion contact time, and also used for reminding the patient to separate the upper dentition from the lower dentition by judging that the upper dentition and the lower dentition are in occlusion contact and when the occlusion contact time of the upper dentition and the lower dentition exceeds the set time, such as 2 minutes, and relaxing the muscles around the mouth, so that the purpose of treatment reminding is achieved.
Referring to fig. 3, in the treatment reminding mode, it is determined that the upper and lower dentitions are in occlusal contact, specifically, when the patient uses the treatment reminding mode for the first time, the patient is ordered to occlude, the whole occlusion process is recorded, the sum of occlusion pressures of each frame (0.01S/frame) is calculated, the frame with the maximum total occlusal force is taken as the maximum occlusal force, and the sum of pressures is recorded; and acquiring a total occlusal pressure value in the wearing process, and judging that the occlusal contact of the upper dentition and the lower dentition is realized when the set proportion of the total pressure is more than 95% when the total occlusal pressure value in the wearing process reaches the maximum occlusal force.
This kind of ware is rescued to intelligence can let the patient continuously wear on the one hand, and the individualized dentition of record occlusal pressure is rescued and is filled up more accurate continuous real-time recording occlusal pressure curve and last occlusal contact time, observes whether the patient suffers from upper and lower dentition contact failure custom in order to look for patient's temporomandibular joint disorderly etiology. Can real-time supervision patient intraoral dentition interlock pressure and interlock contact time, can carry out accurate diagnosis through recording the mode to bruxism daytime, tight tooth and upper and lower dentition bad contact custom. On the other hand, when the contact of the upper and lower dentitions exceeds a certain time, such as 5 minutes, the micro vibration motor can be adopted by the vibration module in the oral cavity to remind the patient to separate the upper and lower dentitions in time, the patient is reminded to separate the upper and lower teeth in time through a treatment reminding mode to relieve the fatigue of muscles around the mouth, and the muscles of the patient are more suitable for the position of the upper and lower teeth when the upper and lower teeth are separated when the patient is in a static rest position through biofeedback, so that the purposes of treating bruxism in the daytime and improving the habit of poor contact of the upper and lower dentitions are achieved.
This kind of ware is rescued to intelligence through preparing patient's upper jaw dental arch model, prepares individualized dentition on the model and rescues pad 1, rescues pad 1's inboard occlusal surface installation film pressure sensor 23 at individualized dentition, rescues pad 1 and upper jaw dentition with film pressure sensor 23 soon to locate individualized dentition. The patient wears the appliance and takes off the appliance when chewing or speaking, and particularly the appliance is worn at the moment when the upper dentition and the lower dentition are in close contact easily when the patient does work with high concentration of mental power, reads books, plays online games and the like. The film pressure sensor 23 senses the patient's occlusion pressure, records the monitoring data, and transmits the monitoring data to the mobile terminal 4. When the patient is in a double-diagnosis, the doctor can diagnose through the data recorded in the software of the mobile terminal 4 to make a treatment scheme, so that intelligent and accurate medical treatment is realized.
Although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that various changes in the embodiments and/or modifications of the invention can be made, and equivalents and modifications of some features of the invention can be made without departing from the spirit and scope of the invention.
Claims (9)
1. The utility model provides an ware is rescued to intelligence, rescues the pad including individualized dentition, and individualized dentition is rescued the pad and is used for the laminating on patient's dentition, its characterized in that: still include interlock survey subassembly and power module, interlock survey subassembly is used for the intraoral dentition interlock pressure of real-time supervision patient, interlock survey subassembly includes the silica gel shell, mainboard and film pressure sensor, be equipped with the mainboard in the silica gel shell, the mainboard is equipped with microprocessor, signal conversion module, wireless communication module, memory and vibration module, film pressure sensor is the inboard occlusal surface that individualized dentition was rescued and is filled up is located to the shape of a hoof, film pressure sensor passes through signal conversion module and connects microprocessor, microprocessor connects wireless communication module respectively, memory and vibration module, power module is the power supply of interlock survey subassembly.
2. The intelligent appliance of claim 1, wherein: the silica gel shell includes casing and connecting rod, and in the casing was located to the mainboard, the pad was rescued with individualized dentition through connecting rod in the first molar department of upper jaw and is connected respectively at the both ends of casing.
3. The intelligent appliance of claim 2, wherein: the silica gel shell is made of waterproof silica gel, and the silica gel shell is away from the palate middle part and palate soft tissue by a set distance.
4. The intelligent appliance of claim 2, wherein: the individualized dentition correction pad comprises a first attaching portion and a second attaching portion, the first attaching portion is used for attaching front teeth of dentition of a patient, the second attaching portion is used for attaching abutment teeth of the dentition of the patient, and the two ends of the first attaching portion are respectively connected with the second attaching portion.
5. The intelligent appliance of any one of claims 1-4, wherein: the personalized dentition correcting pad is made of a plastic membrane made of a high polymer material.
6. The intelligent appliance of any one of claims 1-4, wherein: the occlusion measuring device further comprises a mobile terminal, and the mobile terminal is in wireless connection with the occlusion measuring component.
7. The intelligent appliance of claim 6, wherein: in the mobile terminal, a recording mode and a treatment reminding mode are set;
the recording mode is used for displaying the occlusion pressure curve of the dentition in real time and recording the time sum that the occlusion contact of the upper dentition and the lower dentition exceeds a set value, and a doctor carries out diagnosis and judgment during the patient re-diagnosis;
and the treatment reminding mode is used for displaying the occlusion pressure curve of the dentition in real time and recording the continuous occlusion contact time, and also used for reminding the patient to separate the upper dentition from the lower dentition by judging that the upper dentition is in occlusion contact with the lower dentition and vibrating the vibration module of the occlusion measuring component when the occlusion contact time of the lower dentition exceeds the set time so as to relax the muscles around the mouth, thereby achieving the purpose of treatment reminding.
8. The intelligent appliance of claim 7, wherein: in the recording mode, pressure values in different pressure ranges are displayed in different colors, and each tooth position forms a dental arch form curve to display a real-time occlusion pressure image.
9. The intelligent appliance of claim 7, wherein: in the treatment reminding mode, judging that the upper dentition and the lower dentition are in occlusion contact, specifically, when a patient uses the treatment reminding mode for the first time, advising the patient to occlude, recording the whole occlusion process, calculating the sum of occlusion pressures, taking a frame with the maximum total occlusion force as the maximum occlusion force, and recording the pressure sum at the maximum occlusion force; and acquiring a total occlusal pressure value in the wearing process, and judging that the occlusal contact of the upper dentition and the lower dentition is realized when the total occlusal pressure value in the wearing process is more than a set proportion of the pressure sum when the maximum occlusal force is reached.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111683089.2A CN114515202A (en) | 2021-12-31 | 2021-12-31 | Intelligent appliance |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111683089.2A CN114515202A (en) | 2021-12-31 | 2021-12-31 | Intelligent appliance |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN114515202A true CN114515202A (en) | 2022-05-20 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202111683089.2A Withdrawn CN114515202A (en) | 2021-12-31 | 2021-12-31 | Intelligent appliance |
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| Country | Link |
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| CN (1) | CN114515202A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115770116A (en) * | 2022-10-14 | 2023-03-10 | 南京医科大学附属口腔医院 | Pressure-sensitive multilayer composite transparent tooth socket and deformation identification method thereof |
-
2021
- 2021-12-31 CN CN202111683089.2A patent/CN114515202A/en not_active Withdrawn
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN115770116A (en) * | 2022-10-14 | 2023-03-10 | 南京医科大学附属口腔医院 | Pressure-sensitive multilayer composite transparent tooth socket and deformation identification method thereof |
| CN115770116B (en) * | 2022-10-14 | 2024-01-23 | 南京医科大学附属口腔医院 | Multilayer composite transparent dental floss based on pressure-sensitive deformation recognition and deformation recognition method thereof |
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