CN114903635A - Dental microscopic diagnosis and treatment system - Google Patents

Dental microscopic diagnosis and treatment system Download PDF

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CN114903635A
CN114903635A CN202110185547.3A CN202110185547A CN114903635A CN 114903635 A CN114903635 A CN 114903635A CN 202110185547 A CN202110185547 A CN 202110185547A CN 114903635 A CN114903635 A CN 114903635A
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module
data
digital image
image
display
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李剑月
杜雷
王吉龙
何进
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Suzhou Sumai Medical Technology Co ltd
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Suzhou Sumai Medical Technology Co ltd
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Priority to PCT/CN2022/072541 priority patent/WO2022170928A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/06Implements for therapeutic treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2055Optical tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2065Tracking using image or pattern recognition

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  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Epidemiology (AREA)
  • Dentistry (AREA)
  • Robotics (AREA)
  • Pathology (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses a dental microscopic diagnosis and treatment system, which comprises a microscopic observation module, a 3D imaging module and an AR display module, wherein the microscopic observation module is used for observing a target object to be observed; the 3D imaging module is used for acquiring an optical image under the microscope in the observation field of view of the microscopic observation module in real time and converting the optical image under the microscope into a three-dimensional digital image; the AR display module is worn on the head of an operator and used for receiving the three-dimensional digital image output by the 3D imaging module and converting the three-dimensional digital image into an optical image to be displayed in the visual field of the operator. The utility model provides a micro diagnosis and treatment system of dentistry can show optical image under the mirror in the microscope through AR equipment to can superpose additional information image in the image that AR equipment shows, the operator can be convenient in the operation carry out nimble observation to the target object, can also quick look over with the relevant multiple data information of operation.

Description

Dental microscopic diagnosis and treatment system
Technical Field
The invention relates to the technical field of dental diagnosis and treatment, in particular to a dental microscopic diagnosis and treatment system.
Background
The operation microscope can be used for examination and treatment of dental pulp and root canal, and can clearly observe the position of root canal orifice, the inner wall form of root canal, and the tooth pulp removing condition in root canal, and can prepare and fill root canal, take out broken apparatus in root canal, and perform periapical operation. By means of sufficient illumination and clear amplification observation, the popularization of the oral operation microscope changes the traditional extensive operation based on experience and handfeel, and the treatment success rate of root canal treatment, taking out of metal blockages in the root canal, root canal steps, root apex deviation and medullary cavity perforation is greatly improved.
On the other hand, the body position of the patient must be transferred, so that the doctor cannot keep a normal and comfortable posture, the shoulder, neck and back muscles are fatigued and sore due to continuous fine operation, serious joint problems can be caused after long-term accumulation, and the occupational life of the doctor is even affected. The appearance of the operating microscope solves the problems, and the operating microscope can ensure that a doctor keeps a correct posture according with human engineering in the checking and treating processes, eliminate the fatigue of shoulders, necks and backs, and effectively improve the diagnosis and treatment efficiency and quality.
However, conventional surgical microscopes have the following disadvantages:
1. the head can be kept fixed for a long time, and the fatigue is easy to occur. The doctor's eye must remain in the exit pupil position of the eyepiece, limited by the size of the optical exit pupil, and is fatiguing to operate for long periods of time. The doctor needs to be unable to maintain a comfortable position when in a particular examination position. Even with displays, it is necessary to maintain a fixed posture for a long time due to the fixed orientation.
2. The microscopic visual field is narrow, the equipment is difficult to position under the microscope, and the external communication of patients, nurses and the like is inconvenient. The surgical microscope has a small field of view, especially when viewed at high magnification. When the surgical instrument is moved from the field of view outside the scope into the field of view under the scope, the positioning is difficult, and the doctor needs to grope and try or remove the head for direct observation.
In addition, a doctor can only observe local details under the microscope, and cannot observe the expression of the patient in real time when needed, particularly, the dental patient cannot make a sound for communication, and if the doctor can observe the expression or other actions of the patient in real time, the doctor can be helped to confirm whether the operation is proper or not. It is necessary to observe the operating state of the nurse for guidance and confirmation thereof. The prior art needs the doctor to remove the head and interrupt the operation.
3. The operation microscope can only observe the structure of the outer layer of the tissue, the structure of the internal tissue cannot be observed, and some operations need repeated probing, are long in time and are easy to omit the root canal or excessively remove healthy tooth tissues. The teeth are in a three-dimensional structure and are in a multi-layer structure, and an operation microscope can only observe detailed characteristics of the outer layer of the structure and cannot judge the structure of the inner layer of the structure.
The portion of the cavity in the middle of the tooth contains the soft tissue called the pulp. The upper part of the cavity is wide, called the pulp chamber, and the lower part is provided with a tubular root canal from which the blood vessels of the dental nerve and the trophic nerve are derived. Infections occur in the pulp of the teeth, causing pain, jaw infections, and eventually the teeth become weakened due to death of the dental nerves.
In the case of root canal treatment, the physician needs to open the pulp cavity completely, find all the root canals and treat them. Humans typically have 1-4 root canals per tooth, with the most root canals in the posterior teeth. When the root canal orifice is difficult to find due to the conditions of age-increasing change, deposition of restorative dentin, pulp stones, pulp cavity calcification, root canal morphological variation and the like, the anatomical morphology of the pulp cavity needs to be understood and seen from all directions and positions by virtue of the three-dimensional anatomical morphology of the tooth; the number, shape, position, direction and bending condition of the tooth root and the root canal are known and indicated by adopting X-ray films shot by a plurality of angle projection methods; the relationship of the tooth root to the crown; various possible variations in the anatomical morphology of the root and root canal, and the like. As the number of the root canals of part of teeth can reach four, complex conditions such as collateral root canals, root tip bifurcation and the like can exist, and the complex conditions can be missed even under the condition of enlarged observation; it is desirable to estimate the likely location of the root canal, and if necessary, to remove a small amount of dentin using a button drill in the sulcus where the root canal is likely or expected, and then to use a sharp probe to attempt to penetrate any calcified areas to indicate where the canal orifice removes the dentinal collar of the neck of the tooth to expose the canal orifice, i.e., if there is a calcification of the canal orifice, it is even more desirable for the practitioner to make repeated trials at each possible location, and inevitably remove too much healthy tooth tissue.
At present, a preoperative dental film mode is often adopted to help a doctor judge and determine the number and the shape of root canals, firstly, the doctor needs to divide partial energy to remember the shape of a root cap, and even the doctor pauses the operation and observes the dental film again. In addition, the dental film is only a two-dimensional plane image, so that the three-dimensional shape of the root canal cannot be accurately reflected, and actually, the trend of a plurality of root canals is bent for many times, so that the dental film cannot be used for accurate positioning.
Stereo images such as CBCT are complex and difficult to memorize, doctors need to memorize the stereo morphology of the tooth structure in the brain and compare, superpose and fuse with the real object under the microscope in the operation, great efforts are needed, and the accuracy and precision are difficult to ensure.
Therefore, in combination with the above-mentioned technical problems, a new technical solution is needed.
Disclosure of Invention
In order to solve the technical problem in the prior art, the application provides a dental microscopic diagnosis and treatment system, which has the following specific scheme:
a dental microscopic diagnosis and treatment system comprises a microscopic observation module, a 3D imaging module and an AR display module, wherein the microscopic observation module is used for observing a target object to be observed; the 3D imaging module is used for acquiring an optical image under a lens in the observation field of the microscopic observation module in real time and converting the optical image under the lens into a three-dimensional digital image; the AR display module is worn on the head of an operator and used for receiving the three-dimensional digital image output by the 3D imaging module and converting the three-dimensional digital image into an optical image to be displayed in the visual field of the operator.
The system further comprises a storage module and an image split-screen display module, wherein the storage module stores the radiation imaging three-dimensional structure digital image of the target object, and the image split-screen display module is used for displaying the radiation imaging three-dimensional structure digital image of the target object at a set position in a display area of the AR display module in the form of an optical image.
Furthermore, the digital image switch of the radiation imaging three-dimensional structure is controllable, and an operator can select to view the layered two-dimensional image or the 3D image of the target object according to the requirement.
Further, the system also comprises an image recognition processing module, wherein the image recognition processing module is used for recognizing biological characteristics in the three-dimensional digital image and displaying the radiation imaging three-dimensional structure digital image matched with the three-dimensional digital image at a set position in a display area of the AR display module through biological characteristic comparison.
Further, it still includes detection module, be equipped with the big objective of zoom and zoom system in the microscopic observation module, detection module is used for detecting respectively the focus position of the big objective of zoom with the multiplying power of zoom system, image recognition processing module basis detection module detects the focus position of the big objective of zoom confirms the depth position of radiation imaging three-dimensional structure digital image, image recognition processing module basis detection module detects the multiplying power of zoom system confirms the depth range of radiation imaging three-dimensional structure digital image display current layer region.
Further, the radiation imaging three-dimensional structure digital image is displayed at the edge position of the display area of the AR display module, or the radiation imaging three-dimensional structure digital image and the three-dimensional digital image are displayed in a superposition mode, and the transparency of the radiation imaging three-dimensional structure digital image can be adjusted.
Furthermore, the positioning navigation detection module is installed on a surgical instrument and used for detecting the depth and spatial position data of the surgical instrument in real time, and the image recognition processing module compares the depth and spatial position data collected by the positioning navigation detection module with biological characteristics in the three-dimensional digital image to obtain real-time relative position data between the surgical instrument and a target object and displays the real-time relative position data at a set position in the display area of the AR display module.
Further, the depth and spatial position data of the surgical instrument and the state data of the surgical instrument are stored in the storage module in real time, and the state data of the surgical instrument can be displayed at a set position in the display area of the AR display module.
Furthermore, patient information data, root measuring instrument data, oral cavity scanner data, electronic periodontal probe data and dental pulp vitality data are stored in the storage module, the switches of the data are controllable respectively, and an operator can display required data at a set position in the display area of the AR display module according to needs.
Furthermore, each data is displayed at a set position in the display area of the AR display module in a mode of a character symbol, a data table, a two-dimensional curve or a three-dimensional topographic map, each data is displayed in the display area of the AR display module in a split screen mode or is displayed in the same window in a switching mode, and the display transparency of each data and the size and the position of the display window of each data can be adjusted.
The device further comprises an AI auxiliary analysis module, wherein the switch of the AI auxiliary analysis module is controllable, an operator can select to turn on or turn off an AI auxiliary function according to needs, the AI auxiliary analysis module is used for analyzing the three-dimensional digital image acquired by the 3D imaging module, distinguishing the pathological change condition of the target object, marking or reminding the target object according to the pathological change condition, and simultaneously performing summary analysis on all data stored in the storage module to form additional AI auxiliary information to be displayed at a set position in the display area of the AR display module.
Furthermore, the system also comprises a camera module, wherein the camera module is used for acquiring expression image data of a patient, and the AI auxiliary analysis module is used for analyzing the expression image data acquired by the camera module, judging the comfort level of the patient and displaying the comfort level of the patient in real time at a set position in the display area of the AR display module.
Compared with the prior art, the dental microscopic diagnosis and treatment system has one or more of the following beneficial effects:
(1) according to the dental microscopic diagnosis and treatment system, the optical image under the microscope in the surgical microscope is displayed in the visual field of an operator in the form of an AR optical image through the VR display module, the head of the operator (such as a doctor) can move freely without being limited by the position of the surgical microscope, the amplified visual field under the microscope and the normal visual field outside the microscope can be observed at the same time, the position of a surgical instrument is continuously visible, the surgical instrument can be accurately moved into the specified position under the microscope from the outside of the microscope, the state of a patient outside the microscope can be observed or a nurse can be instructed, and the correctness of the instrument or material is confirmed;
(2) the dental microscopic diagnosis and treatment system is provided with the image split-screen display module, so that an operator can call and check the 3D structure of a target object at any time according to needs, and can select to check a specific layered image to determine the internal structure of an under-lens tissue;
(3) the dental microscopic diagnosis and treatment system is provided with an image recognition processing module, and can automatically compare and register a radiation imaging three-dimensional structure digital image with a three-dimensional digital image of an optical image under a mirror through biological characteristic judgment;
(4) according to the dental microscopic diagnosis and treatment system, the radiation imaging three-dimensional structure digital image can be displayed in a manner of being overlapped with the three-dimensional digital image of the optical image under the mirror, and the positioning navigation detection device is arranged in the surgical instrument to guide the surgical operation to be accurate and in place, so that an operator can conveniently confirm the operation in time, and the efficiency is improved;
(5) according to the dental microscopic diagnosis and treatment system, the information of a patient, the data of a root measuring instrument, the data of an oral scanner, the data of an electronic periodontal probe, the data of dental pulp vitality and the like can be displayed at the set position in the display area of the AR display module, so that the reference can be provided for an operator conveniently;
(6) the dental microscopic diagnosis and treatment system is provided with the AI auxiliary module, and AI auxiliary diagnosis and display are achieved.
Drawings
Fig. 1 is a schematic view illustrating an installation position of a surgical microscope according to an embodiment of the present application;
FIG. 2 is a schematic view of a connection between a surgical microscope and an AR device according to an embodiment of the present invention;
fig. 3 is a flowchart of a dental micro-diagnosis system according to an embodiment of the present application;
FIG. 4 is a schematic view of an area observable by an operator in an AR device according to an embodiment of the present application;
FIG. 5 is a schematic diagram illustrating a position of an additional information display area according to an embodiment of the present application;
fig. 6 is a flowchart of a dental micro-diagnosis system provided in the second embodiment of the present application;
fig. 7 is a flowchart of a dental micro-diagnosis system provided in the third embodiment of the present application;
fig. 8 is a flowchart of a dental micro-diagnosis system provided in the fourth embodiment of the present application;
fig. 9 is a flowchart of a dental micro-diagnosis and treatment system provided in the fifth embodiment of the present application;
fig. 10 is a flowchart of a dental micro-diagnosis system according to a sixth embodiment of the present application.
1-an operation microscope, 11-a photosensitive element, 12-an imaging lens group, 13-a zoom lens group, 14-a zoom large objective lens, 2-AR equipment, a 3-AR display module display area, 4-a real image display area, 5-an operation instrument and 6-an additional information display area.
Detailed Description
To further explain the technical means and effects of the present invention adopted to achieve the predetermined objects, the following detailed description of the embodiments, structures, features and effects according to the present invention will be given with reference to the accompanying drawings and preferred embodiments.
Example one
The embodiment provides a dental microscopic diagnosis and treatment system which comprises a microscopic observation module, a 3D imaging module and an AR display module. The microscopic observation module is an operation microscope 1, and the operation microscope 1 can be arranged on a bracket as shown in figure 1, so that an operator can conveniently and rapidly move the operation microscope 1 according to needs. The surgical microscope 1 is designed for a dual light path for observing a target object to be observed. The 3D imaging module is used for acquiring an optical image under the microscope in the observation field of the operation microscope 1 in real time and converting the optical image under the microscope into a three-dimensional digital image. The 3D imaging module comprises a left photosensitive element 11, a right photosensitive element 11, a zoom system and a zoom large objective lens 14. The left and right photosensitive elements 11 are CCD or CMOS and are integrally packaged on the same circuit board. The zooming system comprises a zooming lens group 13. The parallel double beams emitted from the large zoom objective 14 with different apertures pass through the zoom lens group 13 and are then divided into two paths by the beam splitter group, one path of the parallel double beams respectively passes through the left and right imaging lens groups 12 and then is imaged on the left and right photosensitive elements 11, and the other path of the parallel double beams is directly observed through the binocular tube. The left and right photosensitive elements 11 collect the optical images under the microscope in the observation field of the surgical microscope 1, convert the optical images into three-dimensional digital images, and transmit the three-dimensional digital images to the AR display module. The 3D imaging module may be communicated with the optical path in the surgical microscope 1 in a built-in manner or in a form of accessory attachment, for specific content, refer to patents CN107132648A and CN107132649A, which are not described herein again. The AR display module is worn on the head of an operator and used for receiving the three-dimensional digital image output by the 3D imaging module and converting the three-dimensional digital image into an optical image to be displayed in the visual field of the operator. The AR display module may be an AR device 2 such as a protective mask with augmented reality function, a helmet, glasses, etc., and preferably employs AR glasses, as shown in fig. 2. In summary, the dental microscopic diagnosis and treatment system of the present embodiment mainly acquires the optical image under the microscope in the observation field of the operating microscope 1 by adding the 3D imaging module to obtain a three-dimensional digital image, and displays the three-dimensional digital image in the field of the operator in the form of an optical image through the head-mounted AR display device, and the system flow is as shown in fig. 3. An operator such as a doctor wears a head-mounted AR display device such as AR glasses, can freely move his head, and is not limited to the position of the operation microscope 1. The under-mirror enlarged visual field and the out-of-mirror normal visual field of the microscope can be observed simultaneously, the position of the surgical instrument 5 is continuously visible and can be accurately moved into the under-mirror appointed position from the outside of the mirror, as shown in fig. 4, the under-mirror enlarged visual field is an AR display module display area 3, and the out-of-mirror normal visual field is a real image display area 4 displayed by a non-AR display module. The state of the patient outside the endoscope can be observed at the same time or the nurse can be instructed to confirm that the instruments or materials are correct.
Example two
On the basis of the first embodiment, the dental microscopic diagnosis and treatment system of the embodiment adds an image split-screen display module, and adds a corresponding radiation imaging three-dimensional structure digital image at the edge position of a display area of a head-wearing AR display device such as AR glasses, that is, an additional information display area 6 shown in fig. 5, and the system flow is shown in fig. 6. The radiation imaging three-dimensional structure digital image is preferably a CBCT digital image, and the technical scheme is exemplified by the CBCT digital image in the following embodiments. The dental microscopic diagnosis and treatment system comprises a storage module, and CBCT digital image data of a target object can be imported into the storage module through external input or calling and the like. The image split-screen display module is used for displaying the CBCT digital image of the target object at the edge position of the display area 3 of the AR display module in the form of an optical image, and provides a reference for an operator in real time. The CBCT digital image switch is controllable, an operator can manually select to view the layered two-dimensional image or the 3D image of the target object according to needs, and the operator can determine the internal structure of the microscopic tissue by selecting to view a specific layered two-dimensional image. In this embodiment, the CBCT digital image is manually compared and registered with the three-dimensional digital image of the operating microscope 1 by the operator.
EXAMPLE III
Based on the second embodiment, the dental microscopic diagnosis and treatment system of the embodiment additionally comprises an image recognition processing module for recognizing biological characteristics in the three-dimensional digital image, automatically compares and registers the CBCT digital image and the three-dimensional digital image through biological characteristic comparison, and then displays the CBCT digital image matched with the three-dimensional digital image at the edge of the display area 3 of the AR display module, wherein the system flow is as shown in fig. 7.
The dental micro-diagnosis system of the embodiment further comprises a detection module. The detection module is used for respectively detecting the focusing position of the zoom large objective lens 14 and the multiplying power of the zoom system. The detection module preferably adopts position sensors, namely position sensors are respectively added at the positions of the zoom large objective lens 14 and the zoom lens group 13 of the operating microscope 1. The image recognition processing module determines the depth position of the CBCT digital image according to the focusing position of the zoom large objective lens 14 detected by the position sensor, and the image recognition processing module determines the depth range of the CBCT digital image in the current layer area according to the multiplying power of the zoom system detected by the detection module. The depth position of the focus of the operating microscope 1 is automatically registered with the layered depth of the CBCT digital image, namely, a certain plane structure is observed under a microscope, and the CBCT digital image automatically displays the CT digital image of the current layer (or the current layer area).
Example four
In the dental microscopic diagnosis and treatment system of the present embodiment, on the basis of the third embodiment, the CBCT digital image and the three-dimensional digital image are displayed in a superposition manner. The transparency of the CBCT digital image can be adjusted.
The dental microscopic diagnosis and treatment system of the present embodiment further includes a positioning navigation detection module, which is mounted on a surgical instrument 5, such as a dental handpiece 5. The positioning navigation detection module is configured to detect depth and spatial position data of the surgical instrument 5 in real time, the image recognition processing module automatically compares the depth and spatial position data acquired by the positioning navigation detection module with biological features in a three-dimensional digital image, where the biological features include root canal orifice position, shape, root canal depth, and direction, so as to obtain real-time relative position data between the surgical instrument 5 and a target object, and displays the real-time relative position data at a set position in the AR display module display area 3, for example, an additional information display area 6 shown in fig. 5, and a system flow is shown in fig. 8. Meanwhile, the state data of the surgical instrument 5, such as the rotational speed and torque value of the mobile phone, can also be synchronously displayed in the additional information display area 6 shown in fig. 5. When the position sensors arranged at the positions of the large zoom objective lens 14 and the zoom lens group 13 detect the change, the set position in the display area 3 of the AR display module automatically displays the real-time data of the surgical instrument 5, so that a doctor can conveniently confirm the operation in time, and the efficiency is improved. The depth and spatial position data of the surgical instrument 5, as well as the status data of the surgical instrument 5, may be stored in real time in the memory module.
EXAMPLE five
The dental microscopic diagnosis and treatment system of the embodiment is based on any one of the first to fourth embodiments, and introduces more related data, such as patient information data, root-measuring instrument data, oral cavity scanner data, electronic periodontal probe data, pulp vitality data and other multi-data information, which can be stored in the storage module by external input or retrieval. Each data is respectively provided with a display switch, each switch can be controlled independently, an operator can display the required data at the set position in the display area 3 of the AR display module according to the requirement, and the system flow is as shown in FIG. 9.
Each data can be displayed at a set position in the display area 3 of the AR display module in various ways such as a character symbol, a data table, a two-dimensional curve or a three-dimensional topographic map, and the like, each data is displayed in the display area 3 of the AR display module in a split screen manner, or displayed in the same window in a switching manner, and the display transparency of each data and the size and the position of the display window of each data can be adjusted.
Patient information data: including basic information, contraindication reminder, etc. of the patient, and also can include monitoring information, blood pressure, blood oxygen saturation, etc.
Root meter data: the accurate measurement of the working length of the root canal is a basic condition for successful root canal treatment, and the final positions of the root canal preparation and filling of the affected teeth in different conditions are different according to diagnosis, and an error range of +/-0.5 mm needs to be ensured, so that the root canal measuring instrument is adopted for measurement, and data can be selectively displayed to provide reference.
Oral scanner data: high resolution three-dimensional morphology of oral structures.
Electronic periodontal probe data: oral health periodontal is a fact that the foundation is not met by the international oral medical community. Periodontal probing is an important method of basic diagnosis of the oral cavity. The measurement of periodontal pocket depth and attachment level by using periodontal probe is the current main method for clinical evaluation of periodontal destruction degree and also the clinical basis for judging periodontal disease change. The Florida probe system can automatically measure the depth, attachment level and attached gum width of a periodontal pocket of a patient under the operation of a medical staff, and record the degree and prognostic indexes of periodontal diseases such as the condition of the whole dentition, the tooth looseness, gingival bleeding and suppuration, root bifurcation lesion, plaque distribution and the like. The system has a risk factor evaluation function, can effectively evaluate the illness state risk of the patient, and is beneficial to the doctor to objectively make a targeted treatment plan for the patient.
Pulp vitality data: the dental pulp is located in the pulp cavity enclosed by dentin, and is connected with periapical tissues through a narrow apical pore, so that the dental pulp cannot be directly viewed, and the specific state of the dental pulp cannot be visually judged clinically. Abundant nerves are distributed in the dental pulp, and can sense external stimulation, and the vitality state of the dental pulp can be judged clinically by using temperature and nerve fibers electrically stimulating the dental pulp, so that a doctor can select to completely remove necrotic dental pulp or perform a cutting operation to keep a healthy part.
Example six
The dental microscopic diagnosis and treatment system of the embodiment is additionally provided with an AI auxiliary analysis module on the basis of any one of the first embodiment to the fifth embodiment, so that AI auxiliary diagnosis and display are realized. The AI auxiliary analysis module is controllable in switch, which may be a main switch or an individual function switch, and an operator may select to turn on or off the corresponding AI auxiliary function as desired. The AI auxiliary analysis module is configured to analyze the three-dimensional digital image acquired by the 3D imaging module, identify a pathological change condition of the target object, mark or remind the target object according to the pathological change condition, and perform a summary analysis on the data stored in the storage module to generate additional AI auxiliary information, where an operator may display the additional AI auxiliary information at a set position in the display area 3 of the AR display module as needed, where a system flow is shown in fig. 10.
Such as only analyzing three-dimensional digital images acquired by the 3D imaging module:
and analyzing the digital image based on the microscope under the normal white light illumination condition, distinguishing oral cavity and tooth lesions, such as decayed tooth, saphenous crack, bacterial plaque, discoloration, oral cancer and the like, and marking or prompting. The marking mode can be a single mode or a combination of characters, picture frames, edge lines, arrows, dyeing and the like with different colors, and can be matched with prompt sounds. The suspected lesion which needs to be further checked is automatically marked, and an operator is reminded to switch the corresponding working modes, such as a fluorescence detection mode with different wave bands, a polarization working mode, or different filtering modes, to check. For the above-mentioned needs to switch different working modes to further examine, the AI module can also automatically control the microscope to switch modes, and obtain the image of the corresponding mode for further analysis. For a specific mode switching implementation, refer to patent CN211741708U, which is not described herein.
And simultaneously, carrying out summary analysis on other imported data: comprehensively analyzing information of patients (age, sex, blood pressure, blood oxygen saturation, past medical history and the like), CBCT, root measuring instrument, electronic periodontal probe, pulp vitality data and the like, evaluating tooth states based on an expert system, and prompting feasible treatment schemes and treatment steps; the spatial position and depth information of the surgical instrument 5 are combined to indicate or remind the size, depth, rotating speed and the like of the prepared tooth, so that the operation normalization is improved;
the micro diagnosis and treatment system of dentistry of this embodiment can also add camera module, for example camera etc. obtains patient's expression image data in real time, through AI auxiliary analysis module is right the expression image data that camera module gathered judge its comfort level, and show in real time the settlement position in AR display module display area 3 makes things convenient for the operator to know patient's state at any time.
As used herein, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, including not only those elements listed, but also other elements not expressly listed.
In this document, the terms front, back, upper and lower are used to define the components in the drawings and the positions of the components relative to each other, and are used for clarity and convenience of the technical solution. It is to be understood that the use of the directional terms should not be taken to limit the scope of the claims.
The features of the embodiments and embodiments described herein above may be combined with each other without conflict.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (12)

1. A dental microscopic diagnosis and treatment system is characterized by comprising a microscopic observation module, a 3D imaging module and an AR display module,
the microscopic observation module is used for observing a target object to be observed;
the 3D imaging module is used for acquiring an optical image under a lens in the observation field of the microscopic observation module in real time and converting the optical image under the lens into a three-dimensional digital image;
the AR display module is worn on the head of an operator and used for receiving the three-dimensional digital image output by the 3D imaging module and converting the three-dimensional digital image into an optical image to be displayed in the visual field of the operator.
2. The system for dental microscopic diagnosis and treatment according to claim 1, further comprising a storage module storing therein the digital image of the radiographic three-dimensional structure of the target object and an image split-screen display module for displaying the digital image of the radiographic three-dimensional structure of the target object in the form of an optical image at a set position within a display area of the AR display module.
3. The dental microscopy diagnosis and treatment system according to claim 2, wherein the radiation imaging three-dimensional structure digital image switch is controllable, and an operator can select to view the layered two-dimensional image or the 3D image of the target object according to needs.
4. The system for dental microscopic diagnosis and treatment according to claim 3, further comprising an image recognition processing module for recognizing biological features in the three-dimensional digital image and displaying the digital image of the radiation imaging three-dimensional structure matching with the three-dimensional digital image at a set position in the display area of the AR display module through biological feature comparison.
5. The dental microscopic diagnosis and treatment system according to claim 4, further comprising a detection module, wherein a zoom large objective lens and a zoom system are disposed in the microscopic observation module, the detection module is configured to detect a focusing position of the zoom large objective lens and a magnification of the zoom system, respectively, the image recognition processing module determines a depth position of the digital image of the radiation imaging three-dimensional structure according to the focusing position of the zoom large objective lens detected by the detection module, and the image recognition processing module determines a depth range of a region of the digital image of the radiation imaging three-dimensional structure where the digital image of the radiation imaging three-dimensional structure displays a current layer according to the magnification of the zoom system detected by the detection module.
6. The system for dental microscopic diagnosis and treatment according to claim 4, wherein the digital image of the radiation imaging three-dimensional structure is displayed at the edge of the display area of the AR display module, or the digital image of the radiation imaging three-dimensional structure is displayed in superposition with the three-dimensional digital image, and the transparency of the digital image of the radiation imaging three-dimensional structure is adjustable.
7. The dental microscopic diagnosis and treatment system according to claim 6, further comprising a positioning navigation detection module, wherein the positioning navigation detection module is installed on a surgical instrument, the positioning navigation detection module is used for detecting the depth and spatial position data of the surgical instrument in real time, and the image recognition processing module compares the depth and spatial position data collected by the positioning navigation detection module with biological characteristics in the three-dimensional digital image to obtain real-time relative position data between the surgical instrument and a target object, and displays the real-time relative position data at a set position in the display area of the AR display module.
8. The dental microscopic medical system according to claim 7, wherein the depth and spatial position data of the surgical instrument and the status data of the surgical instrument are stored in the storage module in real time, and the status data of the surgical instrument can be displayed at a set position within the display area of the AR display module.
9. The system as claimed in any one of claims 1 to 8, wherein the storage module further stores patient information data, root finder data, oral scanner data, electronic periodontal probe data, and pulp vitality data, and the data are individually controllable in on and off states, so that an operator can display desired data at a predetermined position in the display area of the AR display module as needed.
10. The dental microscopic diagnosis and treatment system according to claim 9, wherein each data is displayed at a set position in the display area of the AR display module in a manner of a character symbol, a data table, a two-dimensional curve or a three-dimensional topographic map, each data is displayed in the display area of the AR display module in a split screen manner, or displayed in the same window in a switching manner, and the display transparency of each data and the size and position of the display window of each data are adjustable.
11. The dental microscopic diagnosis and treatment system according to claim 10, further comprising an AI auxiliary analysis module, wherein the AI auxiliary analysis module is controllable in switch, an operator can selectively turn on or off an AI auxiliary function as required, the AI auxiliary analysis module is configured to analyze the three-dimensional digital image collected by the 3D imaging module, identify a pathological change condition of the target object, mark or remind the target object according to the pathological change condition, and perform a summary analysis on each data stored in the storage module to generate additional AI auxiliary information to be displayed at a set position in the display area of the AR display module.
12. The system of claim 11, further comprising a camera module, wherein the camera module is configured to collect facial expression image data of a patient, and the AI auxiliary analysis module analyzes the facial expression image data collected by the camera module, determines comfort of the patient, and displays the comfort at a set position in the display area of the AR display module in real time.
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