JP2005063397A - Dental information management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a dental information management system capable of outputting dental information in a form easily understood by a patient in making an explanation to the patient by a dental doctor or a dental hygienist, and the like. <P>SOLUTION: The dental information management system inputs the dental information for every patient for management based on the result of an inspection, or diagnosis by a consulting person, including the dental doctor or the dental hygienist, and the like. The dental information management system comprises: an intraoral display means serving as an output means for the dental information management system and three-dimensionally displaying the dentition of the patient by a point of view from the throat side of an intraoral; an intraoral display means two-dimensionally displaying the dentition of the patient; and a medical condition recognition display means displaying the dental information of the patient in a graph for making the patient recognize a medical condition. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a dental information management system, and more particularly to a system for providing dental information to a patient.

  Conventionally, due to the development of computer technology, doctors such as dentists and dental hygienists have created a database of dental information such as examinations and diagnoses for each patient and managed them by a computer. Further, dental information is output from the computer as a graph or chart, and the medical condition or treatment policy is sometimes explained to the patient using these materials.

  However, the above-described graphs and charts output from the computer have not always been easily understood from the patient's perspective.

In particular, in the dentition display for recognizing the patient's wounded and injured sites, the dentition display format seen from the viewpoint of the examiner and the dentition display format as seen by the patient in the mirror are available. Although it was used, it was difficult to easily understand which part of the mouth was pointed out by the patient.
JP 2002-24384 PR

  Accordingly, an object of the present invention is to provide a dental information management system capable of outputting dental information when explaining to a patient in a manner that can be easily understood by the patient.

  The present invention has been made for the purpose of solving the above-described problems, and has the following configuration as means for solving the problems.

  That is, the first invention is a dental information management system according to the invention of claim 1, and according to the invention, the examiner inputs and manages dental information for each patient based on the results of examination and diagnosis. A dental information management system for inputting dental information for each patient; storage means for storing the dental information input by the input means; reading the dental information from the storage means; In the oral cavity display means (hereinafter referred to as U-shaped dentition display means) for displaying the patient's dentition three-dimensionally from the throat side in the oral cavity and the patient. Intra-oral display means for two-dimensionally displaying the dentition of the patient (hereinafter referred to as a two-dimensional dentition display means) and a medical condition recognition display means for displaying the dental information of the patient in a graph and allowing the patient to recognize the medical condition. Dentistry characterized by It is a broadcast management system.

  According to a second aspect of the present invention, there is provided a dental information management system according to claim 2, wherein the U-shaped dentition display means at least distinguishes between permanent teeth or deciduous teeth, presence or absence of teeth, and places where treatment is required. In addition, it is possible to visually display the treatment status of the missing part of the tooth, and for the tooth part and the gingival part, the name of the wound, the contents of the medical condition, the treatment policy of the dentist, etc. as text information It is also possible to display dental information in a manner based on U-shaped dentition display in the input means.

  According to a third aspect of the present invention, there is provided a dental information management system according to claim 3, wherein the two-dimensional dentition display means is configured to determine a periodontal disease location of a patient based on periodontal disease examination data. The display method is provided with two types of expression modes: an identifiable visual display method for the gingival display portion and an identifiable visual display method for the root display portion, Their display method can be arbitrarily changed.

  According to a fourth aspect of the present invention, there is provided a dental information management system according to the fourth aspect, in which the two-dimensional dentition display means is based on periodontal disease examination data and plaque of the patient's crown. The attached state and the pocket state of the gingival part can be visually displayed simultaneously on the same tooth display part.

  According to a fifth aspect of the present invention, there is provided a dental information management system according to the fifth aspect, wherein the two-dimensional dentition display means is based on periodontal disease examination data and is attached to the patient's gingival part. Further, it is possible to visually display the scale, and further, by displaying a scale line on the gingival display portion, the degree of gingival retraction and acquisition of adhesion can be accurately recognized.

  According to a sixth aspect of the present invention, there is provided a dental information management system according to the sixth aspect, wherein the two-dimensional dentition display means is based on periodontal disease examination data and stores a pocket of a patient's gingival part. It is possible to visually display the state, and furthermore, it is possible to visually display dental information with different examination dates simultaneously on the same tooth display portion.

  7th invention is the dental information management system which concerns on Claim 7, Comprising: According to this invention, the said medical condition recognition display means is a periodontal disease location with respect to the number of remaining teeth of a patient based on periodontal disease test data. It is possible to calculate and display the ratio of the same, and based on the periodontal disease test data, it is possible to calculate and display the average value of the pocket depth. The data is displayed in a graph by the method described above.

  An eighth invention is a computer-readable recording medium in which the dental information management program according to claim 8 is recorded. According to the invention, the dental information management system according to claim 1, wherein The U-shaped dentition display means visually displays at least the presence / absence of teeth, the distinction between permanent teeth and deciduous teeth, the place to be treated, and the treatment treatment status for the missing part of the tooth. And the doctor's treatment policy and the like can be displayed as information in characters, and the input means can also input dental information in a U-type dentition display format. It is possible to visually display the periodontal disease location in the patient's oral cavity based on the periodontal examination data, and the display method is a distinguishable visual display method and root display for the gingival display part It is possible to change the display method arbitrarily, and the plaque display state and the pocket state in the patient's mouth can be changed to the same tooth display part. In addition, it is possible to visually display the attachment level, and in the attachment level display, the scale line is supplementarily displayed on the gingival display part, so that the gingiva is retracted and adhered based on the examination result. It is possible to visually display the acquisition status of the pocket, visually display the state of the pocket in the patient's oral cavity, and, for the same tooth display part, the inspection data with different inspection dates And the medical condition recognition display means, based on periodontal disease examination data, the number of remaining teeth of the patient It is possible to display the ratio of periodontal disease relative to the periodontal, it is also possible to display the average pocket depth based on the periodontal disease examination data, and further, those display means are a plurality of different examination dates A dental information management system characterized by displaying the examination data in a time-series graph by the above method is possible.

  As described above, according to the present invention, the patient can easily understand the dental information input based on the examination or diagnosis performed by the examiner by the dental information output means of the present invention. It is possible to output information in a form. This makes it possible for dentists and dental hygienists to provide explanations to patients efficiently and effectively, making it easier for patients to cooperate and treating patients. Be able to receive treatment.

  Specifically, the above-described dental information in a form that can be easily understood by the patient is, according to the second aspect of the invention, based on the dental information output by the U-shaped dentition display means, It is possible to easily recognize which part has what medical condition and treatment content.

  Further, according to the invention of claim 3, the region of periodontal disease is visually indicated by the two-dimensional dentition display means so that the patient can determine which part of his / her mouth has periodontal disease. It can be easily recognized. Furthermore, according to the present invention, two types of display styles for clearly indicating the periodontal disease site are provided, and the display method can be arbitrarily changed. By ascertaining the degree of knowledge and understanding of periodontal disease, etc., by appropriately selecting the display style, it is possible to provide dental information in a style more suited to the patient.

  According to the invention of claim 4, since the two-dimensional dentition display means can visually confirm the plaque adhesion state of the crown portion and the pocket state of the gingival portion simultaneously, It becomes possible to easily understand the correlation between the site of tooth dirt, the site of periodontal disease, and the degree of the disease state. This allows patients to understand the importance of oral cleanliness and hygiene, which is necessary to cure periodontal disease, and motivates patients to maintain oral cleanliness and hygiene. It becomes possible to plan.

  According to the invention of claim 5, since the attachment level of the gingival part of the patient can be visually displayed by the two-dimensional dentition display means, the patient is in a state of retraction and attachment of his / her gingiva due to periodontal disease. Can be easily and accurately recognized.

  According to the invention of claim 6, the state of the pocket of the patient's gingival part is visually displayed by the two-dimensional dentition display means, and further, the examination date differs for the same tooth display part. By visually displaying the pocket state at the same time, it becomes possible to easily understand the transition of the degree of periodontal disease of the patient. Thereby, the patient can recognize the degree of recovery of his / her own periodontal disease and its site.

  Further, according to the invention of claim 7, the disease state recognition display means calculates the ratio of the periodontal disease location to the number of remaining teeth of the patient and the average value of the pocket depth of the gingiva based on the periodontal disease examination data. Can be displayed. Furthermore, since a plurality of examination data having different examination dates can be displayed in a time-series graph by the above-described method, the patient recognizes the transition of the ratio of the periodontal disease site to the entire oral cavity of the patient. Is possible. In addition, regarding the pathology of periodontal disease, that is, the progression of the deterioration and recovery of the disease state, instead of recognizing each disease state individually for each tooth, comprehensively understand the disease state as a whole in the oral cavity. It becomes possible.

  Hereinafter, an example of a dental information management system according to an embodiment of the present invention will be described in detail based on the drawings.

  FIG. 1 is a block diagram showing an example of an embodiment of a dental information management system according to the first invention.

  In FIG. 1, 10 is a control unit that controls the overall control of the system according to the program stored in the ROM 11, 11 is a ROM that stores the above-described program of the CPU 10, and 12 is a temporary storage of processing progress of the CPU 10. RAM. An operation control unit 21 controls input from the mouse 31 and the operation unit 32.

  In this example, since a touch panel monitor is used for the display unit 33, the operation control unit 21 also controls input from the display unit.

  Furthermore, 23 is a display control unit for controlling the display unit 33, 24 is a printer control unit for controlling the printer 34, 25 is an external storage device control unit for controlling the external storage device 35, and 26 is for controlling the internal storage device 36. It is an internal storage device controller. Dental information for each patient is stored in the internal storage device 36.

  Reference numeral 32 denotes an operation unit having a full keyboard. Reference numeral 34 denotes an ink jet printer, a laser printer, or the like, which can print various output information described later on a paper medium. In this example, an ink jet printer is used.

  Furthermore, reference numeral 35 denotes an external storage device, which is configured so that various types of information created by other devices can be taken into the device of this example. As the external storage device, various storage devices can be used. For example, various large-capacity storage devices such as an FD device, a magnetic disk device, and a magneto-optical disk device can be connected. Reference numeral 36 denotes an internal storage device, for example, a hard disk device.

  In this example, the computer-readable recording medium on which the dental information management program according to the eighth aspect of the invention is recorded is recorded on the CD-ROM by the external storage device 35, and the internal storage device 36 is read out. To remember.

  In this example, a commercially available personal computer is used as an apparatus for implementing the dental information management system.

  In the present example having the above-described configuration, examples of outputting various dental information used for explanation to the patient are specifically shown in FIGS.

  FIG. 3 is a view outputted by the U-shaped dentition display means according to the second invention. This figure is a dentition diagram representing the patient's dentition three-dimensionally from the viewpoint of the throat side in the oral cavity. In other words, this figure visually displays at least the distinction of permanent or deciduous teeth, the presence or absence of teeth, the place where treatment is required, and the treatment status of the missing part of the tooth. And the doctor's treatment policy are also displayed as text information.

  Here, a brief description of the dentition and a dentition display format generally used in dentistry will be described. As shown in FIG. 2, in the case of an adult, the dentition is an arrangement in which there are a total of 32 teeth, 8 in each of the oral cavity symmetrically in the vertical and horizontal directions. Naturally, some parts do not grow depending on the person, and there are also cases where the teeth are missing. FIG. 2 shows a dentition display format generally used in dentistry. For example, the right tooth of a patient is displayed on the left side in the format. That is, the dentition viewed from the examiner side is displayed as it is.

  Next, FIG.4 and FIG.5 is the figure which displayed the patient's periodontal disease location visually by the two-dimensional dentition display means based on 3rd invention. FIG. 4 is a diagram of a patient's periodontal disease location output by a visual display method that can identify a gingival display portion. Further, FIG. 5 is a diagram in which the patient's periodontal disease site is also output by a visual display method that can identify the root portion. Further, these two types of output formats can be arbitrarily changed for the same dental information.

  Further, FIG. 6 is a diagram in which the plaque attachment state and the pocket state of the patient are visually displayed on the same tooth display portion by the two-dimensional dentition display means according to the fourth invention. In this figure, the colored portion of the crown portion indicates the place where the plaque adheres, and the colored portion of the root portion similarly indicates the depth of the pocket of the gingival portion.

  Further, FIG. 7 is a diagram visually displaying the patient's attachment level by the two-dimensional dentition display means according to the fifth invention. In this figure, the degree of gingival retraction due to periodontal disease, that is, attachment loss is displayed based on the scale displayed on the gingiva display portion.

  Further, FIG. 8 is a diagram in which the two-dimensional dentition display means according to the sixth invention displays the state of the pocket of the patient's gingival part on the same tooth display part simultaneously with two examination data having different examination dates. It is. In this figure, two pieces of inspection data having different inspection dates have the latest inspection data displayed on the front and the old inspection data displayed on the far side.

  Furthermore, FIG. 9 is a graph showing the ratio of periodontal disease to the number of remaining teeth of a patient based on a plurality of examination data with different examination dates and a pocket depth by the medical condition recognition display means according to the seventh invention. It is the figure which computed the average value of and expressed the transition in the graph.

  In this FIG. 9, 40 is a graph which displays the ratio of a periodontal disease location. The graph is displayed using a pie chart for each inspection date. Moreover, the calculation method of the ratio of a periodontal disease location calculates by dividing a patient's periodontal disease location by the number of remaining teeth of this patient for every examination day.

  Similarly, in FIG. 9, 41 is a graph displaying the average value of the pocket depth, the graph is displayed as one line graph, the vertical axis is the average value of the pocket depth, and the horizontal axis is the inspection date, The change of pocket depth is displayed in time series.

  The method for calculating the average value of the pocket depth here is the pocket depth data of the patient's periodontal disease examination on the examination date displayed on the line graph, even if the pocket depth is once on the examination date. The depth at which a periodontal disease is diagnosed, that is, a tooth having a value of 4 mm or more in this case is first targeted, and all pocket depths of the subject tooth are totaled for each examination date displayed in the graph, and the value is calculated as the subject. What is divided by the number of teeth is the average value of the pocket depth, and is calculated for each examination day and displayed as a line graph. When the target tooth of the patient is lost during the examination date, the pocket depth data of the missing tooth and the number of missing teeth are removed from the target tooth retroactively, The average depth is calculated.

  Next, an outline of a series of processes for outputting information for the dentist and hygienist to explain to the patient using the dental information management system in the present example having the above-described configuration will be described with reference to FIGS. Shown in

  First, an outline of a series of processes for outputting information by the U-shaped dentition display means in the second invention will be described with reference to FIG.

  The examiner inputs the patient's dental information 1 in the dental information input mode displayed on the display unit 33 based on the examination and diagnosis results (step S1). The dental information 1 input here is so-called finding information such as the distinction of permanent teeth or deciduous teeth, the presence or absence of teeth, the location of treatment necessary and the contents of wounds, the treatment status of a missing tooth portion, and the like.

  The dental information 1 input here is stored in the internal storage device 36 (step S2).

  Next, the dental information 1 stored in the internal storage device 36 is read out, a new dental information input mode is displayed on the display unit 33, and the dental information 2 is further input (step S3). Here, the dental information input format displayed on the display unit 33 is a format by the U-shaped dentition display means. The dental information 2 input here is specifically information such as the name of the wound, the content and degree of the medical condition, and the treatment policy.

  The dental information 2 input here is stored in the internal storage device 36 (step S4).

  Next, the dental information 1 and the dental information 2 stored in the internal storage device 36 are read, and the dental information is displayed on the display unit 33 (step S5). Here, the display format displayed on the display unit 33 is that of the U-shaped dentition means. At this point, the information displayed on the display unit 33 can be used to explain to the patient.

  Next, when printing the dental information 1 and the dental information 2 displayed on the display unit 33 on a paper medium, printing is performed by the printer unit 34 by giving a print instruction (YES in step S6). . If printing is not necessary, this process is canceled (NO in step 6).

  When the process is to be ended after the above procedure is ended, an end instruction is given (YES in step S8), and the process ends. If the end instruction is canceled (NO in step S8), the process returns to the state where the dental information is displayed (step S5).

  Next, an outline of a series of processes for outputting information by the two-dimensional dentition display means in the third to sixth inventions will be described with reference to FIG.

  The examiner inputs the dental information 3 of the patient in the dental information input format displayed on the display unit 33 based on the examination and diagnosis results (step S1). The dental information 3 input here is so-called periodontal tissue examination information, such as plaque adhesion status, pocket depth, sway, presence / absence of bleeding / drainage, calculus adhesion status, and the like.

  The dental information 3 input here is stored in the internal storage device 36 (step S2).

  Next, the dental information 3 stored in the internal storage device 36 is read, and the dental information is displayed on the display unit 33 (step S3). The display format of the dental information displayed at this time is a display method having a format recognizable to the examiner, and is a format that can be easily understood by the patient based on the third to sixth inventions. It is not a thing.

  Next, in order to output the dental information 3 in a format that can be easily understood by the patient, each output format is selected by the two-dimensional dentition display means based on the third to sixth inventions. (YES in step S4). At this point, if the output format selection process is canceled (NO in step S4), the process proceeds to an end instruction (step S8) described later.

  Through the output format selection process, dental information in an arbitrarily selected format is displayed on the display unit 33 (step S5). At this time, the patient can be explained to the patient by using the dental information displayed in the display unit 33 according to the style.

  Here, the contents of the specific output format after the selection process are the display format for visually indicating the periodontal disease site according to the third invention, the crown format according to the fourth invention, A display style for simultaneously displaying the plaque adhesion status and the gingival pocket status on the same tooth display portion, a display style for displaying the attachment level of the gingival portion according to the fifth invention, and a sixth invention according to the sixth invention In this display mode, the state of the pocket is visually displayed, and dental information having different examination dates is simultaneously displayed on the same tooth display unit.

  Next, when the dental information in the above-described output format displayed on the display unit 33 is printed on a paper medium, the printing unit 34 prints the dental information by giving a print instruction (YES in Step 6). If printing on a paper medium is not necessary, this process can be canceled (NO in step 6).

  When the process is to be ended after the above procedure is ended, an end instruction is given (YES in step S7), and the process ends. If the end instruction is canceled (NO in step S7), the process returns to the state where the dental information 3 is displayed (step S3).

It is a block block diagram of the dental information management system of an example of embodiment of the invention which concerns on this invention. It is explanatory drawing which showed how to arrange an adult tooth | gear. It is a figure which shows the dental information output example output by the U-shaped dentition display means of this example. It is a figure which shows the example which expressed the periodontal disease place of the patient output to the gingival part by the two-dimensional dentition display means of this example. It is a figure which shows the example which expressed the patient's periodontal disease location output by the two-dimensional dentition display means of this example to the tooth root part. It is a figure showing the example which expressed the plaque adhesion state of a patient, and the state of a pocket outputted by two-dimensional dentition display means of this example. It is a figure which shows the example showing the patient's attachment level output by the two-dimensional dentition display means of this example. It is a figure which shows the example which represented the state of the patient's pocket based on the two-dimensional dentition display means of this example. It is the figure which displayed the transition of the average value of the graph which displayed the ratio of the periodontal disease location output by the medical condition recognition display means of this example, and the pocket depth by the graph. It is a figure which shows the outline | summary of a series of processes which output information by the said U-shaped dentition display means. It is a figure which shows the outline | summary of a series of processes which output information by the said two-dimensional dentition display means.

Explanation of symbols

10 Control unit 11 ROM
12 RAM
DESCRIPTION OF SYMBOLS 21 Operation control part 23 Display control part 24 Printer control part 25 External storage control part 26 Internal storage control part 31 Mouse 32 Operation part 33 Display part 34 Printer 35 External storage device 36 Internal storage device 40 The graph 41 showing the ratio of periodontal disease Graph showing average pocket depth

Claims (8)

  A dental information management system in which an examiner inputs and manages dental information for each patient based on the results of examinations and diagnoses, the input means for inputting dental information for each patient, and the dental input by the input means A storage means for storing information; and an output means for reading out the dental information from the storage means and outputting the dental information. In the output means, the patient's dentition is stereoscopically viewed from the throat side in the oral cavity. Intraoral display means (hereinafter referred to as U-shaped dentition display means), intraoral display means (hereinafter referred to as two-dimensional dentition display means) that display the patient's dentition two-dimensionally, and patient dentistry A dental information management system comprising a medical condition recognition display means for displaying information in a graph and allowing a patient to recognize a medical condition.   The U-shaped dentition display means can visually display at least the distinction between permanent teeth or deciduous teeth, the presence or absence of teeth, the location where treatment is required, and the treatment status of a missing tooth portion, and further, the tooth portion In addition, it is possible to display the name of the disease, the contents of the medical condition and the treatment policy of the dentist as text information for the gingival part, and the input means also inputs the dental information in the form of U-shaped dentition display. The dental information management system according to claim 1, wherein:   The two-dimensional dentition display means makes it possible to visually specify the periodontal disease site of the patient based on the periodontal disease examination data, and the display method can identify the gingival display part. The display method according to claim 1 or 2, characterized by comprising two types of expression methods, a visual display method and an identifiable visual display method for the tooth root display portion. The dental information management system described.   The two-dimensional dentition display means can visually display the plaque adhesion state of the patient's crown part and the pocket state of the gingival part simultaneously on the same tooth display part based on the periodontal disease examination data. The dental information management system according to claim 1, wherein:   The two-dimensional dentition display means can visually display the attachment level of the patient's gingiva based on the periodontal disease test data, and further, by displaying a scale line on the gingival display portion, The dental information management system according to any one of claims 1 to 4, wherein the degree of gingival retraction and acquisition of adhesion can be accurately recognized.   The two-dimensional dentition display means can visually display the state of the patient's gingival pocket based on the periodontal disease inspection data, and can further display the inspection date on the same tooth display portion. The dental information management system according to claim 1, wherein the different dental information can be visually displayed simultaneously.   The medical condition recognition display means can calculate and display the ratio of the periodontal disease location to the number of remaining teeth of the patient based on the periodontal disease examination data, and also based on the periodontal disease examination data, the average pocket depth The value can be calculated and displayed, and the display means displays a plurality of inspection data with different inspection dates in a graph by the above-described method. The dental information management system described.   2. The dental information management system according to claim 1, wherein the U-shaped dentition display means visually displays at least the presence / absence of teeth, the distinction between permanent teeth and deciduous teeth, the treatment required location, and the treatment treatment status for the missing tooth portion. It is possible to display the contents of the medical condition and the doctor's treatment policy as text information on the tooth part and the gingival part. Also in the input means, the dental information is displayed in the U-type dentition display format. The two-dimensional dentition display means is capable of visually displaying a periodontal disease site in a patient's oral cavity based on periodontal disease examination data, and the display method is a gingival display. There are two representation methods, a visual display method that can be distinguished for a part and a visual display method that can be distinguished for a tooth root display part, and these display methods can be arbitrarily changed. It is possible to visually display the plaque attachment state and the pocket state in the same tooth display part and attachment loss, respectively. In addition, in the attachment loss display, a graduation line is added to the gingival display part. By displaying, it is possible to visually display the status of acquisition of gingival retraction and adhesion based on the test result, it is possible to visually display the state of the pocket in the patient's oral cavity, The examination data having different examination dates are visually displayed at the same time on the same tooth display part, and the medical condition recognition display means is based on the periodontal disease examination data and the periodontal for the number of remaining teeth of the patient. It is possible to display the proportion of diseased sites, and it is also possible to display the average value of pocket depth based on periodontal disease test data Further, they display means by the above method a plurality of test data having different examination dates, time series computer-readable recording medium recording a dental information management program and displaying the graph.

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