JP2008301838A - Tooth kind device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To diagnose tooth periodontosis tissue with high precision at a high speed. <P>SOLUTION: This tooth kind device includes a tooth kind arranging means specified by a tooth kind, and a (tooth kind) data means capable of having one or more tooth kind data such as tooth data, periodontal tissue data, mucous membrane data, microbial data possessed by the teeth and microbial data possessed by periodontal tissue, etc. related to the tooth (kind) in the oral cavity specified by the individual tooth kind in the tooth kind arranging means specified by the tooth kind. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to antigens including microorganisms, contaminants entering or encountering the oral cavity, particularly teeth and surrounding tissues, contamination, colonization, identification of contaminants, various phases of contaminants, invasion of surrounding tissues. , Technology to detect risks.

Japanese Patent Application No. 2003-421304 tooth type reagent is a subclaim 2D Fixed Form real space two-dimensional fixed form tooth type arrangement means (tooth type equipped with two-dimensional fixed form tooth type means) Only a part of the means comprising the arrangement means) and the real space tooth type information means. In the present invention, a claim to be excluded is set, and the scope of right of Japanese Patent Application No. 2003-421304 tooth reagent is excluded from the scope of right of the present invention. Or, if there is any overlap of rights, the scope of rights of Japanese Patent Application No. 2003-421304 tooth reagent is excluded from the scope of rights of the present invention and this apparatus.

The task is to analyze and diagnose the tooth corresponding to each tooth type, the bacterial flora in the periodontal tissue, the analysis of the internal or external infection route, the analysis of nosocomial infection, the analysis of the phase of microorganisms, and the like. Thereby, accurate diagnosis and prevention are possible.
Here, the tooth type is a specific symbol (group) such as a character string, a number string, a character number string or the like that identifies individual teeth in the oral cavity.
Specifically, in the present invention, 1, 2, 3, 4, 5, 6, 7, and 8 are the most basic tooth types. In addition, UR1 (upper right 1), LL3 (lower left 3), upper left 5th, lower right 1st molar, upper right 1 (incisor), 2 (incisor), 3 (canine) ) Etc.

1 [Means of Claim 1]
The tooth type device according to claim 1 is:
The tooth type device is
Tooth type arrangement means specified by tooth type ;
In the tooth type arrangement specified by the tooth type,
One or more tooth type information such as tooth information, periodontal tissue information, mucous membrane information, tooth microbe information, periodontal tissue microbe information about the tooth (species) in the oral cavity specified by the individual tooth type And (teeth type) information means that can be provided.
2 [Means of claim 2]
The tooth type device according to claim 1, wherein the tooth type array includes tooth type form means (frame means) .
3 (Means of claim 3)
The tooth type device according to any one of claims 1 and 2, wherein the tooth type arrangement includes hierarchical means .
4 (Means of claim 4)
In the tooth type apparatus of any one of Claim 1 or Claim 3, The said tooth type information means is
Virtual space information means such as storage means, calculation means, and display means.
5 (Means of Claim 5)
5. The tooth type device according to claim 1, wherein the tooth type information means is real space information means such as a reagent means or a medium means.
6 (Means of claim 6)
The tooth type device according to any one of claims 1 and 5, wherein the tooth type arrangement includes a tooth type change means .
7 (Means of Claim 7)
The tooth type device according to any one of claims 1 and 6,
A tooth type device comprising spatial analysis means for detecting and analyzing spatial conditions such as infection of microorganisms, contamination, contamination of contaminants and the like in oral tissues including teeth and periodontal tissues.
8 (Means of Claim 8)
The tooth type device according to claim 7,
The spatial analysis means is a background analysis means for detecting and analyzing resident microorganisms in the oral cavity tissue which is the background of the tooth periodontal tissue.
9 (Means of claim 9)
The tooth type device according to claim 7,
The spatial analysis means is an internal diffusion detection means that detects colonization, infection, and diffusion from a contaminated site to another site.
10 (Means of Claim 10)
The tooth type device according to claim 7,
The spatial analysis means is an external diffusion detection means for detecting diffusion (entrance) into the oral cavity by microorganisms from outside the oral cavity.
11 (Means of Claim 11)
The tooth type device according to claim 10,
The external diffusion detection means is an air infection operator means for finding an air infection.
12 (Means of Claim 12)
The tooth type device according to claim 10,
The external diffusion detection means is a pharyngeal direction infection operator means for finding an infection from the pharyngeal direction.
13 (Means of Claim 13)
The tooth type device according to claim 10,
The external diffusion detection means is a contact infection operator means for finding contact infection.
14 (Means of Claim 14)
The tooth type device according to claim 10,
The external diffusion detection means is a hospital infection operator means for finding a hospital infection.
15 (Means of Claim 15)
The tooth type device according to any one of claims 1 to 14,
Characterized by comprising phase analysis means for detecting the pathogenic phase of the pathogenic microorganism

1 [Operation and effect of claim 1]
The tooth type device according to claim 1 is:
The tooth type device is
Tooth type arrangement means specified by tooth type ;
In the tooth type arrangement specified by the tooth type,
One or more tooth type information such as tooth information, periodontal tissue information, mucosal information, microbiological information on teeth, microbiological information on periodontal tissues related to teeth (species) in the oral cavity identified by the individual tooth type It is characterized by comprising (teeth type) information means that can have,
Information specified by tooth type can be observed. Infection, contamination, future risks, etc. can be determined from the pattern of tooth information by the arrangement of individual tooth types. Furthermore, spatial analysis and phase analysis can be observed, and a basis for applying spatial analysis means and phase analysis means is provided.
Furthermore, when using a tooth type arrangement of 2D or 3D Transformation Form, a more detailed aspect of bacterial balance, internal diffusion, and external diffusion can be clearly observed. Furthermore, the normal nature of the mucosa can be observed depending on the colony formation state in the background. Furthermore, there are cases in which the flora unique to the tooth periodontal tissue can be separated and observed from the background flora.

2 [Operation and effect of claim 2]
The tooth type device according to claim 1, wherein the tooth type arrangement includes a tooth type form means (frame means) , so that the relationship between the tooth types in the adjoining and the mating can be understood.
This allows analysis in a state where spatial analysis, phase analysis, dynamic analysis, etc. are modeled, and various observation, measurement, analysis, diagnosis and various simulations including the above analysis with the same tooth type relationship as in the oral cavity. Can do.

3 [Operation and effect of claim 3]
The tooth type device according to any one of claims 1 and 2, wherein the tooth type array is provided with a hierarchical means , and therefore can have a plurality of tooth type information.
Providing a foundation that makes spatial analysis and phase analysis very easy and powerful.
Moreover, since an array, a matrix, and a determinant can be easily formed, vector calculation can be easily performed. Of course, scalar calculation is also possible. Moreover, if the contents of the arrangement are displayed, the state of the tooth type based on various types of tooth information can be clearly observed. This can be observed (separated) for each tooth type information, or arbitrarily specified tooth type information can be synthesized and observed. This makes it very easy to diagnose a disease state.

4 [Operation and effect of claim 4]
In the tooth type apparatus of any one of Claim 1 or Claim 3, The said tooth type information means is
Since it is a virtual space information means such as a storage means, a calculation means, and a display means, it can handle tooth type information having high speed, high accuracy, and universality.

5 [Operation and effect of claim 5]
The tooth type device according to any one of claims 1 and 4, wherein the tooth type information means is real space information means such as a reagent means and a medium means. In real time, you can observe, analyze, and follow up in real time. As a result, the petri dish is visually partitioned by tooth type as an example, but the petri dish is substantially continuous with the medium, and the sample collected from the oral cavity is cultured in the medium of each tooth type in the petri dish. By this, it has the characteristic which can judge the state of bacteria balance in an oral cavity including the opposing relationship of a maxilla and a mandible at a glance.

6 [Operation and effect of claim 6]
The tooth type device according to any one of claims 1 and 5, wherein the tooth type arrangement includes a tooth type change means for changing a type (frame) of the tooth type, so that the actual oral cavity It is possible to reproduce the adjacent (neighboring) and facing (pairing) relationship. This may be an abstracted or modeled frame, or it may be a tooth shape that is not different from the oral cavity due to a realistic shape such as a three-dimensional shape, or may be a middle one.

7 [Operation and effect of claim 7]
The tooth type device according to any one of claims 1 and 6,
Since it is equipped with spatial analysis means to detect and analyze spatial conditions such as infection of microorganisms, contamination, contamination of contaminants, etc. in oral tissues including teeth and periodontal tissues Various spatial analyzes can be made on the tooth types and tooth types.

8 [Operation and effect of claim 8]
The tooth type device according to claim 7,
Since the spatial analysis means is a background analysis means for detecting and analyzing resident microorganisms in the oral cavity tissue that is the background of the tooth periodontal tissue, the tooth or periodontal tissue specified by the tooth type It is possible to analyze the background such as whether it is specific, non-specific, and if it is non-specific, it is specific to the background other than the site specified by the tooth type.

9 [Operation and effect of claim 9]
The tooth type device according to claim 7,
Since the spatial analysis means is an internal diffusion detection means for detecting colonization, infection, and diffusion from a contaminated site to another site, the internal diffusion status can be detected, analyzed, and diagnosed.
As an example, this reveals the spread of the pathological condition specific to the tooth type, thus making a great contribution to diagnosis, treatment and prevention.

10 [Operation and effect of claim 10]
The tooth type device according to claim 7,
The spatial analysis means is an external diffusion detection means for detecting diffusion (entrance) into the oral cavity by microorganisms from outside the oral cavity, so that the external environment into the oral cavity and to a specific tooth type It is possible to identify various infection routes.

11 [Operation and effect of claim 11]
The tooth type device according to claim 10,
Since the external diffusion detecting means is an air infection operator means for finding air infection, it is possible to identify microorganisms and contaminants that are air infected. This can also prevent infection.

12 [Operation and effect of claim 12]
The tooth type device according to claim 10,
Since the external diffusion detection means is a pharyngeal direction infection operator means for detecting infection from the pharyngeal direction, the pharyngeal direction, such as suggesting the possibility that the digestive organ, respiratory organ or nasal cavity is the source of infection Can suggest, diagnose, treat and prevent infection.

13 [Operation and effect of claim 13]
The tooth type device according to claim 10,
Since the external diffusion detection means is a contact infection operator means for finding contact infection,
As an example, food infection can be analyzed. This allows specific contaminated foods to be identified and dietary restrictions.

14 [Operation and effect of claim 14]
The tooth type device according to claim 10,
The external diffusion detection means is characterized by being a nosocomial infection operator means for finding nosocomial infections, and suggests nosocomial infections (especially at other clinics). This can prevent hospital infection.

15 [Operation and effect of claim 15]
The tooth type device according to any one of claims 1 to 14,
Since it is equipped with a phase analysis means for detecting the pathogenic phase of the pathogenic microorganism,
Phases of microorganisms, contamination, acid concentration, redox degree, metabolites of microorganisms, tissues, etc. are revealed. This makes it possible to diagnose the disease, the progress of the disease, and the infection status.

The tooth type device of the present invention will be described based on the embodiment or the modification shown in FIGS.
This is the embodiment. In the case photograph, the original name is written on the original, and the part is filled in. In some cases, there was clinical information in this area, but priority was given to protecting personal information.

[Configuration of Example]
The tooth type device is at least
Tooth type arrangement means .

Tooth arrangement means
Information tooth species sequence means a sequence means identified by tooth type, the specified sequence means can own some information present in the corresponding teeth or dental periodontal tissue in the oral cavity (teeth type information) Means having means. Here, the “tooth type” includes tooth types and their ranks. Specifically, the first molar is expressed by a tooth type “6”, and the second molar is expressed by a tooth type “7”. At this time, only the molar is referred to as a tooth type, and the order is not classified as first and second, but the first molar and “6” are also one of the tooth types.

  As a further example, the tooth type arrangement (means) is a square region or the like described as RU1 (here, a tooth type indicating the upper right central incisor, which is number 1 in the upper right). In the square area, tooth type information such as tooth periodontal information at the top right specified by RU1, which is one of the tooth types, is held in the tooth type array (means). Of course there are times when it is empty.

Here, the tooth types in the present embodiment below are mainly based on numbers, but any symbol, number, character, picture, or pattern may be used as long as the tooth types can be expressed, but the tooth types can be specified. It is something that is concrete or what many people recognize.
For example, 1 is a central incisor, 2 is a side incisor, 3 is a canine, 4 is a first premolar, 5 is a second premolar, and 6 is a first premolar. , 7 corresponds to the second molar, and 8 corresponds to the third molar. In the FDI (International Dental Union) system, Nos. 11, 12, 13, 14, 15, and 16 are 11 for the upper right central incisor, 12 for the upper right side incisor, 13 for the upper right canine, and 14 for the upper right 1 premolar, 15 an upper right second premolar, 16 an upper right first premolar, 17 an upper right second premolar, 18 an upper right third premolar, and the like.
The upper left is expressed in the 20s, the lower left in the 30s, and the lower right in the 40s.
As for the tooth types of the deciduous teeth, A represents an incisor in the milk, B represents a milk side incisor, C represents a canine tooth, D represents a first molar, and E represents a second molar.
Etc.

  The shape of each individual tooth, such as a nonspecific impression model, is not a tooth type but a type of tooth type information. As an example, the lower jaws 1 and 2, the upper jaws 4 and 5, or 6 and 7 and 8 are abstract that cannot be distinguished by humans even by a dentist, and are not regarded as tooth types in the present invention. However, even if there is only one premolar in the model, it is concrete if it is described as 4, and this can be a tooth arrangement (means). Moreover, even if it is set to 5, there is a specificity and it can be a tooth type arrangement.

  More specifically, the arrangement means specified by the tooth type is a test reagent such as a medium, or various information such as medium information, caries information, periodontal disease information, image information, test information, etc. ) Or any combination thereof can be held, stored, held and owned by information means.

At this time, either a virtual space tooth type arrangement that can hold information in the virtual space, a real space tooth type arrangement that can hold information in the real space, or a combination of both may be used.
As an example, there are a real space tooth type arrangement in which tooth types are marked on an actual petri dish, a virtual space tooth type arrangement in a virtual space such as a computer, and the like.

As a more specific example,
Real space tooth type arrangement means
A specific example is a tooth type array marked on a petri dish, and a reagent, a medium, or the like is inserted into the petri dish as information means .
More specifically, the petri dish (solid-line part square shape) in FIG. 1 is filled with the medium that is the information means here, and if it is the central incisor of the upper right jaw, the number 1 on the R side (representing the right side) in the upper tooth arrangement. In addition, a sample such as plaque collected from the right upper central incisor in the oral cavity is applied or inserted. At this time, one of the tooth type arranging means is an area delimited by 1 on the R side in the upper part of FIG. 1, and information that the tooth type arranging means has is culture information. This is real space information (tooth type information).
If this is input to a computer, it becomes culture information in a virtual space. In this case, the information means for information in the real space is a culture medium (reagent) in this case, and the information means in the virtual space is a storage means or simple paper. Furthermore, if information is described in the petri dish itself, the petri dish itself becomes an information means . If a photograph is taken, the photograph becomes a virtual space tooth type arrangement ( means).
Here, when the information means is a culture medium, the petri dish is a base means of the tooth type arrangement and is also a base means of the information means.

The virtual space tooth type arrangement means can be realized by the information means being any one of storage means, execution means such as calculation, display means, or a combination thereof. In this case, tooth type information can be easily analyzed and processed.

The real space tooth type arrangement means can be realized by using any of information means such as reagent means, medium means, plastic material, functional material, or a combination thereof.

  As a special example, there is a real space dental arch type arrangement. This real space dental arch type of tooth type arrangement includes use of occlusal information in which occlusion is marked by inserting wax or a compound into the dental arch type of tooth type arrangement, or bacteria are marked. At this time, of course, since the arrangement means is specified by the tooth type, it is needless to say that the identification by the tooth type is made by correspondence such as marking of the tooth type in the information of the tooth periodontal tissue corresponding to the tooth type.

As an example of the virtual space tooth type arrangement, the arrangement corresponds to the tooth type on the computer screen or in the virtual space in the storage element.
As a specific example,
struct tooth type array
{
int UR1;
int UR2;
int UR3;
int UR4;
int UR5;
int UR6;
int UR7;
int UR8;
}
Or
struct tooth type array {
int UR1, UR2, UR3, UR4, UR5, UR6, UR7, UR8;
int UL1, UL2, UL3, UL4, UL5, UL6, UL7, UL8;
int LL1, LL2, LL3, LL4, LL5, LL6, LL7, LL8;
int LR1, LR2, LR3, LR4, LR5, LR6, LR7, LR8;
}
Etc. The defect may be included in the tooth type array as empty. In addition, there is a means that the tooth type arrangement itself does not facilitate the tooth type arrangement, but in many cases, the tooth type arrangement that provides information on the empty tooth type information of the defect is good.
Here, the type of the variable may be any type such as an integer, a floating point, or a char type according to the purpose. UR, LR, UL, and LL represent upper right, lower right, upper left, and lower left, respectively. Any expression can be used as long as the expression can be expressed vertically and horizontally. Here, only UR is described. Further, a class, an array, a pointer, a subroutine, and the like may be described and expressed in accordance with the gist of the present invention. Further, a plurality of data, a plurality of types of data, or a plurality of programs (codes) may be owned and held in one tooth type. In some cases, it may be empty or “0”.
As an example, the tooth type information that is the content (variable) of the array is:
Infectivity, contamination, colonization, encounter, entry, caries index, periodontal index, pocket depth, sway, drainage, inflammation, loss of step ring, color, alveolar bone resorption, root It is pathological or physiological information that each tooth type (tooth periodontal tissue) has, such as the degree of cusp lesion.
Especially when using media,
The value is the colony level, which is the infection index at the stage when infection or microorganisms encounter or enter individual tooth types (tooth) and become contaminated or settled.

It is up to the manufacturer and the operator to decide which tooth type arrangement to use.
In addition, as described above, the tooth type device and the tooth type arrangement may require a base means separately, or only the information means, and the base means may be unnecessary or shared.

[effect]
These tooth type arrangements are the basis for examining, analyzing, and diagnosing various conditions such as spatial analysis, phase analysis, and hospital infection, internal diffusion, and external diffusion. It can be understood that the basis (sequence) is very useful in the disclosure described later. Effect of real space tooth type arrangement (means) Especially when the tooth type arrangement is applied to a medium (petri dish), the culture information in the petri dish is visually indicated by the tooth type. Specifically, the collected bacteria such as plaque and pocket contents collected from the oral cavity are cultured in the medium of each tooth type in the petri dish, so that the state of bacterial balance in the oral cavity including the opposing relationship between the upper and lower jaws , It has the characteristics that can be observed and judged at a glance.
In addition, the nature of the mucosa is determined by the colony formation state in the background. Furthermore, there are cases in which the flora unique to the tooth periodontal tissue can be separated and observed from the background flora.
Further, when using a tooth type arrangement in a two-dimensional (2D) or three-dimensional (3D) transformation form, which will be described later, a more detailed aspect of bacterial balance, internal diffusion, and external diffusion can be clearly observed.
Effect of virtual space tooth type arrangement (means) Virtual space tooth type arrangement can perform various operations and processes. It also has good storage stability. In addition, a link can be made to the electronic medical record, and the No. 1 and No. 2 medical records can be part of the information. This makes it possible to process the medical chart description and medical chart information at a high level.
Further, the virtual tooth type arrangement means may be displayed on the display means, and when the mouse cursor or the like is moved on the virtual tooth type arrangement means, the information of the tooth type arrangement or the name of the information may be displayed. This is very convenient. Of course, when there is a lot of information, a pull-down menu may be displayed.

Effect of Real Virtual Mixed Tooth Type Array (Means) Virtual space tooth type array (of tooth type information) is frozen in time, and real space tooth type array (of tooth type information) is timed, so virtual Comparison can be made based on the information of the spatial tooth type arrangement. In addition, information is stored by transmitting information from the real space to the virtual space, and conversely, observation can be started on an arbitrary time axis by returning information from the virtual space to the real space.

No frame

[Modification 1] Following frame

Furthermore, tooth type arrangement means (as an extended function)
You may provide the tooth type | mold form means (frame means) which is a means to implement | achieve the arrangement | sequence which reproduced the position or positional relationship of an actual tooth | gear (seed).

This tooth type form means (frame means) is a means for giving the position and shape of the tooth type in the oral cavity as shown in FIGS.

  Specifically, it is a means for further improving the information accuracy of the tooth type information including the width, height, shape of each individual tooth type, facing each other and the contact relationship. (Of course, the shape includes reasonable simplifications that are modeled, so it is not always necessary that the shape is closer to reality.) This allows internal diffusion from infected and contaminated teeth, and external diffusion from outside the oral cavity. In addition, the external diffusion from the pharynx, as well as the mechanical state of the tooth itself and the teeth can be grasped with higher accuracy than when only the tooth type arrangement means is used.

The tooth type arrangement | sequence which has various tooth type form means (frame means) is listed below.
[Constitution]

2D Fixed Form 2D fixed form tooth arrangement (means) (Figure 2)
Here, the two-dimensional fixed form expresses a tooth type form means (frame means) .
This is the most basic tooth type form means (frame means) . The tooth type frame (tooth type region) has a fixed tooth type arrangement (means).

Here, you may employ | adopt the tooth type form change means to change the form of each said tooth type form.
This has two or more dimensions.
As an example of tooth shape change means
Two-dimensional conversion form tooth arrangement ( two-dimensional deformation form tooth arrangement) (means)
3D conversion form tooth arrangement ( 3D deformation form tooth arrangement) (Means)
4D conversion form tooth arrangement ( 4D deformation form tooth arrangement) (means) It has a time axis such as animation and animation. Also, one dimension may be used as a time axis in three dimensions. In this case, the two-dimensional tooth shape changes over time.
As an example of a two-dimensional tooth type change means
Quadrilateral two-dimensional tooth shape change means
Polygonal two-dimensional tooth shape change means
Tooth polygonal two-dimensional tooth shape change means and the like may be employed.

2D Transformation Form 2D transformation form tooth arrangement ( 2D transformation form tooth arrangement) (means)

2D Transformation Form
Rectangle Form Rectangular shape FIG. 3 shows an example in which a tooth type width changing means for changing the width of each tooth type (one-dimensional) is adopted. The adjacency relationship is fixed. Further, the adjacent relationship may be changed using a (one-dimensional) tooth type height changing unit or a two-dimensional tooth type changing unit described later.

2D Transformation Form
Arch Form Dental Arch Form FIG. 5 shows a form in which the shape of each tooth type is approximated to a dental arch using a two-dimensional tooth shape changing means.

2D Transformation Form
Arch Form with Code Dental arch form Coded Figure 6 shows an example of D-Code, which is a form that approximates the dental arch form to the dental arch, and gives the relative position of the dental form. .
This code can identify adjacent teeth and can be used for the calculation of the front / rear and top / bottom positions such as position confirmation in the tooth type array. This is particularly effective when a computer or the like is not used. This is because in the case of using a storage element such as a computer with an address, the front, back, top and bottom are specified by the address, pointer, etc., so there is little need to create a positional relationship in the tooth type array. . Here, the median excess tooth may be provided as zero. In that case, there will be no jump in the index.
In this way, a tooth type including an analysis code in addition to the tooth type may be employed, or the tooth type and the code may be separated. In the case of separation, the hierarchical means of Modification 2 may be used. Furthermore, a code in a tooth type array may be used, or a code in a tooth type information such as a flag (flag operator) described later may be used.
The other tooth type arrangements are the same, and may or may not be coded.

2D Transformation Form
Real Arch Form Real Approximate Dental Arch (Fig. 7)
A dental arch form (frame) approximating the real thing may be created as an off-the-shelf product in advance and used as a frame for the tooth arrangement means. Here, a frame that approximates and matches each patient's dentition may be created by using the two-dimensional tooth shape changing means.

2D Transformation Form
Arch Bite Form Occlusal dental arch form (Figure 8)
Frame of occlusal tooth type arrangement means.

2D Transformation Form
Arch + Rectangle Form Teeth + Rectangle Form (Fig. 9)
It is a combination of the above 2D Transformation Form, and information from multiple directions can be obtained at the same time. Any kind of tooth arrangement may be combined.

3D Transformation Form Box Form 3D transformation form tooth arrangement (3D transformation form tooth arrangement)
This is a case where a wire frame, or a frame obtained by rendering, texture mapping, bump mapping, or the like is used as a tooth type arrangement frame.

[Operation etc.]
Here, the tooth type form unit has been using tooth type form means previously prepared forms, the timely from individual patients to obtain a two-dimensional image or a three-dimensional image of the tooth, the image or the like (teeth Seed) The tooth form may be generated using the form changing means .

In 2D Transformation Form Rectangle Form Rectangular form As a specific example, based on the (one-dimensional) a line segment drawn on the tooth in photographic upper part of FIG. 4 in FIG. 4 tooth class width change means 2 dimensional conversion form teeth The individual width and the opposite width of the seed array are given. (It is to give the position and size of the frame.) And the upper figure of the photograph in FIG. 4 is the lower figure in FIG. This is mainly useful for internal diffusion detection means.
Here, only the photograph from the front is used in FIG. 4, but the width of the tooth type such as 3 to 7 may be used as the frame width by the photograph from the side.

As another example,
For example, a tooth type array according to the FDI order may be created, and the x coordinate may be used as a width parameter. In other words, upper right, upper left, lower left, lower right
struct DAF {
Cube UR1, UR2, UR3, UR4, UR5, UR6, UR7, UR8;
Cube UL1, UL2, UL3, UL4, UL5, UL6, UL7, UL8;
Cube LL1, LL2, LL3, LL4, LL5, LL6, LL7, LL8;
Cube LR1, LR2, LR3, LR4, LR5, LR6, LR7, LR8;
}
(Here, the Cube type is a variable type that holds the coordinates of 8 vertices.)
The coordinate used here may use any coordinate type. As an example, x, y, z or x, y or x, y, θ, or two-dimensional coordinates, one-dimensional coordinates, and four-dimensional coordinates may be used.
struct MyCubeR {Cube R1, R2, R3, R4, R5, R6, R7, R8;}
struct MyCubeL {Cube L1, L2, L3, L4, L5, L6, L7, L8;}
If
MyCubeR U; you can refer to U.R1 etc.
MyCubeR * U; you can refer to U-> R1.

Here, when these variables are used in a subroutine or the like, DownConvert may be performed. An example
Cube type is converted to Rect type. Cast or Transrate
Or Line type, Xr, Xl type to higher WireFrame type → Triangle type → Line type → Xr, Xl (floating point or integer) lower higher Cube type → Rect type → Line type → Xr, Xl (floating point or integer) lower order, etc. It is.
Number 1 Down-conversion and up-conversion (to summarize)

And so on. In these specifications, the original data of the origin uses the maximum necessary data, and when used in a subroutine, only the necessary part is transferred. When this is used, high speed, low resource consumption, and high stability are achieved.
When returning, it is up-conversion and the above-mentioned → is reversed.
In this way, the mold may be changed as necessary, or may be constant. The original data may be converted into Cube or WireFrame, down-converted by a subroutine, and up-converted by a return value or the like.

Furthermore, the following Class may be used.
public ref class Core Dental Array
{
public:
DAF MyDAF;
MyCubeR U;
MyCubeL U;
MyCubeL L;
MyCubeR L;
Cube UR1, UR2, UR3, UR4, UR5, UR6, UR7, UR8;
Cube UL1, UL2, UL3, UL4, UL5, UL6, UL7, UL8;
Cube LL1, LL2, LL3, LL4, LL5, LL6, LL7, LL8;
Cube LR1, LR2, LR3, LR4, LR5, LR6, LR7, LR8;
Here, any frame may be selected.

protected:
Neb (); Neighboring contaminated tooth removal flag routine, etc.
ContactF (); Routine for contact with adjacent teeth
LplaneOcl (); Local coordinate occlusal plane routine etc.

private:

}
And so on.
Although various frames have been disclosed above, the tooth type information may be held together with, within, or in parallel with or layered with the frame. Ie
struct DA_Rect {int Rect, int tooth type information 1, tooth type information 2, ..., tooth type information n}
struct DA {
DA_Rect UR1, UR2, UR3, UR4, UR5, UR6, UR7, UR8;
DA_Rect UL1, UL2, UL3, UL4, UL5, UL6, UL7, UL8;
DA_Rect LL1, LL2, LL3, LL4, LL5, LL6, LL7, LL8;
DA_Rect LR1, LR2, LR3, LR4, LR5, LR6, LR7, LR8;
}
And so on. The first variable, Rect, holds the vertex coordinates of the frame. The second and subsequent variables hold tooth type information. Here, the tooth type information may be any integer or floating point as long as it suits the purpose. Further, the information may be dynamically increased or decreased using the tooth type information as a pointer. Rect may be a Cube or the type described above.
Furthermore
struct DA {
DAF MyDAF;
Tooth type array MyData;
}
And so on. In this case, there is an advantage that the relative frame address is constant.
Further, the hierarchization means described later may be dynamically secured and released to dynamically increase or decrease the tooth type arrangement hierarchy.
As an example,
struct DA {
DAF MyDAF;
Tooth type array * pMyData;
}
For example, * pMyData may be new or deleted to increase or decrease the hierarchical structure.
Here, the reserved area may be casted to be hierarchized. When casting and hierarchizing, the code is easy to understand for humans and has good prospects.

As a specific example, the tooth type form means may manually change and change the tooth type form using the manual tooth type form changing means , or the corresponding tooth periodontal tissue in the oral cavity. You may employ | adopt the automatic tooth-type form change means to change and change automatically according to a form . The occlusal plane may be used as local reference coordinates, and Cube, Rect, Line, or Xr, Xl may be positioned on this coordinate plane or line segment. At that time, an adjacent tooth detecting means for checking the occlusal deviation and the adjacent relationship may be provided. Then, an adjacent relationship and a non-adjacent relationship flag may be set. It is also preferable to calculate the degree of separation and determine the degree of internal diffusion.

As a specific example, the tooth type is written in a container such as a petri dish, a medium is inserted to create a tooth type array (means), a tooth type array (means) is created on a computer, a photograph, etc. The two-dimensional image and the three-dimensional image from the three-dimensional measurement may be directly input to create the tooth type array and the frame.
As an example of automatic tooth shape change means , an intraoral tooth shape tooth shape change means that reproduces the position and shape of a tooth type (tooth) by pattern matching with an actual intraoral photograph may be adopted. .

As a specific example of the two-dimensional intraoral tooth shape tooth type shape change means by oral 2D information has at tooth species form means (frame section) the initial state shape as in FIG. 10, the tooth species The shape changing means superimposes the shape information on the two-dimensional image of the dentition in the oral cavity on the frame means (FIG. 11), and the individual tooth type frames of the set dental arch of the superimposed tooth type frames are displayed in the image. Adapt to the individual tooth profile (FIG. 12) and take out the collective dental arch of the adapted tooth frame. (Fig. 13)
The tooth type change means applies this series of operations to the upper and lower jaws (FIG. 14), removes the image (FIG. 15), and occludes the lower jaw (FIG. 16). This is the completion of a tooth type arrangement (means) in which an adjacent relationship and a pairing relationship are established.

3D intraoral tooth shape tooth type shape change unit oral three-dimensional shape measurement means by oral three-dimensional information, the impression three-dimensional shape measurement means, as the tooth species form a three-dimensional shape information obtained from the model three-dimensional shape measurement means It is used as a means (frame means) , that is, as a frame. Here, it is necessary for each tooth type to correspond to the shape information and to correspond to the information means. In a specific example, a pointer of a data group of shape information is linked to a tooth type. In this case, since the three-dimensional shape exists as tooth type information, this is the simplest tooth type information in this case. In this case, the tooth type form means (frame means) is also used. Furthermore, a structure, a class, and a simple variable may be associated with a tooth type so that tooth type information can be inserted into each tooth type array.

More teeth species form changing means, said changing 2D or 3D time tooth species form of a two-dimensional to three-dimensional, may be employed time means the tooth species forms a means of extending the 3-dimensional four-dimensional .

[effect]
[Effects of tooth type arrangement (means) having tooth type form means (frame means )]
Tooth type form means (frame means) clarify the positional relationship between tooth types, internal diffusion from infected teeth and contaminated teeth, external diffusion from outside the mouth, external diffusion from the pharynx, in addition to single teeth, The mechanical state of the teeth can be grasped with higher accuracy than when only the tooth type arrangement means is used.
Effect of real space tooth type arrangement (means) Especially when the tooth type arrangement is applied to a medium (petri dish), the petri dish is visually divided into teeth (frames) by the tooth type, but it is substantially within the petri dish. The culture medium is continuous, and the bacteria balance in the oral cavity, including the opposing relationship of the maxilla and mandible, is cultivated in the medium of each tooth type in the petri dish, such as plaque and pocket contents collected from the oral cavity. It has the feature that can judge the state of at a glance.
In addition, the nature of the mucosa is determined by the colony formation state in the background. Furthermore, it has the effect that the microflora peculiar to a tooth periodontal tissue can be isolate | separated from background microflora.
Further, when using the two-dimensional (2D) or three-dimensional (3D) transformation form tooth type arrangement, more detailed aspects of bacterial balance, internal diffusion, and external diffusion become clear.
Effect of virtual space tooth type arrangement (means) Virtual space tooth type arrangement can perform various operations and processes. It also has good storage stability. In addition, a link can be made to the electronic medical record, and the No. 1 and No. 2 medical records can be part of the information. This makes it possible to process the medical chart description and medical chart information at a high level. When using the three-dimensional shape information as the tooth type form means (frame means), the tooth type form means (frame means) provides the positional relationship closest to reality and can also be used as shape information as tooth type information. ) May be part or all of the tooth type information. In another example, even in a two-dimensional square, if the area is the same as that of a real tooth, the tooth type forming means (frame means) will be provided with partial tooth type information, etc. ) May be part or all of the tooth type information. A two-dimensional square can represent a plaque index that dyes teeth.
Further, the virtual tooth type arrangement means may be displayed on the display means, and when the mouse cursor or the like is moved on the virtual tooth type arrangement means, the information of the tooth type arrangement or the name of the information may be displayed. This is very convenient. Of course, when there is a lot of information, a pull-down menu may be displayed.

Effect of real virtual mixed tooth type arrangement (means) Take a time-division photograph of the tooth type medium that is the real space tooth type arrangement (means), and use the virtual space tooth type arrangement (means) created at the time of the real space tooth type By comparing with the tooth seed medium which is the arrangement (means), the culture information can be temporally compared.
The dyeing information is recorded in a frame created based on the oral photograph taken at the first visit (such as the upper photograph in Fig. 11) and recorded as a virtual space tooth arrangement (means). It can be used to measure the time when the same tooth brushing state as the previous time is measured by comparing with the virtual space tooth type arrangement (means) at the time.
In addition, there is an effect that the identity can be easily confirmed by comparing the actual tooth in the oral cavity with the virtual space tooth type arrangement.

[Modification 2]
Furthermore, tooth type arrangement means (as an extended function)
Hierarchy means for hierarchically holding tooth types and information (one or more tooth type information) may be employed. (Fig. 17)
Especially in the case of paper, if the tooth type is described in the frame, the tooth type information can be described if the frame is large. However, even in this case, the frame may be enlarged and deformed, and the information held in the frame may be distorted. Writing small is difficult to see, and writing in small is limited and inconvenient. For this reason, it is convenient to use hierarchical means such as writing the tooth type on the back of the transparent or translucent paper and writing the tooth type information on the table.
Here, in addition to the layer means, a frame external tooth type description means for describing the tooth type outside the frame may be adopted to solve the problem, but the description of the tooth type is an obstacle. Therefore, a tooth type device other than the frame external tooth type description means may be used.
Here, the hierarchical means can be realized particularly simply in the virtual space tooth arrangement as described above.
Furthermore, the tooth type array may be stacked on the tooth type array by a hierarchical means. In this case, occlusion observation, mechanical relationship by occlusion, mechanical analysis, opposing analysis by occlusal relationship, and the like can be performed.
Furthermore, the number 1 chart may be mounted on the uppermost portion of the virtual space tooth type arrangement by the hierarchical means.
The hierarchy switching of the hierarchy means may be fade-in / fade-out, a front / back structure by rotation, or display switching by instantaneous replacement.

[Modification 3]

Here, the tooth type device may include tooth type information input means .

Tooth type information input means (may be performed by humans)
Which teeth (species) are caries, such as carious teeth, missing teeth, restorations (during treatment, time after treatment, leak condition, etc.), pocket depth, sway, bleeding, drainage, alveolar bone resorption, inflammation, etc. Input means for inputting the state of individual teeth (species), such as whether or not, which teeth are missing, and which teeth are repaired.

As a specific example of tooth type information input means
The colony image data conversion means (may be performed by a human)
There is tooth type information input means such as conversion from a simple image to colony level (numerical value) data for each tooth type.

Here, the colony image data conversion means is
Imaging means for photographing a tooth seed medium, block image means for converting the captured image into a block image that is a pixel or a collection of pixels, and a tooth seed area means for detecting or recognizing a tooth seed area in the block image A colony level detecting means for detecting a colony level in the detected or recognized area; and a tooth type matching means for matching the detected colony level with the detected or recognized area to match a tooth type. .
This may be input to the tooth arrangement means by a human reading keyboard or mouse.

[effect]
Since tooth type information can be automatically input, it is convenient and has little trouble.

The above means are selected, used and manufactured by an operator or manufacturer.
Also, here, Streptococcus mutans (Stm) Streptococcus mutans (Lactobacillus (LB) Lactobacillus, Candida (CA) Candida), which are representative microorganisms in the three phases of caries, are named in the parentheses in this application. The abbreviations displayed may be used.
Here, Candida, especially Candida albicans is important in phase 3 caries.

The first embodiment is a tooth type device that employs spatial analysis means .
Specifically, the spatial analysis means uses the colony level, which is the infection index at each stage where infection, that is, microorganisms encounters or enters , enters , contaminates , and colonizes each individual tooth type as a value, and tooth type information. It can be held by the holding means.

Here, regarding infection as a tissue (tooth periodontal tissue), the first stage is encountered (entry), the second stage is contaminated, and the third stage is established.

  And the space analysis means which analyzes this colony level in the positional relationship of a tooth type form means (frame means) is provided. A certain amount of spatial analysis is possible even without the tooth type form means (frame means). However, the use of the frame means enables more accurate analysis.

[First Embodiment]
The first embodiment is a tooth type device that employs at least spatial analysis means.

[Constitution]
The spatial analysis means employs any one of background analysis means (dental resident / non-dental resident determination means), internal diffusion detection means, external diffusion (contamination) detection means, or a combination thereof.

Background analysis means (tooth resident-non-tooth resident determination means)
[Constitution]
Background analysis means
A logic circuit having at least one threshold or a comparator is provided.
Here, the input value range is set to a range of 0% to 100%.

[Modification]
It is preferable to employ the following means as the preprocessing means.

The tooth type information input means is means for automatically inputting information for each tooth type to a computer or the like as described above.

The scanning search means has either a binary scanning search means or a multi-value scanning search means, or a combination thereof.
Binarized scanning search means A counting means for scanning and searching for information on the tooth type array and counting the presence or absence of individual information on the tooth type array is provided.
In a specific example, if there is a colony in each tooth type arrangement (information means), if there is no colony, 0 is incremented and the total value is held in the storage means. Then, the number of teeth scanned in parallel is counted and the number is stored in the storage means or the like. That is, two values, that is, the number of infected teeth in which a colony has occurred and the number of teeth to be scanned are stored in the storage means or the like. Here, the entire tooth is scanned and searched so that the number of teeth scanned and searched becomes the number of remaining teeth.
Furthermore, when the dental caries tooth is included in the tooth type information, a specific lesion site tooth type information amount subtracting means that performs scanning search may be employed by excluding the count in advance.

The ratio calculation means indicates what percentage of all scanning search teeth are infected by teeth.
Ratio = number of infected teeth / number of teeth searched for scanning
Is calculated and output.
Here, the ratio of contaminated or fixed teeth is calculated.
(The number of teeth to be scanned is the number of teeth scanned and searched.)

Multi-value scanning search means A summing means for scanning and searching for information on the tooth type array and adding the individual information amounts of the tooth type array is provided. Not used here,
In a specific example, it may be output that there is no background information if it is greater than 1 and there is background information if it is 1 or less, compared to the average colony level due to caries or the like.
Further, when carious teeth are included in the tooth type information, a specific lesion site tooth type information amount subtracting means for subtracting the average colony level from each tooth type information in advance and performing a scanning search may be employed.

And the background analysis means (dental resident-non-dental resident determination means)
Scan search rate result value Display contents (output value)
100% → +3 Strongly present especially in the background (non-dental normal)
90 to less than 100% → +2 Residently strong in the background (non-dental normal)
70 to less than 90 → +1 Weakly present in the background (non-dental normal)
Less than 50-70 → ± False positive or unknown Less than 50% → − Infection with specific teeth or strong presence in teeth (dental presence)
It is means. Here, the scanning search ratio result value is the total value / number of test teeth for each tooth when the number of test teeth is 28, the presence / absence of colonies is present in each tooth (each tooth type), and 1 is not present. It is a value calculated at. In FIG. 28, the top and middle are 100%. The bottom is 72%.
Here, this value may be a continuous value, an intermittent value, or a multi-value instead of binarization.
This threshold value may be set individually. As an example, only 100% is resident, and less than 100% is resident.

However, the presence of carious teeth in CA and LB is important. It may be used after treatment or prevention, or after using a carious tooth colony level removing means for removing the caries tooth colony level.

[Operation]
The tooth type information input means stores the results of collecting and applying a sample such as plaque from the corresponding tooth type in the oral cavity on each tooth type in the tooth type medium and storing it as tooth type information in the storage means in which the tooth type information is arranged Keep in memory. Based on this information, the scanning search means performs a scanning search, and the ratio calculation means converts the value into a ratio , and the tooth resident / non-tooth resident determination means (background analysis means) obtains and outputs one of the results. indicate.
As a specific example, the background analysis means analyzes the LBT tooth seed medium in FIG.
As a result, an output value of +3 is output, which is particularly strong in the background (non-dental normal).
Here, as an example, the background bias may be obtained by using a background bias level detection means for obtaining an average of other teeth except for a tooth in which a colony band appears.
Then, if the obtained level is subtracted from the colony level of the tooth type information, only the colony band appearing from the tooth is found.

Internal diffusion detection means
Internal diffusion detection means to detect the diffusion (contamination) between internal environments,
Confirmation of diffusion detection from carious teeth (infection source) (adjacent tooth level 1, adjacent tooth level 2) (internal diffusion)

[Constitution]
Internal diffusion detection means
A neighboring search means for detecting neighboring teeth of a tooth (tooth type) of an infection source or a contamination source;
At least internal diffusion scanning search means .

Here, the nature of the source and the operator are shown in FIG.

Level 1 configuration
The adjacent search means employs an operator (means) that uses a tooth type that is in contact with the frame as a adjacent tooth in a tooth type array that holds certain infection information as tooth type information. This operator sets an adjacent tooth flag in the tooth type information of the adjacent tooth. (FIG. 20) Here, the operator may be an operator means.
In a specific example, as shown in FIG.
1 Set DCF caries flag
DCF = 1 for caries, DCF = 0 for healthy
2 Set MCF colony flag
MCF = 1 if colony, MCF = 0 if not
3 NCF Calculates the adjacent flag for each adjacent tooth (only one if there is one adjacent tooth)
0 if the source of infection, 1 if not, ie
(N_DCF & N_MCF) ^ operator (means)
NCF = (N_DCF & N_MCF) ^ Calculate the NCF flag.
Here, ^ is an inverter and inversion. In FIG. 19, FIG. 20, etc., it is represented by an overline (an example of calculation: 1 ^ = 0 0 ^ = 1)
4 Set NCF Total Neighbor Flag (Basically, NCF from all adjacent teeth is ANDed. In other words, if there is an infection source at one location of adjacent teeth, NCF is 0.) Total NCF is NCF And
5 CiC_MCF = {NCF or (DCF & MCF)} and MCF
Here, MCF may use colony levels (1, 2, 3, 4, etc.) which are MCDs.
By using this operator, it is possible to remove only the contaminated tooth from the calculation and display, or conversely display or calculate only the contaminated tooth.

Level 2 configuration The above-mentioned CiC_MCF is as shown in FIG.
CiC_MCF = {(N_N_DCF & N_N_MCF & N_MCF) ^ or (DCF & MCF)} and MCF
As a result, level 2 is the internal diffusion even when there is an infection source in the adjacent tooth.
Again, the MCF may use colony levels (1, 2, 3, 4, etc.) that are MCDs.
Here, you may provide the flag which shows whether it is an adjacent tooth | gear or an adjacent neighbor. This is determined by using adjacent tooth detection means (this includes the upper and lower jaw adjacent relations) such as whether they are adjacent or separated by the values of Cube, Rect, Linw, Xr, Xl, etc. You may do it. The above-mentioned operator may be used by setting an adjacent flag according to the value.

[Operation]
The internal diffusion scanning search means scans and searches the adjacent tooth flag in the tooth type information, ANDs the value and the healthy tooth flag (health tooth) existing in each tooth type array, and calculates the value as the internal diffusion flag. As a flag, the internal diffusion information provided in the first layer of the tooth type array is flagged, or only the contaminated teeth due to internal diffusion are removed. The result is displayed on the display means. Alternatively, only the contaminated teeth may be displayed.

[effect]
Can detect, test and diagnose microorganisms specific to teeth and tooth diseases. In addition, the background, that is, microorganisms resident in tissues such as mucous membranes can be seen.
The location and source of infectious microorganisms and pollutants are identified. As a result, the infection ring can be accurately cut.
Further, since a tooth having only contamination is found as a result of internal diffusion, the tooth having only contamination can be prevented from being overtreated such as by performing cleaning.

External diffusion detection means
External diffusion detection means for detecting diffusion (contamination) from the external environment
1 Air infection operator means
Using the operator in the upper diagram in Fig. 21 The upper operator is the D-Code specification (processing at the tooth arrangement level).
The lower operator is an operator according to the eC Flag specification (processing at the tooth type information level).
I understand the suspicion of air infection.

The D-Code specification means that only the named array is used for the operation. That is, only -7, -1, +1, +7 tooth type arrays are used for the calculation. As a result, the tooth type information (here, the colony level) in this arrangement is displayed. The same applies to the following pharyngeal and contact infections.

The eC Flag specification is multiplied by a colony flag or a colony level, and the result is stored in a storage unit or displayed on a display unit. In addition, the individual values of these results, which are tooth type information for each tooth type array, may be calculated and displayed as a result of each calculation, or the value divided by the total value of tooth types or the average value may be adopted. May be. Furthermore, the calculation may be performed separately for the upper jaw and the lower jaw, or the entire jaw may be used.
Each of these refers to an air infection amount, a pharyngeal direction infection amount, and a contact infection amount.

However, be careful when the background information cannot be removed. Examples include the presence of infected teeth in CA and LB, and background information due to the presence of mucous membranes such as LB. These are basically used after treatment and prevention. That is, it is particularly effective at the time of reinfection and recontamination.

2 Pharyngeal direction infection operator means (in the mobility of air, liquid, fluid, solid, contaminated objects)
The operator in FIG. 21 is used.
The operator above is D-Code specification,
The operators below are operators according to the eC Flag specification.
I know the suspicion of pharyngeal infection.

3. Contact infection operator means (food infection operator means)
The operator (Operator) in the lower diagram of FIG. 21 is used.
The operator above is D-Code specification,
The operators below are operators according to the eC Flag specification.
I know the suspicion of contact infection.

4 Hospital infection operator means
A flag for identifying the tooth being treated is set in one level of the tooth type information. The flag has a value of 1 or 0, the treatment tooth is 1, and the others are 0.
This value is multiplied or logically multiplied by the infection flag which is the tooth type information of another layer. The value is stored as a nosocomial infection preparatory flag.
At level 1, if this nosocomial infection preparatory flag is present, the nosocomial infection is displayed and output.
At level 2, the nosocomial infection preparatory flag and the adjacent tooth flag of the adjacent tooth are displayed, and the suspicion of nosocomial infection is displayed and output.
At level 3, the nosocomial infection preparatory flag and the infected tooth flag of the adjacent tooth are displayed, and the suspicion of nosocomial infection is displayed and output.
At level 4, the nosocomial infection preparatory flag and the infected tooth flag of all teeth are displayed, and the suspicion of nosocomial infection is displayed and output.
As an example, the hospital infection operator means calculates CAT in FIG. Then, UL7 gets 1 if the colony level is binarized, and 1 if it is multi-valued. Here, if the colony level is 3, it is 3 in the case of multi-value. As a result, a suspicion of nosocomial infection is displayed and output.


Or any combination thereof.

The above means may be realized in hardware even in a virtual space.

[Operation]
The operator means scans the tooth formula. Then, the colony level for each tooth type is displayed for each tooth type. Here, the background level operator may cancel the background.
Then, use individual operators to see the results on display means.
0 No abnormal location 1 Suspected of airborne infection
2 Suspected pharyngeal infection 3 Suspected contact infection 4 Suspected nosocomial infection is displayed.

[effect]
Examinations and diagnoses such as encounter or entry of microorganisms into the periodontal tissues, contamination, and colonization are possible.
Spatial analysis is possible.
The internal diffusion detection means reveals contamination and fixation from a tooth having a specific disease state to another tooth.
In addition, it can be determined whether the microorganism is resident in the mucous membrane or the microorganism only in the tooth.

External diffusion detection means
Demonstrates the ability to identify infection routes and external infection sources. As a result, the preventive measures become concrete and the preventive effect is further improved.

[Second Embodiment]
The second embodiment is a tooth type device that employs phase analysis means .
The phase analysis means has a plurality of tooth type arrangements (means) of one oral cavity unit, and performs analysis between the plurality of the same tooth types. Here, it is preferable that the tooth type forming means (frame means) exist, but a certain degree of phase analysis is possible even if the tooth type forming means (frame means) is not present.
In particular,

[Constitution]
The tooth type device of the second embodiment is
Phase analysis means for comparing and analyzing tooth type information held in two or more tooth type arrays and the tooth type information, and the tooth type information;
Is provided.
here,
Hierarchy means for hierarchizing data into each tooth type of the phase data virtual space tooth type array (means) ;
May be provided.
Then, the phase analysis may be performed on the layered phase data by the phase analysis means.

In one specific example, a known lactobacillus medium that selectively cultures Lactobacillus (abbreviated as LB) is used as a tooth type information (means), and the other is known as a selective culture of Candida (abbreviated as CA). A tooth type medium adopting a Candida medium as tooth type information (means) is prepared, and the culture result is input to the tooth type array of the computer. That is, two sets of virtual space tooth type arrangements (means) of LB and CA are completed.
These two virtual space tooth arrangement (means)
Provide with phase analysis means .
Here, the phase analysis means is constituted by a calculation function of a computer. Of course, it may be realized by hardware.

That is,
The phase analysis means α operates as a comparison means for each individual tooth type as shown in FIG.
That is, the comparison means for comparing the same tooth type of two or more tooth type arrays individually compares the tooth type information. Ie
If LB (tooth type information)> CA (tooth type information), LB is assumed to have a fast phase,
If LB (teeth information) <CA (teeth information), CA is in early phase,
If LB (teeth information) = CA (teeth information), the same phase is set. Of course, phase analysis may be performed using bacteria other than LB and CA. Here, LB (tooth type information) is a colony level or the presence or absence of a colony. Of course, other tooth type information may be phase-analyzed.
Then, a phase statistic means for calculating a statistical value such as the sum, average, median, etc. of the individual phase situations may be employed.

In the phase analysis means β, the comparison means compares all positive tooth type results in the individual tooth type arrays.
A comparison means for comparing the same tooth type of two or more tooth type arrays;
Positive tooth type calculating means for calculating the number of positive tooth types among all tooth types, which is tooth type information in one tooth type array.

When the phase data means is employed here, the phase data means scans these two sets of the same tooth types and arranges them hierarchically in the information means for each tooth type in the phase data virtual space tooth type arrangement (means) .

[Operation]
As shown in FIG. 18, one is a tooth type medium that is used as a tooth type information means for selectively cultivating Lactobacillus (LB) using the upper LBT medium, and the other type is a tooth type information means for selectively cultivating Candida (CA) using the lower CAT medium. It is set as the tooth seed medium employ | adopted as. Then, the phase analysis means analyzes the phases of both for each specific tooth type. (See Figure 22)

Phase analysis means α
First, the background analysis means described above subtracts colonies that do not depend on the background tooth.
As a result, the tooth type information (colony level) in the individual tooth type array of FIG. 18 has the following values.
LB tooth type arrangement, tooth type information CA tooth type arrangement, tooth type information
UR1, 0 UR1, 0
UR2, 0 UR2, 0
UR3, 0 UR3, 0
UR4, 0 UR4, 0
UR5, 4 UR5, 3
UR6, 4 UR6, 3
UR7, 4 UR7, 2
UL1, 0 UL1, 0
UL2, 0 UL2, 0
UL3, 4 UL3, 1
UL4, 4 UL4, 2
UL5, 4 UL5, 3
UL6, 4 UL6, 3
UL7, 4 UL7, 2

LL1, 0 LL1, 0
LL2, 0 LL2, 0
LL3, 0 LL3, 0
LL4, 0 LL4, 0
LL5, 4 LL5, 1
LL6, 4 LL6, 2
LL7, 4 LL7, 3
LR1, 0 LR1, 0
LR2, 0 LR2, 0
LR3, 0 LR3, 0
LR4, 0 LR4, 0
LR5, 0 LR5, 0
LR6, 4 LR6, 1
LR7, 4 LR7, 0


Then, the comparison means compares in order as shown in FIG.
UR1, unknown
UR2, unknown
UR3, unknown
UR4, unknown
UR5, LB (4)> CA (3)
UR6, LB (4)> CA (3)
UR7, LB (4)> CA (2)
UL1, unknown
UL2, unknown
UL3, LB (4)> CA (1)
UL4, LB (4)> CA (2)
UL5, LB (4)> CA (3)
UL6, LB (4)> CA (3)
UL7, LB (4)> CA (2)


LL1, unknown
LL2, unknown
LL3, unknown
LL4, unknown
LL5, LB (4)> CA (1)
LL6, LB (4)> CA (2)
LL7, LB (4)> CA (3)
LR1, unknown
LR2, unknown
LR3, unknown
LR4, unknown
LR5, unknown
LR6, LB (4)> CA (1)
LR7, LB (4)> CA (0)

And the result is stored in the storage means or displayed on the display means.

Here, a simple comparison means in the phase analysis means α is adopted,
The simple comparison means scans with LB positive and 1 CA negative tooth type, LB negative and 0 CA positive tooth type, LB positive and 12 CA positive. As a result, the phase analysis means may display that LB is earlier in phase than CA.

Phase analysis means β-1
Furthermore, the number of positive tooth types calculating means β-1
In the upper jaw, 8 LB positives and 8 CA positives are calculated, and the comparison means is LB = CA.
In the lower jaw, 5 LB positives and 4 CA positives are calculated, and the comparison means LB> CA.
Then, the phase analysis means adopts the one having a phase difference, and displays the phase result on a display device or the like when the phase is LB early.
Here, since LB is a bacterium of phase 2, CA becomes phase 3.

Phase analysis means β-2
Furthermore, the positive tooth number calculating means β-2 here,
The phase analysis means may analyze the phase in more detail by multiplying the positive tooth by the colony level.
That is, the total LB positive colony level in the upper jaw is 8 x 4 = 32,
The total CA positive colony level was calculated as 4 × 3 + 3 × 2 + 1 × 1 = 19,
32 (LB)> 19 (CA) and the phase is LB early.
In the lower jaw, the total LB positive colony level is 5 x 4 = 20,
The total CA positive colony level is calculated as 1 × 3 + 1 × 2 + 2 × 1 = 6,
The comparison means 20 (LB)> 6 (CA), and the phase is assumed to be LB early.
Here, since LB is a bacterium of phase 2, CA becomes phase 3.

Phase analysis means β-3
Furthermore, the positive tooth number calculation means β-3 here has an average LB positive colony level of 32/8 = 4 in the upper jaw,
The average CA positive colony level was calculated as 19/8 = 2.375,
When 4 (LB)> 2.375 (CA), the phase is fast in LB.
The average LB positive colony level in the lower jaw is 20/5 = 4,
The average CA positive colony level is calculated as 6/4 = 1.5,
Assume that the comparison means is 4 (LB)> 1.5 (CA) and the phase is LB early.
Here, since LB is a bacterium of phase 2, CA becomes phase 3.

The phase analysis means calculates the phase. Here, which calculation means is used can be freely selected by the operator and the manufacturer.

Here, in LB and Streptococcus Mutans (Stm), since it is known that Stm is the phase 1 initial phase and the subsequent phase is LB, LB is phase 2, and CA is phase 3 based on the above result.
As time progresses further, CA-positive tooth types will increase. This increasing tendency is also a material for determining phase information.

[effect]
It has a plurality of tooth type arrangements (means) of one oral unit, and collects information as if skewering the same tooth type information among the same tooth types, or total positive of each tooth type arrangement, Collect information such as total negatives. With this information, the pathogenic phase of the microorganism is revealed.

[Modification]
In the above, caries bacteria are taken as an example, but the phase of periodontal disease bacteria may be analyzed.

[General modification]
Here, spatial analysis, phase analysis, and nosocomial infection analysis may be performed in the human brain. In this case, it becomes a diagnostic patent in medical practice.

As the medium, LB medium, CA medium or the like is used, but Porphyromonas gingivalis (PG), Prevotella intermedia (PI), Tannerella forsythensis (TF) medium may be used.
In these anaerobic bacteria culture media, metal potassium, metal lithium, and metal magnesium may be added to the hemolyzed blood at the time of manufacture, and freeze-thawed. In that case, KOH and hydrogen are generated in the hemolyzed blood. Of these, KOH is later used as a pH adjusting agent for the medium, and hydrogen becomes a reducing agent for preventing oxygen exposure of the hemolyzed blood and can protect the hemolyzed blood.
Alternatively, hydrogen gas may be circulated to generate dissolved hydrogen.

  Tooth type information includes pocket depth, mobility, alveolar bone resorption, periodontal restoration properties, caries index, periodontal disease index, pocket internal properties, inflammatory cell infiltration, plaque and pocket pH, dental plaque Any information that can be specified by the tooth type, such as the oxidation-reduction potential in the pocket, dyeing information, α-glucan information, microbial metabolites, and microbial degradation rate, may be used.

The embodiment or modification of the present invention may be realized in a virtual space or by hardware.
The individual means may also be virtual space to means or real space to means.
Operators may also be combined with operator means.

The above-described embodiments or modifications may be implemented alone or in combination.
As an example, it may be combined with Japanese Patent Application No. 2002-137841 health measurement examination apparatus or Japanese Patent Application No. 2007-22525 Final Framework (FF).
It is particularly suitable for use on page 0 of the final framework. In addition, the intraoral photo of page 0 includes the upper and lower jaw occlusal photo (2 images in FIG. 14), the frontal image (FIG. 4), and the side photo (front photo such as 3-7) (not shown) 2 When page 0 is set to any one of the sheets or a combination thereof, the contact-pair relationship as described above is also found, which is very convenient as described above. Furthermore, it is very convenient in cooperation with other functions of FF.

As a more specific example, in combination with a plaque feature pH measurement device, the plaque feature pH is registered for each tooth surface as tooth type information. When this measurement is repeated for each period, the phase (information) at pH is obtained. can get. If the progress of dental caries is placed in another layer, three phases can be compared: the phase of C0, C1, C2, C3, C4, the phase of the plaque feature pH, and the phases of Stm, LB, CA. . As a result, it is possible to find a case where the risk of dental caries can be determined only by the plaque feature pH.

Here, the characteristic pH is a characteristic pH of plaque described in Japanese Patent Application Nos. 2003-38874 and 2002-137841, and specifically, Japanese Patent Application No. 2003-38874. The curve described in FIG. 8 represents various typical plaque characteristics pH.
When sucrose solution (5% as an example) is used as a reagent, 1 The initial peak (maximum value) means the consumption of a buffer mainly derived from saliva dissolved in plaque. When the sucrose solution is dripped into the plaque, microorganisms in the plaque decompose the sucrose to produce acid. The acid from the microorganisms consumes the dissolved buffer (phosphate buffer, carbonate buffer, etc.) in the plaque. When the pH measurement means starts zero, the time constant of the pH measurement means, and the acid and buffer 3 A maximum is observed due to two effects.
Here, in most cases, ΔpH takes a positive value. Of course, it greatly depends on the time constant of the pH measuring means.
(Roughly speaking, the more buffer, the less acid produced, the greater the amplitude at the peak top, and the less acid production per unit time, the smaller the rate of ΔpH leading to the peak.)
(Here, if the time constant of the pH measuring means is sufficiently early, the time when ΔpH becomes negative is almost the time when the buffer disappears.)

2 Subsequently, the acid produced from the microorganism causes the buffer to be consumed and disappears, and the pH value decreases from the maximum value. (ΔpH is a negative value) Then, a minimum pH (minimum value) is reached, and the pH increases. (ΔpH is a positive value) and an equilibrium state is reached.

3 Here, various microorganisms exist in the plaque, and some microorganisms produce relatively strong acids such as lactic acid, and there are microorganisms that decompose these strong acids into weak acids. This is the minimum value, and the phenomenon that the pH increases from the minimum value.
This is a second buffer when the saliva buffer (buffer) is the first buffer.
Conventionally, recovery of dental plaque pH has been limited to this saliva buffer, but the effect of recovery (degradation and elimination of acid) of pH by the secondary buffer due to this microflora is also extremely high. In some cases, it seems that the saliva buffer contributes to the elimination of acid. (Perhaps these microorganisms use H protons.)
What is more important is where the microorganisms decomposing the strong acid are present in the positional relationship with the tooth. If the bacteria such as Stm and these degrading bacteria such as lactic acid are located further than the tooth in the positional relationship with the tooth, the tooth is protected.
Of course, it is recommended to use a quantified reagent such as a dropper as a measuring probe and dropping reagent for collecting plaque.

Further, as an example, in combination with the microscope in Japanese Patent Application No. 2002-137841, measurement of the destruction product of leukocytes may be used as tooth type information.

Diagnostic accuracy in dentistry will be much higher and faster than current status.

Here, the contents described in the following paper suggest one of the industrial applicability.

Article insertion site
Importance of dental media
Can Candida be eradicated like pressure ulcers?
Can you identify a place to break the infection ring?
Especially the threat and inspection of caries bacteria in phase 3 (final phase), the path to eradication and eradication



Can remove Candida in your mouth?
Infection ring is cut off. Step1 Infection ring is cut off Step 1

Candida (hereinafter referred to as CA) is a final phase infection in dentistry and medical departments (with exceptions), and various troubles such as digestive organs, respiratory organs, vagina and other infectious diseases It has caused various problems such as infections accompanying malignant tumors, inadequate organ transplantation, and ocular opacity. Furthermore, CA has been said to be a resident bacteria, and it has been almost impossible to eliminate bacteria and infection.
However, according to dental analysis, spatial analysis, phase analysis, and temporal analysis of oral teeth (including background tissues such as periodontium) revealed that the most prominent source of infection (residence) is carious teeth. Has become very clear and clear. As a result, the CA sterilization rate in the oral cavity became almost 100%, and only a slight degree of contamination was observed in some cases with respect to reinfection, and these contamination cases could be easily decontaminated. This became a very useful phenomenon for the identification of the route of infection and therefore enabled the cut off of the infection ring in CA.
Thus, examination, diagnosis, and treatment using a dental seed medium are bringing light of solutions to many difficult cases for CA infection that have been given up as resident bacteria.

First, one of the materials for determining whether CA is a resident bacterium in the oral unit (result of the remaining periodontal tissue) is shown below. Table 1 shows the results of the oral unit of CA at the first visit in our clinic for the past 4 years.

Table 1 Number of patients examined at the first visit 353 (use of chromoager slant medium)

Methods 1
For screening positive patients, this is collected from the whole tooth with a sterilized cotton swab as shown in the upper part of Photo 1, and applied to the slant medium in the middle of Photo 1 for inspection. Of course, when tracing the cervical part, it means tracing the entrance of the periodontal pocket, and also sampling soft tissues such as marginal gingiva and interdental papilla around the extracted tooth. (Refer also to the findings from LBT.) Further, the application to the tooth seed medium described later was applied to each individual tooth. Lower row of Photo 1
Medium Most of the medium used is chromoager. Some WVG Candida medium was used, but any medium can be used as long as Candida grows selectively. However, chromoager is superior to other media in that it can provide a rough differential diagnosis of CA.

These results highlight the strong possibility that CA is not a resident bacteria.
Table 2 shows the results of the above Table 1 classified by comparing the colony level of CA and the DMFT index.

Table 2 CA inspection and DMFT in the whole oral cavity (tooth, periodontal tissue)

It can be seen that patients with positive CA have high DMFT overall, and very high DMFT at +4. This suggests the possibility of caries specificity and the strong possibility of playing a major role in the final phase of caries. CA may also be viewed as a trend that may be hospital-acquired for dental caries treatment at dental clinics. However, regarding nosocomial infections, it is likely to be statistically said that the SD is large only as a result of this entire oral survey, and as a result there is no significant difference in the possibility of nosocomial infection, so it may be necessary to consider it together with the spatial analysis described later Absent.

Methods 2
Based on the above results, a new medium and phase analysis means for designing spatial analysis means and phase analysis means were designed and created. The medium is the tooth seed medium shown in the lower part of Photo 1. In order to enable extraction according to the tooth type, an area was provided according to the type of tooth. Then, as described above, sampling is performed from the tooth periodontal tissue corresponding to the region. Then, spatial analysis and phase analysis are performed on the tooth type information of the tooth type medium. If you look at the test results in the dental media shown below, the properties of CA (especially where you live) will clearly appear.

CAT (Candida Teeth Medium)
As an example, as shown in Photos 2, 3, 4, etc., in the case of minority tooth infection, detection from a specific tooth is often seen relatively cleanly. In particular, caries that cannot be interpreted by X-rays as in Photo 4 can be captured with high sensitivity. (In this case, we chose a case that can be seen.)
Table 3 shows the state of the teeth in which CA was detected. Table 3 shows a breakdown of 60 patients who underwent CAT examination among 143 CA positive patients among 353 CA examination patients in Table 1. There are 1493 teeth (including 11 Bridge Pontec) examined.

Table 3 60 patients with CAT Number of remaining teeth 24.9 teeth / person

[Spatial analysis]
The total carious teeth from C1 to C3 in 452 teeth in which CA is detected is 329 (72.8%). And 46 adjacent healthy teeth (true healthy teeth + treated healthy teeth) (10.2%) and 66 healthy teeth (true healthy teeth + treated healthy teeth) (14.6%) that are not adjacent teeth. ing. This is mainly detected in teeth that are not carious teeth in the case of multiple tooth infections as shown in Photo 5 and appears to be resident bacteria.
However, spatial analysis of the dental caries of those non-cariogenic CA positive teeth
Of the 46 positive teeth in the adjacent healthy teeth , 24 of which the end powder was found were removed by cleaning after caries treatment (professional cleaning) or home care brushing. Twenty-two teeth were unknown.
Of the 66 positive teeth in healthy teeth that are not adjacent teeth, 36 of which the end powder has been found have been removed by cleaning after caries treatment or home care brushing. There are currently 30 teeth with unknown progress.
They are,
Caused by internal diffusion (from carious teeth) It is thought to be due to minor infections such as those due to external diffusion (air, meals, splashes, other tissues, nosocomial infections, etc.), ie contamination as described below.
The above results can be interpreted as suggesting that it is reasonable and necessary to classify and consider CA infection in three stages.
1 Encounter with organization (possibly entering)
2 Tissue contamination A stage that can be removed by cleaning. The absence of a lesion,
3 Establishment in the tissue Stage of establishment in the lesion. It is also the establishment (stage) of infection.
It is. CA detection from true and treated healthy teeth in Table 3 is mostly sterilized by cleaning, etc., whereas removal from carious lesions is not sterilized without caries treatment. That is the basis and necessity of this three-stage classification.

And 24 caries CA positive adjacent healthy teeth that are strongly suggested as internal diffusion teeth from 329 CA positive teeth in carious teeth, and contamination was removed by cleaning etc. and either internal diffusion or external diffusion or its The total number of 36 non-neighboring healthy teeth that could have been combined and whose contamination could be removed by cleaning or the like is 389, which is 86.1% at 389/452. Furthermore, since the dummy is a result of external or internal diffusion, the total of 11 dummy is 88.5% at 400/452.
Furthermore, if 52 unidentified teeth are removed, it becomes 100% at 400/400.

These results can only be thought of as meaning that the establishment site of CA, that is, the place of residence (the source of infection) is a carious tooth. Furthermore, the sterilization technique is one of the criteria for judging the prevention of internal diffusion centering on caries treatment. Furthermore, it can be suggested from the spatial distribution of caries in other phases.

[Spatial analysis with Lactobacillus (LB), a phase 2 caries bacterium]
Spatial distribution by comparison with other bacteria, spatial analysis LBT (Lactbacilus Teeth Medium)
LB often sees colonies scattered in the background and colonies (bands) corresponding to the teeth. (Photo 6) From these facts, LB is strongly expected to be detected from resident on mucous membranes and teeth (dentin caries, leaked crown). In fact, if the caries treatment is completed, the band corresponding to the tooth is not normal. I would like to disclose the exception at another time. Thus, in LBT, a colony is scattered in the background, and a band that is uniquely strong on teeth is formed by phase 2 caries. In other words, LB appears strongly after a certain type of caries (phase 2 caries) while residing in the mucous membrane. On the other hand, CA has no cases where colonies are scattered in the background out of the total number of 1493 patients in the above-mentioned CAT tooth type medium in Table 3 above. In this result, CA strongly suggests that the location of CA is from carious teeth because colonies are not scattered in the background. It also strongly suggests that the mucosa is not resident.


[Phase analysis]
Furthermore, the caries experience (DMFT 91.2%) in patients with all teeth has a very high concentration of CA strongly suggests that caries may be caries at the end of the final phase. In addition, the phase determination with Lactobacillus described later strongly suggests the possibility of caries bacteria at the end of final phase. (Photo 7) It is estimated that CA + 4 patients (average age: 81 years) in Table 2 show relatively strong pathogenicity at the very end, and in each caries phase from C2 to C3 in Table 3. However, there is no difference from the population, and from the above results, it is estimated that the initial stage, particularly the middle stage, supports the progression of caries. In addition, the population of C1 is predicted to have a large number of unidentified parts such as adjacent faces, and it is estimated that the CA colonization at C1 is considerably small. For this, accurate measurement of C1 in invisible parts such as adjacent areas is desired.
The above phenomenon is similar to the fact that CA, like other organs, clearly exhibits pathogenicity in the final collapse state of the organ.

[Time analysis]
Photo 3 shows an example in which treatment was delayed for about two and a half years due to the convenience of the patient. CA is detected from the upper left 567, and the result of CAT performed immediately after the upper left 5 post dropped out due to caries after about two and a half years and the upper left 5 was treated. About two and a half years have passed and CA has already been detected from carious teeth. There was persistent internal diffusion, but the other teeth were safe. (During this time, cleaning was only performed about 3 times.)

[Understanding from the above, and from diagnosis to treatment]
1) 56.4% of negative patients at first visit,
2 Furthermore, the rate of sterilization by caries treatment is almost 100% ,
3. In cases where the caries treatment is highly likely to be extracted, such as cases where the patient does not want to be treated or the caries is continuously observed from a carious tooth that has been left unattended for the convenience of the patient, etc. Considering that, I think we can't help but conclude that the carious lesion is the home of Candida. This neglected case also seems to support the fact that Candida has settled in the carious lesion. It seems that Candida continues to be detected only in these carious teeth in CAT, and it is removed from the other teeth by cleaning and barely prevents colonization.
4 In addition, the case shown in Photo 2 is a typical case in which Candida became negative by caries removal . This is a case that no one can ever conclude that the caries lesion is the home of Candida.

From these facts, it is clear that CA is closely related to caries. Furthermore, it is presumed that it does not participate much in phase1, starts to participate in phase2, and plays a leading role in the final phase phase3 (final phase).
(Phase 2 and phase 3 can be distinguished by simultaneous inspection of LBT and CAT. (Photo 7) This will require further investigation in the future.)
Isn't this a terminal caries fungus? It is also common to cause pathogenicity at the end of the body (site of immune dysfunction).
It can also be understood that the points that are not scattered in the background will not reside in healthy mucosal tissue. This is further clarified by the following LBT.

When considering the specific infection of caries teeth and the application of fungal metastasis, which is a common problem of bacterial infection with fungi in the background, It turns out that it is difficult to catch as a carnivorous fungus. In other words, it can be seen that the pathogenicity of CA does not emerge unless it is separated into the spatial analysis, phase analysis, and temporal analysis described above.
From these spatial, phase, and temporal analysis, it is estimated as a good index of caries (particularly at the end stage) or the main pathogenic bacteria of caries at the end stage. In any case, it is considered unnecessary to possess any pathogenic bacteria in the teeth. In addition, when caries are treated, CA becomes “0” in most cases and is sterilized. See Table 4. As described above, the detection characteristics and sterilization treatment of these bacteria strongly influence the treatment and prevention of caries. As a result, it has a great influence on the infection of the whole body, so the sterilization is important.
[Treatment and treatment guidelines]
As described above, a lot of important information can be obtained by the tooth seed medium, spatial analysis, phase analysis, and time analysis, and more accurate treatments such as treatment and prevention are developed from the information. As a result, a sterilization rate of almost 100% is obtained. Specifically, it is understood that treatment and treatment should be performed while preventing internal diffusion and external diffusion. As for the treatment inside the teeth, it can be seen that if the bacteria are classified into CA and other bacteria and sterilized, they can be successfully sterilized from inside the teeth. Bacteria can be easily sterilized by multiple local administration of antibiotics. I would like to disclose this at another time.
The sterilization order inside the tooth is from the final phase to the 2nd phase, or both at the same time. There are many cases where the same time is reasonable. I want to announce 1st phase S.mutans at another time.

1 Sterilization of tooth types with colony bands Carious teeth should be treated with antifungal agents. In other cases, cleaning using an antifungal agent is performed. Microorganisms that are strongly expressed in carious teeth as shown in photos 2, 3 and 4 in the tooth seed medium, whether these are only indicators or the main role or supporting role of caries in each phase, It is a microorganism that must be sterilized. Strictly speaking, even if there are bacteria with only a caries indicator, the restoration tooth in which it appears has leaks or secondary caries, so of course treatment such as caries treatment or re-restoration is necessary. is necessary. If caries bacteria in each phase are detected, it is necessary to sterilize including caries treatment.
2. Colonies scattered and appearing in the background It can be understood that microorganisms (groups) appearing scattered (particularly randomly) in the background of the tooth seed medium cannot be sterilized.
More details will be announced if there is an opportunity.
3 Maintenance reinfection prevention Basically, cleaning and repair of defective restorations. Also, recontamination or reinfection leads to detection of the infection route, so I would like to announce if there is another opportunity.

Table 4 shows the results of sterilization at this clinic.

Seven untreatable patients and 7 are extraction teeth that require tooth extraction treatment for removal of dental caries.
The first sterilization rate is 98.6%, but the result of the patient who received the second treatment is 100% because the result is negative. It seems that the sterilization procedure was probable in this patient. In later patients, this can be achieved with a single treatment.
In addition, there are several patients who became negative after treatment, and then became recontaminated and positive, and became negative after treatment. In this way, the infection route is gradually becoming visible due to the negative of recontaminated patients. In addition, reinfection is, to be exact, the contamination level as mentioned above. Even in the worst case, the infection is established by caries teeth and the infection is established. I do n’t think it ’s necessary. Also, regarding recontaminated patients, CA-free status can be secured by cutting off the infection route, and we believe that this will not result in a reduction in the sterilization rate.
In other words, if there is an examination, diagnosis and correct sterilization treatment method using a tooth seed medium, it is predicted that there is no need to worry about this bacterium. In the future, I would like to analyze the aforementioned recontamination cases in detail. From there, the infection route is found, and the infection ring is cut. I would like to announce this infection route if there is another opportunity.
It has become apparent that certain patients can repeat recontamination (infection) because teeth can be removed by cleaning on teeth without caries. In other words, pollution and infection are only occurring in specific environments, which seems to be rare in daily life in Japan. Of course, prevention of nosocomial infection is also a major premise.
Most of the cases that cannot be sterilized are patients who have severely injured dental caries that are extracted after treatment, or who are refraining from treatment. Considering the effects of various bacteria on the jawbone, these teeth are only cases that should be extracted, but patients claim that they should just bite and they are only extremely brutal teeth that cannot be extracted. And don't forget to sterilize CAs attached to dentures and resins such as TEK. Dentures and the like are easy-to-attach sites of CA and are oral artifacts that are prone to ping-pong infection.

Summary In the treatment and prevention of infectious diseases, identification of the location of microorganisms is the top priority, and as described above, diagnostic diagnostic methods including tooth culture media accurately determine the source of infection (housing) such as CA. Will tell you.
Therefore, it is suggested that dental CA eradication is very effective for the prevention of infections of the final phase of the whole body, including respiratory and digestive organs, in the fact that the tooth is the first CA den. ing.
Of course, in the dental field, the tooth medium provides essential information for the diagnosis, treatment and prevention of caries and periodontal disease.
This very simple test is considered to be the most basic and most important test for the prevention of infections in the final phase of the whole body including dental caries treatment. And as far as I know, the dental clinic that performs this test knows only this clinic. It is urgently necessary to carry out dental caries (cultivation) inspection corresponding to 3pahse (Mutans is IR method) at the world level, especially CA dental seed culture inspection.
As a result, the final phase infection can be prevented with very high accuracy, and various diseases in other organs can be prevented, and caries can be treated with extremely high accuracy without losing teeth. Of course, it is also very effective at the level of nosocomial infection and prevention. In this paper, while treating CA as a final phase bacterium in principle, we also made a few mentions of exceptional cases (establishment in a rich environment of Lactobacillus, establishment in healthy areas, establishment in organic compounds). Whether this is an exception or whether it is closely related to the final phase is a future issue, and I would like to announce if there is an opportunity.

It is also a problem that we want to proceed with the determination of the infection route. First, infection from the mouth to the respiratory tract, digestive organs, nasal cavity, sinuses, etc. In addition, the possibility of infection from the mouth to the vagina, and the fetal eye during childbirth, and the occurrence of ocular opacity, endoscopic phenomena, etc. In particular, tissue fluids collected during eye operations should be examined with chromoagar medium. At present, ping-pong infections are likely to be low because of the low reinfection rate among sanitized patients. It also suggests that teeth, especially caries, are the primary lesion, and ping-pong infection is likely to be low.

These efforts show that in the near future, humans are very likely to be released from the pathogenicity of CA, and it is highly likely that they will become pathogenic microorganisms that can be declared eradicated following the pressure ulcer virus. .





Finally, the dentist's work will be not only the treatment and prevention of caries, periodontal disease, occlusion, but also the control of oral microorganisms (flora), including CA, will be very important. This is an urgent need.
For example, H. pylori, Treponema, P. gingivalis, S. aureus, α Streptococcii, etc., there seems to be an urgent dentist who seems to have to FC. I would like to announce these opportunities.
Today, saliva testing is also a favorite. However, sampling from saliva tends to provide irrelevant information at times. This is clarified by this dental medium.
The information that a dentist really needs is the microbiological examination from the tooth, the microbiological examination from the periodontal pocket, and information from the local area of the tongue and mucous membrane. Examinations such as saliva are effective in such cases because it is possible to determine where there is an abnormality in the oral cavity in a short time and efficiently in group examinations such as health care examinations and initial examinations. It is not suitable for diagnosis for detailed treatment such as prevention. It is necessary to distribute inspections based on this fact. There are also tests for culture, microscope, LAMP (PCR), antibody, etc., but it goes without saying that the right material is the right place. If there is an opportunity, I would like to announce at what stage these tests will be used and what kind of treatment they will lead to.

An example of real space tooth type arrangement means . 2D Fixed Form An example of a 2D fixed form tooth arrangement (means). It is the most basic tooth type arrangement, and the size of the tooth type is fixed. 2D Transformation Form Rectangle Form An example of a rectangular shape. Rectangle Form An example in which a rectangular shape is made to correspond to the tooth width by means of the tooth shape changing means . The photograph is a frontal intraoral photograph and mainly has a width of 2 to 2 and a facing relationship. Of course, 3 or 3 may be used. 2D Transformation Form Arch Form An example of a dental arch form. 2D Transformation Form Arch Form with Code An example with a dental arch form code. 2D Transformation Form Real Arch Form An example of a real approximate dental arch form. 2D Transformation Form Arch Bite Form An example of occlusal dental arch form. 2D Transformation Form Arch + Rectangle Form An example of dentition + rectangle shape. As a specific example of the two-dimensional intraoral tooth shape and tooth type changing means based on the two- dimensional information of the oral cavity, an example having tooth type forming means (frame means) having an initial state shape as shown in FIG. Etc. An example of primary alignment of the tooth type arrangement with a still image. An example in which the individual frames of the tooth type array are adapted to the tooth shape. An example of tooth arrangement (means) except for still images. An example in which the individual frames of the tooth type array are adapted to the tooth shape. An example in which the tooth arrangement (means) was created individually for the upper and lower jaws, excluding still images. An example of a completed tooth type arrangement (means) in which an adjacent relationship and a pairing relationship are established. An example of adopting a hierarchical means for hierarchically holding tooth types and information (one or more types of tooth information). An example of spatial analysis (background analysis, internal diffusion analysis, external diffusion analysis), phase analysis, etc. of LBT tooth medium and CAT tooth medium. An example of the nature of the source and the operator. An example of internal diffusion analysis. An example of external diffusion detection means. 1 Air infection operator means Upper operator is operator by D-code Lower operator is operator by eC Flag 2 Pharyngeal direction infection operator means Upper operator is operator by D-code Lower operator is operator Operator by eC Flag 3 Contact infection operator means (food infection operator means) Upper operator is operator by D-code Lower operator is operator by eC Flag An example of a phase analysis means. Corresponds to Photo 1. An example of CA inspection. Upper part Sampling method Tooth periodontal tissue is sampled for each tooth type using a sterile cotton swab. Middle stage Application to vial medium (whole jaw). Lower row Example of dental media Corresponds to Photo 2. An example of CA sterilization by removing caries. An example of detection from carious minority teeth is +4 from the extraction tooth UL6 required, and becomes negative when caries are removed. Corresponds to Photo 3. An example of post-decay caries treatment. Cases with long treatment breaks. Example of detection from carious minority teeth Corresponds to Photo 4. An example of a carious tooth in the inner cornus. Example of detection from carious minority teeth Caries not reflected in X-rays were detected with high sensitivity. Corresponds to Photo 5. An example of multiple tooth infection. It looks like a resident bacteria. However, the left side of the lower row was colony +3 before the operation, but the right side of the lower row was negative, and after the operation it became negative. Corresponds to Photo 6. An example of LBT (LB tooth seed medium). Colonies scattered in the background and colony band appearance sites are clearly seen. Corresponds to Photo 7. Spatial analysis of LBT tooth medium and CAT tooth medium. (Background analysis, internal diffusion analysis, external diffusion analysis), phase analysis, etc. Corresponds to Photo 8. An example that strongly suggests nosocomial infection.

Claims (15)

The tooth type device is
Tooth type arrangement means specified by tooth type ;
In the tooth type arrangement specified by the tooth type,
One or more tooth type information such as tooth information, periodontal tissue information, mucosal information, microbiological information on teeth, microbiological information on periodontal tissues related to teeth (species) in the oral cavity identified by the individual tooth type A tooth type device comprising: (tooth type) information means that can be provided. The tooth type device according to claim 1, wherein the tooth type arrangement includes a tooth type form means (frame means) . The tooth type apparatus of any one of Claim 1 or Claim 2 WHEREIN: The said tooth type arrangement | sequence is equipped with a hierarchy means , The tooth type apparatus characterized by the above-mentioned. In the tooth type apparatus of any one of Claim 1 or Claim 3, The said tooth type information means is
A tooth type device characterized by being virtual space information means such as storage means, calculation means, and display means. The tooth type device according to claim 1 or 4, wherein the tooth type information means is real space information means such as a reagent means or a medium means. The tooth type device according to any one of claims 1 and 5, wherein the tooth type array includes a tooth type change means for changing a type (frame) of the tooth type. The tooth type device according to any one of claims 1 and 6,
A tooth type device comprising spatial analysis means for detecting and analyzing spatial conditions such as infection of microorganisms, contamination, contamination of contaminants and the like in oral tissues including teeth and periodontal tissues. The tooth type device according to claim 7,
The tooth analysis apparatus characterized in that the spatial analysis means is background analysis means for detecting and analyzing resident microorganisms in the oral cavity tissue which is the background of the tooth periodontal tissue. The tooth type device according to claim 7,
The tooth type device is characterized in that the spatial analysis means is internal diffusion detection means for detecting colonization, infection, and diffusion from a contaminated site to another site. The tooth type device according to claim 7,
The tooth type device, wherein the spatial analysis means is an external diffusion detection means for detecting diffusion (entrance) into the oral cavity by microorganisms from outside the oral cavity. The tooth type device according to claim 10,
The tooth type device, wherein the external diffusion detection means is an air infection operator means for finding an air infection. The tooth type device according to claim 10,
The external diffusive detecting means is a pharyngeal direction infection operator means for finding an infection from the pharyngeal direction. The tooth type device according to claim 10,
The external diffusion detection means is a contact infection operator means for finding contact infection. The tooth type device according to claim 10,
The external diffusion detection means is a nosocomial infection operator means for finding nosocomial infections. The tooth type device according to any one of claims 1 to 14,
A tooth type device comprising phase analysis means for detecting a pathogenic phase of a pathogenic microorganism.