JP2018089054A - System and program for treatment of dental disease such as jaw arthritis - Google Patents

Abstract

PROBLEM TO BE SOLVED: To address the difficulty of holding motivation of continuing jaw joint motion, and to provide a technique, though there is a technique for fermenting the sound jaw joint motion by increasing saliva secretion of a patient during sleep and protecting the jaw joint, teeth and gum from clenching force, provide the technique of further positively moving the jaw and a technique of recording the motion and the like.SOLUTION: The system includes the means of: intelligibly instructing regular-rhythmic motion of the jaw joint to the visual and acoustic senses of a patient using computer technology; storing the jaw joint motion based on the instruction and natural motion in a table or the like of a database server; measuring and analyzing an acceleration or the like for determining whether the clenching applies excessive and inappropriate force to the teeth and gum or not; safely moving the jaw even during sleep so as to increase the saliva secretion and soundly protect the teeth and gum; and training the perioral muscles by moving the jaw in a stable psychological state.SELECTED DRAWING: Figure 1

Description

The present invention relates to a system and program for supporting treatment of a dental disease of a patient,
Especially for the treatment of temporomandibular disorders such as improvement of temporomandibular joint circulation, desensitization of trauma related to temporomandibular disorders, reconstruction of information processing integration for healthy temporomandibular joint movement of patients, improvement of circulation of oral muscles, etc. The present invention relates to a system and a program.
In addition, regarding systems and programs that support the treatment of dental diseases for patients,
In particular, it relates to a system and program for preventing oral flail and improving swallowing function.
In addition, regarding systems and programs that support the treatment of dental diseases for patients,
In particular, the present invention relates to a system and program for preventing tooth breakage due to bruxism and preventing tooth decay and periodontal disease by promoting salivary secretion.

In recent years, exercise therapy for temporomandibular disorders has attracted attention.
The device of Patent Document 1 that was previously patented is a device that actively uses temporomandibular joint movement.
It can protect the temporomandibular joint, teeth and gums from the power of clenching and clenching.
WHO is an effective therapy for eye movement desensitization and reprocessing (Eye Movement Desensitization and Reprocessing (hereinafter referred to as EMDR or EMDR therapy)). (See Non-Patent Document 1)
For the EMDR treatment, there is support software technology. (See Patent Document 5)

PC and smartphone applications have become familiar and have begun to spread widely throughout society.
Speaking of IOT, things started to connect to the internet.

For the diagnosis of temporomandibular disorders, in the state where the front and lower jaw front teeth of the subject were exposed with a camera fixed on the front of the subject's face using a device that kept the distance from the front of the face to the camera constant There is also a technique for causing a subject to perform an opening / closing movement, taking a moving image with a camera, and obtaining the entire locus of the opening / closing movement of the lower jaw by computer technology (see Patent Document 2).

There is also a mandibular anterior tooth movement tracking system having guidance display means for guiding and displaying the opening / closing movement of the subject by animation, light, sound and the like. (See Patent Document 6)

Devices such as wearable sensors are becoming smaller and higher performance.
There is also a device that can be attached to the skin with a bandage type, can measure triaxial acceleration, electrocardiogram, temperature, pressure, etc., is 26mm wide, 51mm long and 5mm thick, with a built-in communication module and power supply. (See Non-Patent Document 3)

The number of mastications is counted from the myoelectric potential of the masticatory muscles, and the number of times of chewing is determined from the number of meals. There is also a technology that presents advice such as “more slowly” and “more chewing” about how to eat from time and frequency. (See Patent Document 7)

There is also a technique for measuring temporomandibular joint movement with an acceleration sensor. (See Patent Document 3)
There is also a paper that uses an accelerometer in the mouth to measure speech and body position. (See Non-Patent Document 2)

There is also a technique of using a support device for a dental prosthesis and utilizing it as a wearable sensor to acquire biological information by communication using an IC chip and electromagnetic induction. (See Patent Document 4)

In order to effectively use medical resources, telemedicine has recently been required to be used effectively.

Japanese Patent No. 4634430 JP 2010-142285 A U.S. Pat. No. 8,544,322 Japanese Patent No. 4160788 Japanese Patent No. 4797855 JP 2010-273756 A Japanese Patent No. 3844844

www. who. int / mediacentre / releases / 2013 / trauma_mental_height_20130806 / en / Non-Patent Literature: Tsunemasa Saigi, Vocalization Detection C, 131, No. 4, 2011, page 826 http: // affordsens. com / Product-Vitalgram

In temporomandibular disorder exercise therapy, jaw movements are usually based on meaningful movements such as meals and speech, and exercises for training are elusive from patients. It was difficult to raise.
Patients feel anxious during temporomandibular joint exercise training because they do not know where to look. The treatment of the temporomandibular joint may not be effective if the patient's inner psychological disorder, fearful events, anger, guilt, vain misery, anxiety, etc. begin to be searched.

A commercially available temporomandibular joint movement measuring device has a price of several million yen and is expensive. I want a cheaper price for temporomandibular joint exercise training.

For example, if the temporomandibular joint movement is fast when opening and slowing when closing, the integrated value of acceleration does not become zero, so the system of Patent Document 3 is for observing an acceleration pattern. A healthy person with a temporomandibular joint can move without any difference in acceleration such as left and right movements and movements of the closed mouth, but a method of correcting the integral value 0 may be difficult for patients with temporomandibular disorders. is there. Even if you have temporomandibular disorders, I want a way to analyze the situation of temporomandibular joint movement in detail.

Although the apparatus of Patent Document 2 is good for research purposes, it is a large scale for training, the relative position of the head position with the camera must be unchanged, and the distance between the camera and the subject is maintained. It is difficult to continue as a continuous temporomandibular joint exercise training. The state where the anterior teeth are exposed is not natural and is difficult to perform as a temporomandibular joint movement.

The system of Patent Document 7 called the mandibular anterior tooth movement tracking system having guidance display means for guiding and displaying the opening / closing movement of the subject by animation, light, sound, etc. is intended for pain detection and has a continuous rhythmic feeling. It was not possible to cultivate and make temporomandibular joint movement fun.

The device accommodated in the dental prosthesis of Patent Document 4 cannot be used for young patients or patients who have high health awareness and care for teeth and do not have a prosthesis. It is implanted in the body and cannot be easily attached or detached at the patient's will.

Patients with temporomandibular disorders are fearful and anxious to move their jaws. In particular, the therapist often directs the patient to open training, but the patient is painful. Opening training is training for conventional temporomandibular disorders. Until now, in the dental industry, there has been little idea of continuing easy jaw movements without forcibly opening the mouth to treat temporomandibular disorders.
Until now, the dental industry has rarely thought that temporomandibular joint exercise training is performed mentally and stably by moving the jaw from side to side, like eye movement of EMDR therapy.

The patient cannot keep the motive for moving his jaw continuously. The patient does not know how to move it.

The movement of the temporomandibular joint and the reproducibility of the treatment effect cannot be known without patterning the movement, but it is burdensome for both the patient and the therapist, such as taking video of dynamic movement or using complicated devices. Was big.

For patients with clenching habits, simply speaking verbally to move their jaws is not specifically understood and does not involve any action.

For the patient, the preferred patient-specific temporomandibular joint movement cannot be objectively shared with the therapist. The therapists were forced to focus on a model of the dentition arrangement, X-ray images, etc., which are more objectively captured.

There is little known temporomandibular joint movement by type of affected temporomandibular disorder (type 1, type 2, etc.).

Is the movement appropriate when the patient exercises temporomandibular joints at home? Is it an appropriate exercise time? I can't ask or tell the therapist or keep an exact record.

When elderly people suffer from oral flail or eating dysfunction, jaw movement training is necessary for treatment, but there are few ways to continue happily, which puts a burden on the therapist and patient .

It is impossible to record the situation of bruxism and clenching performed in an unconscious state.
Tooth breakage and gum damage due to bruxism are also the cause of tooth decay and periodontal disease, but it is difficult to prevent.
The therapist is not medically aware of the patient's individual proper bruxism.

Temporomandibular disorders also require a social psychological approach.

An object of the present invention is to solve the above-described problems of the prior art.
Specifically, the present invention relates to temporomandibular joint movements that are individually appropriate and pleasant for treating temporomandibular disorders in patients with temporomandibular disorders not only in the clinic but also at home. It can be done while sharing objectively with the therapist with a pleasant feeling without being in a stable psychological situation.
Promotes salivation and can prevent periodontal disease and tooth decay,
Circulation around the jaw is improved, and oral flail and dysphagia due to atrophy of the muscle around the jaw can be prevented.
It is an object to provide a system and a program.

The present invention has means for instructing a patient on the movement of the temporomandibular joint on a display or music in a continuous and easy-to-understand manner using computer technology with a sense of regular rhythm.
This sense of rhythm can be determined by the proposal and understanding of both the therapist and the patient, and the patient can adjust the speed of the temporomandibular joint movement, the movement pattern, the color of the indication sign, the intensity of the sound, and on / off in real time. Has means to change freely.
Based on this instruction, there is a means for storing how the temporomandibular joint movement is performed.
Patients have the means to continue temporomandibular joint movement in a comfortable psychological situation.
It has a means to memorize unconscious brutal temporomandibular joint movement.
The bruxism does not give excessive inappropriate force to the teeth and gums, or has means for measuring acceleration or the like.
From this record, the therapist and patient can objectively discuss the situation of objective temporomandibular joint movement. Rather than correcting mistakes, the patient has the means to reach a safe and comfortable temporomandibular joint movement that is flexible, adaptable, and based on objective recognition and repeated behavioral practice from a fixed failure pattern. The
Has a means to assess jaw movements in the population. Thus, the therapist has a means to understand the good temporomandibular movement pattern and the bad temporomandibular movement pattern.

By applying the principle of EMDR therapy according to the present invention, a patient can continue temporomandibular joint movement in a psychologically stable situation. The patient's rhythm can be synchronized by synchronizing the temporomandibular movement with the eye movement or by following the instructions and / or sound guidance to continuously display the movement instructions on the display in text, video or illustration. A feeling can be created.
The patient can see the pros and cons of his jaw movement on his terminal as an easy-to-understand application.
In the treatment of temporomandibular disorders, it is important to give the patient proper judgment and feedback on the exercise effect. Biofeedback effect of jaw movement for treatment of temporomandibular disorders can be achieved.
By displaying objectively the temporomandibular joint movement execution status on the terminal of the therapist, the therapeutic effect can be visualized.
The smoothness of temporomandibular joint movement can be accurately measured and verified with a sensor.
The temporomandibular joint movement can be enjoyed by displaying it on the application of the patient terminal.
The effect of continuing temporomandibular joint movement on joints is to reduce inflammatory substances in the joints, strengthen the muscles around the temporomandibular joints to protect the temporomandibular joints, stabilize the temporomandibular joints, prevent pain, and smoothly move the joints And so on.
By continuing the temporomandibular joint movement, it promotes the secretion of saliva, thereby preventing periodontal disease and preventing dry mice.
The temporomandibular joint movement is safe and stable, preventing tooth breakage and gum damage and preventing caries.
By continuing temporomandibular joint exercise training, there is an effect of preventing flail of the peroral muscle and preventing dysphagia.

In recent years, desensitization by eye movement and reprocessing (EMDR) have attracted attention as one of the treatment methods for post traumatic stress disorder (hereinafter referred to as PTSD). PTSD is a characteristic mental disorder caused by experiencing sudden shocking events. In the treatment method of EMDR, the brain is put into a state of REM sleep by causing the patient to glance (eye movement), and the trauma is healed in that state. (Refer to patent document 5, paragraph number 002)
The patient learns how to exercise the bruxism that does not harm the jaw and teeth during REM sleep, such as treatment of temporomandibular disorders, prevention of tooth fracture, and promotion of salivation , Leading to prevention of tooth decay and periodontal disease.

Older people may suffer from oral flail and dysphagia, but by continuing to enjoy temporomandibular joint exercise training and tongue exercise training, oral flail and dysphagia can be improved.

In a group, you can enjoy temporomandibular joint movement with a game-like sensation.

The therapist and the patient can objectively discuss the situation of the objective temporomandibular joint movement from the record of the temporomandibular joint movement execution situation. Instead of correcting the mistakes, the patient's own control of the temporomandibular joint movement from a fixed failure pattern to a flexible, adaptable, safe and comfortable state through behavioral recognition and behavioral practice.

1 is a configuration example diagram of an entire system. It is a structural example of a patient ledger table. It is a structural example of a patient insurance table. It is an example of a structure of a treating person ledger table. It is a structural example of a patient therapist correspondence table. It is an example of a structure of a jaw movement assistance apparatus log | history origin table. It is an example of a structure of a jaw movement assistance apparatus log | history detailed table. It is an example of a structure of the jaw movement recording table in Example 1. FIG. It is a structural example of a temporomandibular joint movement setting table. It is a flowchart about the time of the system start which a comprehensive process part performs. It is a flowchart about the time of the login process which an authentication process part performs. It is a flowchart of medical care application. It is a flowchart about the temporomandibular joint movement of a comprehensive control part. It is a flowchart of the comprehensive control part after temporomandibular joint movement analysis evaluation. It is an example of a structure of a movement selection screen, such as a temporomandibular joint, displayed on a patient terminal. It is an example of composition of a system start screen displayed on patient terminal 1 by a general control part. It is a structural example of an authentication form screen. It is a structural example of the medical treatment request form displayed on a patient terminal. It is an example of composition of an assessment form displayed on a patient terminal. It is a structural example of the medical institution list | wrist in which the temporomandibular joint movement by telemedicine is possible. It is a flowchart of the process which a temporomandibular joint movement instruction | indication control part controls a temporomandibular joint movement assistance apparatus. It is a flowchart of the process with respect to the therapist terminal 2 of a temporomandibular joint movement analysis part. It is a flowchart of the process about the several patient with respect to the therapy terminal 2 of a population statistics process part. It is a flowchart of the process with respect to the patient terminal 1 of a temporomandibular joint movement analysis part. It is a flowchart of a diary & assessment processing part. This is a configuration in the application server. It is a configuration in the database server. It is an example of a temporomandibular joint movement support apparatus display display. It is an example of a diary form screen. It is an example of the screen of the instruction | indication form with respect to a temporomandibular joint movement assistance apparatus. It is an example of a temporomandibular joint movement support apparatus LED apparatus. It is a triaxial acceleration sensor measurement example. (Measured 120 times in 7.515 seconds) It is a structural example of the floor type mandibular mouthpiece which accommodated the 6-axis acceleration sensor. (Front view) This is a configuration example of a headset having three distance measuring sensors. (Side view) It is an example of a structure of the jaw movement recording table of Example 2. FIG. 1 is a configuration example diagram of a system according to Embodiment 1. FIG. It is a structural example of the mouthpiece of Example 2. (The electrode has a different permeability to the right and left so that the positional relationship with the dentition can be seen. The mouthpiece is open and attached.) 6 is a configuration example of a headset to which the biological communication receiver device of Example 2 is attached. (Front view with patient attached) FIG. 6 is a configuration example diagram of a system according to a second embodiment. It is a triaxial acceleration sensor measurement example. (Measured 1906 times in 1 minute 59 seconds 2) It is an example of a screen for selecting a starting point for jaw movement analysis on a therapist terminal. It is the example of a screen which carried out the Fourier analysis. It is a structural example of a temporomandibular joint movement assistance apparatus operation | movement condition table. It is an example of a structure of the mouthpiece of the upper jaw of Example 2. FIG. (Front view) (The shaded area is an electrode for biocommunication made of conductive fiber or an electrode for biocommunication made of dental metal)

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 shows a configuration diagram of the entire system.

The system in the present embodiment basically includes a patient terminal 1, a therapist terminal 2, a temporomandibular joint movement sensor 3, a sensor terminal 4, a temporomandibular joint movement support apparatus 5, an exercise apparatus terminal 6, and a database server 12. , Application server 10, network 7 (near field communication, telephone communication line, Internet, etc.), and management terminal 8.
The terminal is a computer, a microcomputer board, a smartphone, or the like that can be connected to the network.
FIG. 36 shows a configuration diagram of the present embodiment. The connection is also a network, and the basics are the same as in FIG.
The patient terminal 1 is a terminal used by a patient, and is a PC, a smartphone, a tablet, or the like. In this embodiment, a smartphone is used. This is displayed as patient smartphone Z01.
The therapist terminal 2 is a terminal used by the therapist, and is a PC, a smartphone, a tablet, or the like. In this embodiment, a PC is used. This is displayed as the therapist PCZ02.
The jaw movement detection sensor 3 is a sensor that senses a patient's jaw movement. In this embodiment, an acceleration gyro 6-axis sensor (Z03-1) is used. The patient is housed in a mandibular mouthpiece to be worn at sleep for temporomandibular disorder treatment. This is displayed as a patient jaw sensor (Z03-1).
It seems possible to reduce the size with the current technology. (See Non-Patent Document 3)
A distance measuring (displacement) sensor is attached to a microphone boom arm extending from the headset and arranged around the lower jaw to observe the movement of the lower jaw relative to the upper jaw. (In this embodiment, three distance measuring sensors are used. One of them is also equipped with a microphone. The other two are only distance measuring sensors.) These are patient distance measuring sensors (Z03-2). Is displayed. A distance measuring (displacement) sensor includes a micro laser sensor, an infrared sensor, an ultrasonic sensor, and the like.
By using not only the 6-axis acceleration sensor but also the distance measuring sensor, the temporomandibular joint movement can be measured more accurately. If there is a value of the distance measuring sensor, the actual position of the lower jaw can be recorded, and the temporomandibular joint movement can be analyzed better.
The moment when the upper and lower teeth are bitten is predicted to have the highest acceleration value, but the sensor in the floor of the mouthpiece that is in close contact with the lower jaw makes it possible to measure more accurately than the one attached to the skin of the face. it can.
This patient sensor communicates with the patient smartphone Z01 by blue-to-slow energy.
In this embodiment, an instruction for jaw movement is displayed on the PC display (Z05-1). The exercise terminal is PC (Z06). In addition, music or the like is generated by a headset speaker (Z05-2) connected to the exercise terminal.
The PC display (Z05-1) displays instructions such as opening, closing, moving to the left, moving to the right, moving the tongue to the left, and moving the tongue to the right. In the present embodiment, smile marks arranged in a line (see FIG. 31) are sequentially blinked to instruct jaw movement.
The patient moves the eyeball and mandible left and right as in REMD therapy.
Music and the like are produced from the left and right speakers (Z05-2) of the headset in accordance with the exercise. The patient may move his lower jaw from side to side while closing his eyes and listening to music.
The patient can perform temporomandibular joint movement in a psychologically stable state as in REMD therapy. Can overcome fear of moving temporomandibular joints. In patients with unilateral temporomandibular disorders, when moving left and right, the movements on the healthy side and the affected side of the temporomandibular disorder are repeated, so the correct way to move the affected side closer to the natural and healthy way of movement. Can learn.
By moving the jaws, saliva secretion is promoted, and it can be expected to prevent dental caries and periodontal disease.
By moving the muscles around the temporomandibular joint, it can be expected to prevent dysphagia.

The server situation in the cloud service etc. in the present embodiment will be described.
The application server 10 is a server that manages processes related to temporomandibular joint movement.
The database server 12 is a server that stores a stored table as a database. The application server 10 receives patient sensor data via the network 7, transmits / receives data to / from the database server 12, transmits / receives device operation information to the temporomandibular joint movement support device 5, etc. In addition, an application is provided to the therapist PC and data is transmitted and received.
In the present embodiment, for the patient distance measuring sensor (Z03-2), the sensor terminal 4 (ranging) is a patient PC (Z04-2) or the like connected by wire via a headset.
As for the patient acceleration sensor (Z03-1), the sensor terminal 4 is housed in the lower jaw mouthpiece. This movement around the temporomandibular joint is performed by wireless communication using a small unlicensed radio wave in the 2.4 GHz band where the electrical signal from the patient acceleration sensor (Z04-1) is WBAN (Wireless Body Area Network). The acceleration data is transmitted to the PC (Z04-2).
This sensor terminal 4 (acceleration), that is, the 2.4 GHz band transmitter (Z04-1) is connected to the patient PC (Z04-2) by wireless communication using a small radio wave that does not require a license in the 2.4 GHz band. Send information. The patient PC is both a sensor terminal (Z04-2) and an exercise support terminal Z6.

Furthermore, it is transmitted to the application server 10 and the database server 12 via the Internet.

The patient terminal 1 and the therapist terminal 2 can realize a display function by a browser function. The browser function is realized by application software for browsing a Web page, and downloads an HTML file, an image file, a music file, etc. from the network 7 (Internet, etc.), analyzes the layout, and displays / reproduces it. The browser function allows the user to send / receive data to / from the application server 10 from the patient smartphone and the therapist PC, or to operate application software written in various computer languages.
In the present embodiment, the smile icon image displayed on the display (Z05-1) of the patient PC and the movement of the temporomandibular joint are smoothly performed in synchronism, so that the patient PC screen achieves no phase shift. The percentage is displayed high.
Further, the patient can transmit the impression of the temporomandibular joint movement and the like to the application server 10 through the patient smartphone Z01. The database server 12 stores data in a table such as a jaw movement recording table.
The application server 10 delivers to the therapist PC (Z02) so that an application capable of visualizing the date and time of the temporomandibular joint movement of the patient, acceleration data, achievement rate, and the like can be executed.

Next, the patient ledger table for storing the basic information of the patient included in the database server 12 and the therapist ledger table for storing the basic information of the therapist will be described.
The patient ledger table is a table that stores personal information for each patient. FIG. 2 shows the configuration of the patient ledger table. The basic information of the patient includes an ID for logging in to the system, a password, a registration date, and a name.
The patient insurance table is a table for storing health insurance information for each patient. FIG. 3 shows the configuration of the patient insurance table. The patient's health insurance information includes an insurer number, a symbol, a number, and the like.
The treatment register table is a table that stores basic information for each treatment person. FIG. 4 shows the configuration of the therapeutic account register table. The personal information of the therapist is a login ID, a password, a job type, a work place, and the like.
The patient-therapist correspondence table is a table that stores the therapists who are receiving treatment.
FIG. 5 shows the configuration of the patient-therapist correspondence table. It is possible to memorize the therapist who is receiving treatment by the therapist ID and the start date and end date of the treatment.

Information on the history of treatment of jaw movement training for each patient is stored in a table in the data base server 12. The operating status of the jaw motion training support device 5 is recorded in the jaw motion support device history source table, the jaw motion support device history detail table, and the jaw motion support device operation status table. Further, the actual jaw movement status is recorded in the jaw movement recording table.

Next, the patient basic assessment table of the database server 12 will be described.
The patient basic assessment table is a record of a situation such as pain based on the subjectivity of the patient. The information such as the patient's pain includes a patient ID, recording date and time, opening pain, opening sound, and the like. The social psychological assessment table is a record of psychological test results. An exercise psychological assessment table is a subjective record of an exercise psychological patient. The therapist can view the assessment status of the patient via the therapist terminal 2.

FIG. 6 shows the configuration of the jaw movement support device history source table. The jaw movement support device history source table stores jaw movement ID, patient ID, start date / time, therapist ID, end date / time, and the like. The jaw movement ID is a serial number for registration in the table. It is given when it is stored in the database server 12.
The patient ID is an ID unique to each patient corresponding to the ID of the patient ledger table.
The start date / time is date / time information when the temporomandibular joint movement instruction control unit A04 instructs the movement support apparatus 5 to operate. In this embodiment, the exercise support device 5 is a patient PC display (Z05-1).
The end date / time is date / time information when the temporomandibular joint movement instruction control unit A04 instructs the movement support device 5 (in this embodiment, from the patient smartphone Z01 to the patient PC display (Z05-1)) to stop the operation. is there.
The jaw movement support apparatus history detail table stores instruction information from the patient to the movement support apparatus 5 input to the patient smartphone Z01 which is the patient terminal 1.
FIG. 7 shows the configuration of the jaw movement support device history detail table. In the jaw movement support device history detailed table, an instruction ID, jaw movement ID, instruction date and time, speed, smile color, sound on / off, and the like are stored.
The instruction ID is a serial number for registration in the table when the patient instructs.
General control part A03 will give a serial number, if information is received from patient smart phone Z01 which is the patient terminal 1 at the time of a temporomandibular joint movement. The jaw movement ID is information corresponding to the jaw movement ID of the jaw movement support device history source table. The designated date and time is the date and time when this record was received by the patient smartphone Z01, which is the patient terminal, or by the general control unit A03. The speed, point color, sound, and the like are information input by the patient to the patient smartphone Z01, and are information on settings performed by the general control unit A03 for the patient PC display Z05-1 that is the jaw movement support device 5.
The jaw movement support device operation status table records the operation status of the exercise support device.
FIG. 43 shows a configuration example of the jaw movement support device operation status table. The jaw movement support device operation status table stores a jaw movement ID, an operation number, and a completion time.

Next, the diary table will be described. The diary table is a table in which the patient stores diary information. The patient inputs daily conditions and the like from his / her home to the patient smartphone Z01, and when this information is received by the application server 10 via the network 7, the diary information and the patient ID are stored in association with each other. The contents of the diary information are date time and diary contents.

The temporomandibular joint movement setting table is a table relating to setting information for each attribute of the temporomandibular joint movement. The column type ID in this table is an ID for each model, such as a device in which LEDs are arranged and a display on a PC screen.

Next, the jaw movement recording table will be described. FIG. 8 shows the configuration of the jaw movement recording table. The jaw movement record table is a record received by the application server 10 through the network 7 from the temporomandibular joint movement sensor 3 during jaw movement, and is stored in this table in the database server 12.
The jaw movement record table stores patient ID, date and time, X acceleration, Y acceleration, Z acceleration, and the like. In the case of Example 3, the distance from the Doppler sensor is stored. The date / time is the time stamp at the sensor terminal 4 connected to the sensor wirelessly or by wire, or the date / time received by the application server 10 via the network 7. In the present embodiment, the patient PC adds the date and time to the sensor information for the distance measuring sensor, and the patient smartphone that is the sensor terminal (acceleration) adds the date and time to the sensor information.

Next, the authentication processing unit A05 included in the application server 10 will be described. At the time of login, the authentication processing unit A05 authenticates the login information received from the general control unit A03. After the login, the authentication processing unit A05 transmits the distinguished result to the general control unit A03 depending on whether the user is a patient or a therapist.

Next, the temporomandibular joint movement instruction control unit A04 included in the application server 10 will be described. The temporomandibular joint movement instruction control unit A04 controls equipment that supports the temporomandibular joint movement for the patient. In this embodiment, a PC display is used as a device for assisting temporomandibular joint movement.
The temporomandibular joint movement instruction control unit A04 moves the smiley mark to the left and right based on a predetermined condition on the PC display screen, and the patient moves the jaw similarly to the left and right, moves back and forth, and closes the opening. Therefore, temporomandibular joint movement is performed. The temporomandibular joint movement instruction control unit A04 further has the following functions.
1. The smile mark is moved back and forth at a free speed. 2. In conjunction with the movement of the smile mark, the sound from the headset speaker is also moved left and right. Therefore, the patient can perform temporomandibular joint movement even when the eyes are closed. 3. While moving the smile mark, the speed of the smile mark, the moving direction, the moving distance, the color / flashing of the smile mark, and the like can be changed according to a user instruction from the user terminal. 4). As the movement pattern, a pendulum movement, a constant speed movement, a fluctuation movement, or the like can be selected. 5. The number of round trips and elapsed time can be measured according to the round trip of the smile mark. 6). The smile mark automatically stops according to the number of round trips of the smile mark or the elapsed time. 7). A message is displayed on the patient PC display (Z05-1) or a navigation voice flows from the patient head speaker (Z05-2) according to the number of round trips of the smile mark or the elapsed time. 8). When the smile mark attributes (speed, width of movement, color, sound, etc.) are stored in the movement setting table and the jaw movement is performed again, if necessary, it should be possible to carry out with the previous setting. Moreover, it is a function of being able to read the setting of the patient so far.

Next, the temporomandibular joint movement record analysis unit included in the application server 10 will be described.
Basically, the sensor information is transmitted from the sensor terminal 4 to the application server 10 via the network 7. In this embodiment, the temporomandibular joint movement recording / analyzing unit includes a 6-axis acceleration gyro sensor (Z03-1) housed in the floor of the mouthpiece of the patient's lower jaw and a headset. From the distance sensor (Z03-2) attached to the WBAN (wireless communication using a small unlicensed radio wave in the 2.4 GHz band) (for 6-axis acceleration gyro sensor) and wired (range sensor) For example) and sent to the patient smartphone and the patient PC, and sent to the application server 10 via the Internet.
The temporomandibular joint movement recording analysis unit stores this data in the chin movement recording table in the database server 12. Further, this record is displayed in a graph as necessary.
Further, frequency analysis is performed by FFT analysis or the like. Also, the smoothness of the motion is analyzed from the amplitude of the acceleration data graph. The smaller the amplitude, the smoother the movement. Conversely, it can be measured whether it can be moved with a large acceleration. In addition, from the statistical variation (standard deviation) of the wave period of the data graph, etc., the synchronization with the movement of the smile icon for assisting temporomandibular joint movement is analyzed. These analysis results can be displayed on the user terminal.

Next, the history reference processing unit A06 that the application server 10 has will be described. When the history reference processing unit A06 receives an instruction from the therapist terminal 2 via the network 7, the history reference processing unit A06 transmits the history information to the therapist terminal 2. The history information includes temporomandibular joint movement records, patient basic assessment records, diary information, etc. for each patient. Also displays various data graphs. The graph display means allows the therapist to change the display number, display type, and the like on the screen.

Next, a diary & assessment control unit included in the application server 10 will be described. The diary & assessment control unit receives the diary information received from the patient terminal 1, patient smartphone Z01 in this embodiment, the diary table in the diary table, the basic patient assessment information in the basic patient assessment table, and the social psychological assessment in the social psychological assessment. The exercise psychological assessment is stored in the table in the exercise psychological assessment table.
The social psychological assessment table is various psychological examination items.
There are various psychological examination items such as POMS and GHQ.
Are exercise psychological assessment tables fun to move? Can you express yourself with exercise? These are exercise psychological examination items.
At home, the patient inputs each item into the patient smartphone and transmits it to the application server 10 via the Internet. When receiving the data, the diary & assessment control unit stores the data in each table of the database server 12.
Most patients with temporomandibular disorders are in their 30s. People who work hard as social leaders and easily lose sight of themselves under stress. By answering diaries and assessments, both therapists and patients can record and analyze the psychosocial issues behind the disease, thereby successfully treating temporomandibular disorders.

Periodontal disease is a common disease for adults. It is a cause of tooth loss and a disease that affects all generations of adults. Insufficiency of saliva is often due to stress. Analyzing stress from diary and assessment records, which are salivary secretion obstacles, can give hints on the improvement of saliva secretion status and prevent dental caries, dry mouth, and periodontal disease.

Next, a system start screen and a system start flowchart will be described.
FIG. 10 is a flowchart of the system start performed by the integrated processing unit.
FIG. 16 is a system start screen displayed on the patient terminal 1 by the general control unit A03.
From the system start screen (S001) displayed on the patient smartphone as the patient terminal 1, the patient selects and inputs whether the patient is the first medical applicant or has already obtained an ID (S002). Via the application server 10. The general control unit A03 receives the data (S002).
The general control unit A03 makes a judgment based on the received data (S003) and displays a medical treatment request form if it is the first medical applicant (S003: NO) (S004).
If it is an ID acquirer, an authentication form is displayed on the patient terminal 1 (S005).

Next, the authentication processing unit A05 will be described.
FIG. 11 is a flowchart for the login process performed by the authentication processing unit A05. The therapist or patient inputs the ID and password information to the therapist terminal 2 or the patient terminal 1 (S006), and transmits them to the application server 10 via the network 7. The general control unit A03 transfers the received ID and password information to the authentication processing unit A05 (S007).
The authentication processing unit receives the ID and password information (S201).
The authentication control unit A05 accesses the patient basic ledger table and the therapist ledger table (S202),
It is determined whether or not there is ID and password information to be authenticated (S203).
When the ID and password information do not exist (S203: NO), information indicating that the login has failed is sent to the general control unit A03, and the general control unit A03 returns the information to the user terminal via the network 7 (S204).
The screen displayed in S205 is different from the dedicated menu for the therapist and the dedicated menu for the patient.
For example, the dedicated screen configuration of the patient includes items such as temporomandibular joint movement, diary, and assessment.
The therapist's dedicated screen configuration includes items such as patient information, treatment information, and temporomandibular joint movement information.

Next, the operation of the general control unit A03 related to the medical application will be described.
FIG. 12 is a flowchart of a medical application.
In the case of a patient who has applied for medical care for the first time and whose ID has not been registered so far (S003: NO), a medical treatment request form (configuration example: FIG. 18) is displayed. The patient inputs a medical form (S051). Judgment is made based on whether the medical treatment type is normal medical treatment or remote medical treatment (S052), and available medical institutions are displayed on the patient smartphone (S053). The patient selects a desired medical institution (S054). Even in the case of telemedicine, at the first visit, the patient visits a medical institution and tells the patient what to interview.
The general control unit A03 instructs the selected medical institution to send a mail to the Mail unit A02 (S055).

Next, the operation of the general control unit A03 in the temporomandibular joint movement treatment will be described.
FIG. 13 is a flowchart of the temporomandibular joint movement of the general control unit A03.
After the authentication, an exercise preparation screen is displayed on the patient smartphone that is the patient terminal 1 (S011).
In the “preparation” stage, in preparation for starting treatment of temporomandibular joint movement, the therapist gives a detailed explanation of the effects and theory of temporomandibular joint movement on temporomandibular disorders. When the patient is telemedicine at home, a TV phone, a Skype phone or the like is used. Build sufficient trust between therapist and patient. The patient tries the temporomandibular joint movement support device and confirms conditions (smile mark speed, color, etc.) that the patient can easily carry out (S013). The temporomandibular joint movement instruction control unit A04 stores the setting information at this time in the temporomandibular joint movement setting table. When the therapist determines that the preparation is sufficient, the therapist inputs the determination result to the therapist terminal 2. The therapist terminal 2 transmits the determination result to the application server 10 via the network 7. If the received determination result is information indicating that the temporomandibular joint movement can be performed with preparation OK (S014-1: OK), the overall control unit A03 proceeds to the temporomandibular joint movement process (S015).

When the temporomandibular joint movement is completed, the process of temporomandibular joint movement analysis evaluation is started (S016).
The general control unit A03 receives the analysis evaluation data from the jaw motion solution unit and displays a motion analysis evaluation screen (S017).
FIG. 14 is a flowchart of the overall control unit A03 after temporomandibular joint movement analysis evaluation. This may be performed as parallel processing with temporomandibular joint movement when performing biofeedback.
Thereafter, a dialogue between the therapist and the patient is performed as necessary (S018).
If the patient desires (S019: YES), temporomandibular joint movement can be performed again.

After exercise training, the patient can keep a diary if necessary (S019: YES).
The general control unit A03 displays the diary form on the patient smartphone Z01 that is the patient terminal 1 (S021).
A patient inputs from patient smart phone Z01 which is patient terminal 1, and is transmitted to application server 10 via network 7. FIG. The general control unit A03 passes the diary data to the diary & assessment control unit (S022, S023).
The diary & assessment control unit stores the data in a diary database in the database server 12.
Then, the general control unit A03 displays an end screen (S025).

Next, processing performed by the temporomandibular joint movement instruction control unit A04 will be described. FIG. 21 is a flowchart of processing in which the temporomandibular joint movement instruction control unit A04 controls the chin movement support apparatus. The temporomandibular joint movement instruction control unit A04 acquires the smile mark setting information selected at the time of preparation from the temporomandibular joint movement setting table. Alternatively, the therapist prepares (S302).
If the patient is used to the temporomandibular joint movement system (S301: YES), the patient sets the smile mark movement (S303). When the temporomandibular joint movement instruction control unit A04 receives information indicating the start from the patient terminal 1 or the therapist terminal 2 (S304: YES), the smile joint operation information and the like are stored in the temporomandibular joint movement setting table in the data server. (S305).
For storing the jaw movement support device history source table, the jaw movement ID, patient ID, start date and time, and therapist ID are acquired.
Further, the information is stored in the jaw movement support device history detail table in the database server 12. Further, acceleration data from the patient sensor is stored in the jaw movement record table in the database server 12 (S305).
The temporomandibular joint movement instruction control unit A04 compares the elapsed time or the number of reciprocations with the setting information (S307).
If the specified time or the specified time has not been exceeded (S307: YES), it is determined whether or not the smile mark setting information has been changed (S308).
When the setting information is changed from the patient smartphone Z01 as the patient terminal 1 during the exercise (S308: YES), the change result is stored in the jaw movement support device history detailed table in the database server 12 ( S309).
Moreover, it transmits to a temporomandibular joint movement assistance apparatus. In the temporomandibular joint movement support device (PC display screen in this embodiment), the setting of the smile mark movement is changed based on the change result. The change of the setting information here is a change of the speed, color, etc. of the smile mark display.
Being able to set the smile mark instruction setting as desired by the patient himself / herself increases the interest and motivation of the temporomandibular joint movement and leads to the expectation of a good result of the temporomandibular joint movement.
The temporomandibular joint movement support apparatus terminal 6 transmits the operation result to the temporomandibular joint movement instruction control unit A04 every time the point is reciprocated once, and the temporomandibular joint movement instruction control unit A04 adds 1 to the current number of times (S311). . Further, the temporomandibular joint support device terminal 6 stores the chin motion ID, the completion time, and the operation frequency number in the operation status table of the temporomandibular joint support device of the database server 12 every time the point is reciprocated once. When the temporomandibular joint movement instruction control unit A04 receives the information indicating the stop from the patient terminal 1 or the therapist terminal 2 (S306: YES), the temporomandibular joint movement instruction control unit A04 transmits information for stopping the movement of the point to the temporomandibular joint movement support device. The movement of the mark light is stopped (S312).
Further, the jaw movement ID, patient ID, start date / time, therapist ID, end date / time, etc. are stored in the jaw movement support device history source table in the database server 12 (S312).
When the movement of the point of the temporomandibular joint movement assisting device is stopped, the temporomandibular joint movement instruction control unit A04 compares the current number information or elapsed time with the setting information (S313).
When the temporomandibular joint movement instruction control unit A04 determines that the set number of times or the set time has been exceeded (S313: YES), the operation of the temporomandibular joint movement support device is ended (S314), and the current setting information is stored in the database server 12. Is stored in the temporomandibular joint movement setting table (S315).
When the temporomandibular joint movement instruction control unit A04 determines that the set time or the set number of times has not been exceeded (S313: NO), the temporomandibular joint movement instruction control unit A04 waits for information indicating the start from the patient smartphone Z01 that is the patient terminal 1.
In any case of this flowchart, the temporomandibular joint movement instruction control unit A04 transitions to S314 when it receives an instruction to stop movement from the patient smartphone Z01, which is the patient terminal 1, and performs an end treatment. Do.

Next, the temporomandibular joint movement analysis unit A06 will be described. FIG. 22 is a flowchart of the process performed by the temporomandibular joint movement analysis unit A06 for the therapist PCZ02, which is the therapist terminal 2. The temporomandibular joint movement analysis unit A06 reads data such as acceleration for each patient based on the patient ID from the jaw movement recording table in the database server 12 (S502, S503). The temporomandibular joint movement analysis unit A06 displays the acceleration and the like due to the temporomandibular joint movement on the therapist PCZ02, which is the healer terminal 2, in a graph (S504). (However, S503 to S504 use the processing of the history reference processing unit A06.) FIG. 32 is an example of a temporomandibular joint movement graph displayed on the therapist PCZ02 which is the therapist terminal 2.
The therapist selects a start point and an end point appropriate for the analysis from the graph displayed on the therapist terminal 2 and inputs them to the therapist terminal 2 (S508). FIG. 41 is an example of a screen for selecting a start point on a therapist PC which is a therapist terminal.
The temporomandibular joint movement analysis unit A06 calculates the distribution of the average amplitude, the average value of the frequency, the variance of the frequency, the base frequency by the FFT analysis, and the like from the graph between the start point and the end point by XYZ acceleration, XYZ angular acceleration, and X3-axis distance. Each is calculated and evaluated (S509). It is also possible to compare with the average value of healthy subjects of the same age who are not affected by temporomandibular joint disease. The temporomandibular joint movement analysis unit A06 stores the analysis start point, end point, analysis result, and the like in the jaw movement analysis evaluation table of the database server 12 (S510).
The evaluation result is transmitted and displayed on the therapist terminal 2 via the network 7 (S511).

FIG. 24 is a flowchart of processing for the patient smartphone Z01 which is the patient terminal 1 of the temporomandibular joint movement analysis unit A06. The general control unit A03 waits for exercise start information (S601). When notified (S602: YES), the temporomandibular joint movement analysis unit A06 starts storing in the temporomandibular joint movement record table (S603). further. The temporomandibular joint movement analysis unit A06 sets the internal measurement elapsed time of the temporomandibular joint movement analysis unit A06 to 0 second (S604).
The temporomandibular joint movement analysis unit A06 detects the phase difference between the chin movement and the light point movement from the movement of the light point of the temporomandibular joint movement support device and the wave of the acceleration of the patient sensor. Are evaluated such that 0 points and 100 points when the phases are aligned (S605). The temporomandibular joint movement analysis unit A06 displays the above evaluation in real time on the patient terminal 1 or the patient PC display (Z05-1) (S606). By this display, the patient can increase the willingness to exercise the temporomandibular joint. If the movement stop information (S312) is not received from the general control unit A03, the temporomandibular joint movement analysis unit A06 determines that there is no stop instruction (S607: YES).
Next, when the temporomandibular joint movement analysis unit A06 determines that the measurement elapsed time has exceeded 60 seconds (S608: YES), the acceleration data measured by the temporomandibular joint movement for the past 60 seconds is stored in the data server. Read from the exercise record table (S609). The temporomandibular joint movement analysis unit A06 analyzes average amplitude, average frequency, frequency dispersion, and the like from this data (S610), and via the network 7, the patient smartphone Z01 or the patient PC display (Z05- 1) (S611). The display on the patient terminal allows the patient to increase their motivation for mastery of temporomandibular joint exercise training through objective assessment of his temporomandibular joint movement. Next, the temporomandibular joint movement analysis unit A06 returns to S604 and loops.
When there is an instruction to stop exercise from the patient smartphone Z01 which is the patient terminal 1, the general control unit A03 notifies the temporomandibular joint motion analysis unit A06 (S312).
The temporomandibular joint movement analysis unit A06, when instructed to stop the movement (S607: NO), performs an end process for the therapist terminal 2 (S612).

Next, the processing of the diary & assessment processing unit will be described. The diary & assessment processing unit is a process for storing the diary and each assessment information input from the patient smartphone Z01 as the patient terminal 1 in each table in the database server 12. FIG. 25 is a flowchart of the diary & assessment processing unit. The diary & assessment processing unit receives the information entered in each form displayed by the general processing unit (S701). If the diary content is input in the browser display form of the patient smartphone Z01 which is the patient terminal 1 (S702: YES), the diary & assessment processing unit stores the diary content in the diary table in the database server 12. (S703). Next, if a patient assessment has been entered in the form of the patient smartphone Z01 which is the patient terminal 1 (S704: YES), the diary & diary & assessment processing unit sends the patient assessment information to the patient assessment in the database server 12. Store in the table (S705). Next, if a social psychological assessment has been entered in the form of the screen of the patient smartphone Z01 that is the patient terminal 1 (S706: YES), the diary & assessment processing unit stores the social psychological assessment information in the database server 12. It memorize | stores in a social psychological assessment table (S705). Next, if the exercise psychological assessment is described in the browser display form of the patient smartphone Z01 which is the patient terminal 1 (S708: YES), the diary & assessment processing unit stores the exercise psychological assessment information in the database server 12 Is stored in the exercise psychological assessment table (S709). Next, the diary & assessment processing unit ends (S710).

The present embodiment is an embodiment using the previously acquired Japanese Patent No. 4634430. FIG. 39 is a block diagram of the present embodiment.
In the present embodiment, the patient terminal 1 is a patient smartphone 2Z01. The therapist terminal 2 is a terminal used by the therapist, and is a PC, a smartphone, a tablet, or the like. In this embodiment, a PC is used. This is displayed as a therapist PC (2Z02). The temporomandibular joint movement sensor 3 is a sensor that senses the jaw movement of the patient. In this embodiment, an acceleration gyro 6-axis sensor 2Z03 is used. The patient is housed in a mandibular mouthpiece that is worn during sleep to treat temporomandibular disorders. This is displayed as patient sensor 2Z03. The power supply unit and the biological communication module are accommodated in the upper mouthpiece. Between the upper and lower mouthpieces, shield cables are coated with silicone resin for human body, and information and power can be transmitted and received. An electrode knitted with conductive fibers is attached to the buccal side line of the mouthpiece on the buccal gum of the upper jaw. Alternatively, an electrode made of dental metal is worn. The electrical current was knitted from the biomedical transmitter using the power supply housed in the floor of the upper mouthpiece and from the buccal line of the mouthpiece and conductive fibers (or created from dental metal). Flowed with the electrode).
The patient wears a headband-type headset. This headset is attached to the ears covered with conductive fibers, and serves as an electrode for capturing the current of biological communication. The information signal carried on this current is received by a biometric receiver mounted on the top of the headset headband. Furthermore, it is similarly transmitted to a patient smart phone with the BTLE communication apparatus with which the upper part of the headband of the headset was mounted | worn. Subsequently, temporomandibular joint movement information is communicated from the patient smartphone to the database server 12 and the application server 10 through the Internet via the communication company's line. The communication status and operating status (on or off) of the patient sensor are always displayed on the patient smartphone, and the patient can switch between the communication status and the operating status. This protects the patient's privacy. When the sensor and the communication device are embedded in the body as in Patent Document 4, the patient cannot be attached or detached by his / her own intention, so there is a risk of being anxious about infringement of privacy. In particular, when the trust relationship between the therapist and the patient breaks down, it can develop into a serious problem.
If the patient removes the mouthpiece containing the sensor and the headset with the module for biological communication, privacy is completely protected, so it is safe for the patient.

In this embodiment, transmission / reception of signals between the patient sensor 2Z03 and the headset type sensor terminal (2Z04-2) is performed by biometric communication.
Biological communication that is neither wired nor wireless enables communication that is not subject to posture restrictions even when sleeping, and communication that protects personal privacy unlike wireless communication. Even during sleep, there is no wired line with the sensor, so there is no risk of tangling and it is safe.
Biometric communication is a form of communication that uses a human body or the like as a conductor as a communication medium. As the transmission method, a current method, an electric field method, an electromagnetic wave method, and the like are known.
In the current method, a weak current of about several hundred μA flows through the living body when the living body touches both the transmission-side signal electrode and the receiving-side signal electrode. At this time, information is transmitted from the transmission-side signal electrode to the reception-side signal electrode by applying the modulation to the current.

In this embodiment, a weak current is generated from the information from the 6-axis acceleration sensor (2Z03) housed in the lower mouthpiece in the mouth through the electrode (1021) attached to the upper mouthpiece. , Send information.
The current flows to the earpiece (1031) covered with conductive fibers in the patient's headset. Information on the temporomandibular joint movement incorporated in the current is received by the biometric receiver (1032) of the headset. Further, the data is transmitted to the application server 10 from a transmitter above the headband of the headset via a network such as the Internet. The temporomandibular joint movement instruction control unit A04 stores information from the sensor in the chin movement recording table in the database server 12 (S305).

As the temporomandibular joint movement support device 5, in this embodiment, an LED device 2Z05 in which LEDs are arranged side by side like a smiley mouth is used. FIG. 31 is an example of a temporomandibular joint movement support apparatus. It is a humorous form to relieve patient tension. The reason why the LEDs are arranged in two rows is to indicate opening and closing. Not only can you move your jaw from side to side, but you can also give instructions to open and close your mouth. Four central LEDs are used, the opening is instructed to open and close the mouth by emitting the lower two LEDs and the closing by emitting the two central LEDs. In order to drive the LED device and connect to the network 7, the IOT microcomputer boat 2Z06 is used as the exercise support terminal 6.

With the consent of the patient, information on the temporomandibular joint movement sensor based on the temporomandibular joint movement at the time of bruxism when the patient sleeps is transferred from the sensor terminal 1032 attached to the headset to the application server 10 via the network 7. Send it. The headset is of the headband type so as not to be a burden when the patient falls asleep. The temporomandibular joint movement recording analysis unit stores this data in the chin movement recording table in the database server 12 (S603).
The therapist can view the record of bruxism during sleep of the patient from the temporomandibular joint movement record table of the database server 12 through the application of the application server 10 (S504). This is the function of the temporomandibular joint movement record analysis unit. The therapist selects appropriate and necessary data periods (S508). The figure shows an example screen for selecting the start point. For the data, the jaw movement analysis unit performs FFT analysis or the like (S509), and analyzes and displays a reference frequency distribution, which is a rhythm pattern, for example (S511). FIG. 42 is a graph of Fourier analysis. The therapist determines the movement frequency of the LED point of the temporomandibular joint movement assisting device in view of the frequency and other conditions of the patient. This is stored in the jaw movement setting table as a setting pattern.

Patients with temporomandibular disorders are often aware of jaw problems when waking up in the morning. The patient starts the temporomandibular joint movement by operating the present embodiment from the patient smartphone 2Z01 after the patient wakes up.
If the patient has a slower (or faster) rhythm, transmission is made from the patient smartphone 2Z01, and the rhythm of the LED device 2Z05 is made slower (or faster). If there is a change in the setting information from the patient smartphone 2Z01 during the temporomandibular joint movement (S308: YES), the change result is stored in the chin movement support apparatus history detailed table in the database server 12 (S309).
Also, the setting change is transmitted to the temporomandibular joint movement support apparatus 2Z05. In the temporomandibular joint movement support device, the setting of the light point of the LED device 2Z05 is changed based on the change result. Here, the change of the setting information is a change of the point speed, the color, and the like. The temporomandibular joint movement assisting device transmits the operation result to the temporomandibular joint movement instruction control unit A04 every time the point is reciprocated once, and the temporomandibular joint movement instruction control unit A04 adds 1 to the current number of times (S311). In addition, the exercise terminal microcomputer board 2Z06, which is the temporomandibular joint support device terminal 6, stores the chin motion ID, the completion time, and the operation number in the operation status table of the temporomandibular joint support device of the database server 12 every time the point is reciprocated once. Remember.
When the temporomandibular joint movement instruction control unit A04 receives the information indicating the stop from the patient terminal or the therapist terminal (S306: YES), the temporomandibular joint movement instruction control unit A04 transmits information for stopping the movement of the point to the temporomandibular joint movement support device. Is stopped (S312).
Further, the jaw movement ID, patient ID, start date / time, therapist ID, end date / time, etc. are stored in the jaw movement support device history source table in the database server 12 (S312).
When the movement of the light of the LED device 2Z05 is stopped, the temporomandibular joint movement instruction control unit A04 compares the current number information or elapsed time with the setting information (S313).
When the temporomandibular joint movement instruction control unit A04 determines that the set number of times or the set time has been exceeded (S313: YES), the operation of the temporomandibular joint movement support device is ended (S314), and the current setting information is stored in the database server 12. Is stored in the temporomandibular joint movement setting table (S315).
When the temporomandibular joint movement instruction control unit A04 determines that the set time or the set number of times has not been exceeded (S313: NO), the temporomandibular joint movement instruction control unit A04 waits for information indicating the start from the patient smartphone 2Z01.
In any case of this flowchart, the temporomandibular joint movement instruction control unit A04 transitions to S314 and performs a termination process when receiving a movement stop instruction from the patient smartphone 2Z01.

The patient does not have to immediately follow this effect or the like, so it should be recorded in a diary.
The patient and the therapist can share information objectively about the influence of the temporomandibular joint movement on the health and the movement situation such as frequency.
Patients and therapists can discuss good bruxism based on good records.

The present embodiment is an embodiment like a game for a plurality of groups in a wide space.
The character on the large display tells right, right, open mouth, close mouth, left etc.,
The acceleration sensor of the type attached to the wrist is brought into close contact with the chin portion of the lower jaw with the middle finger and the index finger.
There are a variety of wristband type acceleration sensors that can be worn on the wrist.
With Bluetooth, the information of the acceleration sensor is transmitted to each patient's smartphone, and is transmitted to the application server via the Internet through the communication company's line.
The temporomandibular joint movement recording analysis unit stores sensor information by the temporomandibular joint movement in the chin movement recording table (S305).

After the temporomandibular joint movement is completed, the group statistical processing unit A08 reads data from the jaw movement recording table and calculates the average of the synchrony, the average of the smoothness, and the variance for the group (S801).
The group statistical processing unit A08 calculates the rank and deviation value of each patient in the group (S802).
The population statistics processing unit A08 stores the patient rank, deviation value, and the like in the population analysis information table (S803).
The history reference processing unit A06 displays the information on the therapist terminal and the patient terminal.
Display the results on a large display.
Displays the average achievement rate, rank within the group, standard deviation, etc.

The present embodiment is a case where an elderly person's facility is also used as a swallowing function training, an oral flail prevention effect, and a dry mouth prevention effect. The patient terminal is a PC in the facility. The PC is operated by a caregiver at a welfare facility for the elderly. Stereo speakers are connected to the PC. Sounds familiar to elderly people such as “Sakura Sakura” are pronounced from the speakers. The patient is instructed to move to the right in the first beat of the measure in the “Hello Moshi Kame-san!” Equals song and to the left in the first beat of the next measure.
The jaw movement detection sensor is a Doppler sensor. The information of the Doppler sensor is transmitted to the in-facility PC and transmitted to the application server 10 via the network 7. When the patient is sitting in a wheelchair, the Doppler sensor is attached to the wheelchair at the position of the patient's left and right and feet. When the patient is on the bed, the Doppler sensor is fixed on the bed so that the patient's left and right and feet are positioned. It may be attached to the ceiling. Analyze jaw movement using Doppler sensor. The difference between the rhythm of music and the rhythm of jaw movement is measured and used as the training achievement rate. The result notification uses speech synthesis technology to say "Great, hard work. Another breath. Let's continue training. Slower training is better." .
Of course, the caregiver may tell you verbally and happily, judging from the values on the PC monitor.
The facility PC is used as a patient terminal so that an elderly patient does not need to operate.

Doppler sensors include those from Tokyo Electron Device Co., Ltd. It can be used on a bed and a wheelchair. The therapist and counselor can see the objective recording of the synchrony of the jaw movement and the smoothness of the movement as numerical values.

Although the present invention has been described in detail above, the present invention is not limited to the above-described embodiment, and it is needless to say that various improvements and modifications may be made without departing from the gist of the present invention. For example, in the first embodiment, the patient gives an operation setting instruction of the smile icon of the PC by voice recognition from the headset microphone, or the ceiling projection type as the temporomandibular joint movement instruction device 5 in the fourth embodiment. The display may be used. The BTLE communication in the first and second embodiments may be directly communicated to the Internet using an IOT communication line. When communication conditions are poor, such as on the Internet, it may be possible to store sensor information locally on a card-type recording medium or the like.

    The present invention has applicability in the medical industry, the game industry, and the like.

DESCRIPTION OF SYMBOLS 1 User terminal, patient terminal 2 User terminal, therapist terminal 3 Temporomandibular joint movement sensor 4 Sensor terminal 5 Temporomandibular joint movement support apparatus 6 Exercise terminal 7 Network 8 Cloud 9 Global segment 10 Application server 11 Global segment 12 Database server 13 VPN (Virtual (Private Network)
1001 6-axis acceleration sensor, power supply module, communication module 1002 Mandibular floor type mouthpiece 1011 Microphone & ranging sensor (detects movement of the mandible back and forth)
1012 Ranging sensor (detects left and right jaw movement)
1013 Distance sensor (detects up and down movement of the lower jaw)
1014 Earpiece with speaker (the outside also serves as the movable rotation axis of the microphone boom arm)
1015 Headband 1021 of headset Electrode woven with conductive fiber, or electrode made of dental metal (electrode for biocommunication, attached to the metal wire on the buccal side of the mouthpiece. (Drawing with the transparency changed on the left and right so that the positional relationship between can be seen.)
1022 1028 and 1023 Shield cable 1023 covered with biomedical silicone resin for electrical connection 1023 6-axis acceleration gyro sensor 1025 housed in floor of lower mouthpiece 1025 Lower mouthpiece 1026 Upper mouthpiece 1027 Cheek of upper mouthpiece Power supply module housed in floor of side metal wires 1028 1026 and biocommunication transmission module 1031 addressed to ears covered with conductive fibers (reception electrode for biocommunication)
1032 Headband type headband 1033 Biological communication receiving module and power supply module, 2.4 GHz band communication transmission module using low-power radio wave without license A01 Web unit A02 Mail unit A03 General control unit A04 Temporomandibular joint movement instruction Control unit A05 Authentication control unit A06 History reference processing unit A07 Temporomandibular joint movement analysis unit A08 Group statistics processing unit T01 Patient basic ledger table T02 Patient insurance table T03 Therapist ledger table T04 Patient therapist correspondence table T05 Temporomandibular joint movement support device history Original table T06 Temporomandibular joint movement support apparatus history detailed table T07 Temporomandibular joint movement support apparatus operation status table T08 Temporomandibular joint movement record table T09 Temporomandibular joint movement analysis evaluation table T10 Patient basic assessment table T11 Diary table T12 Social psychology Assessment table T13 Exercise psychological assessment table T14 Temporomandibular joint movement setting table T15 Group analysis information table Z01 Patient smartphone Z02 Therapist PC
Z03-1 6-axis acceleration gyro sensor Z03-2 Patient ranging sensor Z04-1 2.4 GHz band transmission module Z04-2 Patient PC which is a terminal for patient ranging sensor
Z05-1 Temporomandibular joint movement support device, patient PC display Z05-2 Temporomandibular joint movement support device, patient headset speaker Z06 Patient PC acting as an exercise terminal device
Z07 Network 2Z01 Patient smartphone 2Z02 Therapist PC
2Z03 Patient Acceleration Gyro Sensor 2Z04-1 Biological Communication Transmission Module 2Z04-2 Biological Communication Reception Module and 2.4 GHz Band Transmission Module 2Z05 Temporomandibular Joint Movement Support Device, LED Device 2Z06 Exercise Terminal, Microcomputer Board 2Z07 Network

The system in the present embodiment basically includes a patient terminal 1, a therapist terminal 2, a temporomandibular joint movement sensor 3, a sensor terminal 4, a temporomandibular joint movement support apparatus 5, an exercise apparatus terminal 6, and a database server 12. , Application server 10, network 7 (near field communication, telephone communication line, Internet, etc.), and management terminal 8. The terminal is a computer, a microcomputer board, a smartphone, or the like that can be connected to the network. FIG. 36 shows a configuration diagram of the present embodiment. The connection is also a network, and the basics are the same as in FIG. The patient terminal 1 is a terminal used by a patient, and is a PC, a smartphone, a tablet, or the like. In this embodiment, a smartphone is used. This is displayed as patient smartphone Z01. The therapist terminal 2 is a terminal used by the therapist, and is a PC, a smartphone, a tablet, or the like. In this embodiment, a PC is used. This is displayed as the therapist PCZ02. The jaw movement detection sensor 3 is a sensor that senses a patient's jaw movement. In this embodiment, an acceleration gyro 6-axis sensor (Z03-1) is used. The patient is housed in a mandibular mouthpiece to be worn at sleep for temporomandibular disorder treatment. This is displayed as a patient acceleration sensor (Z03-1). It seems possible to reduce the size with the current technology. (See Non-Patent Document 3)
A distance measuring (displacement) sensor is attached to a microphone boom arm extending from the headset and arranged around the lower jaw to observe the movement of the lower jaw relative to the upper jaw. (In this embodiment, three distance measuring sensors are used. One of them is also equipped with a microphone. The other two are only distance measuring sensors.) These are patient distance measuring sensors (Z03-2). Is displayed. A distance measuring (displacement) sensor includes a micro laser sensor, an infrared sensor, an ultrasonic sensor, and the like. By using not only the 6-axis acceleration sensor but also the distance measuring sensor, the temporomandibular joint movement can be measured more accurately. If there is a value of the distance measuring sensor, the actual position of the lower jaw can be recorded, and the temporomandibular joint movement can be analyzed better. The moment when the upper and lower teeth are bitten is predicted to have the highest acceleration value, but the sensor in the floor of the mouthpiece that is in close contact with the lower jaw makes it possible to measure more accurately than the one attached to the skin of the face. it can. In addition, this patient sensor communicates with the patient smartphone Z01 by communication using a low-power radio wave that does not require a license in the 2.4 GHz band . In this embodiment, an instruction for jaw movement is displayed on the PC display (Z05-1). The exercise terminal is PC (Z06). In addition, music or the like is generated by a headset speaker (Z05-2) connected to the exercise terminal. The PC display (Z05-1) displays instructions such as opening, closing, moving to the left, moving to the right, moving the tongue to the left, and moving the tongue to the right. In the present embodiment, smile marks arranged in a line (see FIG. 31) are sequentially blinked to instruct jaw movement. The patient moves the eyeball and mandible left and right as in REMD therapy. Music and the like are produced from the left and right speakers (Z05-2) of the headset in accordance with the exercise. The patient may move his lower jaw from side to side while closing his eyes and listening to music. The patient can perform temporomandibular joint movement in a psychologically stable state as in REMD therapy. Can overcome fear of moving temporomandibular joints. In patients with unilateral temporomandibular disorders, when moving left and right, the movements on the healthy side and the affected side of the temporomandibular disorder are repeated, so the correct way to move the affected side closer to the natural and healthy way of movement. Can learn. By moving the jaws, saliva secretion is promoted, and it can be expected to prevent dental caries and periodontal disease. By moving the muscles around the temporomandibular joint, it can be expected to prevent dysphagia.

The server situation in the cloud service etc. in the present embodiment will be described. The application server 10 is a server that manages processes related to temporomandibular joint movement. The database server 12 is a server that stores a stored table as a database. The application server 10 receives patient sensor data via the network 7, transmits / receives data to / from the database server 12, transmits / receives device operation information to the temporomandibular joint movement support device 5, etc. In addition, an application is provided to the therapist PC and data is transmitted and received. In the present embodiment, for the patient distance measuring sensor (Z03-2), the sensor terminal 4 (ranging) is a patient PC (Z04-2) or the like connected by wire via a headset. As for the patient acceleration sensor (Z03-1), the sensor terminal 4 is housed in the lower jaw mouthpiece. This movement around the temporomandibular joint is performed by wireless communication using a small unlicensed radio wave in the 2.4 GHz band where the electrical signal from the patient acceleration sensor (Z04-1) is WBAN (Wireless Body Area Network). The acceleration data is transmitted to the PC (Z04-2). The patient PC is both a sensor terminal (Z04-2) and an exercise support terminal Z6.

Next, the operation of the general control unit A03 in the temporomandibular joint movement treatment will be described. FIG. 13 is a flowchart of the temporomandibular joint movement of the general control unit A03. After the authentication, an exercise preparation screen is displayed on the patient smartphone that is the patient terminal 1 (S011). In the “preparation” stage, in preparation for starting treatment of temporomandibular joint movement, the therapist gives a detailed explanation of the effects and theory of temporomandibular joint movement on temporomandibular disorders. When the patient is telemedicine at home, a TV phone or the like is used. Build sufficient trust between therapist and patient. The patient tries the temporomandibular joint movement support device and confirms conditions (smile mark speed, color, etc.) that the patient can easily carry out (S013). The temporomandibular joint movement instruction control unit A04 stores the setting information at this time in the temporomandibular joint movement setting table. When the therapist determines that the preparation is sufficient, the therapist inputs the determination result to the therapist terminal 2. The therapist terminal 2 transmits the determination result to the application server 10 via the network 7. If the received determination result is information indicating that the temporomandibular joint movement can be performed with preparation OK (S014-1: OK), the overall control unit A03 proceeds to the temporomandibular joint movement process (S015).

The present embodiment is an embodiment using the previously acquired Japanese Patent No. 4634430. FIG. 39 is a block diagram of the present embodiment. In the present embodiment, the patient terminal 1 is a patient smartphone 2Z01. The therapist terminal 2 is a terminal used by the therapist, and is a PC, a smartphone, a tablet, or the like. In this embodiment, a PC is used. This is displayed as a therapist PC (2Z02). The temporomandibular joint movement sensor 3 is a sensor that senses the jaw movement of the patient. In this embodiment, an acceleration gyro 6-axis sensor 2Z03 is used. The patient is housed in a mandibular mouthpiece that is worn during sleep to treat temporomandibular disorders. This is displayed as patient sensor 2Z03. The power supply unit and the biological communication module are accommodated in the upper mouthpiece. Between the upper and lower mouthpiece, which was coated with shielded cable body silicon resin, transmitting and receiving information and power. An electrode knitted with conductive fibers is attached to the buccal side line of the mouthpiece on the buccal gum of the upper jaw. Alternatively, an electrode made of dental metal is worn. The electrical current was knitted from the biomedical transmitter using the power supply housed in the floor of the upper mouthpiece and from the buccal line of the mouthpiece and conductive fibers (or created from dental metal). Flowed with the electrode). The patient wears a headband-type headset. This headset is attached to the ears covered with conductive fibers, and serves as an electrode for capturing the current of biological communication. The information signal carried on this current is received by a biometric receiver mounted on the top of the headset headband. Furthermore, it is similarly transmitted to a patient's smart phone by the communication apparatus using the low electric wave of the 2.4 GHz band which does not require the license , which was attached to the upper part of the headband of the headset. Subsequently, temporomandibular joint movement information is communicated from the patient smartphone to the database server 12 and the application server 10 through the Internet via the communication carrier's line. The communication status and operating status (on or off) of the patient sensor are always displayed on the patient smartphone, and the patient can switch between the communication status and the operating status. This protects the patient's privacy. When the sensor and the communication device are embedded in the body as in Patent Document 4, the patient cannot be attached or detached by his / her own intention, so there is a risk of being anxious about infringement of privacy. In particular, when the trust relationship between the therapist and the patient breaks down, it can develop into a serious problem. If the patient removes the mouthpiece containing the sensor and the headset with the module for biological communication, privacy is completely protected, so it is safe for the patient.

With the consent of the patient, information on the temporomandibular joint movement sensor based on the temporomandibular joint movement at the time of bruxism when the patient sleeps is transferred from the sensor terminal 1032 attached to the headset to the application server 10 via the network 7. Send it. The headset is of the headband type so as not to be a burden when the patient falls asleep. The temporomandibular joint movement recording analysis unit stores this data in the chin movement recording table in the database server 12 (S603). The therapist can view the record of bruxism during sleep of the patient from the temporomandibular joint movement record table of the database server 12 through the application of the application server 10 (S504). This is the function of the temporomandibular joint movement record analysis unit. The therapist selects appropriate and necessary data periods (S508). FIG. 41 is an example of a screen for selecting a starting point. For the data, the jaw movement analysis unit performs FFT analysis or the like (S509), and analyzes and displays a reference frequency distribution, which is a rhythm pattern, for example (S511). FIG. 42 is a graph of Fourier analysis. The therapist determines the movement frequency of the LED point of the temporomandibular joint movement support device in view of the frequency situation. This is stored in the jaw movement setting table as a setting pattern.

The present embodiment is an embodiment like a game for a plurality of groups in a wide space. Character to the large display, right, right, open mouth, to instruct the mouth closed and the like. The acceleration sensor of the type attached to the wrist is brought into close contact with the chin portion of the lower jaw with the middle finger and the index finger. There are a variety of wristband type acceleration sensors that can be worn on the wrist. Through communication using a low-power radio wave that does not require a license in the 2.4 GHz band, the information of the acceleration sensor is transmitted to each patient's smartphone and transmitted to the application server via the Internet through the carrier's line. The The temporomandibular joint movement recording analysis unit stores sensor information by the temporomandibular joint movement in the chin movement recording table (S305).

The present embodiment is a case where an elderly person's facility is also used as a swallowing function training, an oral flail prevention effect, and a dry mouth prevention effect. The patient terminal is a PC in the facility. The PC is operated by a caregiver at a welfare facility for the elderly. Stereo speakers are connected to the PC. Sounds familiar to elderly people such as “Sakura Sakura” are pronounced from the speakers. The patient is instructed to move right on the first beat of the song bar and left on the first beat of the next bar. The jaw movement detection sensor is a Doppler sensor. The information of the Doppler sensor is transmitted to the in-facility PC and transmitted to the application server 10 via the network 7. When the patient is sitting in a wheelchair, the Doppler sensor is attached to the wheelchair at the position of the patient's left and right and feet. When the patient is on the bed, the Doppler sensor is fixed on the bed so that the patient's left and right and feet are positioned. It may be attached to the ceiling. Analyze jaw movement using Doppler sensor. The difference between the rhythm of music and the rhythm of jaw movement is measured and used as the training achievement rate. The result notification uses speech synthesis technology to say “Great, I did my best. I'm breathing again. Let's continue training. Slower training is better.” . Of course, the caregiver may tell you verbally and happily, judging from the values on the PC monitor. The facility PC is used as a patient terminal so that an elderly patient does not need to operate.

Doppler sensors can also be used on beds and on wheelchairs. The therapist and counselor can see the objective recording of the synchrony of the jaw movement and the smoothness of the movement as numerical values.

Although the present invention has been described in detail above, the present invention is not limited to the above-described embodiment, and it is needless to say that various improvements and modifications may be made without departing from the gist of the present invention. For example, in the first embodiment, the patient gives an operation setting instruction of the smile icon of the PC by voice recognition from the headset microphone, or the ceiling projection type as the temporomandibular joint movement instruction device 5 in the fourth embodiment. The display may be used. In the first and second embodiments , communication using a low-power radio wave that does not require a license in the 2.4 GHz band may be directly communicated to the Internet using an IOT communication line. When communication conditions are poor, such as on the Internet, it may be possible to store sensor information locally on a card-type recording medium or the like.

The system of Patent Document 7, which is a mandibular anterior tooth movement tracking system having guidance display means for guiding and displaying a subject's opening / closing movement by animation, light, sound, etc., is intended for pain detection and has a continuous rhythmic sense. It was not possible to cultivate and make temporomandibular joint movement fun.

In recent years, desensitization by eye movement and reprocessing (EMDR) have attracted attention as one of the treatment methods for post traumatic stress disorder (hereinafter referred to as PTSD). PTSD is a characteristic mental disorder caused by experiencing sudden shocking events. In the treatment method of EMDR, the brain is put into a state of REM sleep by causing the patient to glance (eye movement), and the trauma is healed in that state. (Refer to patent document 5, paragraph number 002)
The patient learns how to exercise that the bruxism performed during sleep does not harm the jaw and teeth, such as treatment of temporomandibular disorders, prevention of tooth breakage, promotion of salivation, Helps prevent tooth decay and periodontal disease.

http://www.who.int/mediacentre/news/releases/2013/trauma_mental_health_20130806/en/ Non-Patent Literature: Tsunemasa Saigi, Vocalization Detection C, 131, No. 4, 2011, page 826 http: // affordsens. com / Product-Vitalgram

Next, temporomandibular articulation analysis unit A0 7, will be described. Figure 22 is a jaw articulation analysis unit A0 7, for the therapist PCZ02 a treatment terminal 2 is a flowchart of processing. TMJ motion analysis unit A0 7 from jaw movement record table in the database server 12, the patient ID, reads the acceleration such as data for each patient (S502, S503). TMJ motion analysis unit A0 7 is the treatment's terminal 2. The term therapist PCZ02, the acceleration due TMJ motion to display the graph (S504). (However, S503 to S504 use the processing of the history reference processing unit A06.) FIG. 32 is an example of a temporomandibular joint movement graph displayed on the therapist PCZ02 which is the therapist terminal 2.
The therapist selects a start point and an end point appropriate for the analysis from the graph displayed on the therapist terminal 2 and inputs them to the therapist terminal 2 (S508). FIG. 41 is an example of a screen for selecting a start point on a therapist PC which is a therapist terminal.
TMJ motion analysis unit A0 7 is the graph between the start and end points, the average amplitude, average value of the frequency, the variance of the frequency, the distribution of such base frequency by FFT analysis XYZ acceleration, XYZ angular acceleration, and X3 axis Each distance is calculated and evaluated (S509). It is also possible to compare with the average value of healthy subjects of the same age who are not affected by temporomandibular joint disease. TMJ motion analysis unit A0 7 stores the start and end points and analysis results of the analysis to the jaw motion analysis evaluation table in the database server 12 (S510).
The evaluation result is transmitted and displayed on the therapist terminal 2 via the network 7 (S511).

Figure 24 is a flowchart of a process for the patient smartphone Z01 is a patient terminal 1 of the temporomandibular joint motion analysis unit A0 7. The general control unit A03 waits for exercise start information (S601). If there is notification (S602: YES), temporomandibular articulation analysis unit A0 7 may start storing the jaw articulation record table (S603). further. TMJ motion analysis unit A0 7 is an internal measure elapsed time temporomandibular articulation analysis unit A0 7 of the jaw articulation is set to 0 seconds (S604).
TMJ motion analysis unit A0 7 includes a motion of the light points of the jaw articulation support device, the vibration of acceleration or the like of a patient sensor, detects a phase difference between the movement of the jaw movement and light points, the antiphase Evaluation is made so that the time is 0 point and the phase is 100 points when the phases are aligned (S605). TMJ motion analysis unit A0 7 is the patient terminal 1 or the patient PC display (Z05-1), the evaluation described above is displayed in real time (S606). By this display, the patient can increase the willingness to exercise the temporomandibular joint. From general control unit A03, it does not receive the movement stop information (S312), temporomandibular articulation analysis unit A0 7 determines that there is no stop instruction (S607: YES).
Next, temporomandibular articulation analysis unit A0 7, when measured elapsed time is judged to exceed 60 seconds (S608: YES), which up to 60 seconds acceleration data or the like measured by the jaw articulation of, in the data server Read from the jaw movement record table (S609). TMJ motion analysis unit A0 7 from this data, the average amplitude, average frequency, by analyzing the dispersion, etc. of the frequency (S610), via the network 7, the patient smartphone Z01 or patient PC display (Z05 is a patient terminal 1 -1) (S611). The display on the patient terminal allows the patient to increase their motivation for mastery of temporomandibular joint exercise training through objective assessment of his temporomandibular joint movement. Next, temporomandibular articulation analysis unit A0 7 loops back to S604.
When there is an instruction of movement stop than patients smartphone Z01 is a patient terminal 1, the comprehensive controller A03 notifies the TMJ motion analysis unit A0 7 (S312).
TMJ motion analysis unit A0 7, when there is a movement stop instruction (S607: NO), the termination treatment process for treating terminal 2 (S612).

Periodontal disease is a common disease for adults. It is a cause of tooth loss and a disease that affects all generations of adults. Insufficiency of saliva is often due to stress. Analyzing stress, which is a cause of salivary secretion, from diaries and assessment records, we can get tips on improving the saliva secretion situation, and prevent dental caries, dry mouth, and periodontal disease.

Claims (5)

Depending on the screen displayed in the patient's field of view and instructions by the pointing device etc., and instructions such as voice music by the pointing speaker etc. device to be conveyed by the patient's hearing, or either,
As a result of the patient moving the temporomandibular joint and mandible with a continuous sense of rhythm, the evaluation of the movement is registered The treatment of dental diseases such as temporomandibular disorder treatment, dental caries prevention, periodontal disease prevention and dysphagia prevention A system for
Programs, smartphones, storage devices, microcomputer boards, computers and network systems, displays, projectors, motion instruction devices, speakers, mouthpieces, headsets, motion sensors such as acceleration sensors, etc. Consists of
A communication means for instructing the patient about movements of the temporomandibular joint and the like visually and audibly;
Means for the patient to exercise psychologically stable and enjoyable when the patient exercises the temporomandibular joint according to instructions,
Means for detecting and storing movements of the patient's temporomandibular joint and mandible as a result of instructions from therapists, etc .;
A communication means that changes instructions to temporomandibular joint movement etc. according to the patient's will,
Means for detecting and evaluating the movement of the patient's temporomandibular joint, etc.
Means for storing a plurality of action item information that has detected the action, evaluation information about the past item information, subjective and objective medical history / assessment information for each treatment of the patient, and patterns such as temporomandibular joint movement instructions;
An acquisition means for acquiring a patient's subjective and objective medical history etc. and assessment information for each patient treatment;
A means of communication that communicates the assessment of temporomandibular joint movement to patients and therapists;
A means to compare and evaluate temporomandibular joint movements in a population;
Means to promote the secretion of saliva;
Means to improve the circulation of the temporomandibular joint;
A system for supporting treatment of dental diseases such as temporomandibular disorders treatment, dental caries prevention, periodontal disease prevention and dysphagia prevention, characterized by having means for preventing atrophy of perioral muscles. Sending information to the device that supports the movement of the temporomandibular joint to the patient,
As a result of the patient moving the temporomandibular joint and mandible with a continuous rhythm,
It receives information from sensors that detect temporomandibular and / or mandibular movements or one or more of the movements of the patient and stores the evaluation of the movements in a memory device for temporomandibular disorders treatment, dental caries prevention and periodontal disease prevention and intake. A program for dental treatment support such as prevention of dysphagia,
Computers (including microcomputer boards) and smartphones and other communication terminal devices (multiple devices may or may not be used)
Using hardware such as storage devices, displays, projectors, network systems, motion instruction devices, speakers, motion sensors such as accelerometers and distance sensors (each with multiple or may not be used)
A communication means for instructing the patient to perform movements of the temporomandibular joint, etc. visually or auditorily,
Means for the patient to exercise psychologically stable and enjoyable when the patient exercises the temporomandibular joint according to instructions,
Means for detecting and storing movements of the patient's temporomandibular joint and mandible as a result of instructions from therapists, etc .;
A communication means to change the instruction of movement to the temporomandibular joint movement etc. according to the patient's intention;
Means for evaluating the movement of the patient's temporomandibular joint, etc .;
Means for storing a plurality of action item information that has detected the action, evaluation information about the past item information, subjective and objective medical history / assessment information for each treatment of the patient, and patterns such as temporomandibular joint movement instructions;
An acquisition means for acquiring a patient's subjective and objective medical history etc. and assessment information for each patient treatment;
A means of communication that communicates the assessment of temporomandibular joint movement to patients and therapists;
A means to compare and evaluate temporomandibular joint movements in a population;
Means to promote the secretion of saliva;
Means to improve the circulation of the temporomandibular joint;
A program for supporting treatment of dental diseases such as temporomandibular disorder treatment, dental caries prevention, periodontal disease prevention and dysphagia prevention characterized by functioning as a means of preventing perioral muscle atrophy. When the patient is bruised in an unconscious state such as sleeping,
The patient's temporomandibular joint and mandible are moved with a sense of continuous rhythm, and the evaluation of the movement is registered. Temporomandibular disorder treatment, dental caries prevention, periodontal disease prevention, dysphagia prevention and other dental disease treatment support system Because
Programs, communication terminals such as smartphones, storage devices, microcomputer boards, computers, network systems, displays, projectors, operation instruction devices, speakers, mouthpieces, headsets, motion sensors such as acceleration sensors, etc. In some cases)
Means for detecting and storing movements of the patient's temporomandibular joint, etc. in the case of bruxism during sleep,
Means for detecting and evaluating the movement of the patient's temporomandibular joint, etc.
Means for storing a plurality of action item information that has detected the action, evaluation information on the past item information, and subjective and objective medical history / assessment information for each patient treatment;
An acquisition means for acquiring a patient's subjective and objective medical history etc. and assessment information for each patient treatment;
A means of communication that communicates the assessment of temporomandibular joint movement to patients and therapists;
Means to promote the secretion of saliva;
Means to improve the circulation of the temporomandibular joint;
The system according to claim 1 for dental treatment treatment support such as temporomandibular disorder treatment, dental caries prevention, periodontal disease prevention and dysphagia prevention, characterized by having means for preventing atrophy of perioral muscles. When the patient is bruised in an unconscious state during sleep, etc.
As a result of the patient moving the temporomandibular joint and mandible with a continuous rhythm,
It receives information from sensors that detect temporomandibular and / or mandibular movements or one or more of the movements of the patient and stores the evaluation of the movements in a memory device for temporomandibular disorders treatment, dental caries prevention and periodontal disease prevention and intake. A program for dental treatment support such as prevention of dysphagia,
Computers (including microcomputer boards) and smartphones and other communication terminal devices (multiple devices may or may not be used)
Using hardware such as storage devices, displays, projectors, network systems, operation instruction devices, speakers, motion sensors such as acceleration sensors, etc.
Means for detecting and storing movements of the patient's temporomandibular joint and mandible in the case of unconsciousness during sleep, etc .;
Means for evaluating the movement of the patient's temporomandibular joint, etc .;
Means for storing a plurality of action item information that has detected the action, evaluation information on the past item information, and subjective and objective medical history / assessment information for each patient treatment;
An acquisition means for acquiring a patient's subjective and objective medical history etc. and assessment information for each patient treatment;
A means of communication that communicates the assessment of temporomandibular joint movement to patients and therapists;
Means to promote the secretion of saliva;
Means to improve the circulation of the temporomandibular joint;
The program according to claim 2 for supporting dental disease treatment such as temporomandibular disorder treatment, dental caries prevention, periodontal disease prevention and dysphagia prevention characterized by functioning as a means for preventing atrophy of perioral muscles. A program for supporting treatment of dental diseases,
Computers (including microcomputer boards) and smartphones and other communication terminal devices (multiple devices may or may not be used)
Using hardware such as storage devices, displays, projectors, network systems, operation instruction devices, speakers, motion sensors such as acceleration sensors, etc.
By allowing the patient to move the temporomandibular joint and jaw continuously and stably,
Dentistry such as treatment of temporomandibular disorders, dental caries prevention, periodontal disease prevention and dysphagia prevention, which has characteristics of promoting saliva secretion, improving circulation of temporomandibular joint and preventing atrophy of perioral muscle The program according to claim 2 for supporting disease treatment.