TW202145973A - Hand-held and movable root canal treatment pulp hole detection camera and video system including a probe head composed of a light source and an ultra-miniature camera lens module - Google Patents
Hand-held and movable root canal treatment pulp hole detection camera and video system including a probe head composed of a light source and an ultra-miniature camera lens module Download PDFInfo
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Abstract
Description
本發明主要是應用關於牙齒之根管治療中,針對牙髓孔的影像偵測之系統所利用的方法及所運用的裝置之領域。 The present invention is mainly applied to the field of the method and the device used in the system for image detection of the pulp hole in the root canal treatment of the tooth.
根管治療主要目的在於解決牙髓炎和根尖周炎,並且以保留住原有的牙齒為前提,此種根管治療的過程繁複又精細,首先是磨除牙體的齬壞組織再鑽開齒冠,使牙髓孔曝露出來,再用牙髓針將感染的牙髓拔出(俗稱抽神經),再測量根管的長度,並對根管的形狀進行修型處理,亦即使用根管銼將細細的根管慢慢擴大,再運用消毒水的沖洗,以清除根管管道上的組織碎屑和細菌殘留,等擴大到乾淨的地步後,於根管內封上消毒藥物,隔一段時間後將原先藥物取出,再用永久性材料對根管進行密封,最後對牙齒外型進行修復。傳統的根管治療程序,大多只能仰賴醫師的經驗、手感,透過手上的治療器械,把牙髓組織以及相關的神經破壞、攪碎,除了清潔牙髓組織,另外就是把神經活性破壞弄死,然後封填起來或套上牙套,但是單單以經驗和手感的治療過程中,最多只是運用牙腔鏡靠置於牙齒旁,將曝露的牙髓孔照射在牙腔鏡鏡面上來偵測檢視以進行各項療程,然而,由於牙腔鏡的鏡面太小,無法清楚偵測到牙腔內的情況,更無法確定牙髓孔的數量、位置、大小及方向,如此可能造成根管治療不夠確 實,或是漏掉隱藏於牙腔室角落邊緣的牙髓孔,造成牙髓組織沒清乾淨,或是神經活性沒有完全破壞,就容易引發牙根尖的再次發炎,這類的慢性發炎,通常會被忽略,但是細菌已經潛藏在神經根,如果沒有徹底清乾淨,就會留下潛藏的危機,像是牙周病等等,造成更不好的結果。 The main purpose of root canal treatment is to solve pulpitis and apical periodontitis, and it is based on the premise of retaining the original teeth. The process of root canal treatment is complicated and delicate. The first is to grind the bad tissue of the tooth and then drill. Open the tooth crown to expose the pulp hole, and then use the pulp needle to pull out the infected pulp (commonly known as nerve extraction), then measure the length of the root canal, and modify the shape of the root canal, that is, use The root canal file slowly expands the thin root canal, and then rinses with disinfectant water to remove tissue debris and bacterial residues on the root canal canal. After a period of time, the original drug is taken out, and the root canal is sealed with a permanent material, and finally the appearance of the tooth is restored. Most of the traditional root canal treatment procedures can only rely on the experience and feel of the doctor. Through the treatment equipment in the hand, the pulp tissue and related nerves are destroyed and crushed. In addition to cleaning the pulp tissue, the other is to destroy the nerve activity. However, during the treatment process based on experience and feel, at most, the dental mirror is placed next to the tooth, and the exposed pulp hole is irradiated on the mirror surface of the dental mirror to detect and inspect. However, because the mirror surface of the dental mirror is too small, it is impossible to clearly detect the situation in the tooth cavity, and it is impossible to determine the number, position, size and direction of the pulp hole, which may lead to insufficient root canal treatment. sure In fact, or missing the pulp hole hidden in the corner edge of the tooth cavity, causing the pulp tissue to be unclean, or the nerve activity is not completely destroyed, it is easy to cause the re-inflammation of the root tip. This kind of chronic inflammation, usually It will be ignored, but the bacteria are already hidden in the nerve root. If it is not thoroughly cleaned, it will leave a hidden crisis, such as periodontal disease, etc., resulting in even worse results.
近年來,雖有利用高倍率醫用顯微鏡,把根管局部放大12~25倍,搭配強光照明,來改善傳統根管治療的缺點,然而,此種顯微根管治療儀器,其體積較大,不利於裝設及操作,使用上並不便利,而其每台機器動輒新台幣一兩百萬,對一般牙科診所難以負擔其高額成本和後續昂貴的維修費用,因此在實際運用上不符合經濟效益,也無法普及。 In recent years, although high-magnification medical microscopes have been used to magnify the local root canal by 12 to 25 times, combined with strong light illumination, to improve the shortcomings of traditional root canal treatment, however, this microscopic root canal treatment instrument has a relatively large volume. It is large, not conducive to installation and operation, and inconvenient to use, and each machine costs one or two million NT dollars. It is difficult for general dental clinics to afford its high cost and subsequent expensive maintenance costs, so it is not practical in practical application. It is economical and not universal.
本發明之主要目的在於解決一般牙科醫生於進行根管治療時,無法清楚方便的偵測到牙腔室內牙髓孔正確資料,造成根管治療不夠確實的問題。本發明在吳國峰醫師累積40年的行醫經驗指導下,運用成熟的超微型醫療內視攝影機技術,而研發出簡易手持式及可移動式根管治療牙髓孔偵測拍照錄影系統,在打開牙腔室後,即可清晰地看到牙髓孔的數量、位置、方向和大小,因此可大幅降低因醫生的視野盲點,造成因牙髓清除不徹底,或漏掉隱藏的牙髓腔所引起的二度發炎狀況,提供一般牙醫可輕易簡便使用達到的有效之根管治療。 The main purpose of the present invention is to solve the problem that the general dentist cannot clearly and conveniently detect the correct data of the pulp hole in the tooth cavity when performing root canal treatment, resulting in the inaccuracy of root canal treatment. Under the guidance of Dr. Wu Guofeng's accumulated 40 years of medical experience, the present invention uses the mature ultra-miniature medical endoscopic camera technology to develop a simple hand-held and movable root canal treatment pulp hole detection, photographing and recording system. After the cavity, you can clearly see the number, position, direction and size of the pulp hole, so it can greatly reduce the blind spot of the doctor's field of vision, resulting in incomplete pulp removal or missing hidden pulp cavity. It provides an effective root canal treatment that can be easily and simply used by general dentists.
本發明創新之手持式及可移動式根管治療牙髓孔偵測拍照錄影系統,其影像偵測方式主要針對將進行根管治療的牙齒,於鑽孔後,以一組具有光源與攝影鏡頭模組的偵測頭伸入牙腔室內部直接觀測,即可 簡易取得牙髓孔的詳細資料,該偵測頭並連結一延伸管連接於一控制器,而經由控制器可將觀測到的影像清楚的顯示於外置或內建的彩色觸控顯示幕上,提供於治療時,醫師可以確定患者該牙齒內牙髓孔的數量、位置及大小,因此於清除根管管道、消毒及充填等牙齒的根管治療時,更為精確有效,大幅提升根管治療的效能及效率。 The innovative handheld and mobile root canal treatment pulp hole detection photographing and recording system of the present invention, the image detection method is mainly aimed at the teeth to be subjected to root canal treatment. The detection head of the module is inserted into the dental cavity for direct observation. The detailed information of the pulp hole can be easily obtained. The detection head is connected with an extension tube and connected to a controller, and the observed image can be clearly displayed on the external or built-in color touch screen through the controller. , Provided in the treatment, the doctor can determine the number, position and size of the pulp hole in the patient's tooth, so it is more accurate and effective when the root canal treatment of the tooth such as root canal removal, disinfection and filling is performed, and the root canal is greatly improved. Efficacy and efficiency of treatment.
本發明手持式及可移動式根管治療牙髓孔偵測拍照錄影系統的所使用的具體裝置,主要包含一本體、握把及影像偵測單元等構件,該本體正面具有一顯示幕,本體底邊形成有一握把,於本體及握把上皆設有控制器,於本體背面連設以以一偵測單元,該偵測單元包含一延伸管,於延伸管末端設有一手機座,而由手機座樞接一偵測體,於偵測體末端底部設有一內設有光源及鏡頭模組的偵測頭,整體組合結構之形狀類似於牙醫經常使用的手持鑽孔手機工具,以便利牙醫慣性之使用,該偵測頭的直徑設為小於2.3mm;實施時,一般係在需治療的牙齒上先鑽出一個大約直徑2.5mm的開孔,而後以偵測頭伸入牙腔室內直接觀測,利用控制器使觀測到的影像經由延伸管而清楚的顯示於外置的本體顯示幕上,而可以輕易的取得正確而完整牙髓孔的資料,使根管治療過程時更為輕鬆,且能達成有效根管治療的效果。 The specific device used in the handheld and movable endodontic treatment pulp hole detection photographing and recording system of the present invention mainly includes a main body, a handle, an image detection unit and other components, the front of the main body has a display screen, the main body A handle is formed on the bottom edge, a controller is arranged on both the body and the handle, a detection unit is connected on the back of the body, the detection unit includes an extension tube, and a mobile phone holder is arranged at the end of the extension tube, and A detection body is pivoted by the mobile phone holder, and a detection head with a light source and a lens module is arranged at the bottom of the end of the detection body. For the use of dentists' inertia, the diameter of the detection head is set to be less than 2.3mm; in practice, a hole with a diameter of about 2.5mm is generally drilled on the tooth to be treated, and then the detection head is inserted into the tooth cavity. Direct observation, using the controller to make the observed image clearly displayed on the external display screen through the extension tube, so that the correct and complete pulp hole data can be easily obtained, which makes the root canal treatment process easier , and can achieve the effect of effective root canal treatment.
S1:牙齒 S1: Teeth
S2:偵測頭 S2: detection head
S21:光源 S21: Light source
S22:鏡頭模組 S22: Lens Module
S3:延伸管 S3: Extension Tube
S4:控制器 S4: Controller
S5:顯示幕 S5: Display
10:本體 10: Ontology
11:顯示幕 11: Display screen
12:控制器 12: Controller
20:握把 20: Grip
21:控制器 21: Controller
30:偵測單元 30: Detection unit
31:延伸管 31: Extension tube
32:手機座 32: Mobile phone holder
33:偵測體 33: Detector
331:偵測頭 331: detection head
40:本體 40: Ontology
41:顯示幕 41: Display screen
42:控制器 42: Controller
50:偵測單元 50: Detection unit
51:延伸管 51: Extension tube
52:手機座 52: Mobile phone holder
53:偵測體 53: Detector
531:偵測頭 531: detection head
第1圖係本發明手持式及可移動式根管治療牙髓孔偵測拍照錄影系統之偵測方法流程圖。 Fig. 1 is a flow chart of the detection method of the handheld and movable endodontic treatment pulp hole detection, photographing and recording system of the present invention.
第2圖係本發明手持式及可移動式根管治療牙髓孔偵測拍照錄影系統之偵測裝置立體外觀圖。 Fig. 2 is a three-dimensional external view of the detection device of the handheld and movable endodontic treatment pulp hole detection, photographing and recording system of the present invention.
第3圖係第2圖之側面圖。 Figure 3 is a side view of Figure 2.
第4圖係本發明手持式及可移動式根管治療牙髓孔偵測拍照錄影系統之另一種偵測裝置實施結構圖。 FIG. 4 is a structural diagram of the implementation of another detection device of the handheld and movable endodontic treatment pulp hole detection, photographing and recording system of the present invention.
請參閱第1圖所示,本發明手持式及可移動式根管治療牙髓孔偵測拍照錄影系統之偵測方法,主要為針對欲進行根管治療的牙齒S1,以一組具有光源S21與鏡頭模組22的偵測頭S2直接伸入牙齒開孔之牙腔室內進行觀測,以取得牙腔室內部牙髓孔的完整圖像資料,該偵測頭S2連結一延伸管S3,使取得的影像可以由控制器S4的操作,將該影像完整的顯示於外置或內建的彩色觸控顯示幕S5上,藉此使根管治療過程時,牙髓孔的數量、位置、及大小的影像,都能夠在治療前清楚呈現,即可由顯示幕清楚的觀視,提供根管治療時得以正確判斷醫療內容及程序,達到最佳之根管治療的功效者。 Please refer to FIG. 1 , the detection method of the hand-held and movable endodontic treatment pulp hole detection photographing and recording system of the present invention is mainly aimed at the tooth S1 to be subjected to root canal treatment, using a set of light sources S21 The detection head S2 of the lens module 22 directly extends into the dental cavity of the tooth opening for observation, so as to obtain the complete image data of the pulp hole inside the dental cavity. The detection head S2 is connected to an extension tube S3, so that the The obtained image can be operated by the controller S4, and the image can be completely displayed on the external or built-in color touch display screen S5, so that the number, position, and Large and small images can be clearly displayed before treatment, which can be clearly viewed on the display screen, and can correctly judge the medical content and procedures when providing root canal treatment, so as to achieve the best effect of root canal treatment.
請參閱第2、3圖所示,為本發明手持式及可移動式根管治療牙髓孔偵測拍照錄影系統的一種具體裝置,主要包含一本體10、握把20及偵測單元30等構件,該本體10正面具有一顯示幕11,本體10底邊形成有一握把20,於本體10上設有控制器12,而握把20上設有控制按鈕21,另於本體10背面接設以該偵測單元30以軟質的延伸管31與本體10樞接,於延伸管31末端設有一手機座32,而由手機座32樞接一偵測體33,於偵測體33末端
底部設有一內設有光源及鏡頭模組的偵測頭331,整體組合結構之形狀類似於牙醫經常使用的手持鑽孔手機工具,以便利牙醫慣性之使用,其中,偵測頭331的直徑小於2.3mm。藉此裝置,可提供醫療人員以單手握持偵測單元30的手機座32,利用偵測體33對欲做根管治療的牙齒以偵測頭331直接觀測,直接將偵測體33由牙齒上的開孔伸入牙腔室內進行拍照或攝影,以取得內部影像,包含牙髓孔的數量、位置、和大小等數據資料,再經由延伸管31將觀測到的影像清楚的顯示於外置的本體10的顯示幕11上,因此,當進行根管治療時,醫療人員可以依據該完整而正確的資料,有效進行擴大牙根、清除根管管道、消毒及充填等牙齒的治療,而克服習知只能依靠經驗或盲目摸索的缺點,達到有效治癒的目的。前述偵測單元30的偵測頭331能簡易卡扣拆分,可供於一次治療使用後進行清洗消毒。
Please refer to FIGS. 2 and 3, which is a specific device of the handheld and movable endodontic treatment pulp hole detection, photographing and recording system of the present invention, which mainly includes a
請參閱第4圖所示,為本發明之另一實施結構,主要包含一平置式的本體40、偵測單元50及偵測體53等構件,該本體40頂面具有一顯示幕41,本體10內設有控制器42,於本體10一側面接設一偵測單元50,該偵測單元50以軟質的延伸管51與本體10樞接,於延伸管51末端設有一手機座52,而由手機座52樞接一偵測體53,於偵測體53末端底部設有一內設有光源及鏡頭模組的偵測頭531,整體組合結構之形狀類似於牙醫經常使用的手持鑽孔手機工具,以便利牙醫慣性之使用。藉此裝置,可提供醫療人員以單手握持偵測單元50的手機座52,利用偵測體53對欲做根管治療的牙齒以偵測頭531直接觀測,直接將偵測體53由牙齒上的開孔伸入牙腔室內,以取得內部影像,包含牙髓孔的數量、位置、和大小等數據資料,再經由延
伸管51將觀測到的影像清楚的顯示於外置的本體40的顯示幕41上,因此,當進行根管治療時,醫療人員可以依據該完整而正確的資料,有效進行擴大牙根、清除根管管道、消毒及充填等牙齒的治療,而克服習知只能依靠經驗或盲目摸索的缺點,達到有效治癒的目的。前述偵測單元50的偵測頭531能簡易卡扣拆分,可供於一次治療使用後進行清洗消毒。
Please refer to FIG. 4, which is another implementation structure of the present invention, which mainly includes a
以上所揭露的僅為本發明較佳實施例進行了具體說明,但本創作並不限於所述實施例,熟悉本領域的技術人員在不違背本創作精神的前提下還可做出種種的等同變形或替換,這些等同的變形或替換均包含在本申請權利要求所限定的範圍內。 What has been disclosed above is only a specific description of the preferred embodiments of the present invention, but the present creation is not limited to the described embodiments, and those skilled in the art can make various equivalents without violating the spirit of the present invention. Modifications or substitutions, and these equivalent modifications or substitutions are all included within the scope defined by the claims of the present application.
S1:牙齒 S1: Teeth
S2:偵測頭 S2: detection head
S21:光源 S21: Light source
S22:鏡頭模組 S22: Lens Module
S3:延伸管 S3: Extension Tube
S4:控制器 S4: Controller
S5:顯示幕 S5: Display
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