TW202319028A - Gingivitis evaluation device - Google Patents
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Description
本發明是有關於一種檢測裝置,特別是指一種牙齦炎檢測裝置。The invention relates to a detection device, in particular to a detection device for gingivitis.
牙齦炎是牙周病的早期症狀,肇因於牙齒未清理乾淨,使得牙齦邊緣及牙齒鄰面長期累積牙菌膜,而牙菌膜的細菌會分泌毒素刺激牙齦,導致牙齦發炎,若發炎情形持續,還可能進一步惡化成嚴重的牙周炎。Gingivitis is an early symptom of periodontal disease. The cause is that the teeth are not cleaned properly, resulting in long-term accumulation of dental plaque on the edges of the gums and adjacent surfaces of the teeth. The bacteria in the dental plaque will secrete toxins to stimulate the gums, leading to inflammation of the gums. If the inflammation occurs Continued, and may further deteriorate into severe periodontitis.
牙齒與牙齦交界處有一條環形的溝縫稱為牙齦溝,當牙周病造成破壞時,牙齦溝會變深,此時稱為牙周袋囊。目前牙齦炎主要是透過牙周探針進行接觸式的檢測,最為廣泛使用的牙周探針為密西根O型(Michigan O)探針,該種探針在尖端處沿軸向劃有1至10的刻度,牙醫會將探針尖端插入病患的牙齦溝中,並透過刻度測量牙齦溝的深度,健康牙齦溝的深度一般為1至3毫米,當深度大於3毫米時,代表已形成牙周囊袋,深度越深則代表牙周的破壞情形越嚴重。但此種探針操作時需深入牙齦溝並讀取刻度,不僅操作費時且常會使病患不適,目視刻度的讀取方式也可能存在誤差,精準度有待提升。There is a circular sulcus at the junction of teeth and gums called gingival sulcus. When periodontal disease causes damage, the gingival sulcus will become deeper, which is called periodontal pocket. At present, gingivitis is mainly detected by contact with periodontal probes. The most widely used periodontal probes are Michigan O-type (Michigan O) probes. The scale of 10, the dentist will insert the tip of the probe into the patient's gingival sulcus, and measure the depth of the gingival sulcus through the scale. The depth of the healthy gingival sulcus is generally 1 to 3 mm. When the depth is greater than 3 mm, it means that the teeth have formed. Periodontal pocket, the deeper the depth, the more serious the periodontal damage. However, this type of probe needs to go deep into the gingival sulcus and read the scale during operation. Not only is the operation time-consuming and often makes the patient uncomfortable, but there may also be errors in the visual scale reading method, and the accuracy needs to be improved.
因此,本發明之目的,即在提供一種侵入程度較低且判斷精準度高的牙齦炎檢測裝置。Therefore, the object of the present invention is to provide a gingivitis detection device with a low degree of intrusion and high judgment accuracy.
於是,本發明牙齦炎檢測裝置,包含一主體單元、至少一設置於該主體單元內的探測單元,及一設置於該主體單元內的處理單元。該至少一探測單元包括一感測探頭、二嵌設於該感測探頭內的發送光纖、一嵌設於該感測探頭內的接收光纖、一用於產生波長範圍涵蓋400~800奈米之光源的燈源,及一對應該接收光纖設置的光譜儀。該等發送光纖及該接收光纖間任兩相鄰者的軸心間距小於1mm,該燈源產生的光源通過該等發送光纖向外輸出,並在牙齦上漫反射後通過該接收光纖輸送至該光譜儀,使該光譜儀獲得漫反射後的光譜資訊。Therefore, the gingivitis detection device of the present invention includes a main body unit, at least one detection unit disposed in the main body unit, and a processing unit disposed in the main body unit. The at least one detection unit includes a sensing probe, two transmitting optical fibers embedded in the sensing probe, a receiving optical fiber embedded in the sensing probe, and a sensor for generating a wavelength range covering 400-800 nanometers. A light source for the light source, and a pair of spectrometers that should receive the optical fiber setup. The axial center distance between any two adjacent ones of the transmitting optical fiber and the receiving optical fiber is less than 1mm, and the light source generated by the light source is output through the transmitting optical fiber, and is diffusely reflected on the gums and transported to the receiving optical fiber through the receiving optical fiber. A spectrometer, enabling the spectrometer to obtain spectral information after diffuse reflection.
該處理單元包括一用於分析該光譜儀所接收之光譜資訊的分析模組,該分析模組可根據光譜資訊得出牙齦血液含氧量變化, 最後根據牙齦血液含氧量變化得出牙齦健康狀況。The processing unit includes an analysis module for analyzing the spectral information received by the spectrometer. The analysis module can obtain the change of the oxygen content of the gingival blood according to the spectral information, and finally obtain the health status of the gums according to the change of the oxygen content of the gingival blood. .
本發明之功效在於:牙齦發炎或受損時,牙齦的血管及血液中的含氧量皆會產生變化,本發明透過獲取患者牙齦血液中的含氧量變化來推得患者牙齦的發炎情形,量測時僅需以該感測探頭輕抵牙齦即可,可大幅降低患者的不適,該等發送光纖及該接收光纖任兩相鄰者的軸心間距小於1.0mm之設計,可限定光源打出後的漫反射範圍,進而使漫反射範圍控制在牙齦附近,提高檢測的精準性。The effect of the present invention is that: when the gums are inflamed or damaged, the blood vessels of the gums and the oxygen content in the blood will all change. The present invention calculates the inflammation of the patient's gums by obtaining the changes in the oxygen content in the blood of the patient's gums. When measuring, you only need to lightly touch the gums with the sensing probe, which can greatly reduce the discomfort of the patient. The design of the axial center distance between any two adjacent optical fibers of the transmitting optical fiber and the receiving optical fiber is less than 1.0mm, which can limit the output of the light source. The final diffuse reflection range, so that the diffuse reflection range is controlled near the gums, improving the accuracy of detection.
參閱圖1、圖2,及圖3,本發明牙齦炎檢測裝置之一實施例,包含一主體單元1、一設置於該主體單元1內的探測單元2,及一設置於該主體單元1內的處理單元3。該主體單元1包括一主殼體11、一嵌設於該主殼體11上且顯露於外的顯示器12、一設置於該主殼體11上的警示燈13,及一設置於該主殼體11上的操作介面14。該警示燈13也可以與該顯示器12結合,使得該警示燈13在該顯示器12開啟時才顯示。該操作介面14可以是實體按鈕,也可以是與該顯示器12結合的觸控介面。該探測單元2包括一設置於該主殼體11內且前端凸伸出該主殼體11外的感測探頭21、二相互平行地嵌設於該感測探頭21內的發送光纖22、一嵌設於該感測探頭21內且與該等發送光纖22平行的接收光纖23、一設置於該主殼體11內且位於該等發送光纖22後方的燈源24、一設置於該主殼體11內且位於該接收光纖23後方的光譜儀25,及二設置於該感測探頭21內的壓力感測器26。Referring to Fig. 1, Fig. 2, and Fig. 3, one embodiment of the gingivitis detection device of the present invention includes a
該感測探頭21具有一固定於該主殼體11內且供該等壓力感測器26嵌設的基座部211,及一由該基座部211向前延伸並穿出該主殼體11的探頭部212。該探頭部212前端的直徑為2mm,此一尺寸設計使該探頭部212更容易準確地抵觸牙齦交接處,提升量測精確性。該等發送光纖22沿前後方向貫穿該基座部211及該探頭部212,並與該接收光纖23沿該感測探頭21之徑向排列。該等發送光纖22及該接收光纖23任兩相鄰者的軸心間距在1mm以內,較佳為0.46mm。需要特別說明的是,此處所指的軸心間距是該等發送光纖22及該接收光纖23的中心軸線間之最短距離。在本實施例中,每一發送光纖22及每一接收光纖23的直徑可為100~600μm,而在考量該感測探頭21與牙齦的貼合緊密性後,較佳的設計方案為該發送光纖22之直徑為100~300μm,該接收光纖23之直徑為300~500μm,而本實施例分別採用直徑為200μm的發送光纖22及直徑為400μm的接收光纖,以達到最佳的收發效果,並使該感測探頭21具有理想的尺寸。該燈源24位於該基座部211後方,並具有二分別對準該等發送光纖22的發光模組241。每一發光模組241可為鹵素燈或發光二極體,且能產生波長範圍涵蓋400~800奈米之光源。該處理單元3包括一訊號連接該光譜儀25及該顯示器12的分析模組31,及一訊號連接該等壓力感測器26及該警示燈13的警示模組32。The
參閱圖2、圖3,及圖4,以下說明本實施例的檢測過程:首先量測者手持該主殼體11,並將該探頭部212輕輕觸抵患者的牙齦A,若量測者施力壓抵牙齦A的力道過大,則會擠壓牙齦A的血管B而影響判讀精準度,因此該等壓力感測器26會檢測受壓是否超過標準值(小於等於10N,較佳為5N),若超過標準值則該警示模組32會透過該警示燈13發出警告,以確保量測的準確性,除了透過該警示燈13發出警告外,也可以進一步設計讓該燈源24不發亮,或不在該顯示器12上顯示檢測結果。在以合適力道輕抵牙齦A後,該等發光模組241會依序產生光源,首先圖3中右邊的發光模組241先產生光源,光源通過相對應發送光纖22朝牙齦A輸出,在牙齦A上產生漫反射後會經由該接收光纖23輸送至該光譜儀25,使該光譜儀25藉此獲得第一次的光譜資訊,接著換圖3中左邊的發光模組241產生光源,並同樣通過相對應發送光纖22朝牙齦A輸出,在牙齦A上產生漫反射後會經由該接收光纖23輸送至該光譜儀25,使該光譜儀25藉此獲得第二次的光譜資訊。該分析模組31可根據該光譜儀25所接收之光譜資訊的分析模組31得出牙齦A之血管B中血液含氧量的變化, 最後根據牙齦A血液含氧量變化得出牙齦健康狀況,並顯示於該顯示器12上。需要特別說明的是,在該等發送光纖22及該接收光纖23任兩相鄰者的軸心間距為0.46mm時,可限定光源打出後的漫反射範圍,進而使漫反射範圍控制在牙齦A附近,提高檢測的精準性,同時也能避免該主殼體11內用於分隔該等發送光纖22之間的壁面過於細薄,進而兼顧該主殼體11的強度。Referring to Fig. 2, Fig. 3, and Fig. 4, the detection process of this embodiment is described as follows: first, the measurer holds the
參閱圖3、圖5,及圖6,進一步來說,該分析模組31會透過光譜資訊中特徵波段545nm及575nm的牙齦血液含氧量變化來判斷牙齦指數(gingival index,簡稱GI值),例如圖5及圖6為兩個牙齦血液含氧量的強度變化與波長關係之曲線圖,其中圖5在特徵波段545nm及575nm的曲線較為平滑,這代表著較低的牙齦指數(例如0~1),而圖6在特徵波段545nm及575nm的曲線有著較為劇烈的變化,這代表牙齦指數較高而可能有較嚴重的牙齦炎情形(例如1~3)。透過此種判讀方式可精準地鎖定光譜資訊中的特定訊息進行判讀,提升分析速度及檢測精準性。Referring to Fig. 3, Fig. 5, and Fig. 6, further, the
參閱圖7,本實施例也可包含二探測單元2,此種態樣在設計時,需確保該等感測探頭21保持足夠的間距,使該等感測探頭21皆能準確地觸抵患者的兩相鄰牙齦A。圖7的態樣可以一次量測兩個牙齦A,提高檢測速度。當然該等探測單元2也可以是其他數量,同樣以該等感測探頭21皆能準確地觸抵牙齦A作為設計時的主要考量。Referring to Fig. 7, the present embodiment may also include two
綜上所述,本發明檢測方式較為舒適且可避免過多的人為因素干擾,該等發送光纖22及該接收光纖23任兩相鄰者的軸心間距之設計,可控制光源漫反射的範圍集中在目標牙齦A上,提升檢測精準性,該分析模組31透括特徵波段545nm及575nm的牙齦血液含氧量變化來判斷牙齦指數,能減少判讀時間而提升檢測效率,故確實能達成本發明之目的。To sum up, the detection method of the present invention is relatively comfortable and can avoid too much interference from human factors. The design of the axial center distance between any two neighbors of the transmitting
惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。But what is described above is only an embodiment of the present invention, and should not limit the scope of the present invention. All simple equivalent changes and modifications made according to the patent scope of the present invention and the content of the patent specification are still within the scope of the present invention. Within the scope covered by the patent of the present invention.
1:主體單元 11:主殼體 12:顯示器 13:警示燈 14:操作介面 2:探測單元 21:感測接頭 211:基座部 212:探頭部 22:發送光纖 23:接收光纖 24:燈源 241:發光模組 25:光譜儀 26:壓力感測器 3:處理單元 31:分析模組 32:警示模組 A:牙齦 B:血管 1: Main unit 11: Main housing 12: Display 13: warning lights 14: Operation interface 2: Detection unit 21: Sensing connector 211: base part 212: probe part 22: Sending fiber 23: Receiving optical fiber 24: light source 241: Lighting module 25: Spectrometer 26: Pressure sensor 3: Processing unit 31: Analysis module 32:Warning module A: Gums B: blood vessel
本發明之其它的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中: 圖1是一不完整的仰視圖,說明本發明牙齦炎檢測裝置之一實施例; 圖2是一不完整的立體圖,進一步說明該實施例的局部立體態樣,為了說明內部構造,該實施例之一主殼體以假想線表示; 圖3是一示意圖,說明該實施例各元件之連接關係; 圖4是一立體圖,說明該實施例檢測時的實施態樣; 圖5及圖6皆為曲線圖,說明該實施例檢測後所得出的強度及波長變化關係圖;及 圖7是一立體圖,說明該實施例的另一種態樣。 Other features and effects of the present invention will be clearly presented in the implementation manner with reference to the drawings, wherein: Fig. 1 is an incomplete bottom view, illustrating one embodiment of the gingivitis detection device of the present invention; Fig. 2 is an incomplete perspective view, further illustrating the partial three-dimensional appearance of this embodiment, in order to illustrate the internal structure, one of the main casings of this embodiment is represented by phantom lines; Fig. 3 is a schematic diagram illustrating the connection relationship of each element of this embodiment; Fig. 4 is a perspective view, illustrating the implementation aspect when this embodiment detects; Fig. 5 and Fig. 6 are all graphs, illustrate the intensity and the wavelength variation diagram that draw after the detection of this embodiment; And Fig. 7 is a perspective view illustrating another aspect of the embodiment.
1:主體單元 1: Main unit
11:主殼體 11: Main housing
12:顯示器 12: Display
13:警示燈 13: warning lights
2:探測單元 2: Detection unit
21:感測接頭 21: Sensing connector
211:基座部 211: base part
212:探頭部 212: probe part
26:壓力感測器 26: Pressure sensor
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