TWI756943B - Gums evaluation device - Google Patents

Gums evaluation device Download PDF

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TWI756943B
TWI756943B TW109141757A TW109141757A TWI756943B TW I756943 B TWI756943 B TW I756943B TW 109141757 A TW109141757 A TW 109141757A TW 109141757 A TW109141757 A TW 109141757A TW I756943 B TWI756943 B TW I756943B
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gums
unit
light source
detection device
main
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TW109141757A
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TW202220628A (en
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蔡元勛
胡博期
林庚達
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財團法人金屬工業研究發展中心
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Abstract

A gums evaluation device comprises a main unit, a detection unit which is mounted on said main unit and suitable for pressing against gums, and a processing unit which is mounted on said main unit and able to receive data from said detection unit. Said detection unit is configured to emit a light source with a wavelength range of 400 to 800 nanometers towards the gums and receive the light signal reflected by the gums, so as to obtain its spectral information. Said processing unit is configured to analyze the spectral information received by said detection unit, and obtain the changes in the blood oxygen level of the gums based on said spectral information.

Description

牙齦檢測裝置Gum detection device

本發明是有關於一種檢測裝置,特別是指一種透過光學方式檢測牙齦是否發炎的檢測裝置。The present invention relates to a detection device, in particular to a detection device for detecting whether the gums are inflamed through an optical method.

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. It is caused by uncleaned teeth, resulting in a long-term accumulation of dental plaque on the gingival margins and adjacent surfaces of the teeth. The bacteria in the plaque will secrete toxins to stimulate the gums, leading to inflammation of the gums. If it persists, it 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 an annular groove at the junction of the teeth and the gums called the gingival sulcus. When the periodontal disease causes damage, the gingival sulcus will become deeper, which is called the periodontal pocket. At present, gingivitis is mainly detected by contact with periodontal probes. The most widely used periodontal probe is the Michigan O probe. With a scale of 10, the dentist will insert the probe tip 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 tooth has formed. For the periodontal pocket, the deeper the depth, the more serious the periodontal damage. However, this kind of probe needs to go deep into the gingival sulcus and read the scale, which is not only time-consuming but also often uncomfortable for the patient. There may also be errors in the reading method of the visual scale, and the accuracy needs to be improved.

因此,本發明之目的,即在提供一種快速、舒適且準確的牙齦檢測裝置。Therefore, the purpose of the present invention is to provide a fast, comfortable and accurate gum detection device.

於是,本發明牙齦檢測裝置,包含一主體單元、一設置於該主體單元上並適用於抵靠牙齦的探測單元,及一設置於該主體單元內,並與該探測單元訊號連接的處理單元。該探測單元可對牙齦射出波長範圍涵蓋400~800奈米的光源,並在光源於牙齦上漫反射後接收,以獲得漫反射後的光譜資訊。該處理單元用於分析該探測單元所接收的光譜資訊,並根據光譜資訊得出及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。Therefore, the gum detection device of the present invention includes a main body unit, a detection unit disposed on the main body unit and suitable for abutting against the gums, and a processing unit disposed in the main body unit and signally connected to the detection unit. The detection unit can emit a light source with a wavelength range of 400-800 nanometers to the gum, and receive the light source after the light source is diffusely reflected on the gum, so as to obtain spectral information after diffuse reflection. The processing unit is used to analyze the spectral information received by the detection unit, and 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:由於牙齦中分布許多微血管,當牙齦發炎或受損時,血管及血液中的含氧量會發生變化,本發明透過該探測單元獲得光源在牙齦漫反射的光譜資訊,該處理單元可根據事先儲存的資料比對光譜資訊與牙齦含氧量間的關係,從而得出患者牙齦血液的含氧量變化,進而得出牙齦的發炎或受損狀況。本發明檢測快速且可大幅降低人為因素的干擾,有效提升便利性及準確性,且該至少一光纖探頭不需深入牙齦溝,可避免患者的不適。The effect of the present invention is that: due to the distribution of many microvessels in the gums, when the gums are inflamed or damaged, the oxygen content in the blood vessels and blood will change. The present invention obtains the spectral information of the diffuse reflection of the light source on the gums through the detection unit. The processing unit can compare the relationship between the spectral information and the oxygen content of the gums according to the pre-stored data, so as to obtain the changes in the oxygen content of the patient's gum blood, and then obtain the inflammation or damage of the gums. The present invention detects quickly, can greatly reduce the interference of human factors, effectively improves convenience and accuracy, and the at least one optical fiber probe does not need to go deep into the gingival sulcus, which can avoid discomfort for patients.

參閱圖1、圖2,及圖3,本發明牙齦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的探測單元2,及一設置於該探測單元2內的處理單元3。該主體單元1包括一主殼體11,及一由該主殼體11向下延伸並供使用者握持的握把12。Referring to FIGS. 1 , 2 , and 3 , an embodiment of the gum detection device of the present invention includes a main body unit 1 , a detection unit 2 disposed in the main body unit 1 , and a processing unit disposed in the detection unit 2 Unit 3. The main unit 1 includes a main casing 11 and a handle 12 extending downward from the main casing 11 and held by the user.

該探測單元2包括複數可拆離地插設於該主殼體11上且向前延伸的光纖探頭21、複數位於該主殼體11內且分別對應該等光纖探頭21設置的燈源22,及一設置於該主殼體11內且對應該等光纖探頭21的光譜儀23。每一光纖探頭21可相對於該主殼體11伸縮,此一功能可透過設置彈簧等機構達成。該光纖探頭21在未壓抵牙齦時是向外伸出,而當該光纖探頭21壓抵牙齦時,該光纖探頭21會受反作用力影響而向內縮入該主殼體11內,此一設計可使排成一列的該等光纖探頭21能同時適應不同凹凸起伏不規則的齒列,確保該等光纖探頭21都能如圖2所示地分別壓抵在多顆牙齒的牙齦上。每一光纖探頭21圍繞界定出二彼此相鄰的發送通道211,及一朝向該光譜儀23的接收通道212。每一燈源22具有二分別對準相對應的一個光纖探頭21之該等發送通道211的發光模組221。該等發光模組221可以是鹵素燈或發光二極體,並能產生波長範圍涵蓋400奈米至800奈米的光源。需特別注意的是,該光譜儀23同時對應該等光纖探頭21之接收通道212。The detection unit 2 includes a plurality of optical fiber probes 21 detachably inserted on the main casing 11 and extending forward, a plurality of light sources 22 located in the main casing 11 and corresponding to the corresponding optical fiber probes 21 respectively, and a spectrometer 23 disposed in the main casing 11 and corresponding to the optical fiber probe 21 . Each fiber probe 21 can be extended and retracted relative to the main casing 11, and this function can be achieved by arranging a mechanism such as a spring. When the fiber probe 21 is not pressed against the gums, it protrudes outward, and when the fiber probe 21 is pressed against the gums, the fiber probe 21 is retracted into the main casing 11 under the influence of the reaction force. The design enables the fiber probes 21 arranged in a row to simultaneously adapt to irregular dentition with different concavities and convexities, ensuring that the fiber probes 21 can press against the gums of multiple teeth respectively as shown in FIG. 2 . Each fiber probe 21 defines two adjacent transmission channels 211 and a receiving channel 212 toward the spectrometer 23 . Each light source 22 has two light emitting modules 221 respectively aligned with the transmitting channels 211 of a corresponding one of the fiber probes 21 . The light emitting modules 221 can be halogen lamps or light emitting diodes, and can generate light sources with wavelengths ranging from 400 nm to 800 nm. It should be noted that the spectrometer 23 corresponds to the receiving channel 212 of the optical fiber probe 21 at the same time.

該處理單元3包括一設置於該主殼體11內且訊號連接該光譜儀23的分析模組31、一訊號連接該分析模組31且顯露於該主殼體11後方(相反於該等光纖探頭21插設處)的顯示器32,及一設置於該主殼體11上並用於控制該等燈源22及該顯示器32的控制介面33。該控制介面33可以是多個實體按鈕,但也可以是與該顯示器32結合的觸控螢幕。The processing unit 3 includes an analysis module 31 disposed in the main casing 11 and signally connected to the spectrometer 23 , a signal connected to the analysis module 31 and exposed behind the main casing 11 (in contrast to the fiber probes 21 insertion place) of the display 32, and a control interface 33 disposed on the main casing 11 and used to control the light sources 22 and the display 32. The control interface 33 can be a plurality of physical buttons, but can also be a touch screen combined with the display 32 .

本實施例的使用方法如下:首先將該等光纖探頭21伸入患者的口腔中,並使該等光纖探頭21如圖2所示地分別觸抵複數牙齒的牙齦。接著操作該控制介面33啟動該等燈源22,使該等燈源22通過該等發送通道211輸出波長範圍在400奈米至800奈米的光源(較佳為500奈米),前述光源會在該等牙齒的牙齦A上進行漫反射,漫反射後的光源由該等接收通道212回到該光譜儀23,光譜儀23可分析每一光纖探頭21的漫反射光譜資訊,從而得出每一牙齦A所對應的光譜資訊(不同牙齦對應不同光譜資訊)。該光譜儀23所獲得的光譜資訊會傳送至該分析模組31進行比對,該分析模組31的資料庫中儲存了光譜資訊與牙齦A中血液(及血管B)含氧量變化的對應關係,以及牙齦血液含氧量變化與牙齦健康狀況的對應關係。最後,該分析模組31根據該光譜儀23傳送的該等光譜資訊,得出患者牙齦中血液的含氧量變化,再據此判斷出該等牙齦的健康狀況,並將結果顯示於該顯示器32上以供檢視結果,參閱圖4及圖5,圖4顯示了健康牙齦的資訊光譜,圖5則顯示了不健康牙齦的資訊光譜。The usage method of this embodiment is as follows: first, the fiber probes 21 are inserted into the patient's oral cavity, and the fiber probes 21 are respectively contacted against the gums of plural teeth as shown in FIG. 2 . Then, the control interface 33 is operated to activate the light sources 22, so that the light sources 22 output light sources with wavelengths ranging from 400 nm to 800 nm (preferably 500 nm) through the transmission channels 211. The aforementioned light sources will Diffuse reflection is performed on the gingiva A of the teeth, and the light source after diffuse reflection is returned to the spectrometer 23 through the receiving channels 212. The spectrometer 23 can analyze the diffuse reflection spectral information of each fiber probe 21, thereby obtaining each gingiva Spectral information corresponding to A (different gingiva corresponds to different spectral information). The spectral information obtained by the spectrometer 23 will be sent to the analysis module 31 for comparison. The database of the analysis module 31 stores the corresponding relationship between the spectral information and the changes in the oxygen content of the blood (and blood vessels B) in the gums A , and the corresponding relationship between changes in gingival blood oxygen content and gingival health. Finally, the analysis module 31 obtains the change in the oxygen content of the blood in the patient's gums according to the spectral information transmitted by the spectrometer 23 , and then judges the health status of the gums accordingly, and displays the result on the display 32 For viewing the results, please refer to Figures 4 and 5, Figure 4 shows the information spectrum of healthy gums, and Figure 5 shows the information spectrum of unhealthy gums.

本發明可在沒有牙醫等專業人士在場的情況下,以非侵入且不刺入牙齦溝的光學方式快速檢測牙齦,透過解析光譜資訊監測牙齦微血管中血液含氧量的變化,從而確認牙齦是否發炎或受損,快速了解患者是否患有牙齦炎或牙周病,透過該光譜儀23監測而不需目視刻度的設計,不僅可以減少人為因素的干擾,患者甚至可自我檢測而不需他人協助。The present invention can quickly detect the gums in a non-invasive optical manner without penetrating into the gingival sulcus without the presence of professionals such as dentists, and monitor the changes of blood oxygen content in the microvessels of the gums by analyzing the spectral information, so as to confirm whether the gums are not Inflammation or damage, quickly understand whether the patient suffers from gingivitis or periodontal disease. The design of the spectrometer 23 to monitor without the need for visual scale can not only reduce the interference of human factors, but also the patient can even self-test without the assistance of others.

需要進一步說明的是,本實施例在運作時,該等發光模組221是依序分別對該等發送通道211投射光源,並在漫反射後先後進入該接收通道212中,此種檢測方式可以將兩次光譜資訊進行比對,以提高準確性,達到再次確認的功效。當然,每一光纖探頭21也可以具有一個發送通道211及兩個接收通道212,如此一來每一燈源22便僅具有一發光模組221,該發光模組221由該發送通道211投射光源後,漫反射的光源會依序進入該等接收通道212中,如此同樣可達到比對及重複確認之功效。It should be further noted that, when the present embodiment is in operation, the light-emitting modules 221 project light sources to the transmitting channels 211 in sequence, and then enter the receiving channels 212 successively after diffuse reflection. This detection method can be Compare the two spectral information to improve the accuracy and achieve the effect of reconfirmation. Of course, each fiber probe 21 can also have one transmitting channel 211 and two receiving channels 212 , so that each light source 22 has only one light-emitting module 221 , and the light-emitting module 221 projects the light source from the transmitting channel 211 . Afterwards, the diffusely reflected light sources will enter the receiving channels 212 in sequence, so that the effects of comparison and repeated confirmation can also be achieved.

參閱圖1、圖2,及圖6,需要補充的是,該等光纖探頭21也可視需求更換成對應後牙區C的態樣(可僅更換一個或更換兩個),這種光纖探頭21如圖6所示地具有一可縮入該主殼體11內的直管段213,及一由該直管段213向外彎曲延伸的彎管段214,透過該彎管段214可伸入後牙區C(如後臼齒等)位置,以抵靠後牙區C的牙齦,使得齒列的不同位置皆可被檢測到,該直管段213能縮入該主殼體11中以維持該光纖探頭21的伸縮功能,提升本發明的泛用性及便利性。Referring to FIG. 1 , FIG. 2 , and FIG. 6 , it should be added that these fiber probes 21 can also be replaced according to requirements into the form corresponding to the posterior tooth region C (only one or two can be replaced), such fiber probes 21 As shown in FIG. 6 , there is a straight pipe section 213 that can be retracted into the main casing 11 , and a curved pipe section 214 which is bent and extended outward from the straight pipe section 213 , through which the back teeth can be extended. The position of the area C (such as the posterior molars, etc.) to abut against the gums of the posterior area C, so that different positions of the dentition can be detected, the straight pipe section 213 can be retracted into the main housing 11 to maintain the fiber optic probe The telescopic function of 21 improves the versatility and convenience of the present invention.

綜上所述,本發明透過分析光譜資訊及牙齦血液含氧變化量間的關係,可得知牙齦是否發炎及損壞程度,且檢測過程不需其他人力介入,避免人為因素的干擾,且無需專業人士在場協助或操作,降低使用門檻而讓患者可自我檢測,故確實能達成本發明之目的。To sum up, the present invention can know whether the gums are inflamed and damaged by analyzing the relationship between spectral information and gingival blood oxygen changes, and the detection process does not require other human intervention, avoids the interference of human factors, and does not require professional Persons are present to assist or operate, lowering the use threshold and allowing patients to self-test, so the purpose of the present invention can indeed be achieved.

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。However, the above are only examples of the present invention, and should not limit the scope of the present invention. Any simple equivalent changes and modifications made according to the scope of the application for patent of the present invention and the content of the patent specification are still within the scope of the present invention. within the scope of the invention patent.

1:主體單元 11:主殼體 12:握把 2:探測單元 21:光纖探頭 211:發送通道 212:接收通道 213:直管段 214:彎管段 22:燈源 221:發光模組 23:光譜儀 3:處理單元 31:分析模組 32:顯示器 33:控制介面 A:牙齦 B:血管 C:後牙區 1: main unit 11: Main shell 12: Grip 2: Detection unit 21: Fiber Probe 211: Send channel 212: Receive channel 213: Straight pipe section 214: Elbow Section 22: Light source 221: Lighting module 23: Spectrometer 3: Processing unit 31: Analysis module 32: Display 33: Control interface A: Gums B: blood vessels C: Posterior area

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是一立體圖,說明本發明牙齦檢測裝置之一實施例; 圖2是一示意圖,說明本實施例之一探測單元應用於牙齦檢測的態樣; 圖3是一示意圖,說明該探測單元與一處理單元的連接關係; 圖4是一資訊光譜圖,顯示一健康牙齦的資訊光譜圖; 圖5是一資訊光譜圖,顯示一不健康牙齦的資訊光譜圖;及 圖6是一示意圖,說明每一光纖探頭的另一種可能態樣。 Other features and effects of the present invention will be clearly presented in the embodiments with reference to the drawings, wherein: FIG. 1 is a perspective view illustrating an embodiment of the gum detection device of the present invention; FIG. 2 is a schematic diagram illustrating an aspect in which a detection unit of the present embodiment is applied to gum detection; 3 is a schematic diagram illustrating the connection relationship between the detection unit and a processing unit; FIG. 4 is an information spectrogram showing the information spectrogram of a healthy gum; Fig. 5 is an information spectrogram showing an information spectrogram of an unhealthy gum; and Figure 6 is a schematic diagram illustrating another possible aspect of each fiber optic probe.

1:主體單元 1: main unit

11:主殼體 11: Main shell

12:握把 12: Grip

2:探測單元 2: Detection unit

21:光纖探頭 21: Fiber Probe

3:處理單元 3: Processing unit

32:顯示器 32: Display

33:控制介面 33: Control interface

Claims (7)

一種牙齦檢測裝置,包含:一主體單元;一探測單元,設置於該主體單元並適用於抵靠牙齦,該探測單元可對牙齦射出波長範圍涵蓋400~800奈米的光源,並在光源於牙齦上漫反射後接收,以獲得漫反射後的光譜資訊,該探測單元包括至少一插設於該主體單元上且可相對於該主體單元伸縮的光纖探頭、至少一位於該主體單元內且對應該至少一光纖探頭設置的燈源,及一對應該至少一光纖探頭的光譜儀,該至少一燈源可產生光源並使光源經由該至少一光纖探頭向外輸出,該光譜儀接收於牙齦反射及散熱後的光源,並獲得光譜資訊;及一處理單元,設置於該主體單元內,並與該探測單元訊號連接,該處理單元用於分析該探測單元所接收的光譜資訊,並根據光譜資訊得出及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。 A gum detection device, comprising: a main body unit; a detection unit, arranged on the main body unit and suitable for abutting against the gums, the detection unit can emit a light source with a wavelength range of 400-800 nanometers to the gums, and when the light source is on the gums received after diffuse reflection to obtain spectral information after diffuse reflection, the detection unit includes at least one fiber probe inserted on the main unit and can be extended and retracted relative to the main unit, at least one located in the main unit and corresponding to the A light source provided with at least one fiber optic probe, and a pair of spectrometers corresponding to at least one fiber optic probe, the at least one light source can generate a light source and output the light source through the at least one fiber optic probe, and the spectrometer is received after gingival reflection and heat dissipation a light source and obtain spectral information; and a processing unit disposed in the main unit and signally connected to the detection unit, the processing unit is used to analyze the spectral information received by the detection unit, and obtain and The oxygen content of the gingival blood changes, and finally the health status of the gums is obtained according to the change of the oxygen content of the gingival blood. 如請求項1所述的牙齦檢測裝置,其中,該至少一光纖探頭可拆離地設置於該主體單元上,且該至少一光纖探頭具有一可縮入該主體單元內的直管段,及一由該直管段向外彎曲延伸的彎管段。 The gum detection device according to claim 1, wherein the at least one optical fiber probe is detachably disposed on the main body unit, and the at least one optical fiber probe has a straight pipe section that can be retracted into the main body unit, and a A curved pipe section extending outwardly from the straight pipe section. 如請求項1所述的牙齦檢測裝置,其中,該處理單元包括一訊號連接該光譜儀的分析模組,及一訊號連接該分析模組並顯露於該主體單元上且用於顯示牙齦健康狀況的顯示器,該分析模組可根據光譜資訊得出牙齦血液含氧量變 化,並根據牙齦血液含氧量變化判斷牙齦健康狀況。 The gum detection device according to claim 1, wherein the processing unit comprises an analysis module whose signal is connected to the spectrometer, and an analysis module whose signal is connected to the analysis module and is exposed on the main unit for displaying the health of the gums. Display, the analysis module can obtain the change of gingival blood oxygen content according to the spectral information Changes in gingival blood oxygen content to determine the health of the gums. 如請求項1所述的牙齦檢測裝置,其中,該至少一燈源具有二發光模組,該至少一光纖探頭圍繞界定出二彼此相鄰且分別對準該等發光模組的發送通道,及一朝向該光譜儀的接收通道。 The gum detection device of claim 1, wherein the at least one light source has two light-emitting modules, the at least one fiber probe surrounds and defines two transmission channels adjacent to each other and aligned with the light-emitting modules, and A receive channel towards the spectrometer. 如請求項4所述的牙齦檢測裝置,其中,該等發光模組為鹵素燈或發光二極體。 The gum detection device according to claim 4, wherein the light-emitting modules are halogen lamps or light-emitting diodes. 如請求項1所述的牙齦檢測裝置,其中,該至少一光纖探頭圍繞界定出一朝向該至少一燈源的發送通道,及二彼此相鄰且朝向該光譜儀的接收通道。 The gum detection device according to claim 1, wherein the at least one fiber optic probe surrounds and defines a transmission channel toward the at least one light source, and two reception channels adjacent to each other and toward the spectrometer. 如請求項1所述的牙齦檢測裝置,其中,該主體單元包括一供該探測單元設置的主殼體,及一由該主殼體向下延伸的握把。 The gum detection device according to claim 1, wherein the main body unit comprises a main casing for the detection unit to be provided with, and a handle extending downward from the main casing.
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TWI769110B (en) * 2021-11-12 2022-06-21 財團法人金屬工業研究發展中心 Gingivitis evaluation device

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CN105899126A (en) * 2012-12-21 2016-08-24 皇家飞利浦有限公司 Gum detection using an optical detector in a dental hygiene detection apparatus
CN210330808U (en) * 2019-04-30 2020-04-17 郑洪� System for auxiliary detection gingival sulcus bleeding index
TWM609168U (en) * 2020-11-27 2021-03-11 財團法人金屬工業研究發展中心 Gums evaluation device

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CN105899126A (en) * 2012-12-21 2016-08-24 皇家飞利浦有限公司 Gum detection using an optical detector in a dental hygiene detection apparatus
CN210330808U (en) * 2019-04-30 2020-04-17 郑洪� System for auxiliary detection gingival sulcus bleeding index
TWM609168U (en) * 2020-11-27 2021-03-11 財團法人金屬工業研究發展中心 Gums evaluation device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI769110B (en) * 2021-11-12 2022-06-21 財團法人金屬工業研究發展中心 Gingivitis evaluation device

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