TWI769110B - Gingivitis evaluation device - Google Patents
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Abstract
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 present invention relates to a detection device, in particular to a gingivitis detection device.
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 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. Periodontal pockets, deeper depths represent periodontal damage The more serious the shape. 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,即在提供一種侵入程度較低且判斷精準度高的牙齦炎檢測裝置。 Therefore, the purpose of the present invention is to provide a gingivitis detection device with a low degree of invasion 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 one for generating a wavelength range covering 400-800 nm. The light source of the light source, and a pair of spectrometers that should receive the fiber set. The distance between the axes of any two adjacent ones of the sending fibers and the receiving fibers is less than 1 mm, and the light source generated by the light source is outputted through the sending fibers, and diffusely reflected on the gums, and sent to the receiving fibers through the receiving fibers Spectrometer, so that the spectrometer can 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 in the gingival blood according to the spectral information, and finally obtain the health status of the gum according to the change of the oxygen content in 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: when the gums are inflamed or damaged, the blood vessels of the gums and the oxygen content in the blood will change. Changes in oxygen content can be used to estimate the inflammation of the patient's gums. During measurement, the sensing probe only needs to touch the gums lightly, which can greatly reduce the patient's discomfort. The design of the distance between the axes is less than 1.0mm, which can limit the diffuse reflection range after the light source is shot, so that the diffuse reflection range can be controlled near the gums, and the detection accuracy can be improved.
1:主體單元 1: main unit
11:主殼體 11: Main shell
12:顯示器 12: Display
13:警示燈 13: Warning Lights
14:操作介面 14: Operation interface
2:探測單元 2: Detection unit
21:感測探頭 21: Sensing probe
211:基座部 211: base part
212:探頭部 212: Probe Department
22:發送光纖 22: Send Fiber
23:接收光纖 23: Receive fiber
24:燈源 24: Light source
241:發光模組 241: Lighting module
25:光譜儀 25: Spectrometer
26:壓力感測器 26: Pressure sensor
3:處理單元 3: Processing unit
31:分析模組 31: Analysis module
32:警示模組 32: Warning module
A:牙齦 A: Gums
B:血管 B: blood vessels
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 embodiments with reference to the drawings, wherein: FIG. 1 is an incomplete bottom view illustrating an embodiment of the gingivitis detection device of the present invention; FIG. 2 is a The incomplete perspective view further illustrates the partial three-dimensional aspect of this embodiment. In order to illustrate the internal structure, one of the main casings of this embodiment is represented by an imaginary line; 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 of the embodiment during detection; Fig. 5 and Fig. 6 are both graphs illustrating the relationship between the intensity and wavelength change obtained after the detection of the embodiment; and Fig. 7 is a perspective view, Another aspect of this embodiment will be described.
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 Figure 1, Figure 2, and Figure 3, an implementation of the gingivitis detection device of the present invention
For example, it 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 FIGS. 2 , 3 and 4 , the detection process of the present embodiment will be described as follows: first, the measuring person 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 more comfortable and can avoid excessive interference of human factors. The design of the axial center distance between any two adjacent ones 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。 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 1: main unit
11:主殼體 11: Main shell
12:顯示器 12: Display
13:警示燈 13: Warning Lights
2:探測單元 2: Detection unit
21:感測探頭 21: Sensing probe
211:基座部 211: base part
212:探頭部 212: Probe Department
26:壓力感測器 26: Pressure sensor
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TWI756943B (en) * | 2020-11-27 | 2022-03-01 | 財團法人金屬工業研究發展中心 | Gums evaluation device |
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