The present technology relates to a dental image acquisition apparatus and a dental image acquisition method and particularly to a technology of a dental image acquisition apparatus for imaging an oral cavity by using an imaging section inserted into the oral cavity.
X-ray photography has been widely used to acquire diagnostic images in dental care. Further, it has become known in recent years to use a CCD camera, a CMOS camera, or other tools for briefing to patients. In the case where dentition or other areas of the oral cavity is imaged by such a camera, it is desirable to use a compact camera of a low manufacturing cost. It should be noted that a still camera or a video camera may be used for imaging.
Here, as a compact and inexpensive apparatus for reading a dentition image, PTL 1 discloses a dentition image reading apparatus that includes an oral cavity insertion section and an imaging optical section. The oral cavity insertion section is inserted between a cheek and dentition. The oral cavity insertion section has a light transmission portion in an area along an outer lateral surface of the dentition and a cavity portion thereinside. The imaging optical section includes a reflecting mirror, scanning means, and imaging optics. The reflecting mirror reflects light from a light source and from the outer lateral surface of the dentition outside of the oral cavity insertion section. The light source can be inserted into the cavity portion of the oral cavity insertion section and emits light to the outer lateral surface of the dentition through the light transmission portion. The scanning means moves the light source and the reflecting mirror along the outer lateral surface of the dentition. The imaging optics receives light reflected by the reflecting mirror.
Also, PTL 2 discloses a dentition image reading apparatus that includes an oral cavity insertion section and an imaging optical section. The oral cavity insertion section is inserted into an oral cavity having maxillary dentition and mandibular dentition. The oral cavity insertion section has a light transmission portion at least on its front or rear side and a cavity portion thereinside. The imaging optical section includes a reflecting mirror, scanning means, and imaging optics. The reflecting mirror reflects light from a light source and from the dentition outside of the oral cavity insertion section. The light source is inserted into the cavity portion of the oral cavity insertion section and emits light to the dentition through the light transmission portion. The scanning means moves the light source and the reflecting mirror along a depth direction inside the cavity portion of the oral cavity insertion section. The imaging optics receives light reflected by the reflecting mirror.
[PTL 1]
Japanese Patent Laid-Open No. 2002-191557
[PTL 2]
Japanese Patent Laid-Open No. 2002-125927
However, the technologies proposed in PTL 1 and PTL 2 are those for reading images of outer lateral surfaces of the dentition. Therefore, the acquisition of images depicting both outer and inner lateral surfaces of dentition is not assumed.
The present technology has been devised in light of the foregoing, and it is a main object of the present technology to provide a dental image acquisition apparatus capable of acquiring images in a plurality of imaging directions with a single captured image.
In order to solve the above problem, a dental image acquisition apparatus of an example of the present technology includes an oral cavity insertion section and an image acquisition section. The oral cavity insertion section is inserted into an oral cavity. The image acquisition section has a light source. The oral cavity insertion section has an imaging unit that includes an imaging section and a light reflection section. The light reflection section is placed at a position opposed to the imaging section via an imaging target. Also, the dental image acquisition apparatus of an example of the present technology can further include an image processing section and an image display section. The image processing section calculates three-dimensional coordinates of the imaging target on the basis of an image acquired by the image acquisition section. The image display section displays a three-dimensional image created on the basis of the three-dimensional coordinates calculated by the image processing section.
Also, a dental image acquisition method of an example of the present technology includes an insertion step, a placement step, and an image acquisition step. In the insertion step, an oral cavity insertion section is inserted into an oral cavity. The oral cavity insertion section has an imaging unit that includes an imaging section and a light reflection section. In the placement step, the light reflection section is placed at a position within a viewing angle of the imaging section via an imaging target. In the image acquisition step, the imaging target is observed with the imaging section, the imaging target is observed from a position opposed to the imaging section with the light reflection section, and an image of the imaging target is acquired.
The present technology provides a dental image acquisition apparatus capable of acquiring images in a plurality of imaging directions with a single captured image. It should be noted that the effect of the present technology is not necessarily limited to that described above and may be any one of the effects described in the present disclosure.
A description will be given below of suitable modes for carrying out the present technology with reference to drawings. It should be noted that embodiments described below merely illustrate typical examples of embodiments of the present technology and that the scope of the present technology is not to be interpreted narrowly because of the embodiments. Also, the present technology permits use of respective embodiments described below and their modification examples in combination.
It should be noted that the description will be given in the following order.
1. Dental image acquisition apparatus of the first embodiment
(1-1) Configuration example of the dental image acquisition apparatus
(1-2) Configuration example of the drive mechanism
(1-3) Configuration example of the camera unit
(1-4) Example of the dental image
(1-5) Example of the dental image acquisition method
(1-6) Example of the three-dimensional coordinate acquisition method
2. Dental image acquisition apparatus of the second embodiment
3. Dental image acquisition apparatus of the third embodiment
4. Working example of the dental image acquisition apparatus to which the present technology is applied
5. Usage example of the dental image acquisition apparatus to which the present technology is applied
A description will be given of a dental image acquisition apparatus of a first embodiment according to the present technology by using
A description will be given first of an example of an overall configuration of the dental image acquisition apparatus according to the present embodiment by using
The oral cavity insertion section 101 has a camera unit 105, a drive mechanism 106, and a guide rail 107. The camera unit 105 is a movable imaging unit. The drive mechanism 106 drives the camera unit 105. The guide rail 107 moves the camera unit 105 in an oral cavity. The guide rail 107 is inserted between a cheek and dentition and preferably includes a flexible material. This makes it possible to place the guide rail 107 along dentition of a variety of patients. A power source 108 is provided at one end of the drive mechanism 106. It should be noted that the power source 108 may be a motor or manual means.
The monitor 104 displays a three-dimensional image of an imaging target created on the basis of three-dimensional coordinates calculated by a predetermined calculation. At this time, in the case where observation is made by using near infrared light that penetrates through teeth, it is possible to display, on the monitor 104, an internal structure of a tooth in such a manner that the internal structure overlaps the tooth's appearance. It should be noted that what is displayed on the monitor 104 may be something similar to animation obtained by projecting a three-dimensional structure that connects respective coordinate points of an imaging target onto a two-dimensional plane. Alternatively, what is displayed on the monitor 104 may be something similar to three-dimensional animation obtained by pasting textures.
The camera unit 105 includes a camera 109, a mirror 110, and a connecting section 111. The camera 109 is an imaging section. The mirror 110 is a light reflection section. The connecting section 111 connects the camera 109 and the mirror 110. The mirror 110 is used to observe the tooth from a direction different from that of the camera 109. The camera unit 105 can not only directly observe the tooth but also observe the tooth from two directions with the single camera 109 by capturing the mirror 110 within a field of view of the camera 109, thus allowing for acquisition of three-dimensional coordinates of the tooth.
Further, the dental image acquisition apparatus 100 has a light guide 112 and a camera cable 113. The light guide 112 connects the camera 109 and the light source 102. The camera cable 113 connects the camera 109 and the image processing apparatus 103. Also, as an example, the dental image acquisition apparatus 100 can image dentition 114, which is an imaging target, with the camera 109 and the mirror 110.
A description will be given next of a configuration example of a drive mechanism of the present embodiment by using
As illustrated in
As illustrated in
The dental image acquisition apparatus 100 can successively image each tooth by moving the camera unit 105 along the dentition 114 in the oral cavity with the drive mechanism 106. It should be noted that although the drive mechanism 106 having a wire drive is used in the present embodiment, the drive mechanism according to the present technology is not limited thereto.
A description will be given next of a configuration example of the camera unit of the present embodiment by using
As illustrated in
As illustrated in
A description will be given next of an example of a dental image that can be captured by the dental image acquisition apparatus 100 of the present embodiment by using
In the case where patterned illumination is conducted by using the illumination optics 701, when illumination light from the illumination device 702 is emitted to the mask 703, a shadow 706 of the mask 703 and a shadow 707 of the point of interest are projected onto the surface of a tooth 705 illustrated in
Here, the phrase “having a mask on illumination optics” refers to placing a patterned photomask in an illumination optical path. The photomask has an area that passes light and another area that blocks light, thus allowing projection of a pattern onto an illuminated position like a shadow picture. As described above, using a photomask produces a bright area and a dark area when illuminated. A glass plate with a printed pattern, a mask whose pattern is dynamically varied by using liquid crystal, and the like can be used as a mask. The mask is preferably inserted between the light source (lamp) and an illumination target. It should be noted that a lens may be provided in front or behind of the mask to ensure that an image is properly formed.
As illustrated in
A description will be given next of an example of a dental image acquisition method of the present embodiment by using
In step S901, the oral cavity insertion section 101 of the dental image acquisition apparatus 100 is inserted into the oral cavity (insertion step).
In step S902, the camera unit 105 of the oral cavity insertion section 101 is moved to an observation position (placement step). Specifically, the mirror 110 is placed at a position in the viewing angle of the camera 109 via the tooth which is an imaging target. In the present embodiment, as an example, the camera unit 105 is moved to the position of the bottom left back tooth.
In step S903, all the imaging targets are imaged continuously while the camera unit 105 is gradually moved from the observation position. In the present embodiment, as an example, the camera unit 105 is gradually moved from the position of the bottom left back tooth toward the front teeth, continuously imaging the teeth until the position of the bottom right back tooth is reached.
In step S904, the image processing apparatus 103 calculates three-dimensional coordinates (real coordinates) on the basis of two-dimensional images captured in step S903 by referring to two-dimensional coordinates of the portion where the point of interest 603 and respective points of the mirror 110 are directly visible and to two-dimensional coordinates appearing in the mirror 110.
In step S905, a three-dimensional image (stereoscopic image) of the tooth is acquired (image acquisition step) on the basis of the three-dimensional coordinates calculated in step S904 and displayed on the monitor 104 which is the image display section.
With the above configuration and action, the dental image acquisition apparatus 100 of the present embodiment can image, with the camera 109, the dentition 114 and the mirror 110 at the same time by placing the camera 109 of the camera unit 105 and the mirror 110 to be opposed to each other with the dentition 114 provided therebetween, thus allowing for acquisition of images of both inner and outer sides of the dentition 114 with the single camera 109. As described above, the dental image acquisition apparatus 100 of the present embodiment allows for acquisition of images in a plurality of imaging directions with a single captured image.
A description will be given next of an example of a three-dimensional coordinate acquisition method of the present embodiment by using
In step S1001, the imaging target 602 is imaged with visible light and/or near infrared light by using the offset scale 401 of the mirror 110 and the mirror surface scale 403.
In step S1002, real image parameters L (l1 to l11) and mirror image parameters L′ (l1′ to l11′) are calculated from scaling points of real and mirror image portions of the captured two-dimensional image by using formulas 1 and 2 given below.
Formula 1 is a relational formula depicting a relationship between actual coordinates (real coordinates) and coordinates on the image (image coordinates). Formula 1 associates the real coordinates (x, y, z) with the image coordinates (u, v). Here, (u, v) are image coordinates captured with the camera 109, (x, y, z) are real coordinates, and l1 to l11 are constants (parameters).
Formula 2 is used to calculate the real image parameters L (l1 to l11) and mirror image parameters L′ (l1′ to l11′). The real coordinates (x, y, z) are associated with the image coordinates (u, v) by using 11 parameters. The respective parameters L and L′ of the real and mirror images are calculated by substituting real and image coordinate values of the scales into formula 2.
In step S1003, the coordinates (u, v) and (u′, v′) of the real image 603 and the mirror image 605 of the point of interest are extracted by using formulas 3 and 4. It should be noted that a point of interest may be generated automatically.
When the real image parameters L are determined, two simultaneous equations can be obtained from image coordinates (u1, v1) of the real image of the point of interest.
Further, when the mirror image parameters L′ are determined, two simultaneous equations can be obtained from image coordinates (u2, v2) of the mirror image of the real image of the point of interest.
In step S1004, the three-dimensional coordinates x, y, and z are calculated from the obtained L, L′, (u, v), and (u′, v′). For example, the coordinates (x, y, z) of the point of interest can be calculated by using the four simultaneous equations obtained from formulas 3 and 4. A three-dimensional image is generated by combining the coordinates that have been obtained.
In step S1005, it is decided whether or not three-dimensional coordinates (x, y, z) of another point of interest are further to be calculated. In the case where three-dimensional coordinates (x, y, z) of another point of interest are to be calculated, the process proceeds to Yes and returns to step S1003. In the case where three-dimensional coordinates (x, y, z) of another point of interest are not to be calculated, the process proceeds to No and is terminated.
Here, in the past, the use of X-ray CT has been known as a method of acquiring three-dimensional coordinates inside a tooth because of the need to stereoscopically see through the tooth. However, X-ray CT is conducted only once before treatment, and progress during treatment cannot be confirmed due to the problem of radiation exposure to the patient and the practitioner. Further, X-ray CT can be used only in an X-ray control area. As a result, it is necessary to prepare a separate inspection room. Also, although a technique is known that permits observation of caries inside the tooth by emitting near infrared light, the observation target is only caries, and the internal structure of the tooth is not subject to observation. Also, such an observation technique does not allow acquisition of three-dimensional coordinates.
In contrast, the dental image acquisition apparatus 100 according to the present embodiment allows for acquisition of images in a plurality of imaging directions with a single captured image by using a mirror and requires only a single camera, thus making it possible to capture two images at the same time with no concern for imaging timings of two cameras. As a result, it is possible to calculate position coordinates with high accuracy.
Also, the dental image acquisition apparatus 100 employs light, thus causing no problem of X-ray exposure during imaging. For this reason, the target can be observed even during treatment, and the treatment can be pursued while at the same time conducting verifications a number of times as necessary, thus ensuring that treatment results remain unaffected by the difference in proficiency between dentists.
Also, in addition to requiring no separate inspection room such as an X-ray control area and causing no risk of X-ray exposure, the dental image acquisition apparatus 100 is compact, allowing for observation of the target on the chair side. It should be noted that the dental image acquisition apparatus 100 can be used as a CAD/CAM oral cavity scanner by measuring the appearance of the oral cavity with the dental image acquisition apparatus 100.
A description will be given of a second embodiment of a dental image acquisition apparatus according to the present technology by using
As illustrated in
The offset scale 1103 is formed, for example, in the shape of a rod and placed at a position protruding from the mirror surface of the mirror 1102 at a predetermined angle. Further, the offset scale 1103 includes three rod shapes at the tip of the rod shape protruding from the mirror 1102. The three-dimensional coordinates can be measured with respect to the three rod shapes which are orthogonal to each other. It should be noted that the predetermined angle between the offset scale 1103 and the mirror surface of the mirror 1102 is preferably 80° to 120° and more preferably 90° or so.
A description will be given next of an example of a dental image that can be captured by the dental image acquisition apparatus of the present embodiment by using
As illustrated in
The dental image acquisition apparatus of the present embodiment also provides an action and effect similar to those of the dental image acquisition apparatus 100 of the first embodiment by having the camera unit 1101 configured as described above.
A description will be given of a third embodiment of a dental image acquisition apparatus according to the present technology by using
As illustrated in
Further, a laser scanning apparatus 1302 is provided on the lateral surface of the camera 109 of the camera unit 1301. The laser scanning apparatus 1302 can emit a laser beam 1303 in the same direction as the illumination light 402 from the light guide 112.
The dental image acquisition apparatus of the present embodiment also provides an action and effect similar to those of the dental image acquisition apparatus 100 of the first embodiment by having the camera unit 1301 having the above configuration.
A description will be given of a working example of a dental image acquisition apparatus to which the present technology is applied by using
As illustrated in
As illustrated in
Table 1 represents positions on the shot photograph as pixel positions. For example, Table 1 indicates that the point a is located at the position of the 1663rd pixel to the right and the 2321st pixel down relative to the top left corner of the shot photograph.
The distance between a and b is 4.58 mm from the coordinates of points of interest a (0, 2, 21) and b (2, 6, 23) obtained by the calculation using the DLT method, according to the present working example. In contrast, the measured distance between a and b is 4.7 mm as a result of the measurement using calipers. Therefore, it has been discovered that the calculation result of the distance in the present working example approximately matches the measured value.
A description will be given below of an application example in which the dental image acquisition apparatus according to the present technology is applied.
In root canal treatment, for example, the root canal is spread after pulp extirpation, followed by cleaning and sterilization of the inside and filling of a root canal filling agent. Because of the need for precise treatment, it is necessary to accurately grasp the root canal shape. However, the root canal shape varies from one person to another. Besides, the root canal has a complicated shape. Precise treatment is made possible by seeing through the root canal and grasping the shape thereof in advance by means of the dental image acquisition method according to the present technology. Currently, the inside is observed by using CT. However, CT is conducted only once before treatment due to the risk of X-ray exposure. The dental image acquisition method according to the present technology has no risk of X-ray exposure, thus allowing for observation any number of times during treatment on the chair side and ensuring that treatment results remain unaffected by the difference in proficiency between dentists.
Also, when the inside of a tooth is drilled during caries treatment or root canal treatment, perforation that is erroneous drilling of a hole in a tooth may occur due to miscalculation of the tooth thickness. The present technology has no risk of X-ray exposure, thus allowing for observation any number of times halfway through the treatment and providing a reduced risk of perforation.
Also, when the teeth alignment is corrected as part of cosmetic dentistry treatment, it is possible to grasp the orientation and position of each tooth, gaps between the teeth, and the like by imaging the dentition as a whole by means of the present technology, thus making it possible to determine a treatment policy, make comparison between before and after the treatment, confirm the progress of the correction, and the like.
Further, the present technology can be applied to a CAD/CAM crown. In this case, in the case where a tooth is significantly drilled as part of dental treatment, the tooth is restored by making a crown. The CAD/CAM crown has started to see widespread use in recent years, and the present technology can be used to grasp the shapes of an abutment and an opposing tooth after forming the abutment.
In implant treatment, it is necessary to accurately assess the direction in which to insert an implant. The present technology provides a reference for determining a treatment policy as one stereoscopically grasps the dentition as a whole by using the present technology. Also, in implant treatment, a plaster cast of dentition is made in advance, and a jig for determining the insertion direction of the implant is fabricated. However, the present technology makes it possible to fabricate a plaster cast without impression taking.
It should be noted that the present technology also allows for acquisition of three-dimensional coordinates and a three-dimensional image by applying the DLT method using two cameras to dentistry.
It should be noted that embodiments of the present technology are not limited to those described above and can be changed in various ways without departing from the gist of the present technology. For example, it is possible to combine all or some of the plural embodiments described above. Also, the effect described in the present specification is merely illustrative and not restrictive, and there may be other effects.
Also, the present technology can have the following configurations.
(1)
A dental image acquisition apparatus including:
The dental image acquisition apparatus of feature (1), in which
The dental image acquisition apparatus of feature (1) or (2), in which
The dental image acquisition apparatus of feature (3), in which
The dental image acquisition apparatus of feature (3) or (4), in which
The dental image acquisition apparatus of any one of features (1) to (5), in which
The dental image acquisition apparatus of feature (6), in which
The dental image acquisition apparatus of any one of features (1) to (7), in which
The dental image acquisition apparatus of any one of features (1) to (8), in which
The dental image acquisition apparatus of any one of features (1) to (9), in which
The dental image acquisition apparatus of feature (10), in which
The dental image acquisition apparatus of any one of features (1) to (11) further including:
A dental image acquisition method including:
Number | Date | Country | Kind |
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2017-205060 | Oct 2017 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2018/026317 | 7/12/2018 | WO | 00 |