This invention relates to a periodontal pocket examination apparatus.
Measurement of the depth of a periodontal pocket is carried out as one example of an examination of periodontal disease. In general, the depth of a periodontal pocket is measured visually as by a dentist inserting a rod-like measuring instrument referred to as a “pocket probe” into the periodontal pocket. However, there are occasions where the result of measurement it not necessarily accurate owing to the extent of the ability of the dentist or the like, the angle of insertion of the pocket probe and visual error, etc. Further, there is concern that, owing to bleeding from the gums at the time of examination, affected parts free of periodontal disease will become infected with periodontal disease. For these reasons, consideration has been given to the measurement of periodontal pocket depth non-invasively using an optical coherence tomographic diagnostic apparatus (Patent Documents 1, 2).
In order to measure periodontal pocket depth using an optical interference tomographic diagnostic apparatus, miniaturization is required because it is necessary to insert an examination probe into the oral cavity of the patient. However, the inventors have recognized that, with the art described in Patent Documents 1 and 2, the examination probe itself is large in size owing to use of a galvanomirror. The inventors have further recognized that it is difficult to assure accuracy of measurement owing to noise ascribable to vibration or the like produced when the driving system of the galvanomirror is driven. The inventors have further recognized that it is desirable to improve the operability of the examination probe because it is preferred that the measuring light be emitted perpendicular to the depth direction of the periodontal pocket in order to measure the depth of the periodontal pocket accurately.
An object of the present invention is to improve the operability of an examination probe while miniaturizing the examination probe.
A periodontal pocket examination apparatus according to the present invention is characterized by comprising: an optical divider for splitting low-interference light into measuring light and reference light; a crystal deflecting device on which the measuring light split off by said optical divider is incident for deflecting the incident measuring light in a specific direction (or on the side of a specific direction) in accordance with an applied voltage and for emitting the measuring light deflected; a parallelizing device for aligning into parallel light the measuring light emitted from said crystal deflecting device; a photodetector for detecting reflected light and outputting an interference signal, the reflected light being reflected measuring light which is reflected from a gum or tooth owing to irradiation of the gum or tooth with the measuring light aligned parallel by said parallelizing device and reflected reference light which is split off by said optical divider and reflected by a reference surface; periodontal pocket data generator (processor) for generating data regarding depth of a periodontal pocket based on the interference signal output from said photodetector; and an examination probe including said crystal deflecting device, said parallelizing device and a gripping portion, the gripping portion extends from one side face of a light-emitter for emitting from an opening the measuring light aligned parallel by said parallelizing device, said light-emitter portion protruding further than said gripping portion does in the direction of emission of the measuring light.
The light-emitter of the examination probe may be adapted so as to be freely deformable such that the light-emitter of the examination probe is deformed in a case where a force is applied to the light-emitter of the examination probe in the direction opposite the direction of emission of the measuring light, and returns to the shape thereof that prevailed prior to deformation in a case where the force applied to the light-emitter of the examination probe is released.
The examination probe may be freely deformable such that the light-emitter of the examination probe, at an upper portion and lower portion of the opening of the light-emitter, is deformed in a case where a force is applied, over at least a portion in the width direction, in the direction opposite the direction of emission of the measuring light, and returns to the shape thereof that prevailed prior to deformation in a case where the force applied to the light-emitter of the examination probe is released.
At least a part of the upper portion and lower portion is constituted by an elastic member such that a front face of the light-emitter is capable of being brought into close contact with a gum or tooth.
The apparatus further comprises an angle sensor for detecting at least one among roll angle, pitch angle and yaw angle of the examination probe.
By way of example, the crystal deflecting device deflects the incident measuring light in such a manner that deflection width of the measuring light emitted from the light-emitter of the examination probe is enough deflection width for measurement of depth of a periodontal pocket in a single scan.
By way of example, the periodontal pocket data generator generates data regarding depth of a periodontal pocket, based on interference signals output from the photodetector by using the examination probe to perform measurement at least at two locations at positions that differ in height, in a case where the deflection width of the measuring light emitted from the light-emitter of the examination probe is less than enough deflection width for measurement of depth of a periodontal pocket in a single scan.
The apparatus further comprises optical tomographic image generator for generating at least two optical tomographic images, based on interference signals output from the photodetector by using the examination probe to perform measurement at least at two locations at positions that differ in height, in a case where the deflection width of the measuring light emitted from the light-emitter of the examination probe is less than enough deflection width for measurement of depth of a periodontal pocket in a single scan. In this case, by way of example, the periodontal pocket data generator generates data regarding depth of a periodontal pocket by combining and processing at least two optical tomographic images generated by the optical tomographic image generator.
Preferably, a position corresponding to the light-emission position of the measuring light emitted from the light-emitter is marked on the exterior of the light-emitter with the exception of the front face thereof.
By way of example, the opening of the examination probe or the front face of the light-emitter of the examination probe has the shape of a square, a circle, a rectangle whose side in the vertical direction is shorter than the side in the longitudinal direction, or an ellipse the longitudinal direction of which is the major axis and the vertical direction of which is the minor axis.
The gripping portion includes a neck portion and a base-end portion and, in a case where the base-end portion extends from one side face of the light-emitter of the examination probe via the neck portion, the neck portion curves in the direction opposite the direction of the light emission and protrudes in the direction opposite the direction of the light emission, or the light-emitter extends further than the neck portion does in the direction of the light emission, or one end of the neck portion is secured to a rear end of the light-emitter on one side face thereof and the other end of the neck portion protrudes further than the one end of the neck portion does in the direction of the light emission, or at least one of an upper-end portion and lower-end portion of the neck portion is cut away, by way of example.
For example, the examination probe is such that a straight line in the longitudinal direction along which the gripping portion of the examination probe extends and a straight line in the direction of the measuring light prior to deflection thereof by the crystal deflecting device are non-parallel.
For example, the examination probe is such that a straight line in the longitudinal direction along which the gripping portion of the examination probe extends and a straight line in the direction of the measuring light prior to deflection thereof by the crystal deflecting device may be orthogonal.
The apparatus may further comprise a voltage circuit for impressing the above-mentioned applied voltage upon the crystal deflecting device. In this case, it is preferred that, on the one hand, when the applied voltage impressed by the voltage circuit is a positive voltage, the crystal deflecting device deflects the measuring light more in the specific direction in response to an increase in the positive voltage, and when the applied voltage impressed by the voltage circuit is a negative voltage, the crystal deflecting device deflects the measuring light more in the direction opposite the specific direction in response to an increase in the negative voltage.
The light-emitter of the examination probe may have a transparent plate. In this case, it is preferred that the transparent plate be fixed at a position inwardly of the opening of the light-emitter in the direction opposite the direction of the light emission.
In accordance with the present invention, since the measuring light is deflected by the crystal deflecting device, the examination probe can be miniaturized in comparison with a case where the measuring light is deflected using a galvanomirror that requires a driving unit. Further, in the examination probe, the light-emitter that emits the parallelized measuring light from the opening protrudes further along the direction of emission of the measuring light than the gripping portion does. Therefore, in a case where the user such as a dentist inserts the examination probe into the oral cavity of the subject of measurement such as a patient by gripping the gripping portion, the fingers holding the gripping portion can be prevented from contacting the teeth, etc., of the subject, and operability of the examination probe can be improved as well.
Low-interference light (low-coherence light) L is emitted from a light source 1 such as an SLD (Super Luminescent Diode). The low-interference light L is split into measuring light LM and reference light LR by a beam splitter (optical divider) 2. It will suffice if low-interference light L is emitted from the light source 1, and use may be made of another light source such as a gas laser, semiconductor laser or laser diode.
The measuring light LM split off by the beam splitter 2 impinges upon an examination probe 10. The examination probe 10 includes a crystal deflecting element (a crystal deflecting device) 11, a concave lens 12 and an f-θ lens 13. (Although the f-θ lens corresponds to a parallelizing element, another element will suffice if it is capable of rendering parallel the light emitted from the crystal deflecting element 11.)
The measuring light LM incident upon the examination probe 10 impinges upon the crystal deflecting element 11. An electrode 11A is formed on the upper surface of the crystal deflecting element 11, and an electrode 11B is formed on the lower surface of the crystal deflecting element 11. When a voltage from a voltage circuit 15 is applied to the electrodes 11A and 11B, the crystal deflecting element 11 deflects and emits the incident measuring light LM in accordance with the applied voltage in such a manner that the light after deflection is emitted in a specific direction. (It will suffice if the light after deflection is emitted on the side of a specific direction, not in a specific direction.) The “specific direction (or “on the side of a specific direction”) refers to a direction orthogonal to the direction of the measuring light prior to its deflection. In
The crystal deflecting element 11 refers to an element that applies a voltage to a crystal and deflects incident light in accordance with the applied voltage, and use can be made of either an acousto-optic element that deflects incident light by the acousto-optic effect, or an electro-optic element that deflects incident light by the electro-optic effect. An example of an acousto-optic element is one utilizing a crystal such as dihydrogenide glass or quartz, and an example of the electro-optic element is one utilizing KTN crystal, which is an oxide crystal consisting of calcium (K), tantalum (Ta) and niobium (Nb), or a barium borate crystal. The light deflecting effect of KTN crystal affects the deflection component in the direction of the internal electric field. Accordingly, in a case where KTN crystal is utilized as the crystal deflecting element 11, the direction of deflection of the low-interference light emitted by the light source 1 and the direction of the electric field produced by the voltage impressed upon the KTN crystal are stipulated in such a manner that the direction of the electric field produced by the voltage impressed upon the KTN crystal and the direction of deflection of the low-interference light emitted by the light source 1 will coincide. In this embodiment, it is assumed that KTN crystal is utilized as the crystal deflecting element 11.
The measuring light LM deflected by the crystal deflecting element 11 impinges upon the concave lens 12. Since the KTN crystal itself has the function of a convex lens, a convex lens effect happens to be produced. The concave lens 12 is provided in order to cancel out the convex lens effect.
The measuring light LM transmitted through the concave lens 12 is rendered parallel by the f-θ lens 13 (parallelizing element) and irradiates a gum GU and a tooth TO which are to undergo measurement. The measuring light LM reflected from the gum GU and tooth TO passes through the interior of the examination probe 10, is reflected in the beam splitter 2 and impinges upon a photodiode 4 (photodetector).
Further, the reference light LR split off in the beam splitter 2 is reflected at a reference mirror 3 (reference surface) freely movable in the direction of propagation of the reference light LR and in the direction opposite thereto (along the positive and negative directions of the Z-axis in the embodiment shown in
When, by moving the reference mirror 3, equality is established between a propagation distance, which is the sum total of propagation distance traveled until the measuring light LM irradiates the gum GU and tooth TO undergoing examination and propagation distance traveled until light reflected from the gum GU and tooth TO undergoing examination impinges upon the photodiode 4, and a propagation distance, which is the sum total of propagation distance traveled until the reference light LR irradiates the reference mirror 3 and light reflected from the reference mirror 3 impinges upon the photodiode 4, interference occurs between the measuring light LM and reference light LR and the photodiode 4 outputs an interference signal.
The interference signal output from the photodiode 4 is input to a signal processing circuit 5 (periodontal pocket data generator, processor), and signals representing optical tomographic images of the gum GU and tooth TO (data regarding the depth of a periodontal pocket) are generated. By inputting the generated signals representing the optical tomographic images to a display unit 6, the optical tomographic images of the gum GU and tooth TO are displayed on the display screen of the display unit 6. Processing for extracting the contours of the optical tomographic images is executed in the signal processing circuit 5, whereby the depth of a periodontal pocket between the gum GU and tooth TO is calculated. The calculated depth of the periodontal pocket also is displayed on the display screen of the display unit 6. Although optical tomographic images are generated and the depth of the periodontal pocket is calculated from the generated optical tomographic images, an arrangement may be adopted in which, rather than generate optical tomographic images, numerical data representing the depth of the periodontal pocket (such numerical data also is considered to be data regarding the depth of the periodontal pocket) is calculated in the signal processing circuit 5 and the depth of the periodontal pocket is displayed on the display screen of the display unit 6.
When voltage is being applied to the crystal deflecting element 11 by voltage circuit 15, the measuring light LM incident upon the crystal deflecting element 11 is deflected. The deflection angle of the measuring light LM in the crystal deflecting element 11 differs depending upon the voltage applied to the crystal deflecting element 11; the higher the voltage, the more the measuring light is deflected. For example, by application of a positive voltage, the measuring light LM is deflected along the positive direction of the Z-axis, as indicated by symbols B1 (measuring light beam B1). If there is applied a positive voltage smaller than the positive voltage which is in effect in the case where a measuring light beam B1 is obtained, then the measuring light LM will be deflected at a deflection angle, which is smaller than that of the measuring light beam B1, along the positive direction of the Z-axis, as indicated by symbols B2 (measuring light beam B2). If there is no applied voltage, the measuring light LM will not be deflected, as indicated by symbols B3 (measuring light beam B3). Furthermore, by making the applied voltage negative, the measuring light LM is deflected along the negative direction of the Z-axis, as indicated by symbols B5 (measuring light beam B5). If there is applied a negative voltage smaller than that in effect in the case where the measuring light beam B5 is obtained, then the measuring light LM will be deflected at a deflection angle, which is smaller than that of the measuring light beam B5, along the negative direction of the Z-axis, as indicated by symbols B4 (measuring light beam B4). It goes without saying that, although there are an infinite number of measuring light beams obtained by deflection using the crystal deflecting element 11, five measuring light beams B1 to B5 are illustrated in order to facilitate understanding.
Thus, owing to the crystal deflecting element 11, the measuring light after deflection has a deflection in a specific direction (in
The measuring light beams B1 to B5 are rendered parallel by the f-θ lens 13 so as to be made parallel to the measuring light LM that prevailed prior to its deflection by the crystal deflecting element 11. The thus parallelized measuring light beams B11, B21, B31, B41 and B51 irradiate the gum GU and tooth TO undergoing examination. (The measuring light beams B11, B21, B31, B41 and B51 do not necessarily irradiate both the gum GU and the tooth TO; depending upon the irradiated position, there is a measuring light beam which irradiates the tooth TO but not the gum GU. For example, since the gum GU is not present at the position irradiated with the measuring light beam B11, the measuring light beam B11 irradiates the tooth TO but not the gum GU). Depth Δd of a periodontal pocket PP is calculated based upon the reflected light beams. As shown in
In
In the crystal deflecting element 14 shown in
When a voltage is applied to electrodes 14A and 14B formed respectively on upper and lower surfaces of the crystal deflecting element 11, the measuring light LM that has impinged upon the crystal deflecting element 14 from the window 14E of the light-incident surface is deflected inside the crystal deflecting element 14 and is then reflected by the second reflecting mirror 14D formed on the light-emission surface. The measuring light LM reflected by the second reflecting mirror 14D is deflected inside the crystal deflecting element 14 and is then reflected by the first reflecting mirror 14C formed on the light-incident surface. While reflection by the first reflecting mirror 14C and second reflecting mirror 14D is thus repeated, the light is deflected and emitted from the window 14F on the light-emission side. Since the propagation distance within the crystal deflecting element 14 is lengthened, the deflection angle increases.
It goes without saying that the deflection angle is changed by changing the applied voltage also in the crystal deflecting element 14 shown in
As set forth above, the examination probe 10 includes the crystal deflecting element 11, the concave lens 12 and the f-θ lens 13. However, rather than the concave lens 12 being provided, the f-θ lens 13 may be a lens such as an aspherical lens that has the function of the concave lens 12. That is, it will suffice if the arrangement is such that the concave lens 12 and f-θ lens 13 correct the characteristic of the crystal deflecting element 11 and parallel light beams are obtained.
The examination probe 10 includes a light-emitting portion (a light-emitter) 10A and a gripping portion 10B. The gripping portion 10B extends from the right-side face 26 (one side face) of the light-emitting portion 10A.
An opening 16 is formed on a front face 21 of the light-emitting portion 10A (on the side from which the measuring light beams B11 to B51 are emitted, as described with reference to
The light-emitting portion 10A protrudes from the gripping portion 10B along the direction of emission of the measuring light beams B1 to B5 (the positive direction along the X-axis). Therefore, even if the user such as a dentist grips the gripping portion 10B, inserts the examination probe 10 into the oral cavity of the subject such as a patient and attempts to bring the front face 21 of the light-emitting portion 10A into contact with the gum GU and tooth TO undergoing examination, the fingers of the user holding the gripping portion 10B will not readily touch the gum GU and tooth TO undergoing examination. In a case where the front face 21 of the light-emitting portion 10A is made to contact the target of the examination, the angle (direction) of light emission is easier to adjust so as to irradiate the tooth TO and gum GU with the measuring light beams B11, B21, B31, B41 and B51 perpendicularly in comparison with a case where such contact is not made.
In
The periodontal pocket PP is formed between the gum GU and tooth TO, as mentioned above. In the case of severe periodontal disease, the depth of the periodontal pocket PP is 6 mm or more. If deflection width ΔL of the measuring light beams B11 to B51 (deflection width of the measuring light beams B11 to B51 along the depth direction of the periodontal pocket PP) is 6 mm or more, therefore, whether the periodontal pocket PP exhibits sever periodontal disease can be determined. Accordingly, the selection of the crystal deflecting element 11 and the voltage applied thereto are decided in such a manner that the deflection width ΔL of the measuring light beams B11 to B51 will be 6 mm or more. Thus, enough deflection width to measure the depth of a periodontal pocket in a single scan is preferred.
The measuring light beam B11 directly irradiates the portion of the tooth TO where the gum GU is not present (see
Since the measuring light beam B21 irradiates the upper end of the periodontal pocket PP (see
Similarly, interference signals are generated at times t31, t32 and t33, as illustrated in
Similarly, interference signals are generated at times t41, t42 and t43, as illustrated in
No periodontal pocket PP has formed at the portion of the gum GU irradiated with the measuring light beam B51 (see
Optical tomographic images of the gum GU and tooth TO shown in
The optical tomographic image Igu of the gum GU and the optical tomographic image Ito of the tooth TO are displayed on the display screen of the display unit 6. By subjecting the optical tomographic image Igu of the gum GU and the optical tomographic image Ito of the tooth TO to contour extraction in the signal processing circuit 5, the depth Δd of the periodontal pocket PP is calculated in the signal processing circuit 5.
In this embodiment, the depth Δd of the periodontal pocket PP is calculated by generating the optical tomographic images Igu and Ito of the gum GU and tooth TO and extracting the contours of the generated optical tomographic images Igu and Ito. However, as will be described next, the depth Δd of the periodontal pocket PP may be calculated by computation without generating the optical tomographic images Igu and Ito (although the optical tomographic images Igu and Ito may just as well be generated).
It will be assumed that the measuring light beams BB1 and BB2 have the maximum deflection angle that result from the crystal deflecting element 11. If we let θ be the deflection angle of the measuring light beam BB1 or BB2, then the deflection width ΔL of the measuring light beams BB1 and BB2 obtained at a location spaced away a distance m along the light-emission direction from a reference point x0 prior to deflection will be ΔL=2 m·tan θ.
The measuring light beam Bt irradiates a position corresponding to the upper end of the periodontal pocket PP, and the measuring light beam Bb irradiates a position corresponding to the lower end of the periodontal pocket PP. The distance from the position irradiated with the measuring light beam Bt to the position irradiated with the measuring light beam Bb corresponds to the depth Δd of the periodontal pocket pp.
Since the measuring light beam Bt irradiates the tooth TO and not the gum GU, an interference signal is generated at a time tt1 owing to reflection from the tooth TO. Since the measuring light beam Bb irradiates the gum GU and the tooth TO, an interference signal is generated at a time tb1 owing to reflection from the gum GU and an interference signal is generated at a time tb2 owing to reflection from the tooth TO.
Accordingly, as described above with reference to
In the embodiment set forth above, it is assumed that the deflection width from the measuring light beam B11 to B51 is enough to enable measurement of the depth Δd of the periodontal pocket in a single scan even in case of severe periodontal disease. However, in instances where there is not enough deflection width to enable measurement of the depth Δd of the periodontal pocket in a single scan, an arrangement may be adopted in which, by performing measurement multiple times at positions that differ in height (at least at two locations), data regarding the depth Δd of the periodontal pocket will be generated in the signal processing circuit (periodontal pocket data generator) based upon interference signals output from the photodiode 4.
For example, assume that the examination probe 10 can emit measuring light having a deflection width corresponding to the range from measuring light beam B11 to B31 (equal to the range from B31 to B51), which is illustrated in
The examination probe 30 includes a light-emitting portion 30A and a gripping portion 30B.
The light-emitting portion 30A is a rectangular frame as seen from the front. Attached to the rectangular frame is a cover 41 freely slidable along the direction of emission of the measuring light emitted from the light-emitting portion 30A, as well as along the direction opposite thereto. The transparent plate 37 is fixed at a position inwardly of an opening 36, which is at the front of the cover 41, in the negative direction of the X-axis. The measuring light beams that have been rendered parallel are emitted from the opening 36 along the positive direction of the X-axis through the transparent plate 37, as mentioned above.
As illustrated in
In the embodiment shown in
Owing to the fact that portions of the light-emitting portion 30A are freely deformable, the front face of the light-emitting portion 30A (cover 41) can be brought into close contact with the gum GU and tooth TO of the subject.
With the examination probe 10 shown in
A light-emitting portion 60A is constituted by a frame the entirety of the front face of which is made of a freely deformable resin portion 68 such as rubber. The resin portion 68 also is freely deformable such that it is deformed in a case where a force is applied in the direction (the negative direction along the X-axis) opposite the direction (the positive direction along the X-axis) of emission of the parallelized measuring light, and returns to the shape that prevailed prior to deformation in a case where the applied force is released. A transparent plate 67 is fixed at a position inwardly of an opening 66, which is at the front of the resin portion 68, in the negative direction of the X-axis. As a result, deformation of the resin portion 68 is not restricted by the transparent plate 67.
In the examination probe 60 shown in
The front face of the light-emitting portion 60A can be brought into close contact with the gum GU and tooth TO also in the case where resin is utilized as portions of the light-emitting portion 60A.
In
Both the light-emitting portion 30A in
The examination probe 70 includes a light-emitting portion 70A and a gripping portion 70B. A first angle sensor 81, a second angle sensor 82 and a third angle sensor 83 are embedded respectively in an upper plate 72, side plate 73 and back plate 74 of the light-emitting portion 70A. If we let a roll angle θr represent the angle about the X-axis, let a pitch angle θp represent the angle about the Y-axis and let a yaw angle θy represent the angle about the Z-axis, then the first angle sensor 81 will detect the yaw angle θy, the second angle sensor 82 will detect the pitch angle θp, and the third angle sensor 83 will detect the roll angle θr.
If the longitudinal direction of the examination probe 70 coincides with the direction of the Y-axis, as indicated by the solid line, the roll angle θr of the examination probe 70 will be 0 degrees. When the examination probe 70 is tilted about the X-axis, as indicated by the chain line, the roll angle θr is produced. If a front face 71 of the light-emitting portion 70A faces the gum GU and tooth TO in parallel fashion, interference signals are generated by measuring light reflected by the gum GU and tooth TO. As a result, the depth Δd of the periodontal pocket PP can be measured accurately. On the other hand, if the front face 71 of the light-emitting portion 70A of examination probe 70 does not face the gum GU and tooth TO in parallel fashion, there is a possibility that interference signals cannot be generated using the measuring light reflected by the gum GU and tooth TO. As a result, there is a possibility that the depth Δd of the periodontal pocket cannot be measured accurately, as for example an erroneous depth being measured as the depth Δd of the periodontal pocket. Further, if the vertical direction of the examination probe 70 and the direction of the depth Δd of the periodontal pocket do not coincide, there is a possibility that the depth Δd of the periodontal pocket cannot be measured accurately.
Since the roll angle θr is detected by the third angle sensor 83, the measurer is capable of grasping whether the vertical direction of the examination probe 70 and the direction of the depth Δd of the periodontal pocket coincide. It goes without saying that a signal indicating the roll angle θr detected by the third angle sensor 83 is input to the signal processing circuit 5 from the third angle sensor 83 and is displayed on the display screen of the display unit 6. Further, an arrangement may be adopted in which notification is given of an optimum roll angle by another method of notification, such as by issuing a sound, light (turning on a light-emitting diode, for example) or vibration.
The roll angle θr of the examination probe 70 with the front face 71 of the light-emitting portion 70A of the examination probe 70 facing the gum GU and tooth TO in parallel will differ in accordance with the angle of the face of the subject, or more specifically, the angle of the gum GU and tooth TO. Therefore, the roll angle θr of the examination probe 70 with the front face 71 of the light-emitting portion 70A of the examination probe 70 facing the gum GU and tooth TO in parallel may be calculated as by detecting the angle of inclination of the chair in which the subject is seated, by way of example. Alternatively, a specific roll angle θr of the examination probe 70 may be used as being the roll angle θr of the examination probe 70 with the front face 71 of the light-emitting portion 70A of the examination probe 70 facing the gum GU and tooth TO in parallel.
If the longitudinal direction of the examination probe 70 coincides with the direction of the Y-axis, as indicated by the solid line, the yaw angle θy of the examination probe 70 will be 0 degrees. When the examination probe 70 is tilted about the Z-axis, as indicated by the chain line, the yaw angle θy is produced. If the front face 71 of the light-emitting portion 70A faces the gum GU and tooth TO in parallel fashion, interference signals are generated by measuring light reflected by the gum GU and tooth TO in a manner similar to that described above. As a result, the depth Δd of the periodontal pocket PP can be measured accurately. On the other hand, if the front face 71 of the light-emitting portion 70A of examination probe 70 does not face the gum GU and tooth TO in parallel fashion, there is a possibility that interference signals cannot be generated using the measuring light reflected by the gum GU and tooth TO. As a result, there is a possibility that the depth Δd of the periodontal pocket cannot be measured accurately, as for example an erroneous depth being measured as the depth Δd of the periodontal pocket.
Since the yaw angle θy is detected by the first angle sensor 81, it is possible to grasp whether the front face 71 of the light-emitting portion 70A of the examination probe 70 is facing the gum GU and tooth TO in parallel. It goes without saying that a signal indicating the yaw angle θy detected by the first angle sensor 81 also is input to the signal processing circuit 5 from the first angle sensor 81 and is displayed on the display screen of the display unit 6.
If the measuring light emitted from the light-emitting portion 70A of the examination probe 70 coincides with the positive direction of the X-axis, as indicated by the solid line, the pitch angle θp of the examination probe 70 will be 0 degrees. When the examination probe 70 is tilted about the Y-axis, as indicated by the chain line, the pitch angle θp is produced. If the front face 71 of the light-emitting portion 70A faces the gum GU and tooth TO in parallel fashion, interference signals are generated by measuring light reflected by the gum GU and tooth TO in a manner similar to that described above. As a result, the depth Δd of the periodontal pocket PP can be measured accurately. On the other hand, if the front face 71 of the light-emitting portion 70A of examination probe 70 does not face the gum GU and tooth TO in parallel fashion, there is a possibility that interference signals cannot be generated using the measuring light reflected by the gum GU and tooth TO. As a result, there is a possibility that the depth Δd of the periodontal pocket cannot be measured accurately, as for example an erroneous depth being measured as the depth Δd of the periodontal pocket.
Since the pitch angle θp is detected by the second angle sensor 82, it is possible to grasp whether the front face 71 of the light-emitting portion 70A of the examination probe 70 is facing the gum GU and tooth TO in parallel. It goes without saying that a signal indicating the pitch angle θp detected by the second angle sensor 82 also is input to the signal processing circuit 5 from the second angle sensor 82 and is displayed on the display screen of the display unit 6.
An arrangement may be adopted in which, in a case also where the yaw angle θy and pitch angle θp are detected, notification is given of an optimum yaw angle θy and pitch angle θp by another method of notification, such as by issuing a sound, light (turning on a light-emitting diode, for example) or vibration.
The yaw angle θy and pitch angle θp of the examination probe 70 with the front face 71 of the light-emitting portion 70A of the examination probe 70 facing the gum GU and tooth TO in parallel will differ in accordance with the angle of the face of the subject, or more specifically, the angle of the gum GU and tooth TO. Therefore, as described above, the yaw angle θy and pitch angle θp of the examination probe 70 with the front face 71 of the light-emitting portion 70A of the examination probe 70 facing the gum GU and tooth TO in parallel may be calculated as by detecting the angle of inclination of the chair in which the subject is seated, by way of example. Alternatively, a specific yaw angle θy and pitch angle θp of the examination probe 70 may be used as being the yaw angle θy and pitch angle θp of the examination probe 70 with the front face 71 of the light-emitting portion 70A of the examination probe 70 facing the gum GU and tooth TO in parallel.
Returning to
Although the marks 91, 92 and 93 are formed on the upper plate 72, back plate 74 and lower plate 75 of the light-emitting portion 70A in
Although the light-emitting portion 70A of examination probe 70 shown in
With reference to
With reference to
With reference to
With reference to
As illustrated in
In
Number | Date | Country | Kind |
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2017-049420 | Mar 2017 | JP | national |
Number | Date | Country | |
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Parent | PCT/JP2018/005381 | Feb 2018 | US |
Child | 16570161 | US |