+

WO2018172103A1 - Procédé et dispositif pour déterminer un état buccal - Google Patents

Procédé et dispositif pour déterminer un état buccal Download PDF

Info

Publication number
WO2018172103A1
WO2018172103A1 PCT/EP2018/055903 EP2018055903W WO2018172103A1 WO 2018172103 A1 WO2018172103 A1 WO 2018172103A1 EP 2018055903 W EP2018055903 W EP 2018055903W WO 2018172103 A1 WO2018172103 A1 WO 2018172103A1
Authority
WO
WIPO (PCT)
Prior art keywords
oral
determining
condition
data processing
processing device
Prior art date
Application number
PCT/EP2018/055903
Other languages
German (de)
English (en)
Inventor
Andreas Bock
Thomas Welss
Matthias Frischmann
Original Assignee
Henkel Ag & Co. Kgaa
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Henkel Ag & Co. Kgaa filed Critical Henkel Ag & Co. Kgaa
Publication of WO2018172103A1 publication Critical patent/WO2018172103A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
    • A61B5/0088—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for oral or dental tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • A61B5/0075—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/45—For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538—Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4542—Evaluating the mouth, e.g. the jaw
    • A61B5/4547—Evaluating teeth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/45—For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538—Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4542—Evaluating the mouth, e.g. the jaw
    • A61B5/4552—Evaluating soft tissue within the mouth, e.g. gums or tongue
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/07—Home care
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
    • A61B5/14551—Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases

Definitions

  • the invention relates to a method and a device for determining a condition of the mouth and a method for determining a product for the treatment of teeth and / or gums.
  • the basis for a suitable prophylaxis is the brushing twice or more times per day in order to at least curb an undesirable deposit formation on the tooth surfaces and overall a bacterial infestation of the oral cavity.
  • pellicle layer on the tooth surface can be detected. It is a precipitate of proteins from saliva.
  • the pellicle layer is not very worrying for dental health.
  • further microorganisms from the salivary flora settle on the pellicle layer in the following, which leads to an increase in the thickness of the biofilm formed. This can also be harmful microorganisms settle.
  • EPS extracellular polymeric substances
  • extracellular polysaccharides arise, which is able to embed a wide variety of bacterial species on the tooth surface.
  • the resulting cell layer is called plaque and promotes the occurrence of tooth decay.
  • From the plaque can be formed by the absorption and storage of inorganic substances (minerals) from the saliva calculus.
  • the tartar promotes the occurrence of the above-mentioned diseases of the gums.
  • Soft plaque can still be removed by a consumer with toothbrush and toothpaste.
  • the hard calculus can only be removed by a dentist.
  • An object of the present invention was to provide a method for detecting a mouth condition of a user.
  • a method for determining an oral condition comprising:
  • Determining at least one oral conditional parameter comprising:
  • the determination of oral condition can be direct or indirect.
  • biological material is taken from a user's mouth (swab) with the aid of a suitable aid, such as a spatula.
  • a suitable aid such as a spatula.
  • the removal of the biological material is preferably carried out on the gum line.
  • the biological material is then examined with the aid of the above-mentioned portable device.
  • the above-mentioned portable device is used directly in the mouth of a user.
  • the light emitted by the portable device interacts with various components of the oral cavity, such as teeth, gums or tongue.
  • the direct determination of the oral state has the advantage that more oral state parameters can be determined.
  • determining the at least one oral condition parameter comprises determining a substance content and / or determining a ratio of substance contents. It may be preferred that the comparison region has at least one absorption wavelength of the at least one substance whose content and / or its ratio of contents is determined.
  • the oral condition parameter is selected from the group consisting of tooth condition parameters and gum condition parameters.
  • the at least one oral condition parameter is selected from the group consisting of
  • Extracellular polymeric substances particularly extracellular polysaccharides, play an important role in the formation of dental plaque.
  • Extracellular polysaccharides have sticky, adhesive properties and can not be rinsed off with water.
  • extracellular polysaccharides and bacteria adhere firmly to the tooth surface. It is therefore advantageous that the oral condition parameter comprises a polysaccharide content.
  • the extracellular polysaccharides include in particular glucans, such as mutans (o 1, 6-glucan) and / or dextrans, and / or fructans, such as Levane. It is therefore preferred that the oral condition parameter comprises a polysaccharide content, wherein the polysaccharide is selected from the group consisting of glucans, fructans, and mixtures thereof. It is particularly preferred that the oral condition parameter comprises a polysaccharide content, wherein the polysaccharide is selected from the group consisting of mutans, dextrans, levans, and mixtures thereof.
  • the extracellular polymeric substances may include extracellular proteins and / or extracellular lipids.
  • the oral condition parameter includes a protein content. It is also advantageous that the oral condition parameter comprises a lipid content.
  • Gram-negative bacterial species release toxins and lipopolysaccharides that can directly damage the soft tissue, such as the gums.
  • Lipopolysaccharides are relatively thermostable (heat-insensitive) compounds of fat-like (lipo) components and sugar components (polysaccharides). They are contained in the outer membrane of gram-negative bacteria.
  • the oral condition parameter comprises a lipopolysaccharide content.
  • the oral condition parameter may include a bacterial content. It is particularly advantageous that the bacterial content comprises the content of a bacterium and / or a bacterial strain.
  • bacteria such as Fusobacterium nucleatum promote the formation of biofilm on the tooth surface. It is also known that bacteria such as Aggregatibacter adtinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythenesis or Treponema denticola have soft tissue destruction.
  • Bacteria or bacterial strains contained in dental plaque include: Streptococcus such as Streptococcus salivarius, Streptococcus sanguinis, Streptococcus mutans, Streptococcus anginosus strains such as Streptococcus anginosus, strains of the Streptococcus m / f / s group such as Streptococcus mitis, Actinomyces such as Actinomyces israelii, Actinomyces naeslundii or Actinomyces odotolyticus, Prevotella such as Prevotella oris, Prevotella oralis, Prevotella loescheii or Prevotella intermedia, Neisseria, Veillonella such as Veillonella parvula, Fusobacterium such as Fusobacterium nucleatum, Rothia, Propionibacterium acnes, Micromonas micros, Eubacterium such as Eubacterium nod
  • the oral state parameter includes a bacterial content of Aggregatibacter adtinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythenesis, Treponema denticola, Streptococcus salivarius, Streptococcus sanguinis, Streptococcus mutans, Streptococcus anginosus, Streptococcus mitis, Actinomyces israelii, Actinomyces naeslundii Actinomyces odotolyticus, Prevotella Prevotella oralis, Prevotella loescheii Prevotella intermedia, Neisseria, Veillonella parvula, Fusobacterium nucleatum, Rothia, Propionibacterium acnes, Micromonas micros, Eubacterium nodatum, Eubacterium timidum, Eubacterium brachy, Camphylobacter rectus
  • the oral condition parameter may include a carbon dioxide content of the gum.
  • the visible light and / or infrared light may have electromagnetic radiation in a range of 380 nm to 150,000 nm.
  • the wavelength range of 780 nm to 150,000 nm is part of the wavelength range called infrared.
  • the visible light and / or infrared light has electromagnetic radiation in a wavelength range from 780 nm to 150,000 nm.
  • the wavelength range from 8,000 nm to 150,000 nm is also referred to as long-wavelength infrared (LWIR).
  • LWIR long-wavelength infrared
  • the visible light and / or infrared light has electromagnetic radiation in a wavelength range of 8000 nm to 150,000 nm.
  • the visible light and / or infrared light may have electromagnetic radiation in a range of 380 nm to 8000 nm.
  • the wavelength range from 3,000 nm to 8,000 nm is also called mid-infrared (English: mid wavelength, MWIR).
  • the visible light and / or infrared light has electromagnetic radiation in a wavelength range of 3,000 nm to 8,000 nm.
  • the visible light and / or infrared light may have electromagnetic radiation in a range of 3,000 nm to 8,000 nm, and the at least one oral condition parameter may include a bacterial content.
  • the visible light and / or infrared light may comprise electromagnetic radiation in a range of 380 nm to 3000 nm.
  • the wavelength range from 1400 nm to 3000 nm is also referred to as short-wave infrared (English: short wavelength, SWIR).
  • the visible light and / or infrared light has electromagnetic radiation in a wavelength range from 1400 nm to 3000 nm.
  • the visible light and / or infrared light comprises electromagnetic radiation in a wavelength range of 1400 nm to 3000 nm, and the at least one oral condition parameter may have a water content.
  • the visible light and / or infrared light may comprise electromagnetic radiation in a range of 380 nm to 1400 nm.
  • the wavelength range from 780 nm to 1400 nm is also referred to as near-infrared (NIR).
  • NIR near-infrared
  • the visible light and / or infrared light has electromagnetic radiation in a wavelength range from 780 nm to 1400 nm.
  • the visible light and / or infrared light may comprise electromagnetic radiation in a range of 380 nm to 780 nm. In various embodiments, the visible light and / or infrared light may have electromagnetic radiation in a range of 380 nm to 780 nm, and the at least one oral state parameter may have oxygen saturation.
  • the visible light and / or infrared light may have electromagnetic radiation in a range of 380 nm to 780 nm, and the at least one oral condition parameter may have a tooth color.
  • the measuring device which may include, for example, a spectrometer and / or a camera, e.g. for the IR region, for a portion of the IR region and / or the range of visible light, may be coupled to or integrated with the data processing device.
  • relevant parameters in the mouth in particular relevant parameters to the teeth and / or the gums can be measured, for example a water content, a protein content, a lipid content, a polysaccharide content, a lipopolysaccharide content, a bacterial content, a carbon dioxide content and / or an oxygen saturation.
  • the determined parameters as values (e.g., with arbitrary units), as a verbal message, as a graphical representation, or the like. be presented or communicated.
  • At least one oral hygiene product may be recommended to the user based on the determined oral condition.
  • the oral hygiene product may be capable of maintaining or improving the user's oral condition.
  • the oral hygiene product may include a toothpaste, a mouthwash, a mouthwash, an agent, particularly a gel for application to the teeth and / or the gums, an oral spray, and / or a chewing gum.
  • the oral hygiene product can too a special toothbrush such as an interdental brush, a toothbrush for implants or dentures, or a tongue cleaner.
  • product recommendations for individual oral hygiene products and / or individual care instructions for the oral cavity can be derived.
  • the oral hygiene product recommendations and / or care instructions for the oral cavity may be obtained, for example, by software, e.g. an app.
  • the software / app that determines the oral condition parameter and / or the oral condition may be the same that determines the oral hygiene product recommendation and / or the oral care care instructions.
  • different software programs / apps may be used for a portion of the various operations or all of the various operations (determining the at least one oral condition parameter, determining the oral condition, determining a product recommendation, determining a care indication).
  • a treatment success in a treatment which may have a positive effect on the determined oral condition parameters or the determined oral condition, can be monitored.
  • the software / app may enable control and / or tracking of the results by presenting (e.g., plotting) the measurement results over time.
  • information may also be used regarding a general health, a condition of the teeth (presence of restorations, dentures and / or braces), eating habits and other user behaviors (e.g., smoking habits, etc.), e.g. by means of the software / app.
  • literacy data may be used to assess a suitability of an oral hygiene product and / or a care indication for maintaining the oral cavity, particularly teeth and / or gums, with a given oral condition.
  • a quality score may or may not be associated with each oral condition or a plurality of oral conditions.
  • An oral hygiene product and / or a care indication may be considered appropriate for a mouth condition if it is to be expected
  • test results or empirical values that in a (eg regular) use of the oral hygiene product and / or the care advice for the oral cavity of the user's oral state is maintained or changes to a mouth state with a higher quality value.
  • an assessment of a suitability of an oral hygiene product to improve a mouth condition may be confirmed or modified by including experience of other users having the same or a similar oral condition, for example, experience of treatment success.
  • the other users besides the same or similar oral state also have the same or a similar profile in terms of age, sex and / or behavior. This can make it possible for the user to always receive an optimal recommendation.
  • the treatment of the teeth and / or the gums may in particular have the goal of lowering a bacterial content and / or a lipopolysaccharide content and / or polysaccharide content and / or improving oxygen saturation of the gums.
  • efficacy of treating the teeth and / or gums may be better understood, thereby facilitating or facilitating selection of an individually appropriate oral hygiene product.
  • a user's motivation may be increased to perform a treatment in the longer term, for example, by comparison with other users, e.g. by information about treatment success provided by the other users.
  • the at least one oral condition parameter may include a plurality of oral condition parameters.
  • determining the oral condition may include determining a single oral condition involving the plurality of oral condition parameters.
  • exposing the oral cavity may include exposing a plurality of areas in the user's oral cavity.
  • the plurality of mouth regions may include at least one tooth region and at least one gingival region.
  • the portable device may be integrated with a portable computing device or coupled to a portable computing device.
  • the portable device may be coupled to the portable data processing device via wireless data transmission, wherein the portable data processing device may be configured to determine the at least one oral state parameter by initiating the determination, by an external data processing device, the at least one oral state parameter, and / or at least one oral condition, and wherein the apparatus may be further configured to receive the at least one determined oral condition parameter and / or the at least one oral condition and to provide the user with the portable data processing apparatus.
  • the external computing device may be a cloud.
  • a method of detecting an oral hygiene product comprising: determining a mouth condition according to various embodiments, and determining the product based on the determined oral condition and a database a plurality of oral conditions and a plurality of associated products, wherein each oral state of the plurality of oral conditions may be associated with at least one suitable product.
  • each oral condition may be associated with a quality score
  • the oral hygiene product may be suitable for at least one oral condition of the plurality of oral conditions, when based on stored experience with the oral hygiene product, an improvement or maintenance of the quality of oral status is expected.
  • the method may further include updating the database based on new experience from a plurality of users.
  • determining the at least one oral state parameter and / or determining the oral state may include transmitting the spectrum and / or the at least one map and / or the result of the comparison to an external computing device and receiving the oral state parameter and / or the oral state ,
  • an apparatus for determining a condition of the mouth may comprise: a portable light source for exposing a mouth or biological material from a mouth to light, the light having visible light and / or infrared light; a portable recording device, the recording device having a spectrometer for recording at least one spectrum and / or a camera for recording at least one image of at least a portion of the visible light and / or the infrared light which has interacted with constituents of the oral cavity or of the biological sample and a portable data processing device, wherein the portable data processing device may be configured to determine at least one oral state parameter based on the acquired spectrum and / or the acquired image, wherein the portable data processing device may be configured to determine a mouth state based on the at least one oral state parameter ,
  • Components of the oral cavity include, for example, teeth, gums, or the tongue.
  • the visible light and / or the infrared light interacts with at least one tooth and / or with at least one region of the gum.
  • the light source and the receptacle may form an integrated unit.
  • the light source and / or the pick-up device may form an integrated unit with the portable data processing device.
  • the at least one image may comprise a plurality of images, and the portion of the visible light may have a different wavelength range for each image of the plurality of images.
  • the apparatus for determining a condition of the mouth may include a portable light source for exposing a oral cavity and / or a biological sample to light.
  • the light may have visible (VIS) light and / or infrared (IR) light in various embodiments.
  • VIS visible
  • IR infrared
  • visible light electromagnetic radiation having a wavelength in a range of about 380 nm to 780 nm to be understood.
  • infrared light electromagnetic radiation having a wavelength in the range of from about 780 nm to about 1 mm
  • the terms commonly used in the art may be VIS-NIR for a wavelength range of about 380 nm to about 1400 nm and / or NIR for a wavelength range of about 780 nm to about 1400 nm and / or SWIR for a wavelength range of about 1400 nm to about 3000 nm and / or MWIR for a wavelength range of about 3000 nm to about 8000 nm and / or LWIR for a wavelength range of about 8,000 nm to about 150,000 nm are used.
  • the visible light and / or infrared light may have electromagnetic radiation in a range of 380 nm to 150,000 nm.
  • the device for determining a condition of the mouth may comprise a portable receiving device.
  • the portable receptacle may include a spectrometer for receiving at least a spectrum of visible light and / or infrared light.
  • the portable receptacle may include a camera for capturing at least one image of visible light and / or infrared light.
  • the portable capture device may include both the spectrometer and the camera and / or an imaging spectrometer (which may receive a spectrum for each pixel of a two-dimensional image).
  • the recorded light may comprise at least a portion of the light which has been emitted by the portable light source into the oral cavity or on the biological material and has interacted with the teeth and / or the gums in the oral cavity or the biological material.
  • the device for determining a mouth condition may comprise a portable data processing device.
  • the portable data processing device may be, for example, a smartphone, an iPad, a tablet, a laptop, or the like.
  • the portable data processing device may include a processor and a memory in various embodiments.
  • the data processing device may in various embodiments be coupled to the light source and to the recording device, for example in such a way that a data exchange between the data processing device and the light source and between the data processing device and the recording device is made possible.
  • control commands can be transmitted from the data processing device to the light source and / or the recording device, for example, and recorded data, For example, at least one recorded spectrum and / or at least one image can be transmitted or transmitted from the recording device to the data processing device.
  • the portable data processing device may be configured in various embodiments to determine at least one oral state parameter based on the recorded spectrum and / or the recorded image. Furthermore, in various embodiments, the portable data processing device may be configured to determine a mouth state based on the at least one oral state parameter. In various embodiments, the portable data processing device may be configured to itself, ie directly, to determine the at least one oral state parameter and / or the oral state.
  • the portable data processing device may be configured to indirectly determine the at least one oral condition parameter and / or the oral condition, for example by providing the acquired spectrum, the captured image and / or the oral state parameter to an external data processing device that may be configured, the oral state parameter and / or to determine the oral state from the provided data, and receiving a mouth state parameter and / or a mouth state from the external data processing device.
  • the oral condition parameter and / or the oral condition may be provided to the user after direct or indirect determination, e.g. by means of displays, e.g. on a screen of the data processing device.
  • the light source, the capture device, and / or the data processing device may form a portable integrated unit.
  • the light source and the capture device may form an integrated unit coupled to the data processing device, or the light source and the data processing device may form a portable integrated unit, and the capture device may be coupled to the light source data processing device, or the capture device and the data processing device may form a portable integrated unit, and the light source may be coupled to the cradle data processing device, or the light source, the cradle, and the data processing device may form a portable integrated unit.
  • the "Changhong H2" smartphone of Sichuan Changhong Electric Co., Ltd. has an embedded miniaturized NIR spectrometer and is an example of the embodiment in which the light source, the pickup device, and the data processing device constitute a portable integrated unit.
  • the (N) IR spectrometers, VIS spectrometers and / or (N) IR / VIS spectrometers can be provided in particular in mobile form, for example in the form of handheld spectrometers ("handheld"). or tower spectrometers. In these spectrometers, the light source and the recording device form an integrated unit.
  • a suitable hand-held spectrometer is the "MicroNIR OnSite" from Viavi Solutions Inc. This spectrometer is powered and controlled by a tablet or a laptop via a USB port. This hand-held spectrometer allows a measurement time of between 0.25 and 0.5 seconds of real-time (near) infrared spectra of a user's teeth, gums, or biological material.
  • the spectrometer has two integrated vacuum tungsten lamps and a 128-pixel InGaAs photodiode array "MicroNIR OnSite” operates in a wavelength range of 950 to 1,650 nm.
  • the distance between the hair and the glass of the handheld spectrometer can be between 0 and 15 mm, with a distance of 3 mm being preferred.
  • the entire procedure for determining a mouth condition is performed by the tablet or laptop powering and controlling the "MicroNIR OnSite" spectrometer.
  • the acquired spectroscopic data can be sent to another (portable) data processing device, in particular another smart terminal, which then carries out the method for determining a condition of the mouth.
  • the transmission of the spectroscopic data can, for example, wirelessly via WLAN (WiFi) or Bluetooth.
  • Another suitable hand-held spectrometer is the "i-Spec Nano" from B & W Tek
  • the spectrometer is powered by a USB port and a connected (portable) data processing device or a battery powered by a light source operates in a wavelength range of 1,300 to 2,200 nm.
  • the transmission of the spectroscopic data to a (portable) data processing device, which then performs the method for determining a condition of the mouth, can be wireless via WLAN (WiFi) or Bluetooth.
  • NIR / VIS hand spectrometer “QualitySpec Trek” from ASD Inc. This works in a wavelength range from 350 to 2500 nm.
  • Another suitable hand-held spectrometer is the "SCiO by Consumer Physics", which displays the spectroscopic data on a data processing device, in particular on a smart terminal, with the aid of the integrated app "SpectroScan”.
  • Still other suitable hand-held spectrometers are available from Attonics Systems, which operate either in wavelength ranges of 380 to 1100 nm (VIS-NIR) or from 1000 to 3000 nm (NIR / SWIR). These spectrometers are based on interferometers and have a high Light throughput and a high spectral resolution ( ⁇ 5 nm for VIS-NIR spectrometer and ⁇ 20 nm for the NIR spectrometer) on.
  • the spectrometers comprise a multi-phase shift array (MPA) chip and an optical arrangement in a circular tube. Furthermore, the spectrometers are compatible with portable computing devices.
  • MPA multi-phase shift array
  • VIS-NIR spectrometers are the miniature spectrometers "USB2000-VIS-NIR” and “USB4000-VIS-NIR” from Ocean Optics. This spectrometer operates with a wavelength range of 350 to 1000 nm. The spectrometers are connected to a data processing device via a USB port.
  • NIR sensors or NIR evaluation modules that can be used in handheld spectrometers.
  • Suitable NIR evaluation modules are the modules “DLP® NIRscan” and “DLP® NIRscan Nano” from Texas Instruments. These have two tungsten lamps and InGaAs photodiodes as detectors.
  • the "DLP® NIRscan” module operates in the wavelength range from 1 .350 to 2,490 nm and the "DLP® NIRscan Nano” module in the range from 900 to 1,700 nm.
  • the spectroscopic data is communicated wirelessly via Bluetooth Low Energy.
  • SDK Software Developer Kits
  • apps can be developed that evaluate or process the spectroscopic data.
  • NeoSpectra from Si-Ware Systems Concrete sensors include: NeoSpectra SW62221-1.7, NeoSpectra SW62221-2.1 and NeoSpectra SW62221-2.5, which operate in different wavelength ranges.
  • the light that has interacted with at least one component of the oral cavity such as a tooth or region of the gums, or the biological material of a user after it has been emitted from the light source into the oral cavity or on the biological material, at least have an absorption structure.
  • the absorbent structure may be caused by at least one substance present on the teeth and / or on the gum and / or gum which absorbs a portion of the light emitted to the mouth at at least one wavelength characteristic of the substance (also referred to as the absorption wavelength).
  • At least a portion of the remaining light may be reflected, scattered or, in general terms, emitted from the teeth, gums or biological material to the receiving device and as light interacting with the teeth and / or gums in the mouth or biological material , be referred to as received light or as received light.
  • the substance may include water, a lipid (eg, triglyceride, cholesterol ester, phospholipid, cholesterol), oxygen (eg, based on oxygenated and deoxygenated hemoglobin), a polysaccharide (eg, dextran, mutan, levan), a lipopolysaccharide, a bacterium (eg, Aggregatibacter adtinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythenesis, Treponema denticola, Streptococcus salivarius, Streptococcus sanguinis, Streptococcus mutans, Streptococcus anginosus, Streptococcus Mitsis, Actinomyces israelii, Actinomyces naeslundii Actinomyces odotolyticus, Prevotella oris, Prevotella oralis, Prevotella or
  • Typical absorption wavelengths may be, for example, water: each near or around 970 nm, 150 nm, 1450 (or 1440) nm, and 1900 (or 1940) nm; Lipids (for determining a lipid content and / or a lipid composition): each near or around 930 nm, 1040 nm, 1200 (or 1210) nm, 1400 (or 1390) nm and 1700 (or 1730) nm; Hemoglobin (to determine oxygen saturation): each near or around 420 nm and 585 nm (oxygenated hemoglobin) and respectively near or around 440 nm and 550 nm (deoxygenated hemoglobin).
  • an absorption intensity i. a measure of what fraction of the light irradiated by the mouth or biological material is picked up by the receptacle, a substance-specific absorption coefficient, and an amount of the substance on the teeth and / or gums and / or may be present in the biological material, depending.
  • the absorption intensity may be proportional to the amount of the substance.
  • At least one filter can be used for each wavelength range to be examined, wherein the filter between the oral cavity or the biological material and a Detector of the recording device can be arranged and can be set up to let reach only the light of the wavelength range to be examined the detector.
  • the at least one filter can be embodied as a narrow-band filter, which transmits essentially only light in the wavelength range of an absorption feature or in a similarly narrow reference range without absorption feature to the detector.
  • the images taken by the detector in the respective wavelength ranges are referred to below as the absorption image or reference image.
  • the at least one image may have a plurality of images, and the detected portion of the light that interacts with the teeth, gum, or biological material may be different for each image of the plurality of images Wavelength range, wherein at least a first detected part of the light may have a wavelength range in which a relevant absorption feature may be, and a second detected part of the light may have a wavelength range in which may be no absorption feature or a merely insignificant absorption feature.
  • a signal of the absorption image may be compared to, for example, by calibration measurements, known intensity emitted by the light source as the light in the absorption image wavelength range to determine an absorption intensity and therefrom a content of the absorbent as a mouth condition parameter ,
  • a signal of the absorption image may be compared with a signal of the simultaneously or sequentially recorded reference image to determine the absorption intensity and therefrom the content of the absorbent as the oral condition parameter.
  • the filters may transmit the light to the detector in the wavelength ranges described above as examination regions of the spectrum.
  • the reference regions may, in various embodiments, be chosen to be close to the wavelength range of the absorption image, have a similar broad wavelength range as this, and be free or substantially free of absorption features.
  • the at least one oral state parameter can be determined by means of a simulation spectrum.
  • a simulation spectrum can be generated in which, for example starting from the known spectrum, based on at least one predetermined content of at least one substance, the spectrum can be calculated, which would result if the known spectrum with the teeth, the gums or the would have interacted with the given substance content.
  • the recorded spectrum can be compared with the simulation spectrum, for example, a mean square deviation of the two spectra can be determined.
  • simulation spectra may be generated for a plurality of predetermined levels of the substance, and by minimizing the mean square deviation, the content of the substance whose simulation spectrum has the smallest deviation from the recorded spectrum can be determined as the determined content of the substance.
  • the recorded spectrum can be examined completely by means of the simulation spectrum, to a large extent, which may for example have a plurality of absorption features, or to a small part which has only a single absorption feature or, for example, two or more separate wavelength ranges.
  • contents of different substances can be investigated simultaneously by means of the simulation spectrum.
  • absorption by water having a predetermined water content can be simulated simultaneously with absorption by polysaccharide having a predetermined polysaccharide content.
  • the simulation spectrum can be compared with the recorded spectrum, and from the spectrum with the least deviation both the water and the polysaccharide content can be determined.
  • absorption characteristics of other or further substances can be investigated, for example by taking them into account simultaneously in a single simulation spectrum, or by multiple simulation spectra, for example for different wavelength ranges, each one or may have multiple absorption features generated.
  • determining the at least one oral state parameter may include utilizing one or more spectra acquired for a plurality of pixels, as described above for the spectrometer data, and / or using one or more mappings comprising Pixels can be formed for a spectral range, have.
  • determining the at least one oral state parameter may be determined directly by means of the portable data processing device, e.g. by means of the software / app, which may be installed on the portable data processing device.
  • the at least one determined oral state parameter can be provided.
  • the at least one oral state parameter can be used, for example, as a value (eg with arbitrary units), as a verbal communication, as a graphic representation, or similar. communicated, eg displayed, for example by means of displays, eg on a screen of the portable data processing device.
  • determining the at least one oral state parameter may be done indirectly by the portable computing device, for example, by having the portable computing device cause the at least one oral state parameter to be determined by an external computing device.
  • the spectrum and / or imaging may be provided by the portable computing device of the external computing device, such as a central computer or cloud, which may, for example, have higher computing power and / or storage capacity than the portable computing device; eg is transferred to this.
  • the external data processing device may be configured to extract the at least one oral state parameter from the provided data, e.g. the spectrum and / or the image, for example by means of software, e.g. an app, for example as described above.
  • the portable computing device may be further configured to receive and provide the at least one oral state parameter from the external computing device, for example, as described above.
  • the portable data processing device in various embodiments may comprise a device for wireless data transmission device, e.g. via WLAN or Bluetooth.
  • the portable data processing device may be configured to exchange the data with the external data processing device by means of a cable connection.
  • the portable data processing device may be configured to determine a mouth state based on the at least one oral state parameter.
  • the portable data processing device may be configured, itself, i. directly to determine the at least one oral condition, for example by means of software, e.g. an app that can be installed on the portable data processing device.
  • the portable data processing device may be configured to indirectly determine the at least one oral state, for example by the portable data processing device determining the oral state by means of the external data processing device, eg by means of software, eg an app, on the external Data processing device may be installed, for example, similar to the above described for determining the at least one oral state parameter.
  • the software / app for determining the oral state parameter may be the same as the software / app for determining the oral state.
  • different software / apps may be used to determine the at least one oral state parameter and to determine the oral state become.
  • determining the oral condition may include comparing the at least one determined oral condition parameter to entries of a database that may include a plurality of oral conditions each having at least one associated oral state parameter. In various embodiments, more than one oral condition parameter may be associated with one or more of the oral conditions. The assignment may be experimental, e.g. in laboratory tests.
  • oral conditions may include, for example, strong dental plaque, having at least one associated value for polysaccharide content as the oral condition parameter, bacterially-stressed gums, at least one assigned value for a bacterial content, or at least one associated value for a lipopolysaccharide content as the oral condition parameter or at least one inflamed gum assigned value for an oxygen saturation or with at least one associated value for a carbon dioxide content as the oral state parameter, and various other or other oral conditions.
  • strong dental plaque having at least one associated value for polysaccharide content as the oral condition parameter, bacterially-stressed gums, at least one assigned value for a bacterial content, or at least one associated value for a lipopolysaccharide content as the oral condition parameter or at least one inflamed gum assigned value for an oxygen saturation or with at least one associated value for a carbon dioxide content as the oral state parameter, and various other or other oral conditions.
  • the database may be stored in various embodiments in the portable data processing device and / or in the external data processing device.
  • That oral state can be determined as the oral state of the user, whose associated oral state parameter shows the smallest deviations from the determined oral state parameter (s).
  • At least one suitable oral hygiene product and / or at least one oral hygiene care indication may be assigned to each of the plurality of oral conditions.
  • the assignment may, for example, be determined experimentally, eg in laboratory experiments.
  • for judging a suitability of an oral hygiene product and / or an indication for maintaining the oral cavity, in particular the teeth and the gums; with a given oral state literature data are used as a basis.
  • each of the oral conditions may or may not be associated with a quality score.
  • An oral hygiene product and / or a care indication for the oral cavity may be judged suitable for a mouth condition when it is expected, e.g. based on literature data, test results, or empirical data, that the mouth state of the user is maintained or changes to a higher quality oral condition in a (e.g., regular) use of the oral hygiene product and / or oral care.
  • an assessment of a suitability of an oral hygiene product to improve a mouth condition may be confirmed or modified by including experiences of other users having the same or a similar oral condition, for example, experience of treatment success.
  • the empirical values can be provided by the other users, for example the external data processing device, for example by means of a wireless data transmission. Alternatively, a transmission of the data by means of cable can be used. Based on the empirical values, the database can be updated in the external data processing device and / or in the portable data processing device. This can make it possible for the user to always receive an optimal recommendation.
  • a general health condition e.g., a mouth condition, eating habits (e.g., coffee, red wine, tea, etc.) and other user behaviors (e.g., smoking habits, etc.)
  • eating habits e.g., coffee, red wine, tea, etc.
  • other user behaviors e.g., smoking habits, etc.
  • the information can be requested by the user in various embodiments by means of the portable data processing device, which can enter it into the portable data processing device, for example by means of a keyboard, as a voice message, as a selection from a menu displayed by the portable data processing device, or the like.
  • the oral hygiene product and / or oral hygiene recommendation based on the oral state of the user for example, those associated oral hygiene products Users are recommended, for example, with special fragrances to neutralize the smell of tobacco smoke are provided.
  • product recommendations for individually fitting oral hygiene products and / or individual care instructions for the oral cavity can be derived.
  • the oral hygiene product recommendations and / or care instructions for the oral cavity may be obtained, for example, by software, e.g. an app.
  • the user can be offered a recommended oral hygiene product directly for sale and the user can initiate the purchase by entering the purchase.
  • the user can also be offered further information on the purchase.
  • This further information may refer to more detailed treatment and application instructions.
  • a software / app receives the request that the user wants to purchase the oral hygiene product, stores the request, and / or submits the request to a trading company that distributes the oral hygiene products.
  • the user may be prompted by the software / app to enter his personal data (address, bank information, delivery preference, etc.) via the input unit.
  • the user can be indicated where (for example, drugstore, pharmacy, etc.) he can purchase the oral hygiene product.
  • the software / app may be the same software or app that performs the method of determining a mouth condition.
  • an ordering procedure may be initiated, preferably by accessing a website of a manufacturer of individual oral hygiene products.
  • the individual oral hygiene products may be a product made specifically for the user or a so-called "mass customized” product, but a customized product may be individualized by varying a few, but from a user's point of view essential, characteristics of an oral hygiene product ,
  • these "mass customized” products are based on the concept of modularization, which means that the oral hygiene product can be put together individually from various modules / building blocks.
  • the ordering process may proceed with the aid of a product configurator.
  • This configurator helps the user to select the characteristics / ingredients and draws his attention to the permissible / impermissible feature combinations, whereby the latter can not be selected.
  • the relevant product characteristics include, in particular, the chemical ingredients of the compositions, the physical properties of the compositions, and the make-ready of the compositions.
  • the selection of chemically and / or physically incompatible ingredients or the selection of the determined oral condition of unsuitable ingredients can be avoided.
  • the selection for the determined oral condition of suitable ingredients may be predetermined or suggested by the product configurator.
  • composition of the individual oral hygiene product be stored and used in subsequent procedures for a long term recommendation.
  • the software / app that determines the oral condition parameter and / or the oral condition may be the same that determines the oral hygiene product recommendation and / or the oral care care instructions.
  • different software programs / apps may be used for a portion of the various operations or all of the various operations (determining the at least one oral condition parameter, determining the oral condition, determining a product recommendation, determining a care indication).
  • a treatment success in a treatment which may have a positive effect on the determined oral condition parameters or the determined oral condition, can be monitored.
  • the software / app may enable control and / or tracking of the results by presenting (e.g., plotting) the measurement results over time.
  • the oral care instructions may include, for example, recommendations regarding toothbrushing technique or frequency.
  • a visit to a dentist for example, to perform a professional teeth cleaning, be recommended.
  • a booking process can be initiated directly via the software / app.
  • the contact details of dentists can be stored in the software / app and these are displayed to the user.
  • the selection can be restricted via filters, such as the postal code.
  • a booking can be made directly via the software / app.
  • a dentist's appointment can be made using a separate software / app.
  • the method for determining an oral condition can be carried out in particular in the private sector by a user.
  • the method of determining a mouth condition by another person for example at the point of sale of oral hygiene products or as part of a dental visit.
  • the user is the person being examined.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Rheumatology (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • Audiology, Speech & Language Pathology (AREA)
  • Spectroscopy & Molecular Physics (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Investigating Or Analysing Materials By Optical Means (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)

Abstract

Dans différents modes de réalisation, l'invention concerne un procédé pour déterminer un état buccal. Le procédé peut consister à : déterminer au moins un paramètre d'état buccal, consistant à : lors de l'éclairage de la cavité buccale ou d'une échantillon biologique d'un utilisateur avec une lumière visible et/ou une lumière infrarouge, enregistrer un spectre et/ou au moins une image d'au moins une partie de la lumière visible et/ou de la lumière infrarouge qui a interagi avec la bouche, l'éclairage et l'enregistrement pouvant s'effectuer au moyen d'un dispositif portatif; comparer au moins une zone de comparaison du spectre et/ou de ladite au moins une image avec des spectres et/ou des images d'étalonnage acquis(e)s pour une pluralité d'échantillons buccaux d'étalonnage; déterminer ledit au moins un paramètre d'état buccal tout en tenant compte d'un résultat de la comparaison; ainsi que déterminer l'état buccal à l'aide dudit au moins un paramètre d'état buccal.
PCT/EP2018/055903 2017-03-24 2018-03-09 Procédé et dispositif pour déterminer un état buccal WO2018172103A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102017205009.8A DE102017205009A1 (de) 2017-03-24 2017-03-24 Verfahren und Vorrichtung zum Ermitteln eines Mundzustands
DE102017205009.8 2017-03-24

Publications (1)

Publication Number Publication Date
WO2018172103A1 true WO2018172103A1 (fr) 2018-09-27

Family

ID=61683763

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2018/055903 WO2018172103A1 (fr) 2017-03-24 2018-03-09 Procédé et dispositif pour déterminer un état buccal

Country Status (2)

Country Link
DE (1) DE102017205009A1 (fr)
WO (1) WO2018172103A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110811551A (zh) * 2019-10-16 2020-02-21 杨扬 一种基于近红外光谱的口腔分析系统和分析方法

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1210908A2 (fr) * 2000-11-29 2002-06-05 L'oreal Procédé de diagnostic de l'état des parties exterieures corporelles et caractéristiques des produits appliqués aux mêmes parties
WO2015015493A2 (fr) * 2013-08-02 2015-02-05 Verifood, Ltd. Système et procédé de spectrométrie, dispositifs et systèmes spectroscopiques
US20160113495A1 (en) * 2014-10-22 2016-04-28 Samsung Electronics Co., Ltd. Oral health monitoring method and apparatus and electronic device using the same

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10238554A1 (de) 2002-08-22 2004-09-09 Kaltenbach & Voigt Gmbh & Co. Kg Verfahren und Vorrichtung zum Ermitteln von Karies
WO2013109978A1 (fr) 2012-01-20 2013-07-25 University Of Washington Through Its Center For Commercialization Détection de déminéralisation dentaire, procédés et systèmes
WO2015094340A1 (fr) 2013-12-20 2015-06-25 Colgate-Palmolive Company Indice d'identification de plaque amélioré

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1210908A2 (fr) * 2000-11-29 2002-06-05 L'oreal Procédé de diagnostic de l'état des parties exterieures corporelles et caractéristiques des produits appliqués aux mêmes parties
WO2015015493A2 (fr) * 2013-08-02 2015-02-05 Verifood, Ltd. Système et procédé de spectrométrie, dispositifs et systèmes spectroscopiques
US20160113495A1 (en) * 2014-10-22 2016-04-28 Samsung Electronics Co., Ltd. Oral health monitoring method and apparatus and electronic device using the same

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110811551A (zh) * 2019-10-16 2020-02-21 杨扬 一种基于近红外光谱的口腔分析系统和分析方法

Also Published As

Publication number Publication date
DE102017205009A1 (de) 2018-09-27

Similar Documents

Publication Publication Date Title
DE60121704T2 (de) Verfahren zur Diagnose des Zustandes von äusseren Körperteilen und Merkmalen von darauf aufgebrachten Produkten
EP3629887B1 (fr) Dispositif de détermination de l'état des cheveux, système de détermination de l'état des cheveux et procédé pour la détermination d'un état des cheveux
EP3481275A1 (fr) Procédé et dispositif pour déterminer un degré de détérioration des cheveux et procédé pour déterminer un moyen pour traiter les cheveux spécifique à l'utilisateur
WO2011161102A1 (fr) Dispositif et procédé de détection et de surveillance de constituants ou de propriétés d'un milieu de mesure, en particulier de paramètres sanguins physiologiques
EP3723603B1 (fr) Dispositif de détermination d'état d'une chevelure et procédé pour fournir des informations d'état de chevelure
DE102017203499A1 (de) Verfahren und Anordnung zum Ermitteln einer nicht-therapeutischen Behandlung des Mundraums
EP3481276A1 (fr) Procédé pour établir un traitement capillaire spécifique pour un utilisateur
EP3481277A1 (fr) Procédé pour établir un traitement capillaire spécifique pour un utilisateur
EP2439513B1 (fr) Procédé et dispositif de détection de spores de moisissure dans l'air ambiant
DE102017214250A1 (de) System und Verfahren zum Ermitteln eines Haarzustands
EP3793401B1 (fr) Détermination d'un taux d'allongement du cheveu avec un capteur proche infrarouge
WO2018172103A1 (fr) Procédé et dispositif pour déterminer un état buccal
DE102017211085A1 (de) "Verfahren und System zum Ermitteln einer Mundhygieneempfehlung"
DE102006048433B3 (de) Analyseverfahren
EP3794611A1 (fr) Détermination des dommages extérieurs des cheveux
WO2018104089A1 (fr) Procédé et dispositif pour déterminer un état cutané et procédé pour déterminer un produit cosmétique pour traiter la peau
JP4908271B2 (ja) 化粧態様の測定方法
EP3595511A1 (fr) Procédé et dispositif pour déterminer un niveau de contamination de la peau par des bactéries d'acnéiques
WO2018166761A1 (fr) Procédé et dispositif pour détermination d'un traitement non thérapeutique des dents
WO2019115194A1 (fr) Dispositif de détermination de métabolites finis dans la peau
DE102017219625A1 (de) Anordnung zum Ermitteln von Körperoberflächeneigenschaften mittels mehrfach-ortsaufgelöster Reflektionsspektroskopie (MSRRS)
DE10331379A1 (de) Sensorisches Verfahren zum Evaluieren von Atem
DE102023107705A1 (de) Vorrichtung und verfahren zur bestimmung eines schutzfaktors
DE102017205012A1 (de) Verfahren und Anordnung zum Ermitteln einer nicht-therapeutischen Behandlung von Zähnen
DE102016222180A1 (de) Verfahren zum Ermitteln einer nutzerspezifischen Haarbehandlung II

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 18711510

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 18711510

Country of ref document: EP

Kind code of ref document: A1

点击 这是indexloc提供的php浏览器服务，不要输入任何密码和下载