SYSTEM AND METHOD FOR SCANNING AN INTRAORAL CAVITY
20220233286 · 2022-07-28
Inventors
Cpc classification
G16Z99/00
PHYSICS
A61C13/0004
HUMAN NECESSITIES
A61C9/006
HUMAN NECESSITIES
A61C9/008
HUMAN NECESSITIES
A61B5/743
HUMAN NECESSITIES
International classification
A61C9/00
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
A61B5/107
HUMAN NECESSITIES
A61C7/00
HUMAN NECESSITIES
Abstract
According to the invention, a method and system are provided for scanning, and for facilitating scanning of, an intraoral cavity. The target parts of the intraoral cavity that it is desired to have scanned are identified, and the spatial s relationships between a scanning device and the target parts of the intraoral cavity suitable for enabling said target parts to be scanned by said scanning device, are also identified or otherwise determined. These relationships are then displayed, and the displayed relationships are used as a guide for scanning the intraoral cavity.
Claims
1. (canceled)
2. A dental scanning system, the system comprising: an intraoral scanning device; an input interface configured to receive a user input; a processor, wherein the processor is configured to: receive, from the input interface, parameters for a dental scan to be performed; access a database of stored dental scanning protocols, wherein the database comprises a plurality of dental scanning protocols associated with various characteristics; retrieve a selected scanning protocol from the plurality of dental scanning protocols, wherein the selected scanning protocol is selected based on similarities between the determined parameters and the various characteristics; and provide instructions to the intraoral scanning device for performing the dental scan based on the selected scanning protocol, wherein performing the dental scan comprises determining spatial relationships between the scanning device and target parts of a patient's intraoral cavity.
3. The dental scanning system of claim 2, wherein the parameters comprise at least one of a scanner model, scanner characteristics, procedure type, target dental site, and the patient's age.
4. The dental scanning system of claim 2, wherein the parameters comprise an identification of a target dental site; and wherein the selected scanning protocol is configured to scan the target dental site at a higher resolution.
5. The dental scanning system of claim 2, wherein the parameters comprise an identification of a corresponding procedure type; wherein the procedure type is orthodontic treatment; and wherein the selected scanning protocol is configured to scan the patient's full dentition
6. The dental scanning system of claim 2, wherein the parameters comprise an identification of a corresponding procedure type; wherein the procedure type is a dental restoration; and wherein the selected scanning protocol is configured to scan one or more of a dental preparation.
7. The dental scanning system of claim 2, wherein the instructions comprise providing for overlap of image data collected; and wherein the processor is configured to generate a composite 3D virtual model based at least in part on the overlap of image data collected.
8. The dental scanning system of claim 7, further comprising a display screen, wherein the display screen is configured to display the composite 3D virtual model.
9. The dental scanning system of claim 2, wherein the instructions comprise optimal spacing between a scanner head of the intraoral scanner device and a dental surface to be scanned.
10. The dental scanning system of claim 2, further comprising a display screen, wherein the display screen is configured to display a series of indica corresponding to dental surfaces to be scanned.
11. The dental scanning system of claim 2, further comprising a display screen, wherein the display screen is configured to display user guidance for performing the dental scan based on the selected scanning protocol.
12. A method of performing a dental scan of a patient, the method comprising: determining parameters for a dental scan to be performed; accessing a database of stored dental scanning protocols, wherein the database comprises a plurality of dental scanning protocols associated with various characteristics; selecting one of the plurality of dental scanning protocols based on similarities between the determined parameters and the various characteristics; and performing the dental scan using the selected one of the plurality of dental scanning protocols, wherein performing the dental scan comprises determining spatial relationships between a scanning device and target parts of the patient's intraoral cavity.
13. The method of claim 12, wherein the parameters comprises at least one of a scanner model, scanner characteristics, procedure type, target dental site, and the patient's age.
14. The method of claim 12, wherein the parameters comprises an identification of a target dental site; and wherein the target dental site corresponds to a dental site at which a prothesis is to be implanted.
15. The method of claim 12, wherein the parameters comprises an identification of a target dental site; and wherein the selected one of the plurality of dental scanning protocols is configured to scan the target dental site at a higher resolution.
16. The method of claim 12, wherein the parameters comprises an identification of a corresponding procedure type; wherein the procedure type is orthodontic treatment; and wherein the selected one of the plurality of dental scanning protocols is configured to scan the patient's full dentition.
17. The method of claim 12, wherein the parameters comprises an identification of a corresponding procedure type, wherein the procedure type is a dental restoration; and wherein the selected one of the plurality of dental scanning protocols is configured to scan one or more of a dental preparation.
18. The method of claim 12, wherein the selected one of the plurality of dental scanning protocols comprises a plurality of scanning stations spatially associated with dental surfaces of target and ancillary parts of the patient's oral cavity.
19. The method of claim 12, wherein the selected one of the plurality of dental scanning protocols is configured to provide for overlap of image data collected; and wherein the scanning protocol generates a composite 3D virtual model based at least in part on the overlap of image data collected.
20. The method of claim 12, wherein the selected one of the plurality of dental scanning protocols comprises optimal spacing between a scanner head of the scanner device and a dental surface to be scanned.
21. The method of claim 12, wherein performing the dental scan comprises following a series of indicia displayed on a monitor; wherein the series of indicia is determined by the selected one of the plurality of dental scanning protocols; and wherein the series of indicia corresponds to dental surfaces to be scanned.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0041] In order to understand the invention and to see how it may be carried out in practice, a number of embodiments will now be described, by way of non-limiting example only, with reference to the accompanying drawings, in which:
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DETAILED DESCRIPTION OF THE INVENTION
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[0054] At step 110, the target parts of the intraoral cavity are identified. The target parts are the parts (also referred to herein as zones or areas) of the intraoral cavity which form the focus of a particular dental procedure for a particular patient and regarding which it is desired to obtain the 3D topographical or surface data thereof. The target parts typically include the part of the tooth or the teeth, or other dental material on which the particular procedure is to be performed, and in some cases may include the full mandibular or maxillary arches, or both arches. For example, the procedure may be a prosthodontic procedure involving a crown prosthesis to be designed and fabricated for fitting onto a preparation at a particular dental site. In such a case, the dental practitioner inputs into processing unit 230 the tooth which has been targeted for the procedure, identified according to any suitable convention. For example, and referring to
[0055] Alternatively, for a prosthodontics procedure involving a bridge, the two or more teeth that are to be worked on to provide preparations to receive the bridge are identified, for example in a similar to that described above, mutatis mutandis. For orthodontic procedures typically all of the teeth in one or both jaws are required. In such a case, all of the teeth of the upper jaw, lower jaw or both jaws may be chosen by means on a single appropriate symbol, for example as indicated at 213, 214, 215, respectively, in
[0056] The manner in which the intraoral cavity needs to be scanned may depend on the procedure to be applied thereto, as will become clearer as the descriptions proceeds. Thus, the dental practitioner also inputs to the processing unit 230 the identity of the actual procedure. For this purpose, the dental practitioner may choose the procedure from a number of preset options on a drop-down menu or the like, from icons or via any other suitable graphical input interface. Alternatively, the identity of the procedure may be input in any other suitable way, for example by means of preset code, notation or any other suitable manner, the processing unit 230 having been suitably programmed to recognize the choice made by the user. By way of non-limiting example, the procedures may be broadly divided into prosthodontic and orthodontic procedures, and then further subdivided into specific forms of these procedures, as known in the art.
[0057] The type of scanner 250 to be used is also input to the processing unit, typically by choosing one among a plurality of options. If the scanner that is being used is not recognizable by the processing unit 230, it may nevertheless be possible to input operating parameters of the scanner thereto instead. For example, the optimal spacing between the scanner head and the tooth surface can be provided, as well as the capture area (and shape thereof) of the dental surface capable of being scanned at this distance. Alternatively, other suitable scanning parameters may be provided. In any case, it may be desired that the virtual model of the dentition, provided using the scanners, may be dimensionally related to the real dentition in a known manner, so that dimensional measurements of the virtual model may be made.
[0058] In the next step 120, the processing unit 230 identifies the required spatial relationships that are required for scanning the appropriate parts of the intraoral cavity so that complete and accurate 3D data may be obtained for the procedure in question. This step utilizes the data already provided in step 110 for 30 establishing the optimal manner for scanning the intraoral cavity, and thus will depend on the nature of the aforesaid data. Further, according to the method of the invention, additional or ancillary parts of the intraoral cavity that need to be scanned for the particular procedure are also identified, and the spatial relationship between the scanner and these parts are identified or determined. Having identified the target parts and ancillary parts, a scanning protocol is identified or determined by relating the type of scanner, resolution thereof, capture area at an optimal spacing between the scanner head and the dental surface to the target parts and the ancillary parts, either separately or together. The scanning protocol typically comprises a series of scanning stations spatially associated with the dental surfaces of the target part and the ancillary part. Preferably, significant overlapping of the images or scans capable of being obtained at adjacent scanning stations is designed into the scanning protocol to enable good registration, and the 3D data obtained at each scanning station is stitched together to provide a composite 3D virtual model, as is known in the art. A number of examples will now be described.
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[0060] The target area or part to be scanned is represented by the dotted line T, and includes the preparation P, including the finish line LT, and part of the original tooth above the gumline. When the target area is scanned very accurately, it is possible for the internal surface of a corresponding coping or prosthesis to be accurately designed. Ancillary parts of the intraoral cavity are included in dotted line AT, and comprise parts of the adjacent and opposed teeth, principally teeth A, B, P′, and often to a lesser extent teeth A′ and B′ or parts thereof. Typically, but not necessarily, the resolution of the scanned data for the ancillary parts AT may be less than for the target part T, since the manufacturing accuracy for the external surfaces of the crown prosthesis (the design of which is dependent on the dental surfaces of the ancillary parts) may be substantially less than for the internal surface of the coping or prosthesis. According to the specific nature or properties of the scanner, including the resolution thereof, capture area at an optimal spacing between the scanner head and the dental surface to the target parts and the ancillary parts, the scanning protocol may be designed as follows.
[0061] Referring to
Referring to
[0062] The scanning protocol for the dental surfaces of the opposed jaw that are included in the target part T and the ancillary part AT may be obtained in a similar manner to that described above for the lower jaw, mutatis mutandis.
[0063] Typically, the scanning protocol will differ when different scanners are used for the same target area, depending on the capture characteristics of the scanner used. Thus, a scanner capable of scanning a larger dental area with each scan (e.g., having a larger field of view) will require less scanning stations to be defined in the scanning protocol than a scanner that is only capable of capturing 3D data of a relatively smaller dental surface. Similarly, the number and disposition of scanning stations for a scanner having a rectangular scanning grid (and thus providing projected scanning areas I.sub.i in the form of corresponding rectangles) will typically be different from those for a scanner having a circular or triangular scanning grid (which would provide projected scanning areas I.sub.i in the form of corresponding circles or triangles, respectively).
[0064] In another example (not illustrated) relating to a prosthodontic procedure for a bridge having a single or a plurality of pontics, there are generally two target parts, relating to one or the other of the two preparations on which the bridge is to be anchored, and the ancillary parts to be scanned include at least part of the teeth adjacent to the furthermost distal preparation and adjacent the furthermost mesial preparation, and at least a portion of the teeth facing the preparations from the opposed jaw.
[0065] In another example (not illustrated) relating to a prosthodontics procedure requiring a restoration on the buccal or lingual part of a particular tooth, only this target part may need to be scanned in the patient together with the occlusal surfaces of the some of the teeth of the opposite jaw as ancillary parts.
[0066] In yet another example (not illustrated) relating to an orthodontic procedure for one or both jaws, the target part may comprise the full dentition of one or both jaws, respectively.
[0067] According to the invention, the system 200 may calculate each time a 30 new idealized scanning protocol based on the parameters of the scanner, the procedure, the dental site of the procedure, age of the patent, and so on, and as applied to the idealized virtual model 300.
[0068] Alternatively, all the necessary scanning protocols are previously calculated for every type of scanner, procedure, age group and so on, and stored in memory 240, the most suitable protocol being retrieved therefrom when identified according to the particular patient/procedure/scanner parameters that are provided. In this case, the virtual model 300 may not be needed for the purpose of determining customized scanning protocols. Thus, it is possible to provide all the necessary guidance for a particular procedure in printed form, a printed book or pamphlet, for example, by means of a movie or video clip, or in any other communication medium, wherein the user would search for the appropriate guidance images or the like according to the particular parameters of the patient in question, via an index or the like for example, and then open the book/movie and so on at the relevant pages/scene etc., to obtain the guidance required.
[0069] Alternatively, the memory 240 comprises a standard scanning protocol for each different type of procedure, and this protocol is modified by the processing unit 230 to take account of at least one of the parameters including: age of dental patient, dental target part, scanner characteristics, and so on.
[0070] In step 130, the spatial relationship between the scanning stations S.sub.i and the intraoral cavity are displayed, so that in step 140 these displayed relationships may be used as a guide by the dental practitioner for scanning the intraoral cavity in a manner suitable for obtaining 3D data appropriate for the particular procedure being considered There are many ways of displaying the aforesaid spatial relationships, some examples of which will now be described.
[0071] Referring to
[0072] Images K.sub.i may be composites of virtual models of the scanner 250 and of the intraoral cavity 300 (typically the aforesaid idealized virtual model) stored in memory 240. These virtual models are manipulated by the processing unit 230 to provide the correct spatial relationship, in virtual space, according to the particular scanning station S.sub.i previously determined, and can be displayed as two dimensional images in a manner known in the art. Optionally, the position of the scanning station S.sub.i and the direction of the scanning axis OA can be displayed with respect to the intraoral cavity 300, additionally or alternatively to the scanner. The scanning axis OA is typically defined as orthogonal to the scanning face 255 of the scanner but may be defined according to any other pre-known suitable geometric or other parameter of the scanner. The images K.sub.i can optionally comprise a representation of the coordinate system, for example orthogonal axes 320, in the orientation appropriate to the vantage point being viewed.
[0073] For the purpose of images K.sub.i, it may be possible to display the image of the dental surfaces as having 3D attributes and realistic dental morphologies, for example as illustrated in
[0074] Further optionally, the idealized virtual model appearing in images K.sub.i may be custom-modified to show a virtual preparation at each corresponding dental site where a real preparation is to be found, and also virtual teeth may be removed from the model where none are to be found in the real intraoral cavity—for example where teeth have been removed for accommodating a pontic. These features can further facilitate identification of the positions and orientations of the scanner at each of the scanning stations S.sub.i.
[0075] Further optionally, non-image data may be provided identifying the position and orientation of the scanner at each scanning station S.sub.i, and this data may be provided, for example, in the form of a table listing suitable corresponding geometric data, and also including, for example the spacing between the scanner scanning face 255 and the dental surface of interest, an identification of the particular surface being scanned, and so on. Alternatively, the relationships in step 130 may be displayed in alphanumeric form, as a set of instructions or statements describing the relative positions of the scanner and teeth, for example. Alternatively, the relationships in step 130 may be displayed in audible form, wherein for example such instructions or statements are broadcast by a speaker or the like, either from a prerecording, or synthetically created by the system 200.
[0076] Further optionally, the scanning stations S.sub.i may be successively displayed in any desired order, for example in an order such as to minimize displacement of the scanner between each successive scan. In this embodiment of step 130 is followed by the step 140 of using the displayed relationships as a scanning guide, and step 150 of scanning the intraoral cavity in a manner substantially conforming to said relationships. To facilitate the dental practitioner's work, the images corresponding to a next scanning station are, optionally, not displayed until the practitioner is confident that he/she has properly scanned the intraoral cavity as required by the current scanning station. This may be accomplished by operatively connecting the scanner 250 to the processing unit 230, and prompting the user whether to display the next scanning station every time a scan is taken (and which is detected by the unit 230). Alternatively, it may be possible, after each scan, to display a video image as taken by the scanner with an idealized 2D virtual image of the idealized virtual model as seen from the vantage point of the scanner for this scanning station, and the user can compare the two images and decide whether or not the particular scan is likely to have sufficiently conformed with the desired relationship.
[0077] A second embodiment of step 130 is illustrated in
[0078] Proceeding to and identifying the next scanning station is facilitated by displacing the cross-hairs 400 to a position on the screen where the last position of the cross-hairs 400 appears in the next (now current) position of the scanning station. This is accomplished automatically by the processing unit 230 when the user is satisfied that the previous scan was properly taken, for example as described earlier in connection with the embodiment of
[0079] In a variation of the second embodiment of steps 130 and 140 described above, optical recognition (also known as image recognition) methods may be employed for identifying features of the dental surface being scanned at the current scanning station for guiding the user to the next scanning station. For example, and referring to
[0080] The guiding of the dental practitioner between the different scanning stations has been described above in graphical terms. Optionally or alternatively, the guiding may take any suitable form. For example, oral commands may be provided, asking the practitioner to now move the scanner to the left 3 mm and upwards 2 mm, for example, using any suitable speech software operating on scanning station data inputs provided by the processing unit 230. Alternatively, non-oral audio commands may be provided, for example coded bells or beeps, the pattern and intensity thereof being capable of being interpreted by the user in terms of the required movement in a number of directions, for example.
[0081] Additionally or alternatively, non-graphical means may be used for guiding the user between scanning stations. For example, suitable LED's may be provided in the viewfinder, or images of arrows, for example, for guiding the user in the required directions to the next scanning station.
[0082] Advantageously, the scanner 250 comprises an inertial system or a suitable tracking system, that is capable of determining a change of position and/or orientation thereof relative to a datum position/orientation. Thus, the actual position/orientation of the scanner 250 can be checked automatically against the desired position for the next scan, and any suitable means—audio and/or visual for example—may be used for guiding the user to the correct position based on the difference between the current position and the desired position. For example, a beep may be sounded the frequency of which increases the closer the scanner 250 is to the desired position. Optionally, a second inertial or tracking system may be coupled to the head or jaws of the patient, so that any movement thereof may be compensated for.
[0083] Optionally, a series of indicia may be provided, each indicia in the series corresponding to a different scanning station. The series of indicia may be displayed m a predetermined sequence, a next indicia being displayed after the intraoral cavity has been scanned at the previous scanning station with its corresponding indicia. Optionally, the next indicia may be displayed together with the current, i.e., the immediately preceding indicia. The indicia relating to different said parameters are displayed in different colors one from another. Thus, these indicia help to identify which scanning station the user is at, and which is the next station, for example. The indicia may comprise a series of numbers (for example “1/4”, “2/4”, “3/4”, “4/4”) or symbols, for example.
[0084] In another aspect of the present invention, a computer readable medium is provided that embodies in a tangible manner a program executable for guiding the scanning of the intraoral cavity of a patient. The computer readable medium comprises:
[0085] (a) a first set of data representative of target parts of the intraoral cavity that it is desired to have scanned;
[0086] (b) a second set of data representative of spatial relationships between a scanning device and said target parts of the intraoral cavity suitable for enabling said target parts to be scanned by said scanning device;
[0087] (c) means for displaying said second data.
[0088] The medium may comprise, for example, optical discs, magnetic discs, magnetic tapes, and so on.
[0089] According to some aspects of the invention, a method and system are provided for scanning, and for facilitating scanning of, an intraoral cavity. The target parts of the intraoral cavity that it is desired to have scanned are identified, and the spatial relationships between a scanning device and the target parts of the intraoral cavity suitable for enabling said target parts to be scanned by said scanning device, are also identified or otherwise determined. These relationships are then displayed, and the displayed relationships are used as a guide for scanning the intraoral cavity.
[0090] In the method claims that follow, alphanumeric characters and Roman numerals used to designate claim steps are provided for convenience only and do not imply any particular order of performing the steps.
[0091] Finally, It should be noted that the word “comprising” as used throughout the appended claims is to be interpreted to mean “including but not limited to”.
[0092] While there has been shown and disclosed exemplary embodiments in accordance with the invention, it will be appreciated that many changes may be made therein without departing from the spirit of the invention.