GAUGE FOR VERIFICATION OF 3-D IMAGES

20210113308 · 2021-04-22

Assignee

Inventors

Cpc classification

International classification

Abstract

A verification gauge for use in improving the accuracy of a 3D scan. A bar of adjustable length has a first and second ends that can be affixed between two points of the oral-cavity. The bar is scannable and has a visual indicia thereon to verify and determine the length and relative position between the two points.

Claims

1. A gauge to verify the accuracy of an intra-oral scan of the oral cavity of a patient, comprising: a bar of adjustable length and removably affixable between two points in the oral cavity; said bar having a first and a second end; said bar being scannable by the intra-oral scan; such that the measurement of the distance between the two points is thereby verified by said visual indicia and by the scan of said bar.

2. A gauge as in claim 1, wherein said bar is formed by a first section whose position relative to a second section is adjustable.

3. A gauge as in claim 2, wherein said first section is provided with a longitudinal tang that is received within a longitudinal track carried by said second section.

4. A gauge as in claim 1 wherein said first section is telescopically received within said second section.

5. A gauge as in claim 1, wherein said first section is threaded to said second section by a threaded connection, such that said threaded connection can be manipulated to adjust the distance between said first and second sections.

6. A gauge as in claim 1, wherein said bar has a visual indicia to identify the distance between the two points.

7. A gauge as in claim 1, wherein said visual indicia are length markings.

8. A gauge as in claim 1, wherein said visual indicia is a Vernier scale.

9. A gauge as in claim 1, wherein one or both of said first and second ends is configured to be removably affixed to a scan flag.

10. A gauge as in claim 1, wherein one or both of said first and second ends is configured to be removably affixed to a dental implant component.

11. A method of improving the accuracy of a digital image the oral cavity of a patient, comprising the steps of: making a plurality of first intraoral scans of the oral cavity; using said plurality of first oral scans to form the digital image of at least one portion of the oral cavity; providing a bar of adjustable length and removably affixable between two points in the oral cavity; said bar having a first and a second end; removably securing said first end of said bar to one of the points in the oral cavity and said second end of said bar to the other said point in the oral cavity; making at least one second intraoral scan of the oral cavity including scanning at least a portion of said bar; and, using said second scan to make correction adjustments to the digital image.

Description

DESCRIPTION OF THE DRAWINGS

[0010] FIG. 1 is a depiction of Method One described herein.

[0011] FIG. 2 is a depiction of Method Two described herein.

[0012] FIG. 3 is a depiction of Method One-A described herein.

[0013] FIG. 4 is a depiction of Method One-B described herein.

[0014] FIG. 5 is a depiction of Method Two-A described herein.

[0015] FIG. 6 is a depiction of yet another method described herein.

[0016] FIG. 7 is a perspective view of a gauge according to the present invention.

DETAILED DESCRIPTION

[0017] There is provided according to the present invention and as shown on the drawings, a gauge 10 made of a material as described hereinabove. According to the invention, gauge 10 is used to verify the accuracy of an image of at least a portion of the oral cavity which is formed from a plurality of intra-oral or other scans of the oral cavity of a patient. The gauge includes a bar 11 of adjustable length and removably affixable between two points 12, 13 in the oral cavity. The bar 11 has a first and a second end 14 and 15 respectively, and is scannable by an intra-oral scanner, in order to determine the distance D between two points 12, 13 in the oral cavity. The bar 11 preferably has a scale such as Vernier scale 21, or other suitable indicia, to show relative position or distance D between ends 14, 15 and hence, the same between points 12, 13. The measurement of the distance between the two points 12, 13 is thereby verified by the visual indicia 21 and digitally by the scan of the bar 11. The bar 11 is affixable at least one of its ends 14, 15 to for example, the patient's dentition, a dental appliance, a dental implant component including the implant 30 or its abutment 31, healing cap and the like without limitation. As used herein dental implant and dental implant component will be used interchangeably to refer to all such components.

[0018] Use of the present invention in inventive methods will be described in the following examples. Reference is made to IOFLO scan flags available from Dentsply Sirona Inc. of York Pa.

Method One:

[0019] This method is a complete intraoral scan with the scan flags placed in their respective implants. Here, a single scan by any oral scanner 102, such as an OPTISCAN® from Dentsply Sirona Inc. would detect the gingival soft tissue along the maxillary or mandibular arch 100, along with the necessary features of the scan flag 104 to enable detection of the implant locations and orientations from the resulting 3D scan file. In FIG. 1, the term IOFLO is used as a representation of a DENTSPLY SIRONA specific scan flag, but any generic scan flag can also be used in this method.

Method Two:

[0020] Method two begins with an initial scan of the edentulous space to capture the soft tissue and the general shape of the arch 100. No scan flags are present in this initial scan, but instead the implant locations 106 are present. The implant locations are present and may have a healing cap (not shown) placed over any implant (not shown) found in each implant location 106. Subsequent scans are conducted with the scan flags 104 placed into the implants. These scans may cover the entire clinically relevant area (as in the prior scan), or it may capture just the scan flags and the immediately surrounding edentulous space (e.g. within a 2-10 mm radius of the scan flag). The auxiliary scan is processed using a detection algorithm to detect the location of the scan flags within the scan data, and thereby determine the implant location and orientation (FIG. 2).

[0021] The implant locations obtained from the subsequent scan must be aligned and merged to the dental anatomy obtained in the initial scan. This alignment can take place before or after IOFLO detection, though if alignment occurs after IOFLO detection, the detected locations must be transformed according to the alignment results.

Method One-A

[0022] This method is a complete intraoral scan where the scan flags 104 and/or the digital verification gauges 10 are placed in the oral cavity. The single scan would detect the gingival soft tissue along the mandibular arch 100, along with the necessary indicators to measure the critical features of an implant orientation. In this embodiment, the gauge 10 can either be used in conjunction with existing scan flags 104, or extra implant identifying features can be integrated into the gauge that replicate the function of a scan flag. If the gauge 10 and the scan flags 104 are to be used together, the two devices would attach either actively or passively with each other and the location to the implant will be preserved though the coupling to the two devices. Information from each of the scans can be used to stitch together an accurate representation of the underlying edentulous space.

[0023] In this method, the single scan can be repeated multiple times depending on the number of implants in the edentulous restoration. For example, if there are 4 implants, one to six total individual scans may be required. This can be from one implant to implant location, or up to every possible implant to implant combination. For example, if the implants are number 1, 2, 3, and 4, the possible combinations include: L1-L2, L1-L3, L1-L4, L2-L3, L2-L4, and L3-L4. Not all multiples may be required, and only the implant to implant distances representing the longest lengthwise distance may be necessary. The maximum critical number of scans be quantified as, [(n*(n−1)]/2, where n represents the number of implants in a single arch. (FIG. 3)

Method One-B

[0024] This method begins with an initial scan of the edentulous space to capture the soft tissue and the general shape of the arch 100. The second scan would capture the critical implant features 106 and distances, one exemplary distance being demarcated as D. This can be a combination of using existing scan flags 104 and the digital verification gauge 10 together, or an embodiment of the gauge with integrated scan flag features as also described previously.

[0025] The scan, in this scenario can also be repeated multiple times (as depicted in FIG. 4) according to the protocol as defined above in the “one scan method” section of Method One-A.

Method Two-A:

[0026] The three scans method also begins with an initial scan of the edentulous space, including an 100, taken with an optical scanner 102. The second scan is taken with the scan flag 104 in place, and can be repeated for each implant location. The third scan will feature the digital verification gauge 10, capturing the implant to implant location, for example D. This scan can also be repeated up to the maximum number of unique implant to implant positions as described above (as depicted in FIG. 5), such as for example L1-L2, L1-3, L1-L4, L2-L3, L2-L4, and L3-L4.

Additional Image Method:

[0027] The scan methods described previously only utilize a single scanning source, in this case an intra oral scanning system 102. However, the digital verification gauge can also be used with auxiliary inputs, either in a form of an optical camera or manual recording of the gauge system 10 in place. In using an optical camera, various photogrammetry techniques can be utilized to automatically detect key distances from a two-dimensional image. The optical image can also be interpreted manually as part of the restoration workflow.

Technical Details:

[0028] The use of the digital verification gauge 10 during an edentulous scan accomplished two primary tasks. The first is that the gauge 10 can incorporate defining features along the length of the device to aid in the scanning and stitching of the multiple images required to create a full three-dimensional scan. These defining features can be protruding shapes, space out a different distance intervals, and be between 50 microns to 1 centimeter in length.

[0029] The second task of the gauge is to serve as a calibration device and allow for additional data points for post processing of the raw scan file. The post processing can be completed either in real time during the scan or at a later point after the scan, either locally or offsite at a remote location or server. Methods of secondary analysis include a scale factor to augment the original scan based on the measurements gathered from the gauge 10 and also fixing localized stitching errors captured in the frame scan.

[0030] The scale factor method is highlighted in FIG. 6, where known distances from the gauge 10 can be used to scale and “calibrate” the scan in a non-uniform manner. Here, the entire scan file is augmented in each of the known orientations from the various scans with the gage in place. As error can be introduced in a non-linear method, the augmentation of the scan can also vary along each axis.

[0031] Alternatively, scans with the gauge 10 in place can be used to better inform the frame by frame image stitching process used by the scanning systems. Each image, or series of images, captured by the scanner is overlaid on top of the prior using a best fit algorithm. If not enough unique detail is present in each scan, additional error may be introduced during the stitching process. The known accuracy provided by the gauges can help better inform these stitching algorithms to produce a final scan result that better represents the physical scanning surface. This essentially acts as a real-time offset or coefficient to modify the process during scanning.

[0032] It will be appreciated that a gauge and methods of using the gauge as described herein provide a valuable contribution to the art of verifying and improving the accuracy of 3D scans, in particular those used in dental arts. Alternatives to the invention as described are within the scope of the invention and will only be limited by the attached claims.