3D SYSTEM AND METHOD FOR GUIDING OBJECTS
20200138526 ยท 2020-05-07
Assignee
Inventors
Cpc classification
A61B34/20
HUMAN NECESSITIES
International classification
A61B34/20
HUMAN NECESSITIES
A61C8/00
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
A61C3/02
HUMAN NECESSITIES
Abstract
An intraoral 3D scanner includes a probe light source configured to generate a probe light such that the probe light is transmitted towards the dental situation; a camera including an array of sensor elements, the camera being arranged such that the probe light from the dental situation is transmitted to the array of sensor elements, wherein the camera is configured to create images of the dental situation from which a point cloud is generated, and a guiding system configured to guide relative movement of the intraoral 3D scanner towards the dental situation, wherein the camera is part of the guiding system, the camera is configured to record images from which a relative position of the intraoral 3D scanner and the dental situation is determined, such that based on the relative position, the guiding system is configured to provide a positioning signal in the form of a positioning color code.
Claims
1. (canceled)
2. A 3D guiding system for guiding a relative movement of a dental tool and a dental situation, the 3D guiding system comprises: a non-transitory computer-readable medium configured for at least temporary storing: a 3D-model of the dental situation, wherein the 3D-model is based on sub-surface scanning of the dental situation such that the 3D-model comprises data relating to an interior structure of the dental object; program code for determining a present relative arrangement of the dental tool and the dental situation based on the 3D-model of the dental situation; and program code for calculating information for guiding the relative movement of the dental tool and the dental situation towards a first preferred relative arrangement from said present relative arrangement; and an information displaying device configured for displaying the calculated information to an operator.
3. 3D guiding system according to claim 2, wherein the sub-surface scanning is performed by Magnetic Resonance Imaging.
4. 3D guiding system according to claim 2, wherein the sub-surface scanning is performed by X-ray scanning.
5. 3D guiding system according to claim 2, wherein the sub-surface scanning is performed by CT scanning.
6. 3D guiding system according to claim 2, wherein the non-transitory computer-readable medium further stores program code for deriving from said 3D-model the first preferred relative arrangement between the dental tool and the dental situation.
7. 3D guiding system according claim 2, wherein the 3D guiding system comprises program code for deriving further preferred relative arrangements between the dental tool and the dental situation, and wherein the first preferred relative arrangement and the further preferred relative arrangements together form a preferred path of the relative movement of the dental tool and the dental situation, and said 3D guiding system is configured for guiding said relative movement according to said preferred path.
8. 3D guiding system according to claim 7, wherein one or more of said further preferred relative arrangements corresponds to an arrangement where at least a portion of a distal end of the dental tool is located below the surface of the dental situation, wherein said 3D model comprises data relating to the interior structure of the dental situation.
9. 3D guiding system according to claim 2, wherein the 3D-model of the dental situation comprises data relating to the dental situation and data relating to a planned modification of the dental situation.
10. 3D guiding system according to claim 9, wherein the dental situation relates to the mandibular or maxillary of a patient and the planned modification corresponds to a hole which is planned to be defined in the mandibular or maxillary for accepting a dental implant.
11. 3D guiding system according to claim 10, wherein said preferred path is configured to provide that the dental tool in the form of a drilling tool when guided along the preferred path will drill said hole into the mandibular or maxillary.
12. 3D guiding system according to claim 10, wherein the program code for deriving the first preferred relative arrangement from said 3D-model is configured to take the planned modification into account.
13. 3D guiding system according to claim 2, wherein said 3D-model further comprises data relating to a surface of a scanned region of the dental situation.
14. 3D guiding system according to claim 2, wherein the interior structure of the dental structure comprises nerves, root parts of teeth, or the mandibular and/or maxillary bone structure, bone structure, arteries, or veins.
15. 3D guiding system according to claim 2, wherein the calculated information comprises a positioning signal.
16. 3D guiding system according to claim 2, wherein the calculated information comprises a position of a target region on the dental situation.
17. 3D guiding system according to claim 2, wherein the calculated information comprises an orientation signal.
18. 3D guiding system according to claim 17, wherein said orientation signal provides information relating to a difference in the orientation of the present relative arrangement compared to the orientation of the first preferred relative arrangement.
19. 3D guiding system according to claim 15, wherein said positioning signal comprises a positioning color code configured such that the color of the position indicator changes when the dental tool and the dental situation are approaching the first preferred relative arrangement.
20. 3D guiding system according to claim 17, wherein said orientation signal comprises an orientation color code configured such that the color of the orientation indicator changes when the dental tool and the dental situation are approaching the first preferred relative arrangement.
21. 3D guiding system according to claim 17, wherein the guiding signal comprises an indicator signal, and wherein the orientation signal coincides with said indicator signal when the first and second objects are arranged according to the orientation of the first preferred relative arrangement.
22. 3D guiding system according to claim 2, wherein the guiding system further comprises a 3D scanner to generate a new 3D-model of the dental situation, whereby the calculated information is based on comparing the new 3D-model is compared to the 3D-model based on sub-surface scanning.
23. 3D guiding system according to claim 22, wherein the 3D scanner is attached to the dental tool
24. A method for providing a guided relative movement of a dental tool and a dental situation, said method comprising: providing the dental tool and a 3D guiding system; providing the dental situation and a 3D-model of the dental situation, wherein the 3D-model is based on sub-surface scanning of the dental situation such that the 3D-model comprises data relating to an interior structure of the dental object, and deriving from said 3D-model a first preferred relative arrangement between the dental tool and the dental situation; performing a movement procedure comprising: a) determining a present relative arrangement of the dental tool and the dental situation based on the 3D-model; b) calculating information for guiding the relative movement of the dental tool and the dental situation towards said first preferred relative arrangement from said present relative arrangement; and c) providing a relative movement of the dental tool and the dental situation towards the first preferred relative arrangement, where the calculated information is used for guiding the relative movement.
25. method according to claim 24, wherein the relative movement is based on knowledge of the interior structure and on measurements provided by a CT scanner.
26. method according to claim 24, wherein the relative movement is based on an additional 3D scanning of the dental situation such that the additional scanning provides a new 3D model.
27. method according to claim 26, wherein the additional 3D scanning is performed by scanning with a 3D scanner attached to the dental tool.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0234] The above and/or additional objects, features and advantages of the present disclosure, will be further elucidated by the following illustrative and non-limiting detailed description of embodiments of the present disclosure, with reference to the appended drawings, wherein:
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[0241]
[0242] In the following description, reference is made to the accompanying figures, which show by way of illustration how the disclosure may be practiced.
[0243]
[0244] The first object 11 has at its distal end a structure 13 which is configured to mate with a recess 14 at the target region of the second object 12. In this example the first preferred relative arrangement is such that the structure 13 is mated with the recess 14. The 3D guiding system 15 is attached to the first object 11, such that it can provide 3D scanning of the surface of the second object as the first and second objects approach the first preferred relative arrangement.
[0245] The relative movement of the first object 11 and the second object 12 may be provided by an operator or by e.g. a robotic device not illustrated in the figure. During the relative motion the guiding system 15 provides a real-time 3D scanning of the second object and the result of the 3D scanning is used for calculating information that is provided to e.g. an operator in real-time in the form of a guiding signal projected onto the second object.
[0246] In this example, the recess is visible such that the first preferred relative arrangement easily can be identified by an operator. In many applications, the first preferred relative arrangement is not visually accessible, but depends in an inner structure of the second object. The can e.g. be the case in a dental procedure, where the roots of a patient's tooth influences the first preferred relative arrangement, or in a surgical procedure where the position of bone structure and arteries below the patient's skin can be of importance.
[0247]
[0248] In
[0249] The 3D model can be formed by combining surface data from a surface scanning and data relating to the interior structure obtained by X-ray based scanning showing the interior structure of at least part of the set of teeth and the mandibular or maxillary bone. Preferably the scanning showing the interior structure provides information relating to the location of the nerves in the set of teeth, such as the inferior Alveolar nerve and/or the mental nerve, such that the guiding system can guide the motion of the drilling tool in a manner whereby drilling into these nerves is prevented. The sub-surface scanning determining the interior structure of the tooth may comprise a CT scanning of the dental situation. The tooth originally being located at the site where the implant is to be arranged may have been removed prior to the drilling. The first preferred relative arrangement may thus be such that the drilling tool when starting to drill will provide the hole for the implant without colliding with the nerves.
[0250] The 3D guiding system 25 is attached to the dental drilling tool 21. The 3D scanner of the 3D guiding system may be configured for intraoral scanning of the teeth to provide a virtual 3D representation of the set of teeth, from which virtual 3D representation a new 3D model of the dental situation may be determined on the fly. From a comparison of the new 3D model and the obtained 3D model, the present relative arrangement may be determined.
[0251] A guiding signal 26 is projected on the target region of a tooth 24 by the 3D guiding system. The guiding signal illustrated here is a slightly deformed circular structure due to the shape of the tooth. The guiding signal 26 comprises a position signal and an orientation signal here illustrated as a dot in the center and the outer ring, respectively. The inner one of the two rings is an indicator signal ring showing the inclination of the first preferred relative arrangement. The 3D guiding system 25 is configured for directing the guiding signal onto the target region where the dental drilling tool 21 must drill into the tooth. The guiding signal 26 may be directed using e.g. mirrors or optical waveguides, such as optical waveguides.
[0252] The guiding signal can also be visualized by an information displaying device on which the information is visualized using e.g. a screen. The screen can be an integral part of the 3D guiding system.
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[0255] The first object 31 may e.g. be a scalpel configured for cutting into the second object, i.e. into the patient. The
[0256] In
[0257] In
[0258] In
[0259]
[0260] In
[0261] The steps illustrated in
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[0263] In step 102 the second object and a 3D model of the second object is obtained. The second object and the 3D model of this may have an interior structure which is to be kept clear of during a modification of the second object.
[0264] In step 103, a first preferred relative arrangement between the first and second objects is derived from said 3D model. The first preferred relative arrangement may such that the first object keeps clear of the interior structure during a modification of the second object by the first object.
[0265] The movement procedure comprises steps 104-106:
[0266] In step 104 a 3D scanning at least a region of said second object using said 3D scanner is performed and a present relative arrangement of the first and second objects is determined from a result of the 3D scanning.
[0267] In step 105 the information for guiding the relative movement of the first and second objects towards said first preferred relative arrangement from said present relative arrangement is calculated.
[0268] In step 106 a relative movement of said first and second objects towards the first preferred relative arrangement is provided, where the calculated information is used for guiding the relative movement.
[0269]
[0270] The 3D guiding system is attached to a dental drilling tool 21 with a distal end 211. The 3D guiding system comprises a 3D scanner 251 configured for performing a 3D scanning of the second object when this is arranged within the view of the 3D scanner 251. The 3D guiding system further comprises a non-transitory computer-readable medium 252. This medium stores a 3D model of the second object and various program code for e.g. determining a present relative arrangement of the first and second objects from a result of a 3D scanning of the second object, and for calculating information for guiding the relative movement of the first and second objects towards a first preferred relative arrangement from said present relative arrangement. Based on the calculated information, the information displaying device 253 (here a laser system configured for providing the guiding signal) projects the guiding signal onto the target region of the second object (here a dental situation). The dental situation can be a tooth from which the drill is intended to remove tooth material, or a maxillary or mandibular bone into which the drill is intended to form a hole for an implant.
[0271]
[0272] The 3D guiding system is attached onto the first object 21 (here illustrated as a dental drilling tool) and comprises a 3D scanner 251 configured for performing a 3D scanning of a region of the second object 12. The 3D guiding system further comprises a non-transitory computer-readable medium 252 and an information displaying device 253, which here is a laser system configured for projecting the guiding signal 26 onto the target region 121 of the second object 12. Program code stored on the non-transitory computer-readable medium 252 calculates information relating to where the guiding signal 26 is to be projected on the second object 12, and actuators and/or optical components in the information displaying device 253 are controlled based on this information such that the guiding signal is projected onto the correct part of the second object. The shape of the guiding signal and the direction in which it is emitted is adjusted as the relative position of the first and second objects changes.
[0273] Some embodiments have been described and shown in detail, the disclosure is not restricted to them, but may also be embodied in other ways within the scope of the subject matter defined in the following claims. In particular, it is to be understood that other embodiments may be utilised and structural and functional modifications may be made without departing from the scope of the present disclosure.
[0274] In device claims enumerating several means, several of these means can be embodied by one and the same item of hardware. The mere fact that certain measures are recited in mutually different dependent claims or described in different embodiments does not indicate that a combination of these measures cannot be used to advantage.
[0275] A claim may refer to any of the preceding claims, and any is understood to mean any one or more of the preceding claims.
[0276] It should be emphasized that the term comprises/comprising when used in this specification is taken to specify the presence of stated features, integers, steps or components but does not preclude the presence or addition of one or more other features, integers, steps, components or groups thereof.
[0277] The features of the method described above and in the following may be implemented in software and carried out on a data processing system or other processing means caused by the execution of computer-executable instructions. The instructions may be program code means loaded in a memory, such as a RAM, from a storage medium or from another computer via a computer network. Alternatively, the described features may be implemented by hardwired circuitry instead of software or in combination with software.