Peijun Lv

iDental: A Haptic-Based Dental Simulator and Its Preliminary User Evaluation

Performance evaluation is indispensable for a surgical simulator to become acceptable. A haptics-based dental simulator (iDental) has been developed and preliminary user evaluation on its first-generation prototype has been carried out to gain the knowledge. Based on detailed requirement analysis of Periodontics procedures, a combined evaluation method including qualitative and quantitative analysis was designed. Construct validity was used to compare the performance difference between two groups of participants (faculty members and dental graduate students). These participants were required to perform three periodontal examination and treatment procedures including periodontal pocket probing, calculus detection, and removal. From the evaluation results, we found that penetration between tool and teeth or cheek will greatly decrease the fidelity of the simulation, therefore, it is necessary to utilize 6-DOF haptic device with both force and torque feedback in dental simulator, and accordingly it is needed to extend point-based rendering to 6-DOF haptic rendering of multiregion contacts. Furthermore, several other key research topics that will enable haptic technology to be effective in a practical dental simulator were identified, including simulation of deformable body such as tongue and gingival, and simulation of occlusion of tongue and cheek on teeth, etc.Performance evaluation is indispensable for a surgical simulator to become acceptable. A haptics-based dental simulator (iDental) has been developed and preliminary user evaluation on its first-generation prototype has been carried out to gain the knowledge. Based on detailed requirement analysis of Periodontics procedures, a combined evaluation method including qualitative and quantitative analysis was designed. Construct validity was used to compare the performance difference between two groups of participants (faculty members and dental graduate students). These participants were required to perform three periodontal examination and treatment procedures including periodontal pocket probing, calculus detection, and removal. From the evaluation results, we found that penetration between tool and teeth or cheek will greatly decrease the fidelity of the simulation, therefore, it is necessary to utilize 6-DOF haptic device with both force and torque feedback in dental simulator, and accordingly it is needed to extend point-based rendering to 6-DOF haptic rendering of multiregion contacts. Furthermore, several other key research topics that will enable haptic technology to be effective in a practical dental simulator were identified, including simulation of deformable body such as tongue and gingival, and simulation of occlusion of tongue and cheek on teeth, etc.

Coordinated control and experimentation of the dental arch generator of the tooth-arrangement robot

The traditional way of acquiring the dental arch curve form is based on manual operation, which will randomly bring numerous errors caused by human factors. The purpose of this paper is to automatically acquire the dental arch curve and implement the coordinated control of the dental arch generator of the multi‐manipulator tooth‐arrangement robot, which can be used in full denture manufacturing.

Computer-aided design of tooth preparations for automated development of fixed prosthodontics

BACKGROUND This paper introduces a method to digitally design a virtual model of a tooth preparation of the mandibular first molar, by using the commercial three-dimensional (3D) computer-aided design software packages Geomagic and Imageware, and using the model as an input to automatic tooth preparing system. METHODS The procedure included acquisition of 3D data from dentate casts and digital modeling of the shape of the tooth preparation components, such as the margin, occlusal surface, and axial surface. The completed model data were stored as stereolithography (STL) files, which were used in a tooth preparation system to help to plan the trajectory. Meanwhile, the required mathematical models in the design process were introduced. RESULTS The method was used to make an individualized tooth preparation of the mandibular first molar. The entire process took 15min. DISCUSSION Using the method presented, a straightforward 3D shape of a full crown can be obtained to meet clinical needs prior to tooth preparation.

Quantitative Evaluation of Tissue Surface Adaption of CAD-Designed and 3D Printed Wax Pattern of Maxillary Complete Denture

Objective. To quantitatively evaluate the tissue surface adaption of a maxillary complete denture wax pattern produced by CAD and 3DP. Methods. A standard edentulous maxilla plaster cast model was used, for which a wax pattern of complete denture was designed using CAD software developed in our previous study and printed using a 3D wax printer, while another wax pattern was manufactured by the traditional manual method. The cast model and the two wax patterns were scanned in the 3D scanner as “DataModel,” “DataWaxRP,” and “DataWaxManual.” After setting each wax pattern on the plaster cast, the whole model was scanned for registration. After registration, the deviations of tissue surface between “DataModel” and “DataWaxRP” and between “DataModel” and “DataWaxManual” were measured. The data was analyzed by paired t-test. Results. For both wax patterns produced by the CAD&RP method and the manual method, scanning data of tissue surface and cast surface showed a good fit in the majority. No statistically significant (P > 0.05) difference was observed between the CAD&RP method and the manual method. Conclusions. Wax pattern of maxillary complete denture produced by the CAD&3DP method is comparable with traditional manual method in the adaption to the edentulous cast model.

Preliminary study on a miniature laser manipulation robotic device for tooth crown preparation

The existing methods in dental clinical operations for hard tissue removal have several drawbacks which affect the long‐term success of the dental treatment.

Preliminary experiments of a miniature robotic system for tooth ablation using ultra-short pulsed lasers

As a preliminary step to achieve a long-term goal of developing an automatic dental preparation system for clinical operations, we design and build a miniature robotic system which can manipulate a laser beam to move in three dimensional spaces to remove hard tissue from a target tooth. The dental preparation requires the robotic system to own high accuracy, high ablation speed and small size. A 2D galvanometer scanners module is integrated to meet the requirement of a high moving speed of the laser focus. A closed-loop system based on a miniature-sized voice-coil motor and a grating ruler are developed to realize the accurate control of the focus. The overall size of the developed prototype is 108mm×56mm×43mm, which is small enough to be used in close proximity to a patients mouth. The prototype has been tested by using two different kinds of laser generators, i.e., a nanosecond laser and a picosecond laser. The experiment results show that the robotic system can provide high moving speed of 1000mm/s with good shape accuracy. From the results, we found that nanosecond laser beam can be controlled to ablate zirconia and aluminum, but not suitable to ablate tooth because of tissue carbonization. By selecting suitable parameters of the picosecond laser generator, a target tooth could be ablated to produce a cylinder shape without carbonization. Limitations of the prototype are identified according to the experiment results.

Evaluation of the Quantitative Accuracy of 3D Reconstruction of Edentulous Jaw Models with Jaw Relation Based on Reference Point System Alignment

Objectives To apply contact measurement and reference point system (RPS) alignment techniques to establish a method for 3D reconstruction of the edentulous jaw models with centric relation and to quantitatively evaluate its accuracy. Methods Upper and lower edentulous jaw models were clinically prepared, 10 pairs of resin cylinders with same size were adhered to axial surfaces of upper and lower models. The occlusal bases and the upper and lower jaw models were installed in the centric relation position. Faro Edge 1.8m was used to directly obtain center points of the base surface of the cylinders (contact method). Activity 880 dental scanner was used to obtain 3D data of the cylinders and the center points were fitted (fitting method). 3 pairs of center points were used to align the virtual model to centric relation. An observation coordinate system was interactively established. The straight-line distances in the X (horizontal left/right), Y (horizontal anterior/posterior), and Z (vertical) between the remaining 7 pairs of center points derived from contact method and fitting method were measured respectively and analyzed using a paired t-test. Results The differences of the straight-line distances of the remaining 7 pairs of center points between the two methods were X: 0.074 ± 0.107 mm, Y: 0.168 ± 0.176 mm, and Z: −0.003± 0.155 mm. The results of paired t-test were X and Z: p >0.05, Y: p <0.05. Conclusion By using contact measurement and the reference point system alignment technique, highly accurate reconstruction of the vertical distance and centric relation of a digital edentulous jaw model can be achieved, which meets the design and manufacturing requirements of the complete dentures. The error of horizontal anterior/posterior jaw relation was relatively large.

Evaluation of the accuracy of a common regional registration method for three-dimensional reconstruction of edentulous jaw relation by a 7-axis three-dimensional measuring system

This study was to design a method to quantitatively evaluate three-dimensional (3D) reconstruction accuracy of spatial relationship of dental models based on a 7-axis contact 3D measuring system, and to evaluate the accuracy of a common regional registration method for edentulous jaw relation reconstruction. 3D surface data of edentulous dental casts with 10 positioning cylinders and wax occlusion rims of five patients were obtained using a dental scanner. The jaw relation was reconstructed using the common regional registration in the Geomagic software. Measurements were obtained for line length, vertical distance and horizontal distance between centric points from two sources with upper jaw model base plane as a reference plane. The statistical description of measurement data was done. x ± s of line length, vertical distance and horizontal distance between the center points of each data set were 0.107 ± 0.354, 0.076 ± 0.576 and 0.108 ± 0.530 mm, respectively. Data was analyzed using the paired samples t-test and one-way analysis of variance. Paired t-test results of each patient and one-way analysis of variance for the five patients showed no significant differences (P>0.05). Using the Faro Edge system and standardized positioning cylinders, quantitative evaluation of the 3D reconstruction accuracy of edentulous jaw relation was workable. And results of common regional registration method met clinical requirements.

A method of multi-view intraoral 3D measurement

In dental restoration, its important to achieve a high-accuracy digital impression. Most of the existing intraoral measurement systems can only measure the tooth from a single view. Therfore，if we are wilng to acquire the whole data of a tooth, the scans of the tooth from multi-direction ad the data stitching based on the features of the surface are needed, which increases the measurement duration and influence the measurement accuracy. In this paper, we introduce a fringe-projection based on multi-view intraoral measurement system. It can acquire 3D data of the occlusal surface, the buccal surface and the lingual surface of a tooth synchronously, by using a senor with three mirrors, which aim at the three surfaces respectively and thus expand the measuring area. The constant relationship of the three mirrors is calibrated before measurement and can help stitch the data clouds acquired through different mirrors accurately. Therefore the system can obtain the 3D data of a tooth without the need to measure it from different directions for many times. Experiments proved the availability and reliability of this miniaturized measurement system.

3D path planning of a laser manipulation robotic system for tooth preparing

In this paper, we proposed a 3D path planning method for a miniature robotic system, which can manipulate a beam of ultra-short pulse laser to cut a decayed tooth to formulate an expected 3D shape. Using high resolution STereo Lithography (STL) models of the original decayed tooth and the target preparing shape as the input, our method consists of a fast slicing algorithm and an optimized path generating algorithm, which realized a high efficient layer-by-layer cutting for laser ablation. Theoretical analysis on the geometric distortion and surface roughness was carried out to model the influence of the path planning algorithms on the accuracy of the prepared tooth. Experimental results on a real tooth indicate that the path planning method can maintain the accuracy for the laser ablation process.