JP2002083044A - Dental cooperative examination system - Google Patents

Abstract

(57) [Summary] [Problem] To give necessary and thorough examinations to dental patients, giving top priority to the understanding of dental patients' own illnesses, and then satisfy various needs depending on the individual patients, and furthermore, patients themselves To develop a dental inspection system that keeps the motivation to keep the teeth and oral cavity as healthy as possible. SOLUTION: Input means for inputting examination data composed of dental examination data, recording means for recording data relating to dental examination, examination data inputted by the input means, and recorded in the recording means To develop a dental joint inspection system including a display screen for displaying data related to dental inspection. The dental cooperative examination system is characterized in that a dentist or dental clinic staff inputs dental examination data of a patient while sharing recognition of the input contents with the patient.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a dental inspection system for processing data relating to dental inspection.

[0002]

2. Description of the Related Art Conventionally, in a dental clinic, dental treatment is generally performed in which the contents of treatment are determined almost entirely by the clinic side and the treatment contents are uniform. Attempts are being made to provide dental treatment from a standard viewpoint.

JP-A-10-97404 relates to a dental medical computer system for recording and reproducing information on the condition of each tooth. In the computer system, first, a schematic image of a tooth is displayed on a display screen, and in addition, site information indicating the state of each tooth is colored and displayed in a predetermined color according to the state. When the screen content is output as a hard copy, the above site information is output using the same character information as before.

When displaying a schematic view of a tooth (or the like) on a display screen (or the like) of a conventional dental computer system, for convenience of viewing from a dentist, right and left as in the case of a (paper) medical chart. Is displayed in reverse. Considering that the patient would be confused if such an image is shown to the patient, the system of the present invention is provided with a function of reversing the entire schematic diagram of the teeth for convenience in explaining to the patient. ing. Specifically, when the right / left inversion button provided on the screen is clicked, the schematic view of all the parts is horizontally inverted.

[0005] Japanese Patent Application Laid-Open No. 9-70410 relates to a technique for preparing a dental treatment guide book by a computer, which presents an optimal treatment guide book to a patient. On the computer,
The intraoral image and the retogen image of the patient to be treated for dental treatment are displayed. The treatment is simulated by comparing the image with a previously stored image of a treatment example.
When comparing with an image according to a past treatment example, an intraoral image before treatment of the patient is displayed on one side of the display screen, and an image of the past treatment example is displayed on the other side symmetrically. In addition, intraoral images of the patient taken from various angles can be displayed on the display screen.

Further, Japanese Patent Application Laid-Open No. 8-173461 relates to a dental diagnostic information recording and displaying device for recording and displaying diagnostic information composed of dental diagnostic data. In the display device,
As a line graph with a scale for the periodontal pocket depth,
The image is superimposed on the tooth image representing the outline of the tooth and displayed.
The pre-treatment data and the post-treatment data can be displayed in different colors. Printing of data
In, the tooth image can be printed simultaneously with the printing of the data, or the data can be printed on the recording paper on which the tooth image is printed in advance.

[0007] Computer systems conventionally used in dental clinics output information that should ultimately reach the patient, but because the output information is "healthcare worker-centered", the information is output to the patient. Is hard to understand. Therefore,
The above-mentioned examples of the prior arts all disclose information on the patient's disease to the patient in an easy-to-understand manner. The aim is to achieve a good consent.

[0008] The treatment of teeth is largely related to amenities (comfort). In addition, many tooth-related diseases such as periodontal disease are so-called “chronic diseases”. Therefore,
The individual needs in patients with dental disorders should be diverse. Furthermore, because of "chronic illness", treatment usually requires constant effort by the patient himself over a long period of time. Therefore, maintaining the motivation for the patient's own treatment and oral care is essential for the continuation of the treatment.

All of the above prior art examples are:
It provides easy-to-understand information from the patient's point of view, but meets the diverse needs of individual patients,
Furthermore, in achieving the goal of keeping patients motivated to keep their teeth and oral cavity as healthy as possible, it is as inadequate as computer systems used in the past, mainly for "healthcare workers." It is.

[0010]

SUMMARY OF THE INVENTION The present invention gives necessary and thorough examinations to a dental patient with the highest priority given to the dental patient's understanding of his / her illness, and then fulfills the various needs of the individual patient. It is another object of the present invention to keep patients motivated to keep their teeth and oral cavity as healthy as possible.

[0011]

SUMMARY OF THE INVENTION The present invention has been made to achieve the above object. According to the first aspect of the present invention, there is provided a dental cooperative examination system, comprising: an input unit configured to input examination data composed of dental examination data; a recording unit configured to record data related to a dental examination; In a dental joint examination system including a display screen for displaying examination data and data related to a dental examination recorded in the recording means, the dentist or dental clinic staff shares recognition with the patient about the input contents. And inputting dental examination data of the patient.

[0012] In the dental co-examination system according to the second aspect of the present invention, image data obtained by past dental examinations and an image indicating a button are displayed on the display screen. When clicked by the pointer to be controlled, the front and back of the image data are displayed horizontally on the display screen by inverting the front and back, and the image data displayed on the display screen is displayed on either of the front and back. The dental joint inspection system according to claim 1, wherein a notification part to be indicated is included in the display screen.

[0013] In the dental co-examination system according to a third aspect of the present invention, the display screen displays the image data obtained by the past dental examination and the image indicating the second button. 2. When the second button is clicked by a pointer controlled by a mouse, the front and back of the image data are vertically inverted and displayed on the display screen.
The dental joint inspection system according to the above.

According to a fourth aspect of the present invention, in the dental joint examination system, the display screen includes a notification portion indicating whether the image data displayed on the display screen is on the front or the back. A joint dental examination system according to claim 3.

According to a fifth aspect of the present invention, there is provided a dental cooperative examination system for displaying a photograph of the front, left and right side surfaces, and an occlusal surface of an upper and lower jaw in a patient's oral cavity. In the center, a frontal tooth photograph in the patient's mouth is placed, the left side tooth photograph is on the left side of the frontal tooth photograph, the right side tooth photograph is on the right side of the frontal tooth photograph, and the maxillary occlusal surface Tooth photos should be placed at the top of the front tooth photo, and lower occlusal tooth photos should be placed below the front tooth photo.
A dental joint inspection system according to claim 1.

[0016] The deer joint inspection system according to claim 6 of the present invention, when displaying a tooth photograph of the front, the left and right side surfaces, and the upper and lower forehead occlusal surfaces in the oral cavity at one time for one patient. The photo display part of the screen is divided vertically into two parts. One of the two points in time shows the front, left and right side and the upper and lower forehead occlusal surface of the oral cavity at one point in time. The tooth photograph of the front, left and right side, and the occlusal surface of the upper and lower forehead are displayed, and in each of the above-mentioned two divisions of the photograph display portion of the display screen, the tooth photograph on the left side is on the left part of the front tooth photograph, and the right side The tooth photograph of the upper occlusal surface is located at the upper part of the frontal tooth photograph, and the tooth photograph of the lower occlusal surface is located below the front tooth photograph at the right side of the frontal tooth photograph. Dental co-examination system That.

[0017] The dental co-examination system according to claim 7 of the present invention provides a dental photograph of the front, the left and right side surfaces, and the upper and lower forehead occlusal surfaces in the oral cavity at one time point regarding one patient displayed on the display screen. When one of them is clicked by the pointer controlled by the mouse, only the clicked tooth photograph and only the tooth photograph at the same time as the other part of the tooth photograph are displayed at the photograph display area on the display screen. The dental joint inspection system according to claim 6, wherein each of the two divisions is displayed in comparison with each other.

[0018] In the dental co-examination system according to claim 8 of the present invention, on the display screen, the examination data input by the input means or the data relating to the dental examination recorded in the recording means is converted into a tooth examination. The dental joint inspection system according to claim 1, wherein the system is superimposed on a tooth diagram indicating a shape and is displayed by a graph.

[0019] According to a ninth aspect of the present invention, there is provided the dental joint inspection system, wherein the recording means includes data relating to 32 kinds of tooth diagrams representing 32 teeth normally provided by a person,
For each of the above 32 types of tooth diagrams, the data corresponding to each tooth among the inspection data input by the input means and the data relating to the dental inspection recorded in the recording means are displayed in association with each other. The dental joint inspection system according to claim 1, wherein the inspection is performed.

According to a tenth aspect of the present invention, there is provided a recording medium on which program codes of a computer program for operating the dental joint inspection system according to any one of the first to ninth aspects are recorded. This is a recording medium for

[0021]

Preferred embodiments of the present invention will be described below with reference to the drawings.

FIG. 15 shows an example of a hardware configuration of a dental joint inspection system 2 according to a preferred embodiment of the present invention. This hardware configuration is the same as that of a general personal computer system, and a keyboard 104, a mouse 10, a display 108, a printer 110, and the like are connected to a main controller 102 as a main body.

FIG. 1 is an overall view relating to steps (processes) showing an overall configuration of an operation of a dental joint inspection system 2 which is a preferred embodiment according to the present invention.

The steps constituting the operation of the dental joint examination system 2 can be roughly divided into: registration of patient data (S02), selection of a patient's chart (S04), interview with the patient (S06), joint Steps (group) of inspection (S08) and output of inspection result (S26).

The steps of the joint inspection (step S08) include: photographing (S10), joint inspection by photograph (S12), joint inspection by model (S14), joint inspection by radiograph (S16), (Sub) process of joint examination of engagement (S18), joint examination by intraoral examination (S20), joint examination of periodontal (S22), joint examination of Good Smile (good smile) (S24) .

FIG. 2 is an example of a sketch drawing of a dentist 6 and a client (patient) 8 using the joint dental examination system 2 according to the present invention. As shown in FIG. 2, in particular, in the step of the joint examination (step S08), the dentist 6 inputs the results of the various examinations together with the patient 8 while checking the display screen 4 of the personal computer. That is, step S08
Is a test performed by the dentist 6 and the client (patient) 8 while sharing the recognition, and is thus named “joint test”.

Further, the step of outputting the inspection result (step S26) includes: a tooth and restoration state (S28); a caries state (S30); a periodontal disease state (S32); (S34), a plaque state (S36), a meshing state (S38), and another state (S40).

FIGS. 3 to 14 show examples of a plurality of screens used in the dental joint inspection system 2 according to the preferred embodiment of the present invention. Overall view of these screens and steps related to the dental joint inspection system 2 (Fig. 1)
, The contents of the dental joint inspection system 2 will be described in detail.

Step S02: Registration of Patient The basic data of the target client (patient) 8 is registered in the system 2 according to the present invention. The basic data includes client ID, name (reading), gender, date of birth, address (contact information), and the like. With respect to the name, the same name and the same name are automatically checked according to a predetermined logic, so that duplicate registration is set beforehand.

Step S04: Selection of Patient's Chart When the dentist 6 uses the present system while facing the client (patient) 8, the procedure starts by selecting data of a registered patient. FIG. 3 is an example of a patient selection screen. On this screen, from the corresponding client (patient) list 14 displayed by clicking the “kana button” 12 in which voiced sounds and the like are added to the Japanese syllabary on the screen,
A patient is appropriately selected. If you use Kana button 12,
No input (of characters) by the keyboard 104 is required. In addition to the kana button 12, a name, an address, or a telephone number can be input from the keyboard 104 and searched.

Step S06: Interview This is the first step to be performed on the client (patient) 8 receiving the dental cooperative examination system 2. This is equivalent to the “first consultation” in normal dental practice. This is indicated to the client (patient) 8 as "20 health questions" and is performed prior to the examination.

The contents of the question include the client (patient)
Starting with a confirmation of your thoughts and knowledge on dental treatments,
It also includes a survey relating to the personality of the client (patient) 8 itself. FIG. 4 is an example of an interview screen displaying a question. The interview is performed in such a manner that the client (patient) 8 answers a question displayed on the “environmental image” 18 such as a landscape photograph or a picture projected on a personal computer, and the dentist 6 inputs the question. With such a format, it is intended to relax the client (patient) 8 and to give an impression that it is different from an inquiry (and an examination) performed in a normal dental clinic.

The answer to the question is recorded, for example, in a memory unit (not shown) of the personal computer. The recorded contents can be displayed in a list on, for example, a separately created screen and used for counseling.

Step S10: (Photographing) Client (patient) 8 who has completed the interview (S06)
Next, an inspection using a photograph (S12) is performed, and before that, a photograph is taken (S10). Using a digital camera, etc., a total of 5 on the front, left and right side and occlusal surface
Take photos. The photographed image data is immediately taken into a personal computer and used in the dental joint inspection system 2 as necessary.

Step S12: Collaborative Examination by Photo The client (patient) 8 and the dentist 6 jointly enter an examination while viewing the photograph image of the teeth of the client (patient) 8 on the display screen 4. FIG. 5 is an example of a joint examination input screen using the photograph. The screen in FIG. 5 includes a photo inspection input screen section 20 and a photo display screen section 22.

A plurality of buttons 26 for moving to another layout screen are arranged in the upper part of the photo examination input screen section 20, and a client (patient) 8 is arranged in the lower part.
An input area of a dental diagnosis item to be input while paying attention to the oral photograph is arranged. In the upper part of the input area for dental diagnosis items, a tooth designation section 24 for designating which of the 32 teeth in the oral cavity is to be inputted is usually arranged.

When a tooth intended for data input is selected in the tooth designation section 24, an illustration 28 representing the tooth is displayed in the input area of the dental diagnosis item. The illustrations of the teeth are all different for every 32 teeth, and have an effect of preventing data of another tooth from being input by mistake. The structure of preparing 32 different illustrations for 32 teeth is commonly used in other input screens and output screens.

In the input of dental diagnosis items, data can be input in one of the following formats: a check mark is added by clicking the mouse 10; and an option is selected from a displayed option table (pull-down menu format). Therefore, there is almost no need to operate the keyboard 104.

In materials such as medical charts usually used by dental clinics, the positions of the patient's teeth are reversed left and right. This is because it is assumed that the dentist and staff face the patient. The “joint examination” of the joint dental examination system 2 according to the present invention is based on the premise that the dentist 6 inputs examination data while viewing the display screen 4 together with the client (patient) 8, and will be described later. As described above, the photograph on the photograph display screen section 22 is set so that it can be reversed so that the left and right are reversed from the usual data of the dental office. If the left and right are reversed, dentist 6
In addition, in order to draw the attention of the dental clinic staff, the left-right reversal message 30 is displayed, and at the same time, the background color of the input area of the dental diagnosis item is changed (for example, red).

The photograph display screen section 22 includes a reduced image section 32 for displaying a plurality of (five) photographs taken in the photographing (step S10) and a normal image for normally displaying one of the plurality of photographs. Unit 34. Reduced image part 3
When any one of the two is clicked, the image is enlarged and displayed in the area of the normal image section 34. Normal image part 3
In 4, the image is enlarged and displayed around the point specified by the right click of the mouse 10. In addition, mouse 1
By moving the mouse 10 while holding down the left click of 0, the image can be grasped with the mouse pointer on the screen and the display portion can be moved.

The left and right sides of the photograph will be described. When the photograph is taken, the client (patient) 8 is naturally viewed from the front. This state is left and right reversed when viewed from the client (patient) 8. In order for the client (patient) 8 to naturally look at the oral screen as if looking in his own mouth with a mirror, it is desirable that the left and right of the image on the photo display screen unit 22 for displaying a photograph be reversed. On the upper part of the photo display screen section 22, a left / right inversion button 36 and an up / down inversion button 38 are arranged. For example, by clicking the left / right inversion button 36 once, “left / right inversion” is applied to an image displayed after being enlarged from the reduced image portion 32 to the normal image portion 34. With this feature,
The dentist 6 and the dental clinic staff can smoothly present the oral photograph without having to repeat the inversion operation every time the photograph of the client (patient) 8 is switched from the reduced display to the normal display.

In the "collaborative inspection by photograph", a "list entry screen" (not shown) is separately prepared. 1
If input is performed while confirming each tooth, it is expected that it will take considerable time and effort, and the input person and client (patient)
8 is expected to have considerable patience. In this "list entry screen", the upper and lower jaws are divided into 1
The layout screen allows the user to input six teeth at a time. For example, items that are frequently input, such as tooth decay and restoration, can be input collectively, so that the time and effort for input can be significantly reduced.

The “list entry screen” similar to the above is prepared for “joint inspection using a model” and “joint inspection using a radiograph” to be described later.

Step S14: Collaborative Inspection Using a Model “Inspection using a model” means that a model (study model) made of gypsum is created from a tooth profile collected from a client (patient) 8 and used to reduce dental diseases from a three-dimensional viewpoint. This is a diagnostic test that allows detailed confirmation of the shape of teeth and gums, alignment of teeth, and the state of engagement. In the “joint examination using a model” in the present system, the client (patient) 8 and the dentist 6 jointly enter an examination while looking at the above-mentioned model of the client (patient) 8. FIG. 6 is an example of a joint inspection input screen using the model. The screen in FIG. 6 includes a model examination input screen section 40 and a case display screen section 42.

A plurality of buttons 26 for moving to another layout screen are arranged in the upper part of the model examination input screen part 40, and the client (patient) 8 is arranged in the lower part.
An input area for dental diagnosis items to be input by observing the oral cavity model is arranged. In the upper part of the input area for dental diagnosis items,
A tooth designating unit 24 for designating which of the 32 teeth in the oral cavity is to be input with data, and a case designating unit 46 for displaying a case sample model on the case display screen unit 42 are arranged.

When a tooth intended for data input is selected in the tooth designation section 24, an illustration 44 representing the tooth is displayed in the dental diagnosis item input area, similarly to the photograph inspection input screen section 20 in FIG. Although the illustrations of the teeth are all different for every 32 teeth, as in the photograph inspection input screen section 20 of FIG. 5, the illustration 44 itself is a larger illustration, and there is also an input field for directly inputting on the illustration. is there. In the illustration 44 also serving as an input field, when input is impossible, such as in the case of a missing tooth state, a diagonal line is displayed to warn the input user.

A case designating section 46 for displaying a case sample model
, Buttons with names of about 10 cases are arranged. With these buttons, (described later)
A case sample model to be displayed in the case image section 48 is selected.

The case display screen section 42 includes a reduced image section 32 for displaying a plurality of (five) photographs taken in the photographing (step S10), and a case image section 48 for displaying an image of the case sample model. including. The image of the case sample model is
A comment, an attention point is enlarged, or a mark is added to image data of a normal example model that has been photographed and digitized in advance, and is easy for the client (patient) 8 to understand. It is a digitally recorded image processed as described above.

In the “joint examination using a model”, an image of a case sample model is selected by a button of the case designating section 46 and displayed on the case image section 48 as necessary. The client (patient) 8 and the dentist 6 compare the plaster model of the client (patient) 8 in front of the eyes with the easy-to-understand sample image of the healthy example in the case image section 48, and make a dental diagnosis item related to the model inspection. Input. In particular, the client (patient) 8 can deepen their understanding of their teeth by comparing them.

The plaster model collected from the client (patient) 8 is left and right reversed from the image of the mouth of the client (patient) 8 who sees himself in the mirror, whereas the dentist 6 and the dental clinic It is the same as the "left / right" direction that the staff normally uses. This is inevitable in making a plaster model. Therefore, the input area (only) of the dental diagnosis item in the joint examination using the model is reversed left and right for the client (patient) 8. For the dentist 6 and the dental clinic staff, the “left and right” is conventionally used, but the “left and right” is opposite to other joint examination input screens with the client (patient) 8. Therefore, at the same time as displaying the message 50 that calls attention to that effect, the background color of the input area of the dental diagnosis item is changed (for example, blue).

Step S16: Joint inspection by X-ray photograph In the "examination by X-ray photograph", the image data of the X-ray photograph (film) is digitized by using a digital camera or a predetermined input device and displayed on the display screen 4 of the personal computer. The images are displayed, and these images can be freely enlarged or flipped horizontally. In the enlarged radiograph, the affected part can be clearly displayed, so that the oversight of the symptoms is greatly reduced for the dentist 6 and the client (patient) 8 can easily understand the image. In addition, the client (patient) 8 can more naturally come into contact with an image (an X-ray photograph) by inverting the image (left / right). In the “collaborative examination using radiographs” in the present system, the client (patient) 8 and the dentist 6 jointly perform examination input while watching the above-mentioned radiographs of the client (patient) 8. FIG. 7 shows an example of the joint examination input screen based on the radiograph. The screen in FIG. 7 includes an X-ray photograph inspection input screen unit 54 and an X-ray photograph display screen unit 56.

In the radiographic examination input screen section 54,
A plurality of buttons 26 for moving to another layout screen are arranged at an upper part thereof, and an input area of a dental diagnosis item for observing and inputting an X-ray photograph of the oral cavity of the client (patient) 8 is arranged at a lower part thereof. ing. In the upper part of the input area for the dental diagnosis item, a tooth designation unit 24 for designating which of the 32 teeth provided in the oral cavity is to be inputted.
And a case radiograph display screen part 5
6 is arranged.

When a tooth for which data is intended to be input is selected in the tooth designation section 24, an illustration 60 expressing the tooth is displayed in the same manner as the photograph inspection input screen section 20 in FIG. 5 and the model inspection input screen section 40 in FIG. Displayed in the input area of the diagnostic item. The illustrations of the teeth are all different for every 32 teeth.
6 is the same as the model inspection input screen section 40 of FIG. 6, but the illustration 60 in the radiographic inspection input screen section 54 also expresses "root of tooth".

In the case designating section 58 for displaying case radiographs, buttons with names of several cases are provided. With these buttons, case radiographs to be displayed in the normal radiographic image section 64 (described later) are selected.

The X-ray picture display screen section 56 displays a reduced X-ray image section 62 for displaying a plurality of (5) radiographs of the patient himself / herself, and an image of a case radiograph or a radiograph of the patient himself. And a normal X-ray image section 64.

The case radiograph is an X-ray photograph showing a digitized case and a normal case photographed in advance in the same manner as the image of the case sample model (FIG. 6) of the “joint examination using the model”. Radiographs of a plurality of cases indicated by the buttons of the case designating section 58 are prepared. Dentist 6
If necessary, an image of the case radiograph can be selected and displayed on the normal radiographic image section 64. Further, one of the reduced radiograph image portions 62 (five)
By selecting one, the radiograph of the patient himself can be displayed in the normal radiographic image section 64. Therefore, the radiograph image of the client (patient) 8 and the case radiograph image can be compared and displayed alternately. By this image switching, the client (patient) 8 can obtain a more accurate understanding of his / her teeth.

According to the principle of "patient-oriented", the left and right sides of the photograph are inverted from medical staff data such as medical records.

Step S18: Joint inspection of engagement In the "joint inspection of engagement", the following inspection is performed. a) Interview b) Muscle palpation c) TMJ d) Occlusal contact e) Anterior guidance f) Other occlusion

A) Interview The "interview" is performed at the beginning of the "joint inspection of meshing". In the "interview", first, a general explanation on the engagement is started. Since it is difficult to explain the cause of the abnormal engagement in a still image, an "animation" for automatically explaining the engagement is automatically displayed when the input screen of the interview related to the engagement is first displayed. I do. The input item of "interview" here is linked to the input content of "interview" in step S06, and the answer content thereof is automatically displayed. The client (patient) 8 watches the commentary animation, and then proceeds to step S06 “Interview”.
Respond based on the contents of the response in.

B) Muscle palpation In the "muscle palpation", a muscle stiffness which may occur due to meshing is palpated, and a dedicated muscle palpation screen (not shown) to which the corresponding muscle name is attached. Enter a check mark in the entry field.

C) TMJ Here, "TMJ" refers to a site (mandibular joint) where the lower and upper jaws are joined. In the input screen (not shown) relating to the TMJ, there is an area in which a video of the actual TMJ inspection situation is reproduced, and the dentist 6 can confirm the area if necessary.

D) Occlusal Contact If the meshing is incorrect, abnormal contact between the teeth when closing or moving the mouth occurs. In the occlusal contact input screen (not shown), when the client (patient) 8 closed the mouth normally, closed the mouth and put the chin forward, closed the mouth and moved the chin to the left When the mouth is closed and the jaw is moved to the right, the contact state between the teeth is confirmed in each of the above and the above cases, and a check mark is added to the position of the contacting tooth on the screen. On this screen, four occlusal surfaces (the state of the teeth when the mouth is opened) corresponding to the above four cases are displayed, and the corresponding portions of the occlusal surface are linked to the positions where the check marks are input. Is displayed on the screen. For example,
By coloring "blue" at a normal contact position and "red" at an incorrect contact position, the dentist 6 and the client (patient) 8 can visually confirm the overall state of the occlusal contact.

E) Anterior guidance On this input screen (not shown), the maximum width when the mouth is opened and the state when the side is moved are displayed as photographs.

Step S20: Joint Examination by Intraoral Examination Intraoral examination is performed by the dentist 6 directly examining the mouth of the client (patient) 8 using a probe (or the like). In this examination, since the client (patient) 8 is lying on the back of the dental treatment unit, the display screen 4 of the personal computer cannot be seen. Since the input to the input screen (not shown) in this examination is performed by the dental clinic staff, the function for the input by the dental clinic staff is prioritized.

In the "joint examination by intraoral examination", 32 teeth are divided into four parts vertically and horizontally, and an input screen is formed for every eight teeth. That is, an input area of eight teeth is displayed on one screen. In the input box for each tooth, an illustration of the tooth is displayed, and the data of the test that has been input before that is displayed as the state at the time of the test so far. In addition, hatched lines are displayed in the input fields of the teeth that cannot be input due to loss or the like. Data (for example, plaque) input on this screen is also displayed on the illustration at the same time as input.

Step S22: Joint examination of periodontal In "joint examination of periodontal", mainly, measurement of periodontal pocket for confirming the degree of periodontal disease and bleeding from gums for confirming the degree of gingivitis Confirmation and is performed.

A) Measurement of the periodontal pocket The measurement of the periodontal pocket is to insert a thin metal needle between the teeth and the gum and measure the depth thereof. For example,
There are a total of six measurement points for each tooth, three on each side on the front and back sides. For a person with 32 teeth, 4 for each of the four rows of upper maxillary, upper maxillary, lower maxillary, and lower mandibular teeth
Eight locations, a total of 192 locations, are measured.

The data relating to the measured periodontal pocket is:
It is input on the periodontal examination input screen shown in FIG.
In FIG. 8, the dentition on the upper labial side (maxillary table) and the upper lingual side (maxillary back) are displayed. Each tooth is represented by an illustration like the screens related to other joint examinations. Three input (measurement) points are set for each tooth. At each input point, as will be described later, it is set so that values such as: gingival line, periodontal pocket, and the like are input.

The value of the input gingival line and the value of the attachment loss are automatically plotted on the illustration, and two line graphs (gingival line line graph 66 and attachment loss line graph 68) are based on them.
Is automatically created immediately. Here, the “attachment loss” is a value obtained by an equation of “attachment loss” = “gingival line” + “pocket”.

As shown in the illustration of FIG. 8, the tooth root of the molar part is branched into two or three. Severe periodontal disease may result in gaps at the bifurcation. When the bifurcation is measured on the molars of the client (patient) 8, data is input to the “branch” input field 70 on the screen. Further, a predetermined mark (mark) is shown at a position where a gap between the branch portions occurs in the illustration of the tooth.

B) Confirmation of bleeding from gums It is generally said that the degree of progression of periodontal disease can be diagnosed by gingivitis, and gingivitis is confirmed as bleeding from gums. The periodontal examination input screen in FIG. 8 is set so that data can be input for the bleeding state from the gum at the levels of “1”, “2”, and “3”.
In accordance with the levels of “1”, “2”, and “3”, marks are marked in red on a part of the surface of the row of teeth 4 in red.

Step S24: Good Smile
(Good Smile) Joint Examination "Good Smile Joint Examination" analyzes not only the function of the oral cavity but also the smile of the client (patient) 8. The client (patient) 8 and the dentist 6 jointly analyze and input while viewing the image of the photograph of the smiling face of the client (patient) 8 on the display screen 4. FIG. 9 shows Good Smil.
It is an example of a joint inspection input screen of e (good smile).
The screen in FIG. 9 includes a good smile inspection input screen section 82 and a good smile display screen section 84.

On the good smile display screen section 84, a photograph of a smile of the client (patient) 8 which has been photographed, digitized, and stored in advance is displayed (however, not shown in FIG. 9). For example, three types of smile pictures are taken in advance. A photo taken with the instruction "Please laugh with the upper and lower teeth separated from each other", a photo taken with the instruction "Please smile a little bigger (than above)" Please laugh with your face as much as possible. " The display switching of the above three types of photos is performed by clicking the image switching button 86 arranged at the upper right of the good smile inspection input screen section 82.
At the same time as the display switching of the three types of photos, an inspection item corresponding to the screen content after the switching is displayed on the good smile inspection input screen section 82. The dentist 6 and the dental clinic staff, together with the client (patient) 8, give an answer (mark) to the display items on the good smile examination input screen section 82 while looking at the picture of the smile displayed on the good smile display screen section 84. To go.

Step S26: Output of Test Results The contents (data) input in the joint test between the dentist 6 and the client (patient) 8 are switched to the screen for output of test results, so that all (32) teeth are output. Can be checked in a list. That is, on the screen related to the inspection result output, a list of 32 teeth is displayed.

Screens relating to the output of examination results are divided into: (outputs) (screens) for use by dental clinic staff as dental clinic data; and (outputs) for confirmation with the client (patient) 8. I have. These can be first displayed on the screen of a personal computer to check the contents. Further, it can be printed and used, for example, as supplementary data of a medical chart or as a record for taking back the client (patient) 8. In the output for use by the dental clinic staff as dental clinic data, the left and right arrangement of the teeth matches the arrangement in the conventional chart. There, many items are displayed in one output, and technical terms are frequently used. On the other hand, in the output data for checking with the client (patient) 8, the left and right positions of the teeth are all inverted from the chart, so that the client (patient) 8 looks in the same way as looking in a mirror. Can be. The displayed contents are narrowed down, and it is avoided that a lot of information is presented at once. In addition, general easy-to-understand expressions are used instead of technical terms.

FIGS. 10 and 11 are a part of an output screen for confirming with the client (patient) 8, FIG. 10 is a screen showing the state of the tooth and the restoration, and FIG. 11 is a perio chart. The period chart of FIG.
22 for outputting a "joint examination on periodontal" (FIG. 8) for the client (patient).

[Other Embodiments] On the input screen of “Joint examination by photograph” in FIG. 5, five photographs taken, that is, the teeth of the front, the left and right side surfaces and the occlusal surfaces of the upper and lower jaws in the oral cavity are displayed. The picture is displayed in the reduced image section 32 at the top of the picture display screen section 22, and the designated picture among the five pictures is
It is displayed on a normal image section 34 which is located below the picture display screen section 22 and occupies most of the picture display image section 22.

In another preferred embodiment according to the present invention, the photographs of the five teeth of the front, left and right side surfaces and the occlusal surface of the upper and lower jaws in the oral cavity can be developed and displayed as shown in FIG. it can. That is, a front photograph 90 is arranged at the center of the image portion, and similarly, a left photograph 92 is located on the left and a right photograph 9 is located on the right.
4. The upper jaw photograph 96 is arranged at the upper part, and the lower jaw photograph 98 is arranged at the lower part.

When the treatment for the client (patient) 8 takes a long time, there are often a plurality of times (time points) for taking a photograph. Photographed images at any two points in time can be selected and displayed vertically for comparison as shown in FIG. In this screen, the upper half is a photographed image at one point in time, and the lower half is a photographed image at another point in time. In this screen, when a photograph (image thereof) is clicked with the mouse 10, the photograph and a photograph at another time point showing the same part are set so as to be displayed in an enlarged manner vertically. FIG. 14 shows an example of the enlarged display.
When one of the upper and lower front images is clicked in the image of FIG. 13, the image is displayed as shown in FIG.

[0080]

According to the present invention, the following effects can be obtained.

Since the dentist inputs the patient's dental examination data while sharing the recognition of the patient's medical condition with the patient, it is possible to keep the patient himself motivated to keep his teeth and oral cavity healthy.

Since the image data relating to the patient's teeth can be inverted left and right or up and down, an image which is easy for the patient to see and understand can be provided.

When displaying the front, left and right side and the occlusal surface of the upper and lower teeth in the oral cavity of the patient, the photograph of the frontal tooth in the oral cavity of the patient is arranged at the center of the photograph display portion on the display screen. Further, the left side photograph is on the left side of the front side photograph, the right side photograph is on the right side of the front side photograph,
The tooth photograph of the maxillary occlusal surface is arranged above the frontal tooth photograph, and the tooth photograph of the lower occlusal surface is arranged below the frontal tooth photograph. Therefore, the patient can easily understand the tooth photograph data. In addition, regarding these tooth photographs, the tooth photograph at two points in time can be displayed in comparison with the part divided above and below the photograph display part on the display screen, so that the motivation of the patient who keeps the teeth and the oral cavity healthy is maintained. Can be done.

On the display screen of the examination data, data (for example, values relating to the gingival line) are displayed in a graph superimposed on the illustration representing the tooth, so that the patient can easily understand his / her periodontal condition. Further, since the illustrations representing the teeth are different for each of the 32 teeth, the patient can easily understand the teeth, and the dentist and the dentist staff can significantly reduce mistakes in the data input for the teeth to be input.

[Brief description of the drawings]

FIG. 1 is an overall view relating to steps (processes) showing an overall configuration of an operation of a dental joint inspection system as a preferred embodiment according to the present invention.

FIG. 2 is an example of a sketch drawing of a dentist and a client (patient) using the joint dental examination system according to the present invention.

FIG. 3 is an example of a patient selection screen.

FIG. 4 is an example of an interview screen displaying a question.

FIG. 5 is an example of an input screen in a joint inspection using photographs.

FIG. 6 is an example of an input screen in a joint inspection using a model.

FIG. 7 is an example of an input screen in a joint examination by radiographs.

FIG. 8 is an example of an input screen in a joint examination on periodontal.

FIG. 9 is an example of an input screen in a joint inspection of Good Smile.

FIG. 10 is an example of a result output screen showing the state of a tooth and restoration.

FIG. 11 is an example of a result output screen showing a Perio chart.

FIG. 12 is an example (1) of an expanded display screen of photographs of five teeth on the front, left and right side surfaces, and upper and lower jaw occlusal surfaces in the oral cavity.

FIG. 13 is an example (2) of a developed display screen of photographs of five teeth on the front, left and right side surfaces, and upper and lower jaw occlusal surfaces in the oral cavity.

FIG. 14 is an example of a display screen of a photograph of a tooth compared and compared.

FIG. 15 shows an example of a hardware configuration of a dental joint inspection system which is a preferred embodiment according to the present invention.

[Explanation of symbols]

2 ... Dental joint examination system, 4 ... Display screen, 6 ... Dentist, 8 ... Client (patient), 10 ... Mouse, 12 ... Kana button, 14
... Client list, 18 ... Environmental video, 20
... Photo inspection input screen section, 22 ... Photo display screen section, 24 ... Tooth designation section, 26 ... Other layout screen move button, 28 ... Illustration, 30 ...
・ Right and left inverted message, 32 ・ ・ ・ Reduced image part, 34 ・
..Normal image part, 36...
・ Upside down button, 40 ・ ・ ・ Model inspection input screen part, 4
2 ... case display screen section, 44 ... illustration, 46 ... case designation section, 48 ... case image section, 5
0: left / right non-inverted message, 54: radiographic examination input screen, 56: radiographic display screen, 58: case designator, 60: illustration, 62: reduced radiograph Image part, 64 ...
Normal X-ray image part, 66 ... gingival line line graph, 68 ... attachment loss line graph, 70
..Branch section input column display section, 82: Good smile inspection input screen section, 84: Good smile display screen section
86 ... image switching button, 90, 90 '... front view, 92, 92' ... left side view, 94, 94 '...
Right side photograph, 96, 96 '... Upper jaw photograph, 98, 98'
... lower jaw photos.

 ────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Masayoshi Shinda 3-1-1-11-11 Kamishinjo, Higashiyodogawa-ku, Osaka-shi F-term (reference) 4C052 AA20 FF07 LL01 NN04 NN15

Claims (10)

[Claims] An input unit for inputting inspection data composed of dental inspection data, a recording unit for recording data relating to dental inspection, an inspection data input by the input unit, and an inspection data recorded on the recording unit In a dental co-examination system having a display screen for displaying data related to a dental examination, a dentist or a dentist staff inputs dental examination data of the patient while sharing recognition of the input contents with the patient. Dental joint inspection system. 2. On the display screen, image data obtained by a past dental examination and an image indicating a button are displayed. When the button is clicked by a pointer controlled by a mouse, the front and back of the image data are displayed. Is displayed on the display screen after being reversed in the horizontal direction, and the display screen includes a notification portion indicating which of the front and back the image data displayed on the display screen is. The dental joint inspection system according to 1. 3. The display screen displays image data obtained by past dental examinations and an image indicating a second button, and when the second button is clicked by a pointer controlled by a mouse. The dental joint inspection system according to claim 1, wherein the front and back of the image data are displayed on the display screen in a vertically inverted state. 4. The dental joint examination system according to claim 3, wherein a notification portion indicating whether the image data displayed on the display screen is on the front or the back is included in the display screen. 5. When displaying a tooth photograph of the front, left and right side surfaces and upper and lower jaw occlusal surfaces in a patient's mouth, a front tooth photograph in the patient's mouth is arranged at the center of the photograph display part of the display screen. The left side photograph is on the left side of the frontal photograph, the right side photograph is on the right side of the frontal photograph, the maxillary occlusal tooth is on the top of the frontal photograph, and the lower occlusal surface is The dental co-examination system according to claim 1, wherein the tooth photograph is arranged below the front tooth photograph. 6. When displaying a tooth photograph of the front, left and right side surfaces, and the occlusal surface of the upper and lower foreheads at two points in time for one patient, the photograph display portion of the display screen is divided into two parts vertically, and A tooth photograph of the front, left and right side surfaces and the upper and lower forehead occlusal surfaces in the oral cavity at one time point is displayed on the other time point, and a tooth photograph of the frontal, right and left side surfaces and the upper and lower forehead occlusal surface in the oral cavity at another time point are displayed on the other time point. In each of the above-mentioned two divisions of the photo display portion of the display screen, the tooth photograph on the left side is located on the left side of the front tooth photograph,
The tooth photograph on the right side is located on the right side of the front tooth photograph, the tooth photograph on the maxillary occlusal surface is located above the front tooth photograph, and the tooth photograph on the mandibular occlusal surface is located below the front tooth photograph. The dental joint inspection system according to 1. 7. A photograph displayed on the display screen of one of the frontal, left and right side surfaces and an occlusal surface of the upper and lower foreheads at one time of one patient when the mouse is clicked by a pointer controlled by a mouse. Only the clicked tooth photograph and only the tooth photograph at the other time of the same part as the tooth photograph are displayed in comparison with each of the two divisions of the photograph display part on the display screen. The dental joint inspection system according to claim 6, wherein 8. On the display screen, the inspection data inputted by the input means or the data relating to the dental examination recorded in the recording means is superimposed on a tooth diagram showing the shape of a tooth and displayed in a graph. The dental joint inspection system according to claim 1. 9. The recording means includes data relating to 32 types of tooth diagrams representing 32 teeth normally provided by a human, and is input by the input means for each of the 32 types of tooth diagrams. The dental joint inspection system according to claim 1, wherein data corresponding to each tooth among the inspection data and the data relating to the dental inspection recorded in the recording unit is displayed in association with each other. 10. A recording medium on which is recorded a program code of a computer program for operating the dental joint examination system according to claim 1.