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[0001] The invention relates generally to a method and apparatus for locating brackets to be placed on patients' teeth via indirect bonding; more particularly to a system, method and apparatus for automatically marking located bracket positions on a study cast subsequent to electronically determining the bracket locations on a scanned image of the teeth; and more particularly still an image driven system for manipulating the scanned image of teeth to a final position, electronically marking the placement of brackets in the finished position, and automatically marking a study cast with the selected electronic positions.
[0002] Dental study casts are an integral part of a dentist's understanding of how a patient's teeth and bite function in a static relationship. This static relationship serves three important functions. The primary function is one of a diagnostic function for interpretation of any discrepancies or problems that exist within the bite relationship. The second function is educational. For example, the study casts provide better communication as a concrete model while helping the patient understand any discrepancies that may exist in the way their teeth function in that static relationship. Third, the dental study casts serve an important medical/legal function in defining the pre-existing static bite relationship prior to the performance of any work. This work can be defined either from an oral surgical standpoint, prosthetic standpoint or orthodontic/periodontal standpoint.
[0003] Yet another function is to provide a model when creating orthodontic devices. In the prior art, impressions are taken of the patient's teeth with a study cast or model taken from the impression. It is also known that either the impression and/or study cast can be electronically digitized. For example, U.S. Pat. No. 6,217,334, commonly assigned to the assignee of the present application describes a scanning process. U.S. Pat. No. 6,217,334 is hereby incorporated herein by reference and made a part hereof. By digitizing the model, a set of electronic data of the patient's teeth and surrounding soft tissue is created which can be electronically manipulated, displayed, stored and transmitted.
[0004] Bonding brackets to teeth for the purpose of orthodontic treatment is known. One method of securing the brackets to the teeth comprises manually locating the brackets by hand. Another method involves manually placing the brackets on a model of the patient's teeth, transferring the brackets to a tray and transferring the brackets from the tray to the correct location on the patient's teeth. This latter method is commonly known as indirect bonding. While indirect bonding generally provides an accurate location of the brackets, it does not take advantage of advances in the electronic imaging of teeth.
[0005] Therefore, there arises a need in the art to provide a system for providing a scanned image set of data of a patient's teeth, displaying the scanned image set to generate a virtual model, storing the finish positions of the virtual model teeth after manipulation of the teeth into a final desired position, storing electronically generated bracket marker points on the teeth of the virtual model (e.g., where the physical brackets may be placed in order to move the physical teeth into a final, desired position), and automatically marking the physical location of the marker points on a model, wherein an indirect bonding tray can be created. The present invention directly addresses and overcomes the shortcomings of the prior art.
[0006] The present invention provides for an imaging and marking system for locating the physical placement location of a plurality of brackets on a patient's study cast. In one preferred embodiment of the present invention, the system may include a three-dimensional scanner; a computer including a processor, memory associated with the processor, one or more input devices, and a video display unit; and a marking device.
[0007] The scanner functions to gather an array of data points from the impression and/or study cast. The computer generates a virtual model of from the array of scanned data points. The marking device takes the locations identified by the orthodontist from the virtual model and transfers the data to the physical model.
[0008] After the array of data points is collected and the computer generates an image of a virtual model, the virtual model is displayed on the video display unit for the orthodontist, dentist or other medical professional (hereafter collectively referred to as “orthodontist”) to review. Each tooth that is desired to be moved by the orthodontist in an orthodontic treatment plan may be manually severed or “cut” from the other portions of the virtual model. Accordingly, the virtual model becomes segmented into a plurality of virtual model teeth, each of which may be manually dragged with a computer input device by the orthodontist from a starting position (e.g., that position where the tooth originally begins) to a finished position (e.g., the position that the tooth will be physically located at the end of the treatment plan). The computer stores the beginning and ending vectors of each manipulated teeth.
[0009] When each of the desired teeth have been manipulated into the desired finished locations, the orthodontist points and clicks with a marking tool on the position of the tooth where a physical bracket may be located to induce the necessary forces on the tooth to move the physical tooth from the starting position to the finished position. This point is also stored in memory by the computer. The computer then determines the starting positions of the plurality of teeth and may display the same. An output file of the bracket marker locations is transmitted to the marking device.
[0010] The marking device takes the output file and physically marks a physical model with the bracket location information. The marking device may take the form of a pen or other device which provides visually perceptible indicia of the bracket placement. The marker device may constitute a robotic arm which moves about the fixed model marking the known coordinates from the output file. Alternatively, the marker device may have a fixed marking device and move the model into engagement with the marking device or both the marking device and the model may move into engagement with one another.
[0011] Subsequent to the marking operation, the model can serve as a template or guide to locate brackets for an indirect bonding style tray. In this manner, the placement of brackets is improved.
[0012] According to one aspect of the invention, there is provided a computer implemented method of automatic marking of locations on a study cast for creation of an indirect bonding tray, the method comprising: displaying an electronic model image corresponding to the actual study cast of a patient with the individual teeth in starting positions; storing an array of start coordinates for the individual teeth; storing an array of finish coordinates once the teeth are moved to finish locations; storing an array of bracket mark locations for one or more individual teeth with respect to the finish locations; and calculating the bracket mark locations in connection with the start locations based on the stored start and finish coordinates, wherein the bracket mark locations can be viewed with the teeth in the start locations.
[0013] According to another aspect of the invention, there is provided a method as recited in the preceding paragraph and further comprising the step of generating an output file with the bracket mark locations in connection with the start locations and transmitting the output file to a marking device for marking a study cast with the bracket mark locations. According to yet another aspect, there is provided the foregoing method further comprising the step of manually cutting the teeth into individual teeth from the electronic model image.
[0014] Accordingly to yet another aspect of the invention, there is provided a system for marking of locations on a study cast for creation of an indirect bonding tray, the apparatus comprising: means for displaying an electronic model image corresponding to the actual study cast of a patient with the individual teeth in starting positions; means for storing an array of start coordinates for the individual teeth; means for storing an array of finish coordinates once the teeth are moved to finish locations; means for storing an array of bracket mark locations for one or more individual teeth with respect to the finish locations; and means for calculating the bracket mark locations in connection with the start locations based on the stored start and finish coordinates, wherein the bracket mark locations can be viewed with the teeth in the start locations.
[0015] Another feature of the present invention is the optional automation of the cutting function between the teeth of interest. In this embodiment, the system constructed in accordance with the principles of the present invention includes a computing system that is programmed for automatically determining the location of individual teeth within an electronic model image of a patient's mouth to allow the manipulation of the electronic model images by end users. The method and apparatus determines possible horizontal cut lines within a horizontal plane cut through the electronic model image corresponding to possible separation lines between teeth, determines possible vertical cut lines within a vertical plane cut through the electronic model image corresponding to possible separation lines between teeth, and automatically determines the locations of individual teeth using the possible horizontal cut lines and the possible vertical cut lines.
[0016] While the invention will be described with respect to a preferred embodiment configuration and with respect to particular devices used therein, it will be understood that the invention is not to be construed as limited in any manner by either such configuration or components described herein. Also, while the particular types of scanning devices, input devices, and marking device used in the preferred embodiment are described herein, it will be understood that such particular components are not to be construed in a limiting manner. Instead, the functionality of those devices should be appreciated. Further, while the preferred embodiment of the invention will be described in relation to cutting and moving teeth in a digitized image in order to locate brackets for use in orthodontic treatments, it will be understood that the scope of the invention is not to be so limited. The principles of the invention apply to the use of cutting, moving and marking a digitized image for later use in a physical model. These and other variations of the invention will become apparent to those skilled in the art upon a more detailed description of the invention.
[0017] The advantages and features which characterize the invention are pointed out with particularity in the claims annexed hereto and forming a part hereof. For a better understanding of the invention, however, reference should be had to the drawing which forms a part hereof and to the accompanying descriptive matter, in which there is illustrated and described a preferred embodiment of the invention.
[0018] Referring to the drawing, wherein like numerals represent like parts throughout the several views:
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[0035] Although the present invention will be described with respect to digitizing the model, it should be appreciated that the principles of the present invention may be applied to a digitized impression. In the latter case, a computer can invert the scanned impression to provide a positive image of the patient's teeth.
[0036] Referring first to
[0037] At block
[0038] Next at block
[0039] At block
[0040] In the preferred embodiment, a software package which may be used to generate three dimensional images from the line scan data is the package under the designation “e-Modeler” by the assignee hereof, Geodigm Corporation. Other scanning packages such as the DataSculpt software available from Laser Design Inc. of Minneapolis, Minn. might also be used.
[0041] At block
[0042] At block
[0043] The moved individual teeth
[0044] At block
[0045] At block
[0046] Referring more specifically to
[0047] It will be appreciated by those of skill in the art that the computer
[0048] As discussed above, marker device
[0049] Fabrication device
[0050] In operation the scan data is generated by the scanner
[0051] The programming operation of the processor
[0052] Referring to
[0053] As noted above, one manner in which the teeth may be manipulated is to virtually cut between the teeth by drawing a “cut” line between the teeth which should be separated. It will be appreciated that this is accomplished by pointing and clicking using a separate tool in a cad/cam type library. By using these types of tools, the objects are released from their static relationship to other objects and the released object may be moved. Other manners of segmenting the teeth will be described in the alternative embodiment described below.
[0054] At
[0055] Alternative Embodiment
[0056] An alternative manner in which the teeth may be manipulated is next described. In this embodiment, there is provided a system, method and article of manufacture for automatic determination of the location of individual teeth within an electronic model image of a patient's mouth to allow the manipulation of the electronic model images by end users.
[0057]
[0058] Once the electronic model has been generated for the impression, the locations of the individual teeth need to be determined. This location identification may occur using manually specified locations entered into a computing system by a user. Alternatively, these locations may be automatically determined using information contained within the electronic model. Once the locations of the teeth are known, the electronic model may be cut into a set of individual teeth images
[0059]
[0060] With reference to
[0061] The personal computer
[0062] Although the exemplary environment described herein employs a hard disk, a removable magnetic disk
[0063] A number of program modules may be stored on the hard disk, magnetic disk
[0064] The personal computer
[0065] When used in a LAN networking environment, the personal computer
[0066] Additionally, the embodiments described herein are implemented as logical operations performed by a computer. The logical operations of these various embodiments of the present invention are implemented (1) as a sequence of computer implemented steps or program modules running on a computing system and/or (2) as interconnected machine modules or hardware logic within the computing system. The implementation is a matter of choice dependent on the performance requirements of the computing system implementing the invention. Accordingly, the logical operations making up the embodiments of the invention described herein can be variously referred to as operations, steps, or modules.
[0067]
[0068] This minimum horizontal separation distance may be a fixed minimum number for all patients as all teeth are expected to be greater than some minimum size. This minimum horizontal separation distance may also be a specified minimum size based upon the known size of the patient's mouth. This variation will account for scaling of minimum tooth sizes based upon the general idea that individual patient's with larger mouths will generally possess larger teeth. Additionally, the minimum horizontal separation distance may also be determined by using knowledge of the type of teeth known to exist in various portions of the mouth. For example, teeth that are expected to be located between back edge
[0069]
[0070] The process of looking for these locally minimum distances may be performed at several horizontal height locations between the model base element and the tooth peaks. By finding cut lines at various horizontal locations, separation planes between the teeth may be specified. These various cuts should be made a locations that are centered upon the known spacing between the model base element and the peak of the teeth. If the horizontal cut is made close to the model base element, many teeth may be located so close together that accurate separation of the teeth may not be possible. If the horizontal cut is made too close to the peak of the teeth, features of the crowns of the teeth may be mistaken for separation between the teeth.
[0071]
[0072] A similar situation may arise in determining cut line
[0073] A third possible situation may arise as is illustrated by cut line
[0074] If a system combines the cut lines determined using both the horizontal element processing shown in
[0075] Once many of the locations of teeth are determined using just the vertical and horizontal processing described above, the locations of other teeth may be estimated using additional information. For example, if the number of teeth known to be present is considered, the number of teeth not found using the above process may be determined. The locations of the known teeth may suggest regions where no known teeth were found. Using these additional pieces of information may allow the remaining possible cut lines found in the horizontal and vertical processing to be ranked to locate the most likely location in a region where teeth were not found to propose the most likely remaining cut line locations.
[0076]
[0077] These computing systems typically possess a mechanism to communicate with other computing systems over a communications network
[0078] In an image-based electronic model image system, an end user
[0079] The electronic model images themselves consist of a data file stored on the server
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[0081] The model base identification module
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[0083] Module
[0084] Once some of the teeth are identified, module
[0085] These regions containing possible unidentified teeth are then searched in module
[0086] If test module
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[0088] The invention may also be described in the general context of computer-executable instructions, such as program modules, executed by one or more computers or other devices. Generally, program modules include routines, programs, objects, components, data structures, etc. that perform particular tasks or implement particular abstract data types. Typically the functionality of the program modules may be combined or distributed in desired in various embodiments.
[0089] A network server
[0090] Communication media typically embodies computer readable instructions, data structures, program modules or other data in a modulated data signal such as a carrier wave or other transport mechanism and includes any information delivery media. The term “modulated data signal” means a signal that has one or more of its characteristics set or changed in such a manner as to encode information in the signal. By way of example, and not limitation, communication media includes wired media such as a wired network or direct-wired connection, and wireless media such as acoustic, RF, infrared and other wireless media. Combinations of any of the above should also be included within the scope of computer readable media.
[0091] The foregoing description of the exemplary embodiments of the invention has been presented for the purposes of illustration and description. They are not intended to be exhaustive or to limit the invention to the precise forms disclosed. Many modifications and variations are possible in light of the above teaching. It is intended that the scope of the invention be limited not with this detailed description, but rather by the claims appended hereto.