WO2007059993A2 - Method and device for detecting dental cavities - Google Patents

Method and device for detecting dental cavities Download PDF

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Publication number
WO2007059993A2
WO2007059993A2 PCT/EP2006/011295 EP2006011295W WO2007059993A2 WO 2007059993 A2 WO2007059993 A2 WO 2007059993A2 EP 2006011295 W EP2006011295 W EP 2006011295W WO 2007059993 A2 WO2007059993 A2 WO 2007059993A2
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WO
WIPO (PCT)
Prior art keywords
caries
detecting
dental caries
oral cavity
gaseous
Prior art date
Application number
PCT/EP2006/011295
Other languages
German (de)
French (fr)
Other versions
WO2007059993A3 (en
Inventor
Wolfgang Arnhold
Original Assignee
Wolfgang Arnhold
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Wolfgang Arnhold filed Critical Wolfgang Arnhold
Publication of WO2007059993A2 publication Critical patent/WO2007059993A2/en
Publication of WO2007059993A3 publication Critical patent/WO2007059993A3/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Detecting, measuring or recording devices for evaluating the respiratory organs
    • A61B5/082Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4542Evaluating the mouth, e.g. the jaw
    • A61B5/4547Evaluating teeth

Definitions

  • the invention relates to a method and a device for recognizing dental caries and, in particular, also for detecting a single caries-affected area on a tooth in the early stage.
  • Dental caries is the most common dental disease due to loss of substance to dental hard tissues due to a chronic disintegrating process.
  • the starting point of dental caries is bacterial plaque, under the demineralizing influence of which the dental caries first appears as a white spot. Progressively softens then the hard tooth substance.
  • the invention has for its object to provide a method and a device by means of which it is possible to recognize dental caries already at an early stage of their formation.
  • the invention with the features of claim 1 provides that the air or gaseous microflora located in the oral cavity is examined or analyzed for caries-typical molecules / gas fractions and that the result is displayed.
  • the device for detecting dental caries comprises according to the invention a bite-sized gas analyzer and a display device.
  • the device also has a bite-sized collection device at the same time.
  • the gas testing device and the display device and possibly also the gas collecting device are combined in such a compact device that the subject receives the result directly during the investigation.
  • the device is so small and handy that it can also be used directly in the area of the oral cavity.
  • the invention thus provides a method and a device - also for early detection - of dental caries available, so that it is possible to detect a carious involvement of a tooth immediately and completely remedy.
  • it is known to identify caries optically or in other ways, with the condition, however, has been that the dental caries is already relatively advanced. In these known cases, it was regularly necessary to remove even more tooth material and fill the tooth opening with a replacement material or close.
  • incipient dental caries can be recognized at an extremely early stage, so that fundamentally well-known and good treatment methods can be used in a targeted manner to fully repair the damage.
  • a dental caries in non-visible areas such as in the field of interdental spaces and on and under dentures, earlier than previously and especially at an early stage can be detected and located.
  • conventional Detection method such as the X-ray, an infestation is only localize when about 30% of the tooth material is already destroyed by dental caries.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Physiology (AREA)
  • Pulmonology (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Sampling And Sample Adjustment (AREA)
  • Investigating Or Analysing Biological Materials (AREA)

Abstract

The invention relates to a method for detecting dental cavities, enabling the detection of dental cavities at a very early stage using especially simple means. According to the invention, the air or gaseous microflora in the oral cavity is examined and analysed for gas constituents or molecules typical of cavities and the result is then displayed.

Description

Beschreibung Verfahren und Vorrichtung zum Erkennen von Zahnkaries Description Method and device for detecting dental caries
Die Erfindung betrifft ein Verfahren und eine Vorrichtung zum Erkennen von Zahnkaries und insbesondere auch zum Erkennen einer einzelnen von Karies befallenen Stelle an einem Zahn im Frühstadium.The invention relates to a method and a device for recognizing dental caries and, in particular, also for detecting a single caries-affected area on a tooth in the early stage.
Zahnkaries ist die häufigste Zahnkrankheit infolge von Substanzverlust an Zahnhartgeweben durch einen chronisch zersetzenden Prozess. Ausgangspunkt der Zahnkaries ist bakterieller Zahnbelag, unter dessen demineralisierendem Einfluss sich die Zahnkaries zunächst als weißer Fleck zeigt. Fortschreitend erweicht dann die Zahnhartsubstanz.Dental caries is the most common dental disease due to loss of substance to dental hard tissues due to a chronic disintegrating process. The starting point of dental caries is bacterial plaque, under the demineralizing influence of which the dental caries first appears as a white spot. Progressively softens then the hard tooth substance.
Der Erfindung liegt die Aufgabe zugrunde, ein Verfahren und eine Vorrichtung anzugeben, mit deren Hilfe es möglich ist, Zahnkaries bereits in einem frühen Stadium ihrer Bildung zu erkennen.The invention has for its object to provide a method and a device by means of which it is possible to recognize dental caries already at an early stage of their formation.
Zur Lösung dieser Aufgabe sieht die Erfindung mit den Merkmalen von Patentanspruch 1 vor, dass die in der Mundhöhle befindliche Luft bzw. gasförmige Mi- kroflora auf karies-typische Moleküle / Gasanteile untersucht bzw. analysiert wird und dass das Ergebnis angezeigt wird.To achieve this object, the invention with the features of claim 1 provides that the air or gaseous microflora located in the oral cavity is examined or analyzed for caries-typical molecules / gas fractions and that the result is displayed.
Die Lösung des Problems beruht somit auf der Erkenntnis, dass die gasförmigen Umwandlungsprodukte beim Vorhandensein von Zahnkaries bzw. von kariesverursachenden Bakterien andersartig sind als andere, geruchsbildende Verursacher im Bereich der Mundhöhle. Es geht aus diesem Grund darum, festzustellen, ob kariesbedingte, gasförmige Produkte grundsätzlich in der Mundhöhle vorhanden sind und in Weiterbildung der Erfindung wird unmittelbar die mit Zahnkaries befallene Stelle / Stellen von einem oder mehreren Zähnen genau lokalisiert, wobei dies auch bereits in einem Frühstadium geschieht. In Weiterbildung der Erfindung ist ferner vorgesehen, dass die Anzeige für das Vorhandensein bestimmter Gasprodukte optisch und/oder akustisch erfolgt.The solution to the problem is thus based on the finding that the gaseous conversion products in the presence of dental caries or caries-causing bacteria are different than other, odor-causing causative agents in the oral cavity. It is therefore for this reason to determine whether caries-related, gaseous products are basically present in the oral cavity and in the invention of the invention directly infected with dental caries body / points of one or more teeth is precisely located, and this is already happening in an early stage , In a further development of the invention, it is further provided that the display for the presence of certain gas products takes place optically and / or acoustically.
Die Vorrichtung zum Erkennen von Zahnkaries umfasst erfindungsgemäß eine mundgerechten Gasanalysator und eine Anzeigeeinrichtung.The device for detecting dental caries comprises according to the invention a bite-sized gas analyzer and a display device.
In Weiterbildung der Erfindung ist ferner vorgesehen, dass die Vorrichtung zugleich auch eine mundgerechte Sammeleinrichtung aufweist.In a further development of the invention it is further provided that the device also has a bite-sized collection device at the same time.
Die Gasprüfeinrichtung und die Anzeigeeinrichtung und ggf. zugleich auch die Gassammeleinrichtung sind derart zu einem kompakten Gerät zusammengefasst, dass der Proband das Ergebnis unmittelbar während der Untersuchung erhält. Dabei ist das Gerät derart klein und handlich, dass es auch unmittelbar im Bereich der Mundhöhle verwendet werden kann.The gas testing device and the display device and possibly also the gas collecting device are combined in such a compact device that the subject receives the result directly during the investigation. The device is so small and handy that it can also be used directly in the area of the oral cavity.
Die Erfindung stellt somit ein Verfahren und eine Vorrichtung - auch zur Früherkennung - von Zahnkaries zur Verfügung, so dass es möglich ist, einen kariösen Befall eines Zahnes sofort zu erkennen und vollständig zu beheben. Grundsätzlich ist es bekannt, Karies auf optischem Wege oder auch auf andere Weise zu identifizieren, wobei Voraussetzung jedoch bisher war, dass die Zahnkaries bereits relativ weit fortgeschritten ist. In diesen bekannten Fällen war es regelmäßig notwendig, noch weiteres Zahnmaterial zu entfernen und die Zahnöffnung mit einem Ersatzwerkstoff zu füllen bzw. zu schließen. Im Gegensatz dazu lässt sich erfindungsgemäß eine beginnende Zahnkaries in einem extrem frühen Stadium erkennen, so dass dann grundsätzlich bekannte sowie gute Behandlungsmethoden zur vollständigen Behebung des Schadens gezielt eingesetzt werden können.The invention thus provides a method and a device - also for early detection - of dental caries available, so that it is possible to detect a carious involvement of a tooth immediately and completely remedy. Basically, it is known to identify caries optically or in other ways, with the condition, however, has been that the dental caries is already relatively advanced. In these known cases, it was regularly necessary to remove even more tooth material and fill the tooth opening with a replacement material or close. In contrast, according to the invention, incipient dental caries can be recognized at an extremely early stage, so that fundamentally well-known and good treatment methods can be used in a targeted manner to fully repair the damage.
Wesentlich ist in diesem Zusammenhang schließlich, dass auch eine Zahnkaries an nicht sichtbaren Stellen, wie zum Beispiel im Bereich von Zahnzwischenräumen und an und unter Zahnersatz, früher als bisher und insbesondere auch im Frühstadium erkannt und lokalisiert werden können. Bei herkömmlichen Erkennungsverfahren, wie z.B. beim Röntgen, ist ein Befall erst dann zu lokalisieren, wenn ca. 30% des Zahnmaterials bereits durch Zahnkaries zerstört sind. It is essential in this context, finally, that a dental caries in non-visible areas, such as in the field of interdental spaces and on and under dentures, earlier than previously and especially at an early stage can be detected and located. In conventional Detection method, such as the X-ray, an infestation is only localize when about 30% of the tooth material is already destroyed by dental caries.

Claims

Ansprüche claims
1. Verfahren zum Erkennen von Zahnkaries, dadurch gekennzeichnet, dass die in der Mundhöhle befindliche Luft bzw. gasförmige Mikroflora auf ka- ries-typische Gasanteile bzw. Moleküle untersucht bzw. analysiert wird und dass das Ergebnis angezeigt wird.1. A method for detecting dental caries, characterized in that the air or gaseous microflora located in the oral cavity is examined or analyzed for kohl-typical gas components or molecules and that the result is displayed.
2. Verfahren nach Anspruch 1 , dadurch gekennzeichnet, dass die in der Mundhöhle befindliche Luft / gasförmige Mikroflora gesammelt und sodann untersucht und das Ergebnis angezeigt werden.2. The method according to claim 1, characterized in that the air / gaseous microflora located in the oral cavity are collected and then examined and the result displayed.
3. Verfahren nach Anspruch 1 , dadurch gekennzeichnet, dass die Anzeige optisch und/oder akustisch erfolgt.3. The method according to claim 1, characterized in that the display is optically and / or acoustically.
4. Vorrichtung zum Erkennen von mindestens einem mit Karies befallenen Zahn, gekennzeichnet durch einen bezüglich seiner Größe mundgerechten Gasanalysator und eine zugehörige Anzeigeeinrichtung.4. A device for detecting at least one caries-affected tooth, characterized by a bite-sized gas analyzer with respect to its size and an associated display device.
5. Vorrichtung nach Anspruch 4, dadurch gekennzeichnet, dass der Gasanalysator / die Gasprüfeinrichtung und die Anzeigeeinrichtung zu einem kompakten Gerät zusammengefasst sind. Vorrichtung nach Anspruch 4, dadurch gekennzeichnet, dass zusätzlich eine mundgerechte Gassammeieinrichtung vorgesehen ist. 5. Apparatus according to claim 4, characterized in that the gas analyzer / the gas testing device and the display device are combined to form a compact device. Apparatus according to claim 4, characterized in that in addition a bite-sized Gassammeieinrichtung is provided.
PCT/EP2006/011295 2005-11-24 2006-11-24 Method and device for detecting dental cavities WO2007059993A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102005056293.0 2005-11-24
DE102005056293A DE102005056293A1 (en) 2005-11-24 2005-11-24 Early stage detection of dental caries comprises examining and/or analyzing air and/or gaseous micro flora present in the oral cavity on the basis of caries-typical gas portions and/or molecules

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WO2007059993A2 true WO2007059993A2 (en) 2007-05-31
WO2007059993A3 WO2007059993A3 (en) 2007-08-02

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0283962A2 (en) * 1987-03-19 1988-09-28 Dentsply Management Corp. Method for measuring periodontal pocket gases
US20020061495A1 (en) * 2000-10-30 2002-05-23 Mault James R. Sensor system for diagnosing dental conditions
US20040147038A1 (en) * 1998-06-19 2004-07-29 Lewis Nathan S. Trace level detection of analytes using artificial

Family Cites Families (6)

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Publication number Priority date Publication date Assignee Title
US5464982A (en) * 1994-03-21 1995-11-07 Andros Incorporated Respiratory gas analyzer
DE19647545A1 (en) * 1996-11-16 1998-05-20 M & M Dental Medizin Gmbh Use to determine the risk of caries and especially suitable test equipment
DE19825021A1 (en) * 1998-06-04 1999-12-09 Kaltenbach & Voigt Method and device for the detection of caries, plaque, calculus or bacterial infection on teeth
DE10108900B4 (en) * 2001-02-23 2005-03-10 3M Espe Ag Determination of patient-related caries risk
DE10133451B4 (en) * 2001-07-10 2012-01-26 Ferton Holding S.A. Device for detecting caries, plaque, concrements or bacterial infestation of teeth
DE10331379A1 (en) * 2003-07-11 2005-02-03 Symrise Gmbh & Co. Kg Sensory method for evaluating breath

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0283962A2 (en) * 1987-03-19 1988-09-28 Dentsply Management Corp. Method for measuring periodontal pocket gases
US20040147038A1 (en) * 1998-06-19 2004-07-29 Lewis Nathan S. Trace level detection of analytes using artificial
US20020061495A1 (en) * 2000-10-30 2002-05-23 Mault James R. Sensor system for diagnosing dental conditions

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
MUNSON M A ET AL: "Molecular analysis of the microflora associated with dental caries." JOURNAL OF CLINICAL MICROBIOLOGY JUL 2004, Bd. 42, Nr. 7, Juli 2004 (2004-07), Seiten 3023-3029, XP002435418 ISSN: 0095-1137 *

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