Method and apparatus for detecting the presence of caries in teeth using visible luminescence

• US RE31,815 E
• Filed: 05/24/1982
• Issued: 01/29/1985
• Est. Priority Date: 08/20/1979
• Status: Expired due to Term

• Current Assignee: Philips Medical Systems Inc (Koninklijke Philips N.V.)
• Original Assignee: Philips Medical Systems Inc (Koninklijke Philips N.V.)
• Inventors: Alfano, Robert R.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US06/381,170
• Time in Patent Office: 981 Days
• Field of Search: 128/633-634, 128/665-666, 128/4-6, 128/15-16, 128/23, 128/777, 433/25, 433/255, 433/229, 358/98, 356/316-319, 356/237, 356/239
• US Class Current: 600/477
• CPC Class Codes: A61B 5/0088 for oral or dental tissue
• CPC Class Codes: A61C 19/04 Measuring instruments specially adapted for dentistry A61C5/44 takes precedence; testing vitality of teeth A61B5/0534; radiation diagnosis specially adapted for dentistry A61B6/51
• CPC Class Codes: A61M 5/00 Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests vaccination appliances for veterinary use A61D1/025 ; tube connectors, tube couplings, valves or branch units specially adapted for medical use A61M39/00; containers specially adapted for medical or pharmaceutical purposes A61J1/00; combinations of vial and syringe for mixing or transferring their contents A61J1/20; holders for containers for collecting, storing or administering blood or medical fluids A61J1/16
• CPC Class Codes: G01N 21/6486 Measuring fluorescence of biological material, e.g. DNA, RNA, cells G01N21/6428 takes precedence

Abstract

A method and apparatus for detecting the presence of caries in human teeth using visible luminescence. A region to be examined is excited with a beam of monochromatic light. The intensity of the visible light emitted from the region is measured at two predetermined wavelengths, one where the intensity dependence of the spectra is about the same for caries and noncaries and the other where the relative intensity increases significantly in the presence of caries. A signal corresponding to the difference in the two intensities is obtained and then displayed. By first determining the magnitude of the difference signal at a nondecayed region, any increases in the magnitude as other regions are probed indicate the presence of caries. The invention is based on the discovery that the visible luminescence spectra for decayed and nondecayed regions of a human tooth are substantially different and that the differences are such that visible luminescence from teeth can be used to detect the presence of caries.

Claims

1. A method for detecting the presence of caries in the teeth of a person comprising:

(a) exciting a region of the teeth to be examined with a beam of light that is at least substantially monochromatic,

(b) measuring the intensity of the visible luminescence emitted from the region at two predetermined wavelengths, one where the relative intensity dependence of the spectra is about the same for caries and non-decayed regions and the other where the intensity .[.increases.]. .Iadd.changes .Iaddend.measurably in the presence of caries, and

(c) determining if caries is present in accordance with said measurements.

2. The method of claim 1 and wherein determining if caries is present comprises determining the difference in intensities at the two wavelengths in a noncarious region and then detecting increases in the difference as other regions are excited.

3. The method of claim 1 and wherein determining if caries is present includes producing a signal corresponding to the difference between the intensitites at the two wavelengths and then displaying said signal.

4. The method of claim 1 and wherein determining if caries is present comprises producing a signal proportional to the difference between the intensity at the wavelength where the relative intensity dependence of the spectrum is about the same for caries and noncaries and the intensity at the wavelength where the intensities increase in the presence of caries.

5. The method of claim 4 and wherein the beam of light is visible light and has a bandwidth of about no more than 30 nm.

6. The method of claim 5 and wherein the visible light is between about 400 nm and 700 nm.

7. The method of claim 6 and wherein one of said wavelengths at which the intensity is measured is between 440 and 470 nm and the other wavelength at which the intensity is measured is between 560 and 640 nm.

8. The method of claim 1 and wherein determining if caries is present comprises determining the ratio of the intensities at the two wavelengths in a noncarious region and then detecting increases in the ratio as other regions are excited.

9. The method of claim 1 and wherein the beam of exciting light has a wavelength between 350 and 600 nm.

10. A method for detecting the presence of caries in the teeth of a person comprising:

(a) exciting a region of the teeth to be examined with a beam of monochromatic light at a wavelength λ

₁,

(b) measuring the intensity of the visible luminescence emitted from the region at a wavelength λ

₂ and at a wavelength λ

₃,

(c) producing a signal corresponding to the intensity at wavelength λ

₃ less the intensity at wavelength λ

₂,

(d) displaying said signal, and

(e) determining if caries is present in accordance with said signal, wherein

λ

₂ is a wavelength where the relative intensity dependence of the spectra is about the same for caries and noncaries, λ

₃ is a wavelength where the intensity increases in the presence of caries and λ

₁ is a wavelength that will produce emission from teeth at λ

₂ and λ

₃.

11. A method for detecting the presence of caries in the teeth of a person comprising:

(a) exciting a known noncarious region of the teeth with a beam of monochromatic light,

(b) measuring the intensity of the emission at a wavelength where the relative intesity dependence of the spectra is about the same for caries and noncaries and at a wavelength where the intensity increases in the presence of caries,

(c) displaying a signal corresponding to the differences in the two intensities, and then

(d) detecting increases in said signal as other regions of the teeth are excited.

12. A method for detecting the presence of caries in a region of teeth of a person comprising:

(a) exciting the region with light,

(b) measuring the intensity of the visible luminesce from the region at a wavelength where the relative intensity dependence of the spectra is about the same for caries and non-caries and at a wavelength where the intensity increases in the presence of caries; and

(c) determining if caries is present on the basis of the difference in intensities at the two wavelengths.

13. Apparatus for use in detecting the presence of caries in the teeth of a person comprising:

(a) means for illuminating a region to be examined with a beam of monochromatic light, the wavelength of the beam of monochromatic light being one which will produce emission from the region at a wavelength where the intensity is about the same for caries and non caries and at a wavelength where the intensity increases in the presence of caries,

(b) means for measuring the intensity of the light emitted from said region on illumination by said illuminating means at a wavelength where the relative intensity dependence of the spectra is about the same for caries and noncaries and at a wavelength where the intensity increases in the presence of caries and producing an electrical signal whose output corresponds to the intensity at each wavelength,

(c) means producing an electrical signal corresponding to the difference in said two electrical signals, and

(d) means for displaying said difference electrical signal.

14. Apparatus for detecting the presence of caries in the teeth of a person comprising:

(a) a source of visble monochromatic light for illuminating a region at a wavelength which will produce emission at a wavelength where the intensity is about the same for caries and noncaries and at a wavelength where the intensity changes in the presence of caries.

(b) a pair of photodetector means for measuring the intensity of light emitted from said region at two different wavelengths, one of said wavelengths being a wavelength where the intensity is about the same for caries and noncaries and the other wavelength being a wavelength where the intensity changes in the presence of caries, both of said wavelengths being different from the wavelength of the source,

(c) means for directing light to said region from the source and transmitting said emitted light from said region to said photodetector means,

(d) means coupled to the photodetector means for producing a signal corresponding to the difference in the output signals from the two photodetector means, and

(e) means for displaying said difference signal.

15. The apparatus of claim 14 and wherein the means for directing the light to the region and transmitting light from the region comprises a fiber optic probe.

16. The apparatus of claim 15 and wherein each photo-detector means comprises a photodetector and a narrow band filter disposed in front of said photodetector.

17. The apparatus of claim 15 and wherein said light is mounted on said probe.

18. The apparatus of claim 15 and wherein said source of monochromatic light comprises a source of white light and a narrow band filter.

19. The apparatus of claim 14 and wherein said display is a buzzer.

20. The apparatus of claim 14 and wherein said display is a light.

21. The apparatus of claim 14 and wherein said display is a meter.

22. The apparatus of claim 14 and wherein said source of monochromatic light is a laser.

23. The apparatus of claim 14 and wherein said monochromatic light source is at a wavelength λ

₁ and the photodetector means includes means for passing light at wavelength λ

₂ and λ

₃, wherein λ

₂ is a wavelength where the intensity is about the same for caries and non-caries, λ

₃ is a wavelength where the intensity changes in the presence of caries and λ

₁ is a wavelength that will produce emission on teeth at λ

₂ and λ

₃.

24. The apparatus of claim 23 and wherein λ

₁ =around 410±

5 nm, λ

₂ =between around 450 and 500 nm and λ

₃ =between around 540 and 620 nm.

25. A method for detecting the presence of caries in the teeth of a person comprising:

(a) exciting a region of the teeth to be examined with a beam of light that is at least substantially monochromatic at a wavelength .[.λ

₃ .[. .Iadd.λ

₁, .Iaddend.

(b) forming an image of the light emitted from the region at a wavelength λ

₃ where the intensity .[.increases.]. .Iadd.decreases .Iaddend.in the presence of caries, and

(c) recording the image on a recording medium.

26. A method for detecting the presence of caries in the teeth of a person comprising:

(a) exciting a region of the teeth to be examined with a beam of substantially monochromatic light, said beam of monochromatic light having a wavelength λ

₁,

(b) measuring the intensity of the light emitted from the region at a wavelength λ

₃, and

(c) determining if caries is present in accordance with the intensity of the light emitted at the wavelength λ

₃, wherein λ

₃ is a wavelength where the intensity of emitted light .[.increases.]. .Iadd.decreases .Iaddend.in the presence of caries and λ

₁ is a wavelength which will produce emission from teeth at a wavelength λ

₃.

27. The method of claim 26 and wherein λ

₁ is a wavelength in the visible frequency range of the light spectrum.

28. Apparatus for use in detecting the presence of caries in the teeth of a person comprising:

(a) source means for generating a beam of monochromatic light having a wavelength λ

₁,

(b) means for directing light from said monochromatic source onto a region of teeth to be examined and receiving the light emitted therefrom,

(c) means for measuring the intensity of the emitted light at a wavelength λ

₂ and a wavelength λ

₃, and

(d) means for generating a signal related to λ

₂ and λ

₃, where λ

₂ is a wavelength where the intensity is about the same for caries and noncaries, λ

₃ is a wavelength where the intensity changes in the presence of caries and λ

₁ is a wavelength that will produce emitted light when illuminating teeth at wavelengths λ

₂ and λ

₃. .Iadd.

29. A method for detecting the presence of caries in the teeth of a person comprising:

radiating a region of the tooth to be examined with light;

selecting a first wavelength in the near neighborhood of a wavelength having a constant intensity of light from the tooth in caries and non-carious regions;

selecting a second wavelength where the intensity changes measurably from non-carious regions to caries;

producing first and second signals corresponding to the intensity of the light from the tooth at first and second wavelengths, respectively;

producing a third signal corresponding to the difference between said first and second signal;

adjusting the value of said third signal in a known non-carious region to a predetermined value;

detecting the presence of caries in other regions by said third signal changing from said predetermined value in a predetermined manner..Iaddend..Iadd.

30. A method for detecting the presence of caries in the teeth of a person comprising:

(a) exciting a region of the teeth to be examined with a beam of light that is at least substantially monochromatic at a wavelength λ

₁ ;

(b) forming an image of the light emitted from the region at a wavelength λ

₃ where the intensity changes in the presence of caries; and

(c)recording the image on a recording medium. .Iaddend..Iadd.31. A method for detecting the presence of caries in the teeth of a person comprising;

(a) exciting a region of the teeth to be examined with a beam of substantially monochromatic light, said beam of monochromatic light having a wavelength λ

₁ ;

(b) measuring the intensity of the light emitted from the region at a wavelength λ

₃, and

(c) determining if caries is present in accordance with the intensity of the light emitted at the wavelength λ

₃, wherein λ

₃ is a wavelength where the intensity of emitted light changes in the presence of caries and λ

₁ is a wavelength which will produce emission from teeth at a wavelength λ

₃. .Iaddend..Iadd.32. The method of claim 31 and wherein λ

₁ is a wavelength in the visible frequency range of the light spectrum. .Iaddend..Iadd.33. A method for detecting the presence of caries in the teeth of a person as in claim 29 wherein said predetermined value is substantially zero. .Iaddend.