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ToMoBrush: Exploring Dental Health Sensing Using a Sonic Toothbrush

Published: 09 September 2024 Publication History

Abstract

Early detection of dental disease is crucial to prevent adverse outcomes. Today, dental X-rays are currently the most accurate gold standard for dental disease detection. Unfortunately, regular X-ray exam is still a privilege for billions of people around the world. In this paper, we ask: "Can we develop a low-cost sensing system that enables dental self-examination in the comfort of one's home?"
This paper presents ToMoBrush, a dental health sensing system that explores using off-the-shelf sonic toothbrushes for dental condition detection. Our solution leverages the fact that a sonic toothbrush produces rich acoustic signals when in contact with teeth, which contain important information about each tooth's status. ToMoBrush extracts tooth resonance signatures from the acoustic signals to characterize the dental condition of each tooth. We further develop a data-driven signal processing pipeline to detect and discriminate different dental conditions. We evaluate ToMoBrush on 19 participants and dental-standard models for detecting common dental problems including caries, calculus, and food impaction, achieving a detection ROC-AUC of 0.90, 0.83, and 0.88 respectively. Interviews with dental experts further validate ToMoBrush's potential in enhancing at-home dental healthcare.

Supplemental Material

MP4 File - Introduction Video of ToMoBrush
- A video that presents the motivation of ToMoBrush and the hardware setup - A live demo on a dental model to detect food impaction

References

[1]
[n. d.]. ([n. d.]). https://www.ncbi.nlm.nih.gov/books/NBK574510/
[2]
[n. d.]. ([n. d.]). https://www.kicktraq.com/projects/oralvue/smart-video-toothbrush-with-built-in-camera
[3]
[n. d.]. ([n. d.]). https://labelbox.com/
[4]
[n. d.]. Brushmo compact replacement toothbrush heads compatible for HX6023 to use with Philips Sonicare electric toothbrush, 8 pack. ([n. d.]). https://brushmo.com/products/brushmo-compact-replacement-toothbrush-heads-for-philips-sonicare-hx6023-proresults-white
[5]
[n. d.]. Dental Caries in Adults (Ages 20 to 64 Years). ([n. d.]). https://www.nidcr.nih.gov/research/data-statistics/dental-caries/adults
[6]
[n. d.]. Voice Technologies: Swiss precision for excellent audio quality - VT500X. ([n. d.]). https://www.vt-switzerland.com/en/vt-500x
[7]
2000. Acoustic resonance analysis in manufacturing. https://www.ndt.net/article/v05n01/hertlin/hertlin.htm. (2000).
[8]
2017. Buy the sonicare sonicare protectiveclean 6100 Sonic Electric Toothbrush HX6877/21 Sonic Electric Toothbrush. (Dec 2017). https://www.usa.philips.com/c-p/HX6877_21/sonicare-protectiveclean-6100-sonic-electric-toothbrush
[9]
2021. (May 2021). https://www.usa.philips.com/c-p/HX3681_23/4100-series-sonic-electric-toothbrush
[10]
2021. Oral Health Fast Facts. (Jan 2021). https://www.cdc.gov/oralhealth/fast-facts/index.html
[11]
Sayma Akther, Nazir Saleheen, Mithun Saha, Vivek Shetty, and Santosh Kumar. 2021. MTeeth: Identifying Brushing Teeth Surfaces Using Wrist-Worn Inertial Sensors. Proc. ACM Interact. Mob. Wearable Ubiquitous Technol. 5, 2, Article 53 (jun 2021), 25 pages. https://doi.org/10.1145/3463494
[12]
Sayma Akther, Nazir Saleheen, Shahin Alan Samiei, Vivek Shetty, Emre Ertin, and Santosh Kumar. 2019. MORAL: An MHealth Model for Inferring Oral Hygiene Behaviors in-the-Wild Using Wrist-Worn Inertial Sensors. Proc. ACM Interact. Mob. Wearable Ubiquitous Technol. 3, 1, Article 1 (mar 2019), 25 pages. https://doi.org/10.1145/3314388
[13]
Keith Angelino, Pratik Shah, David A Edlund, Mrinal Mohit, and Gregory Yauney. 2017. Clinical validation and assessment of a modular fluorescent imaging system and algorithm for rapid detection and quantification of dental plaque. BMC oral health 17 (2017), 1--10.
[14]
Suresh Balakrishnama and Aravind Ganapathiraju. 1998. Linear discriminant analysis-a brief tutorial. Institute for Signal and information Processing 18, 1998 (1998), 1--8.
[15]
Gaoshuai Cao, Kuang Yuan, Jie Xiong, Panlong Yang, Yubo Yan, Hao Zhou, and Xiang-Yang Li. 2020. Earphonetrack: involving earphones into the ecosystem of acoustic motion tracking. In Proceedings of the 18th Conference on Embedded Networked Sensor Systems. 95--108.
[16]
Keith HS Chan, Yanjie Mai, Harry Kim, Keith CT Tong, Desmond Ng, and Jimmy CM Hsiao. 2010. Resin composite filling. Materials 3, 2 (2010), 1228--1243.
[17]
Yu-Chen Chang, Jin-Ling Lo, Chao-Ju Huang, Nan-Yi Hsu, Hao-Hua Chu, Hsin-Yen Wang, Pei-Yu Chi, and Ya-Lin Hsieh. 2008. Playful Toothbrush: Ubicomp Technology for Teaching Tooth Brushing to Kindergarten Children. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI '08). Association for Computing Machinery, New York, NY, USA, 363--372. https://doi.org/10.1145/1357054.1357115
[18]
Ting Chen, Simon Kornblith, Kevin Swersky, Mohammad Norouzi, and Geoffrey E Hinton. 2020. Big self-supervised models are strong semi-supervised learners. Advances in neural information processing systems 33 (2020), 22243--22255.
[19]
Caroline Chirichella. 2022. Cavity between teeth: What you should know. (Feb 2022). https://www.verywellhealth.com/cavity-between-teeth-5215707
[20]
Robin Clark. 2004. Rail flaw detection: overview and needs for future developments. Ndt & E International 37, 2 (2004), 111--118.
[21]
Corinna Cortes and Vladimir Vapnik. 1995. Support-vector networks. Machine learning 20 (1995), 273--297.
[22]
Paul Deep. 2000. Screening for common oral diseases. Journal-Canadian Dental Association 66, 6 (2000), 298--299.
[23]
Xiaoran Fan, Longfei Shangguan, Siddharth Rupavatharam, Yanyong Zhang, Jie Xiong, Yunfei Ma, and Richard Howard. 2021. HeadFi: Bringing Intelligence to All Headphones. In Proceedings of the 27th Annual International Conference on Mobile Computing and Networking (MobiCom '21). Association for Computing Machinery, New York, NY, USA, 147--159. https://doi.org/10.1145/3447993.3448624
[24]
Roger Forshaw. 2022. Dental calculus-oral health, forensic studies and archaeology: a review. British Dental Journal 233, 11 (2022), 961--967.
[25]
Akshay Gadre, Deepak Vasisht, Nikunj Raghuvanshi, Bodhi Priyantha, Manikanta Kotaru, Swarun Kumar, and Ranveer Chandra. 2022. MiLTOn: Sensing Product Integrity without Opening the Box using Non-Invasive Acoustic Vibrometry. In 2022 21st ACM/IEEE International Conference on Information Processing in Sensor Networks (IPSN). IEEE, 390--402.
[26]
N Galili, I Shmulevich, and N Benichou. 1998. Acoustic testing of avocado for fruit ripeness evaluation. Transactions of the ASAE 41, 2 (1998), 399.
[27]
Nisha Garg and Amit Garg. 2010. Textbook of operative dentistry. Boydell & Brewer Ltd.
[28]
Z Gong, EO Nyborg, and G Oommen. 1992. Acoustic emission monitoring of steel railroad bridges. Materials evaluation 50, 7 (1992).
[29]
Alex Graves, Santiago Fernández, Faustino Gomez, and Jürgen Schmidhuber. 2006. Connectionist temporal classification: labelling unsegmented sequence data with recurrent neural networks. In Proceedings of the 23rd international conference on Machine learning. 369--376.
[30]
Trevor Hastie, Robert Tibshirani, Jerome H Friedman, and Jerome H Friedman. 2009. The elements of statistical learning: data mining, inference, and prediction. Vol. 2. Springer.
[31]
Raimund Hibst, Robert Paulus, and Adrian Lussi. 2001. Detection of occlusal caries by laser fluorescence: basic and clinical investigations. Medical Laser Application 16, 3 (2001), 205--213.
[32]
Hua Huang and Shan Lin. 2016. Toothbrushing Monitoring Using Wrist Watch. In Proceedings of the 14th ACM Conference on Embedded Network Sensor Systems CD-ROM (SenSys '16). Association for Computing Machinery, New York, NY, USA, 202--215. https://doi.org/10.1145/2994551.2994563
[33]
Hua Huang and Shan Lin. 2020. MET: A Magneto-Inductive Sensing Based Electric Toothbrushing Monitoring System. Association for Computing Machinery, New York, NY, USA. https://doi.org/10.1145/3372224.3380896
[34]
Norden E Huang, Zheng Shen, Steven R Long, Manli C Wu, Hsing H Shih, Quanan Zheng, Nai-Chyuan Yen, Chi Chao Tung, and Henry H Liu. 1998. The empirical mode decomposition and the Hilbert spectrum for nonlinear and non-stationary time series analysis. Proceedings of the Royal Society of London. Series A: mathematical, physical and engineering sciences 454, 1971 (1998), 903--995.
[35]
Yandao Huang, Minghui Qiu, Lin Chen, Zhencan Peng, Qian Zhang, and Kaishun Wu. 2023. NF-Heart: A Near-Field Non-Contact Continuous User Authentication System via Ballistocardiogram. Proc. ACM Interact. Mob. Wearable Ubiquitous Technol. 7, 1, Article 16 (mar 2023), 24 pages. https://doi.org/10.1145/3580851
[36]
Amid I Ismail, Woosung Sohn, Marisol Tellez, Ashley Amaya, Ananda Sen, Hana Hasson, and Nigel Berry Pitts. 2007. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community dentistry and oral epidemiology 35, 3 (2007), 170--178.
[37]
Mayur Khairnar. 2013. Classification of food impaction-revisited and its management. Indian Journal of Dental Advancements 5, 1 (2013), 1113--1119.
[38]
Joseph Korpela, Ryosuke Miyaji, Takuya Maekawa, Kazunori Nozaki, and Hiroo Tamagawa. 2015. Evaluating Tooth Brushing Performance with Smartphone Sound Data. In Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp '15). Association for Computing Machinery, New York, NY, USA, 109--120. https://doi.org/10.1145/2750858.2804259
[39]
Niklaus P Lang. 1982. Periodontal epidemiological indices for children and adolescents: II. Evaluation of oral hygiene; III. Clinical applications. Pediatr Dent 4, 1 (1982), 64--73.
[40]
Sangdae Lee and Byoung-Kwan Cho. 2013. Evaluation of the firmness measurement of fruit by using a non-contact ultrasonic technique. In 2013 IEEE 8th Conference on Industrial Electronics and Applications (ICIEA). IEEE, 1331--1336.
[41]
Yuan Liang, Hsuan Wei Fan, Zhujun Fang, Leiying Miao, Wen Li, Xuan Zhang, Weibin Sun, Kun Wang, Lei He, and Xiang 'Anthony' Chen. 2020. OralCam: Enabling Self-Examination and Awareness of Oral Health Using a Smartphone Camera. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems (CHI '20). Association for Computing Machinery, New York, NY, USA, 1--13. https://doi.org/10.1145/3313831.3376238
[42]
Chengwen Luo, Xingyu Feng, Junliang Chen, Jianqiang Li, Weitao Xu, Wei Li, Li Zhang, Zahir Tari, and Albert Y. Zomaya. 2019. Brush like a Dentist: Accurate Monitoring of Toothbrushing via Wrist-Worn Gesture Sensing. In IEEE INFOCOM 2019 - IEEE Conference on Computer Communications. 1234--1242. https://doi.org/10.1109/INFOCOM.2019.8737513
[43]
Cory Myers, Lawrence Rabiner, and Aaron Rosenberg. 1980. Performance tradeoffs in dynamic time warping algorithms for isolated word recognition. IEEE Transactions on Acoustics, Speech, and Signal Processing 28, 6 (1980), 623--635.
[44]
Rajalakshmi Nandakumar, Shyamnath Gollakota, and Jacob E Sunshine. 2019. Opioid overdose detection using smartphones. Science translational medicine 11, 474 (2019), eaau8914.
[45]
Rajalakshmi Nandakumar, Shyamnath Gollakota, and Nathaniel Watson. 2015. Contactless sleep apnea detection on smartphones. In Proceedings of the 13th annual international conference on mobile systems, applications, and services. 45--57.
[46]
Rajalakshmi Nandakumar, Vikram Iyer, Desney Tan, and Shyamnath Gollakota. 2016. Fingerio: Using active sonar for fine-grained finger tracking. In Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems. 1515--1525.
[47]
Zhenchao Ouyang, Jingfeng Hu, Jianwei Niu, and Zhiping Qi. 2017. An Asymmetrical Acoustic Field Detection System for Daily Tooth Brushing Monitoring. In GLOBECOM 2017- 2017 IEEE Global Communications Conference. 1--6. https://doi.org/10.1109/GLOCOM.2017.8255017
[48]
Nigel B Pitts, Domenick T Zero, Phil D Marsh, Kim Ekstrand, Jane A Weintraub, Francisco Ramos-Gomez, Junji Tagami, Svante Twetman, Georgios Tsakos, and Amid Ismail. 2017. Dental caries. Nature reviews Disease primers 3, 1 (2017), 1--16.
[49]
IA Pretty, WM Edgar, PW Smith, and SM Higham. 2005. Quantification of dental plaque in the research environment. Journal of dentistry 33, 3 (2005), 193--207.
[50]
Iain A Pretty. 2006. Caries detection and diagnosis: novel technologies. Journal of dentistry 34, 10 (2006), 727--739.
[51]
P Rechmann, Shasan W Liou, Beate MT Rechmann, and John DB Featherstone. 2014. SOPROCARE-450 nm wavelength detection tool for microbial plaque and gingival inflammation: a clinical study. In Lasers in Dentistry XX, Vol. 8929. SPIE, 42--48.
[52]
Hiroaki Sakoe and Seibi Chiba. 1978. Dynamic programming algorithm optimization for spoken word recognition. IEEE transactions on acoustics, speech, and signal processing 26, 1 (1978), 43--49.
[53]
Nozha Sawan, Afnan Ben Gassem, Faisal Alkhayyal, Aroob Albakri, Nada Al-Muhareb, and Eman Alsagob. 2022. Effectiveness of Super Floss and Water Flosser in Plaque Removal for Patients Undergoing Orthodontic Treatment: A Randomized Controlled Trial. International Journal of Dentistry 2022 (2022).
[54]
Bernhard Schölkopf, Robert C Williamson, Alex Smola, John Shawe-Taylor, and John Platt. 1999. Support vector method for novelty detection. Advances in neural information processing systems 12 (1999).
[55]
Sarah Schotte, Nele De Belie, and Josse De Baerdemaeker. 1999. Acoustic impulse-response technique for evaluation and modelling of firmness of tomato fruit. Postharvest biology and technology 17, 2 (1999), 105--115.
[56]
Florian Schroff, Dmitry Kalenichenko, and James Philbin. 2015. Facenet: A unified embedding for face recognition and clustering. In Proceedings of the IEEE conference on computer vision and pattern recognition. 815--823.
[57]
Manuja Sharma, Lauren K Lee, Matthew D Carson, David S Park, Se W An, Micah G Bovenkamp, Jess J Cayetano, Ian A Berude, Leonard Y Nelson, Zheng Xu, et al. 2022. O-pH: Optical pH Monitor to Measure Dental Biofilm Acidity and Assist in Enamel Health Monitoring. IEEE Transactions on Biomedical Engineering 69, 9 (2022), 2776--2786.
[58]
Avinashchandra Singh, Donald R Houser, and Sandeep Vijayakar. 1998. Detecting gear tooth breakage using acoustic emission: a feasibility and sensor placement study. In International Design Engineering Technical Conferences and Computers and Information in Engineering Conference, Vol. 80388. American Society of Mechanical Engineers, V008T08A016.
[59]
Xingzhe Song, Boyuan Yang, Ge Yang, Ruirong Chen, Erick Forno, Wei Chen, and Wei Gao. 2020. SpiroSonic: monitoring human lung function via acoustic sensing on commodity smartphones. In Proceedings of the 26th Annual International Conference on Mobile Computing and Networking. 1--14.
[60]
Staff and Staff. 2023. Are cavities inside teeth possible? (Feb 2023). https://dentalhealthsociety.com/oral-health/are-cavities-inside-teeth-possible/#:~:text=However%2C%20there%20are%20times%20when,an%20injury%20to%20the%20tooth.
[61]
Ke Sun, Ting Zhao, Wei Wang, and Lei Xie. 2018. Vskin: Sensing touch gestures on surfaces of mobile devices using acoustic signals. In Proceedings of the 24th annual international conference on mobile computing and networking. 591--605.
[62]
Xue Sun, Jie Xiong, Chao Feng, Wenwen Deng, Xudong Wei, Dingyi Fang, and Xiaojiang Chen. 2023. Earmonitor: In-ear Motion-resilient Acoustic Sensing Using Commodity Earphones. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 6, 4 (2023), 1--22.
[63]
Laurens Van der Maaten and Geoffrey Hinton. 2008. Visualizing data using t-SNE. Journal of machine learning research 9, 11 (2008).
[64]
Anran Wang, Jacob E. Sunshine, and Shyamnath Gollakota. 2019. Contactless Infant Monitoring Using White Noise. In The 25th Annual International Conference on Mobile Computing and Networking (MobiCom '19). Association for Computing Machinery, New York, NY, USA, Article 52, 16 pages. https://doi.org/10.1145/3300061.3345453
[65]
Lei Wang, Kang Huang, Ke Sun, Wei Wang, Chen Tian, Lei Xie, and Qing Gu. 2018. Unlock with your heart: Heartbeat-based authentication on commercial mobile phones. Proceedings of the ACM on interactive, mobile, wearable and ubiquitous technologies 2, 3 (2018), 1--22.
[66]
Tianben Wang, Daqing Zhang, Yuanqing Zheng, Tao Gu, Xingshe Zhou, and Bernadette Dorizzi. 2018. C-FMCW based contactless respiration detection using acoustic signal. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 1, 4 (2018), 1--20.
[67]
Wikipedia contributors. 2022. Dental radiography --- Wikipedia, The Free Encyclopedia. (2022). https://en.wikipedia.org/w/index.php?title=Dental_radiography&oldid=1114320192 [Online; accessed 19-November-2022].
[68]
Wikipedia contributors. 2023. Cepstrum --- Wikipedia, The Free Encyclopedia. (2023). https://en.wikipedia.org/w/index.php?title=Cepstrum&oldid=1144605797 [Online; accessed 15-March-2023].
[69]
Wikipedia contributors. 2023. Frequency response --- Wikipedia, The Free Encyclopedia. (2023). https://en.wikipedia.org/w/index.php?title=Frequency_response&oldid=1171077560 [Online; accessed 14-September-2023].
[70]
Wikipedia contributors. 2023. Laser Doppler vibrometer --- Wikipedia, The Free Encyclopedia. (2023). https://en.wikipedia.org/w/index.php?title=Laser_Doppler_vibrometer&oldid=1188672119 [Online; accessed 23-April-2024].
[71]
Allen Wong, Paul E Subar, and Douglas A Young. 2017. Dental caries: an update on dental trends and therapy. Advances in pediatrics 64, 1 (2017), 307--330.
[72]
Xiangyu Xu, Jiadi Yu, Yingying Chen, Yanmin Zhu, Linghe Kong, and Minglu Li. 2019. Breathlistener: Fine-grained breathing monitoring in driving environments utilizing acoustic signals. In Proceedings of the 17th Annual International Conference on Mobile Systems, Applications, and Services. 54--66.
[73]
Takuma Yoshitani, Masa Ogata, and Koji Yatani. 2016. LumiO: A Plaque-Aware Toothbrush. In Proceedings of the 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp '16). Association for Computing Machinery, New York, NY, USA, 605--615. https://doi.org/10.1145/2971648.2971704
[74]
Christian Zakian, Iain Pretty, and Roger Ellwood. 2009. Near-infared hyperspectral imaging of teeth for dental caries detection. Journal of biomedical optics 14, 6 (2009), 064047--064047.
[75]
Fusang Zhang, Zhi Wang, Beihong Jin, Jie Xiong, and Daqing Zhang. 2020. Your Smart Speaker Can" Hear" Your Heartbeat! Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 4, 4 (2020), 1--24.

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cover image Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies
Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies  Volume 8, Issue 3
September 2024
1782 pages
EISSN:2474-9567
DOI:10.1145/3695755
Issue’s Table of Contents
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike International 4.0 License.

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Association for Computing Machinery

New York, NY, United States

Publication History

Published: 09 September 2024
Published in IMWUT Volume 8, Issue 3

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Author Tags

  1. Audio Signal Processing
  2. Machine Learning
  3. Mobile Health
  4. User Study

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