Assessment of Material Loss in A Human Teeth Support by Applying EMI Technique

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Assessment of Material Loss in a Human Teeth Support by Applying EMI


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Article  in  International Journal of Mechanical & Mechatronics Engineering · September 2018

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International Journal of Mechanical & Mechatronics Engineering IJMME-IJENS Vol:18 No:04 113

Assessment of Material Loss in a Human Teeth


Support by Applying EMI Technique
Hector A. Tinoco*a,b, Carlos I. Cardonaa, Fabio M. Peñaa , Juan P. Gomezc, and Samuel I. Roldan-Restrepod
a
Experimental and Computational Mechanics Laboratory, Universidad Autónoma de Manizales. Antigua Estación del
Ferrocarril, Edificio Sacatín C.P. 170001. Manizales, Colombia
b
Institute of Physics of Materials, Czech Academy of Sciences, Zizkova 22, 616 62, Brno, Czech Republic
c
Department of Health, Universidad Autónoma de Manizales, Antigua estación del Ferrocarril, Edificio Sacatín C.P. 170001.
Manizales, Colombia
dCentro de Innovación Roldan, Medellin, Colombia
*Author to whom correspondence should be addressed. Phone: Tel + 420 532 290 338. E-mail: htinoco@autonoma.edu.co

Abstract-- Part of bone structure provides structural adaptive capacity fundamentally depends on a complex
stability to the teeth helping to accomplish its functionality. phenomenon called "mechano-transduction", in which bone
Bone structure responds modifying its micro and macro cells, especially osteocytes (as well as osteoblasts and
architectural configuration, enhancing its ability to support fibroblasts), perceive and respond to mechanical stimuli that
continually the changing force distributions. However, the produce signals that regulate the osteoblast and osteoclast
monitoring of these changes can be an expensive and invasive functions. Different types of mechanical manifestations have
challenge. In this paper, an experimental method is described been proposed as inductors of mechano-transduction [1],
to identify material losses in a tooth support produced by extracellular hydrostatic pressure [2], extra-cellular fluid shear
successive drillings. This experimental scheme seeks to mimic stress [3-7], cyclic tensile strain [8], piezo-electric effect [9],
the bone-tooth system. A sensor system was developed to the role of cytoskeleton [10] and specifically associated with
measure variations in the supporting structure via the tooth.
alveolar bone and its adaptation to forces acting on teeth, shear
The device is composed of a bonded stainless-steel bracket
sub-periosteal compression strain [11, 12].
with a segment of orthodontic wire which is attached to two
piezoelectric transducers. Additionally, a concentrated mass Mechanical response and adaptation to external loads is not the
is fastened to an end of the wire. High frequency voltage only cause of modifications in form and composition of bone
(between 5-10 KHz) was applied through the piezo- tissue. Pathologic processes also produce structural
transducers to excite the device, which moves the tooth by deformation and variation of individual or multiple bones and
means of the wire vibrations. High frequency vibrations changes in bone density (increase or decrease), locally or
allow the appraisal of the mechanical response from the systemically. The enormous variability in microstructure and
material that supports the tooth. Measurements are level of mineralization of bone tissue imply the formidable
quantified applying the electromechanical impedance challenge of devising a method for continuous monitoring of
technique (EMI). Results show that when a quantity of these variables, in live subjects, in a reliable and safe manner.
material is removed, resonance peaks of the electrical Current technologies used for bone mineral density (BMD)
impedance are shifted. With the proposed methodology it is measurements include; Dual and Single energy X-ray
possible to assess and to quantify the material loss (material) absorptiometry (DEXA/SEXA), Dual-energy Photon
by means of a sensitive analysis done in the frequency. Absorptiometry (DPA), Computerized Radiogrammetry
Index Term-- tooth vibrations, teeth, piezoelectric (CRG), Radiographic Photodensitometry (RP), Quantitative
transducer, electromechanical impedance, Computed Tomography (QCT). Additionally, alternatives
structural health monitoring using conventional digital radiographs [13] and micro-CT [14,
15] have shown promising results assessing BMD values. High
cost, low sensitivity and noxious effects of ionizing radiation
I. I TRODUCTION associated with current technologies justify the effort of
Bone, the material that composes the skeletal system, is one of developing alternatives for monitoring the composition and
the most versatile and dynamic tissues in the human body. Its structure of bone tissue. The World Health Organization
basic functions include providing and maintaining the rigid (WHO) recommends DEXA for diagnosis of osteoporosis,
structure that sustains the body as well as to serve as a reservoir albeit unsettling observations presented by Holmberg et al.
of calcium, a vital resource for human metabolism. This is [12]; “Osteoporosis is generally under-diagnosed and there is a
possible thanks to its surprising capability of perceiving relatively high use of DXA in low -risk women and the
variations in its electro-chemical and mechanical environment relatively low coverage in women with multiple risk factors”,
which reacts for modifying its form and mineral content. When once again, advocating for a safer and more cost-effective
and where it is required, a continuous process of modeling and diagnostic technique.
re-modeling is given by removing and replacing bone. This Investigations using DEXA have suggested a correlation
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between BMD values obtained from maxillary bones with those quantifying and discriminating electromechanical impedance
acquired from sites recommended by the WHO for osteoporosis (EMI) measurements obtained from four different materials.
screening (lumbar vertebras and femur). Although significant The objective of the present study is to propose an experimental
correlation was found between specific maxillary alveolar technique that permits to assess material losses produced by
values and the neck of the femur, substantial variation was changes in a supporting structure that contains human teeth.
found in the different sites measured in the maxilla as shown by The main motivation is to explore the viability of a less
Li et al. [16]. Bone density values obtained using QCT in child invasive, cost and time effective technology to identify bone
mandible showed considerable variability with sex, age and mineral density (BMD) variations as a future application given
localization of measurement. Computerized radio-grammetry all challenges mentioned before.
(CRG) using mandibular dental films pasted with an aluminum
step wedge were used to predict bisphosphonate related
osteonecrosis of jaw by measuring localized changes in BMD II. M ATERIALS AND METHODS
adjacent to the lesions [17]. Existing evidence clearly suggests A. Electromechanical impedance Technique (EMI)
that there is a high degree of inter and intra individual Piezoelectric materials present electrical properties which can
variability of BMD values obtained from different operate as electric elements, however, mechanical properties
measurement techniques. This variability poses a complex are related to its electrical properties by electromechanical
challenge when the assessment of small, localized changes in coupling [27-30]. If a piezo-transducer (PT) is deformed by an
bone density is required, since values obtained from distant external force source in the frequency, electrical charges are
sites are not necessarily inferable. In cases where localized moved through the poling direction producing an electric field,
changes in bone density are to be studied, localized, repeated it is called the indirect effect. On the contrary case, when an
BMD measurements must be accomplished, creating the need electrical field is applied in the frequency domain, it changes its
for a reliable, non-invasive and cost-effective method.
shape mechanically [22]. Therefore, when a piezo-transducer
The teeth coupling with the bone, it opens a possibility to assess
(PT) is bonded to a host structure, the mechanical properties are
it using the teeth as interfaces. Ribolla and Rizzo [18] explored
coupled by the electromechanical phenomenon which reflects
the use of a technique based on piezoelectric transducers called
Electromechanical Impedance (EMI) technique for assessing the mechanical properties of the host structure in the electrical
the dental stability of an implant. The feasibility was properties of the PT. This characteristic is not common in all
demonstrated in vitro, bovine bone-implant-piezoceramic materials.
transducer scheme of experimentation. Numerical comparisons According to Sirohi and Chopra [27], a PT can be analyzed as
by means of a 3D finite element model that included a piezo- an open electrical circuit or short circuit, respectively. If a PT
transducer bonded to the abutment of a dental implant placed in is connected to an electrical circuit, this is considered as a
a host bone site were done by Ribolla et al. [19]. Their results resistive-capacitive element. It means that there is no
show a potential application in the evaluation of implant inductance. This can be probed with the phase of the electrical
stability in bone. Tabrizi et al. [20] validated the use of EMI- impedance since for a resistive-capacitive element is between
based instruments for accurate assessment of implant-bone (0-90) degrees. It means that the electrical impedance of a PT
interface integrity. It is important to mention that EMI is composed by a real part (resistance R ) and an imaginary part
technique is widely used in structural health monitoring (SHM) (reactance X ) and it may be described in general terms as
field, in which structures can be supervised by a monitoring
system based on piezoelectric-transducers [21]. This is possible V ( )
due to the fact that piezoelectric transducers can be used as Z PE ( )   R  X ( ) j, (1)
i( )
actuators and sensors at the same time [22]. In particular, the
electromechanical impedance (EMI)-based SHM technique
offers several advantages in which we can mention the where  is the frequency, X ( ) is a capacitive reactance;
capability to distinguish incipient damage, easy instrumentation being V ( ) and i ( ) the input voltage and output current. In
and potentially low-cost applications [23, 24]. practical terms, the constants inside X ( ) can be
The fact that the root portion of a tooth is embedded in experimentally determined using a parameter identification
maxillary and mandibular alveolar bone permits an indirect from the electrical impedance if those parameters are unknown.
coupling between and mandibular alveolar bone and teeth.
Recent studies took advantage of the privileged location of the Fig. 1 shows a simple model that represents a mechanical
radicular portion of the tooth [18, 25, 26], which is firmly system corresponding to a host structure (B) coupled to a PT
embedded in its supporting structure (alveolar bone), (A). Each mechanical system can be represented by its
potentially acting as a natural "probe" for specialized analysis mechanical impedances Z pM ( ) and Z sM ( ) (A and B) which
of alveolar bone. Mimicking this set-up with natural teeth are correlated by dynamic laws. It means that any change in the
inserted in different materials, Tinoco et al. [25] validated the mechanical impedance, i.e. stiffness variations  k , it modifies
use of a tooth-supported sensor called bracket-beam– the mechanical impedance which in turn is associated with the
piezoelectric sensor (BBPS) as a promising method for electrical impedance. Liang et al. [28] determined that
structural differentiation of tooth supporting substances, electromechanical admittance (inverse of electrical impedance

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Z PE ( ) ) is coupled with the mechanical impedances of the PT The importance of the EMI principles is given by the
and the host structure, a scheme is represented in Fig.1. Liang applications of the electromechanical phenomenon that
et al. [28] obtained a one-dimensional model for the coupling have been shown by many researchers as nondestructive
effect between a PT and a structure as follows: evaluation technique [31]. In our study,
this consideration is based on the search of biomedical
applications as for example bone monitoring, since with
EMI technique is possible to identify structural variations
[21].

B. Supporting structure (substrate) of teeth and procedure of


material loss in the substrate

Fig. 1. a) Electromechanical scheme piezo-transducer-structure. b) Coupled


electromechanical system of one degree of freedom [28, 29, 30].

2 jwp   Z pM ( )  2 E  tan(kl p )  
YPE ( )  e33  d312 y E   M   ,
 Z ( )  Z ( )  31  kl
M
d y
hp   p s   p  
(2)

where, h p is the thickness, l p is the length, w p is the width


of the piezoelectric sheet, d31 is the piezoelectric strain
coefficient corresponding to x(1)  z (3) coordinates,
y E  y E (1   ) is the complex Young's modulus of the
piezoelectric sheet, at constant electric field and Fig. 2. a) Supporting substance, dimensions in mm, except diameters. b)
e   e (1   ) is the complex electric permittivity of the Dimensions of drillings. c) Superior drilling (eight). d) Transversal
piezoelectric material at constant stress.  and  denote both drilling (four).
mechanical loss and dielectric loss factors. Z pM ( ) and Z sM ( )
are the mechanical impedances of the piezo-sheet and structure. This section shows the characterization of the specimens and
Equation (2) shows that the mechanical impedances of both the experimental tests defined to assess material losses.
structures are coupled to the electrical admittance. The basic Material loss refers to the elimination of material in the support
principle of this technique is defined by the electromechanical structure used as fixation for the teeth. A human canine and
properties of the piezo-transducers, since these can be act as molar are chosen as the main interfaces among the supporting
actuators and sensors, simultaneously. structure and a piezo-device which will be described
It is important to clarify that mechanical impedance reflects the subsequently. Teeth specimens were extracted from normal
properties of a linear vibration system. Therefore, these do not healthy human beings. Teeth were partially embedded in a
depend on external forces neither displacements. The substance with which 60 ml of silicone I and II (SIKASIL) were
dependency may occur only if the dynamic system has a prepared and constrained by the dimensions shown in Fig. 3a.
nonlinear behavior, such as friction or material dependency on The preparation of the specimens was performed using a mold
frequency. A detailed description of the mechanical impedance fabricated. To reduce factors in the experiments, location and
can be reviewed in [32] and its definition is based on the position of the teeth were standardized using a rubber template
relation between force F ( ) and velocity v( ) as positioned at the mold center. Silicone (PVS) was used as
supporting structure since the objective is to determine a
material variation from a canine and a molar tooth.
F ( )
Z M ( )  , (3) Additionally, a stainless-steel bracket was bonded at the center
v( ) of the surface of teeth crown. The slot of the bracket is used to

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retain the device defined as piezo-sensor, as illustrated in Fig. consideration proved experimentally by Tinoco et al. [25].
4. Depending on the structural changes of the substrate, the
The experiments will be divided in two classes; supporting electromechanical device captures these changes by the
structure with transverse drillings (Fig. 3d) and vertical vibrations emitted and received. It is due to that in theory, the
drillings (Fig. 3c). For the first case, four drillings (1/16 in dynamic system (whole system) is modified. According to the
diameter) were done systematically and located as shown in mechanical principles, a dynamic system depends on three
Fig. 3d. The second case is the support with eight vertical parameters (mass, stiffness and damping), any variation in
drillings, as described in Fig. 3c. The main idea of this those parameters, it changes its behavior [32]. High frequency
procedure is to mimic the functionality of the bone structure vibrations are transmitted from the piezo-device to detect the
from a mechanics point of view. structural changes by wave propagation in the system. It is
important to denote that vibrations can be damped by the
C. Fundamental principles for the experimental setup damping properties, however, a frequency range should can be
checked by previous experiments to get some resonance points
This section presents the experimental methodology to evaluate of the system. The core of the EMI technique is based on
the supporting structure by means of EMI technique. A vibrations which can be emitted and received at the same time.
schematic drawing of the fundamental working principle of the Mechanical vibrations are converted in an electrical signal by
electromechanical device designed for the experiments is the piezo-device which has the capacity to work electro-
shown in Fig. 4a. An orthodontic wire is clamped to a tooth by mechanically [21, 24, 26, 29]. It means that in the same degree
means of a bracket; in the wire, there is a system that transmits of freedom it is possible to deform the structure and to measure
motions by mechanical vibrations with the aim to move the its response.
tooth inside the material (supporting structure). This is a

Fig. 3. a) Working principle of the sensor device. b) Dimensions and drawing of the piezo-device [34].

The piezo-device is composed by the following elements; a beam (Impedance analyzer AD5933) as illustrated in the scheme of
made of a 0.017 x 0.025 in stainless steel wire used in orthodontic Fig. 5. The experimental tests were performed in the following
treatments is bonded to a bracket of the same material. steps; piezo-device is bonded to a bracket coupled to the tooth
Piezoelectric patches are bonded to the wire with epoxy adhesive (canine and molar) crown specimen which is embedded in the
forming a composite joint between them. Finally, a mass is support A. Mechanical vibrations are generated in the mechanical
added in an end to complete an inertial system, as shown in Fig. system (beam-mass) when a harmonic voltage is applied on the
4b. Piezo-transducers used in the sensor device were acquired as piezo-transducers. With the impedance analyzer AD5933 [35],
SEN10293ROHS [33] (SparkFun Electronics, Niwot, CO) and the piezo-patches are activated and the current that pass through
these were cut to adequate shape and size, as shown in Fig. 5. it is read. To carry out the experimental measurements, each
specimen was constrained with a press to establish stability
To determine material loss on the support, an experimental setup conditions in the experimental setup. The working hypothesis is
is proposed with four principal components [34]; 1. Sensor that the beam moves the tooth due to its bending and vibrations
(Piezo-device); 2. Canine and molar teeth; 3. Supporting are produced and transmitted by the whole system.
substance (silicone material); and 4. measurement instrument

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Frequency bandwidth is established in between 5 to 10 KHz for frequency interval as represented in Fig 6a. There are two main
the measurements, with a resolution of 10 Hz. Applying previous characteristics that can be extracted from the resonant signal; the
experiments was determined the frequency range with the mean value in frequency ( 0 ) which finds between Z1 and Z 2 ;
impedance signal as will be explained in the next section. We and the derivative of the electrical impedance dZ ( ) d .
led four experiments with five stages each one and each stage is Tinoco et al. [25] observed that electrical impedance changes if
defined by 5 measurements that are averaged. The four rounds the material properties are modified. It means that the stiffness
are divided in the following way; Canine with lateral and is varied in the structure due to that it depends on elastic
superior drillings and the other two using the molar tooth. In each properties and geometry.
experimental round, the first stage is given by a support without
damage and the other four with transversal or lateral drillings. Taking into consideration the aspects mentioned above, mass
Drilling sequence and location are detailed and described in Fig. variations (material losses) can be quantified from the frequency
3. It is important to mention that lateral drillings passes through values using a signal as reference (see Fig. 6a). We can
the material from one side to another. However, the superior characterize the information determining the values in the
drillings are controlled to achieve a desired length between 18- frequency and correlating these with the material loss of the
21 mm, with the purpose of filling the cavities with conventional supporting substance. The material losses are made with drillings
oil. The reason to put oil is to change the damping property, in the supporting substance
however this is not measured as a control parameter.

Fig. 5. a) Electrical impedance of a coupled piezo-transducer. b) Derivative of


the electrical impedance.

For the derivative, we propose to approximate dZ ( ) d by a


Gaussian function which is represented by the following equation
Fig. 4. Experimental setup with superior drillings (canine tooth).
( c )2
dZ ( ) A 
D. Sensitive analysis in frequency domain  y0  e 2 w2
;   1 , 2  , (4)
d w  2
A sensitive analysis is presented to carry out a frequency analysis
in this section. Material loss in the tooth support will be captured where y0 , A, c and w are constants.
with the electrical impedance signatures via EMI technique.
Different studies have shown that depending on type of piezo- III. R ESULTS AND D ISCUSSION
transducer, the electrical impedance presents a main pattern. In Fig. 7, there are shown five electrical impedance signals taken
Inside the pattern appears some peaks as described in the study for each tooth (molar and canine) and for each supporting
by Na and Lee [36]. According to the authors, the main electrical substance (silicone I and II). Black curves correspond to the
impedance signature either it could have peaks or could be a pristine supporting structure, the other curves are associated with
smooth curved. However, some peaks can be identified the drillings made to the supporting substance. Each drilling
augmenting the resolution in specific frequency intervals which represents a structural modification since the mass (eliminated
correspond either to the host structure or to the piezo-transducer. material) is diminished by the drillings; therefore, the stiffness
Tinoco et al. [25] showed that the shape of a peak has the profile parameter is changed in the set due to that the geometry is
shown in Fig. 6. This correspondence is associated to the natural modified. In Fig. 7, in all experiments done, there are observed
frequencies of the whole system which means that the similar trends. The differences are observable in the shift of the
mechanical impedances are coupled in the dynamic system. signals to each other. It means that the electrical impedances are
Cherrier et al. [37] mentioned that structural changes cause when the drillings are presented on the support. However, we can
locally a modification in the damping properties as well as in the see that the frequency intervals are different in each case. It
stiffness (changes in the geometry by the material losses) indicates that the resonant peak is related to mechanical
changing the mechanical impedance of the structure [38, 39, 40]. parameters of the whole system and it does not correspond to
Therefore, the electrical impedance is affected by these electrical resonance. When the device is coupled to the support,
variations. In line with this reasoning, let’s consider an electrical the coupling affects the resonant values as explained by Tinoco
impedance signal with a resonant peak that has ¨S¨ shape in a et al. [34].
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For lateral drillings made in the silicone I, each electrical But, these levels do not show a trend quantifiable. However,
impedance is shifted forward when the drillings are presented. other variations can be taken by the derivative of each signal as
This can be verified in all cases done for canine and molar teeth proposed in subsection 3.4. As an example, derivatives of the
as illustrated Fig. 7a and b. On the other hand, it is seen in the electrical impedances (Silicone I) were computed and these are
electrical impedances obtained from silicone II, (superior shown in Fig. 8a and b.
drillings) signals shift backward (Fig. 7c and d). As consequence
of the structural modification in the support, the signal is shifted
with each drilling in both cases. Other characteristics are
considered in the impedance level, it refers to the maximum and
minimum values reached by the transition of the resonance
signal.

Fig. 6. Electrical impedance of a) Canine, lateral drillings. b) Molar, lateral drillings. c) Canine, superior drillings.
d) Molar, superior drillings.

Fig. 7. Numerical derivatives for Silicone I a). Canine with lateral drillings b) Molar with lateral drillings.

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The frequency window is determined from electrical impedance


intervals (6800-7400 Hz). We can observe that the signals are We observe an opportunity to monitor stiffness conditions in the
distributed as a Gaussian function, however those were material used as support of each tooth.
approximated with Equation (4) since originals were scattering. In a real context, teeth are supported by biological structures and
It is seen that the canine shows bigger changes than the molar these could be monitored with a similar technique, however the
tooth, it means that the sensitivity depends on each tooth.
feasibility should be evaluated in situ as a potential application.
Sensitivity refers to the change in the frequency. To quantify
those variations, frequency values on the resonance peaks are
determined in both experiments, as evidenced in Fig. 9a. There IV. CONCLUSIONS
is observed that the variation in the frequency presents a In this study, a potential application of the electromechanical
nonlinear behavior which is different for each tooth. It is impedance technique in the biomedical field was described. A
identified that the canine tooth is more sensitive to the structural methodology to detect material loss in a support (Silicone I and
changes, since the changes in frequency are greater. II) of teeth was presented. In the frequency spectrum,
Differences between canine and molar in each experiment experiments showed that the variations caused by the material
were computed as abs c  m ; where c is the frequency loss can be quantified with the resonance peaks. These variations
value for the canine tooth and m is the frequency value for the were quantified by means of an analysis the electrical impedance.
molar tooth (see Fig. 9b). It is observed that the differences It seen an opportunity with our research to study the bone density
increased when each drilling was done in both experiments. It variations that occur in alveolar bone using a cost-effective non-
indicates that there is evidenced a dependence with the material invasive method from human teeth
losses since the experiments were carry out in different ways.

Fig. 9. a) Variations in frequency VS volume loss of the silicone I and II. b) Difference between molar and canine for Silicone I and II.

.
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