Professional Documents
Culture Documents
Assessment of Material Loss in A Human Teeth Support by Applying EMI Technique
Assessment of Material Loss in A Human Teeth Support by Applying EMI Technique
Assessment of Material Loss in A Human Teeth Support by Applying EMI Technique
net/publication/327527161
CITATION READS
1 46
5 authors, including:
Some of the authors of this publication are also working on these related projects:
All content following this page was uploaded by Hector Andres Tinoco on 08 September 2018.
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
183804-9595-IJMME-IJENS © August 2018 IJENS
IJENS
International Journal of Mechanical & Mechatronics Engineering IJMME-IJENS Vol:18 No:04 114
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
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].
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)
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
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.
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.
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.
.
REFERENCES
[1] Yamamoto T., Kita M., Kimura I., Oseko F., Terauchi R., Takahashi
ACKNOWLEDGEMENTS
K., et al., Mechanical stress induces expression of cytokines in human
Authors want to thank for the financial support, since this work periodontal ligament cells. Oral diseases, 2006, 12(2), 171-175.
was supported by grant from Departamento Administrativo de [2] Kelly P.J., Bronk J.T., Venous pressure and bone
Ciencia Tecnología e Innovación (COLCIENCIAS) (Grant code formation. Microvascular research, 1990, 39(3), 364-375.
[3] Malek A.M., Izumo S., Mechanism of endothelial cell shape change
121974455599) legalized contract 739-2016 and obtained in the and cytoskeletal remodeling in response to fluid shear stress. Journal
announcement 744, year 2016. Furthermore, acknowledgments of cell science, 1996, 109(4), 713-726.
to Universidad Autónoma de Manizales (UAM) and Centro de [4] Reich K.M., Gay C.V., Frangos J.A., Fluid shear stress as a mediator
of osteoblast cyclic adenosine monophosphate production. Journal of
Innovación Roldan (CIR) for additional financial and technical cellular physiology, 1990, 143(1), 100-104.
support. [5] Hillsley M.V., Frangos J.A., Review: Bone tissue engineering: The
role of interstitial fluid flow. Biotechnology and bioengineering,
1994, 43(7), 573-581.
[6] Fritton S.P., Weinbaum S., Fluid and solute transport in bone: flow- International Conference on Advanced Mechatronics, Design, and
induced mechano-transduction. Annual review of fluid Manufacturing Technology (AMDM 2016), 2016, 1-9. Cali,
mechanics, 2009, 41, 347-374. Colombia.
[7] Sumanasinghe R.D., Bernacki S.H., Loboa E.G.. Osteogenic [26] Tinoco H.A., Gomez J.P., Torres J., Velasco M.A., Structural
differentiation of human mesenchymal stem cells in collagen Differentiation of Tooth Supporting Substances with the
matrices: effect of uniaxial cyclic tensile strain on bone Electromechanical Impedance Technique. International Journal of
morphogenetic protein (BMP-2) mRNA expression. Tissue Mechanical and Mechatronics Engineering, 2016, 16(3), 8-15.
engineering, 2006, 12(12), 3459-3465. [27] Sirohi J., Chopra I. Fundamental understanding of piezoelectric strain
[8] Zengo A.N., Pawluk R.J., Bassett C.A.L., Stress-induced bioelectric sensors. Journal of Intelligent Material Systems and Structures,
potentials in the dentoalveolar complex. American journal of 2000, 11(4), 246-257.
orthodontics, 1973, 64(1), 17-27. [28] Liang C., Sun F.P., Rogers C.A. 1997. Coupled electro-mechanical
[9] Klein-Nulend J., Bacabac R.G., Bakker A.D., Mechanical loading analysis of adaptive material systems-determination of the actuator
and how it affects bone cells: the role of the osteocyte cytoskeleton in power consumption and system energy transfer. Journal of intelligent
maintaining our skeleton. European cells & materials, 2012, 24, 278- material systems and structures, 1997, 8(4), 335-343.
291. [29] Tinoco H.A., Marulanda D.J., Damage Identification in Active Plates
[10] Murphy N.C., Bissada N.F., Davidovitch Z., Kucska S., Bergman with Indices Based on Gaussian Confidence Ellipses Obtained of the
RT., Dashe J., et al., Corticotomy and Tissue Engineering for Electromechanical Admittance. Journal of Nondestructive
Orthodontists: A Critical History and Commentary. Seminars in Evaluation, 2015, 34(3), 1-16.
Orthodontics, 2012, 18(4), 295-307. [30] Tinoco H.A., Serpa A.L. Bonding influence in the electromechanical
[11] Chugh T., Jain A.K., Jaiswal R.K., Mehrotra P., Mehrotra R., Bone (EM) admittance of piezoelectric sensors bonded to structures based
density and its importance in orthodontics. Journal of Oral Biology on EMI technique. In: Proceedings of the 14th International
and Craniofacial Research, 2013, 3(2), 92-97. Symposium on Dynamic Problems of Mechanics (DINAME XIV).
[12] Holmberg T., Bech M., Gram J., Hermann A.P., Rubin K.H., Brixen Maresias, Brazil 2011; 335-344.
K., Point-of-Care Phalangeal Bone Mineral Density Measurement [31] Na W.S., Baek J. A Review of the Piezoelectric Electromechanical
Can Reduce the Need of Dual-Energy X-Ray Absorptiometry Impedance Based Structural Health Monitoring Technique for
Scanning in Danish Women at Risk of Fracture. Calcified tissue Engineering Structures. Sensors, 2018, 18(5).
international, 2016, 98(3), 244-252. [32] Fu Z.F., He J. Modal analysis. Butterworth-Heinemann 2001.
[13] Kinds M.B., Bartels L.W., Marijnissen A.C.A., Vincken K.L., [33] Piezoelectric-plate. 2014. Datasheet of piezoelectric sound
Viergever M.A., Lafeber F.P.J.G., et al., Feasibility of bone density components. Sparkfun electronics.
evaluation using plain digital radiography. Osteoarthritis and https://www.sparkfun.com/datasheets/Sensors/Flex/p37e.pdf
cartilage, 2011, 19(11), 1343-1348. [34] Tinoco H.A., Gomez J.P., Velasco M.A., Torres J. Identification of
[14] Inaba M., Ejima K.I., Motoyoshi M., Arai Y., Honda K., Shimizu N., stiffness variations in supporting substances of a human canine tooth
Measuring bone density at orthodontic miniscrew implantation sites with a bracket-beam-piezoelectric sensor and its electromechanical
using microcomputed tomography. International Journal of Oral & impedance. Future Dental Journal, 2017, 3(1), 15-21.
Maxillofacial Implants, 2015, 30(2). [35] Analog Device. 2016. Analog Devices: Datasheet AD5933. Analog
[15] Scheibel P.C., Ramos A.L., Iwaki L.C.V., Is there correlation between Devices. http://www.analog.com/static/imported-
alveolar and systemic bone density? Dental press journal of files/data_sheets/AD5933.pdf
orthodontics, 2013, 18(5), 78-83. [36] Na S., Lee H.K., Resonant frequency range utilized electro-
[16] Li Z.Y., Huang G., Wang J., Ren W.P., Measurement on bone density mechanical impedance method for damage detection performance
of children's mandible by quantitative computed tomography. West enhancement on composite structures. Composite Structures,
China journal of stomatology, 2008, 26(4), 355-357. 2012, 94(8), 2383-2389.
[17] Takaishi Y., Ikeo T., Nakajima M., Miki T., Fujita T., A pilot case– [37] Cherrier O., Selva P., Pommier-Budinger V., Lachaud F., Morlier J.,
control study on the alveolar bone density measurement in risk Damage localization map using electromechanical impedance
assessment for bisphosphonate-related osteonecrosis of the spectrums and inverse distance weighting interpolation: Experimental
jaw. Osteoporosis international, 2010, 21(5), 815-825. validation on thin composite structures. Structural Health
[18] Ribolla E.L., Rizzo P., Modeling the electromechanical impedance Monitoring, 12(4), 311-324.
technique for the assessment of dental implant stability. Journal of [38] Farrar C.R., Doebling S.W., Nix D.A., Vibration–based structural
biomechanics, 2015a, 48(10), 1713-1720. damage identification. Philosophical Transactions of the Royal
[19] Ribolla E.L., Rizzo P., Gulizzi V., On the use of the electromechanical Society of London A: Mathematical, Physical and Engineering
impedance technique for the assessment of dental implant stability: Sciences, 2001, 359(1778), 131-149.
Modeling and experimentation. Journal of Intelligent Material [39] Montalvao D., Maia N.M.M., Ribeiro, A.M.R., A review of vibration-
Systems and Structures, 2015b, 26(16), 2266-2280. based structural health monitoring with special emphasis on
[20] Tabrizi A., Rizzo P., Ochs M.W. Electromechanical impedance composite materials. Shock and vibration digest, 2006, 38(4), 295-
method to assess dental implant stability. Smart Materials and 324.
Structures, 2012, 21(11), 115022. [40] Shahdin A., Morlier J., Gourinat Y. Correlating low-energy impact
[21] Annamdas V.G., Radhika M. A., Electromechanical impedance of damage with changes in modal parameters: a preliminary study on
piezoelectric transducers for monitoring metallic and non-metallic composite beams. Structural Health Monitoring, 2009, 8(6), 523-536.
structures: A review of wired, wireless and energy-harvesting
methods. Journal of Intelligent Material Systems and Structures,
2013, 24(9), 1021-1042.
[22] Tinoco H.A., Serpa A.L. Voltage relations for debonding detection of
piezoelectric sensors with segmented electrode. Mechanical Systems
and Signal Processing, 2012, 31,258-267.
[23] Tinoco H.A., Robledo-Callejas L., Marulanda D. J., Serpa A.L.
Damage detection in plates using the electromechanical impedance
technique based on decoupled measurements of piezoelectric
transducers. Journal of Sound and Vibration, 2016, 384, 146-162.
[24] Yan W., Chen W.Q. Structural health monitoring using high-
frequency electromechanical impedance signatures. Advances in
Civil Engineering. 2010, 1-11.
[25] Tinoco H.A., Gomez J.P., Torres-Beltran J.; Velasco-Mejia M.A.,
Electromechanical Impedance Technique for Structural
Differentiation of Tooth Supporting Substance Using a Bracket-
Beam-Piezoelectric assembly, In: Proceedings of the Third
183804-9595-IJMME-IJENS © August 2018 IJENS
IJENS