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Introducing

Dental HINT

Hygiene INstrument Tutor

(Patent 11,699,358 B2)

HINT represents a paradigm shift in the training of dental hygienist.

Combining a sophisticated motion tracking system, proprietary positioning algorithms, and full training suite, HINT provides live feedback about the positioning of a periodontal hand instrument relative to a tooth's surface. For the first time ever, students and instructors have access to consistent and objective feedback that accelerates learning and allows for accurate assessments of performance.

Model teeth with dental HINT instrument
Dental HINT Instrument in action with typodont

Angulation:  72

Adaptation: 

Sad face showing poor adaptation angle for Dental HINT

PURPOSE

For the first time ever – HINT ™ provides a 100% objective, consistent and accurate way to measure and assess instrument use without direct faculty supervision!

Correct dental hygiene instrumentation requires alignment of the cutting surface of the instrument at a specific angle and adaptation to the tooth surface however - -

Until now students and instructors could only estimate (guess) at Adaptation and Angulation angles based on the instrument's terminal shank position.

Until now there was no way to measure the actual angles.

Dental instrument and tooth showing Angulation and Adaptation angle

Visual observation of the angles is extremely subjective and inconsistent.

Even on an easier anterior (front) tooth

with magnification, consider:

  • is the Angulation at the ideal 70 degrees?

  • is the Adaptation of the tip of the instrument aligned so it won't miss calculus (tartar) or hurt the patient?

Hidden instrument tip hides the Angulation and Adaptation angles

Correct dental hygiene instrumentation is further complicated by:

  • Subgingival scaling (inserting end of instrument below the gumline as above)

  • Indirect vision (viewing teeth in a mirror instead of directly) – making it even more challenging for both student and faculty.

  • Requires faculty supervision – because student can't assess the angles.

Where should the stroke begin and end?

Are the correct angles being maintained throughout the entire stroke?

Until now there was no way to continuously measure the angles. HINT can even record the time it takes to complete a stroke and compute and display a Proficiency Score based on user adjustable parameters.

Eighty times per second HINT measures and records the actual angles and compares them to ideal angles.

 

HINT provides continuous feedback in a wide variety of formats to make learning a new instrument fast, easy and fun. It can even play back stokes for an Instructor to review at a later time and provide an overall Proficiency Score.

User feedback on Angulation and Adaptation

Angulation

User feedback on Angulation and Adaptation

Adaptation

User feedback on Angulation and Adaptation
User feedback on Angulation and Adaptation
User feedback on Angulation and Adaptation
Purpose
Solution

SOLUTION

(Patent 11,699,358 B2)

A revolutionary new product HINT™ (Hygiene INstrument Tutor) is the first and only product to use modern Optical or Electromagnetic Tracking technology, along with 3D modeling and sophisticated software to measure and display the actual Angulation and Adaptation angles of a periodontal hand instrument. It represents a paradigm shift in the training of dental hygienist.

TrakSTAR Control Unit

Control Unit

TrakSTAR Transmitter

Transmitter

HINT 3D Modeling of typodont

Mounted in the handle of the instrument, the magnetic Sensor measures the exact position and orientation of the dental instrument tip. Or markers mounted on the instrument allow optical trackers to achive even more precision.

HINT uses the 6 DOF (Degrees Of Freedom) output from the tracker including (x, y, z) position and orientation (azimuth, elevation, roll). HINT software uses this data to determine location and angle of the instrument tip on the tooth surface.

A wide variety of periodontal hand instruments will be available including probes.

HINT Dental Instrument

Tracking Sensor

TrakSTAR Tracking Sensor

Sub millimeter 3D models of the teeth enables the software to measure and record the actual Angulation and Adaptation angle between the tooth surface and instrument cutting surface and track the entire stroke.

This (proof of concept) prototype shows how the typodont is in a fixed location relative to the magnetic tracking transmitter. The entire assembly can be located inside a plastic manikin.

HINT Manikin
HINT Prototype
HINT PC screen

HINT software will have a wide variety of teaching modes and lesson plans, all designed to accelerate the learning process and free the instructors to better manage the entire class while pinpointing the specific needs of individual students.

It can also provide a permanent record of each students achievements and allow remote monitoring by an instructor.

The extraordinary accuracy and repeatability of HINT is simply impossible to replicate with a human observer. The consistent and objective feedback finally makes teaching and learning dental hygiene fast, easy and fun!

Testimonials

TESTIMONIALS

“Having been an educator for more than 30 years, the new technology available in HINT is by far the best breakthrough in teaching correct adaption and angulation that I have ever seen. HINT takes the guess work out of teaching and evaluating the students’ ability to find correct adaptation and angulation for effective calculus detection and removal.”

Terri Brown, RDH, MS,

Dental Hygiene Professor

“Working with HINT technology in the laboratory setting has been an eye-opening experience for me.  By providing objective feedback to dental hygiene faculty and students during instrumentation, HINT has the potential to transform dental hygiene instruction.”

Brigette R. Cooper, MS, RDH, RF, Dental Hygiene Professor

“Having taught in a beginning dental hygiene instrumentation course with multiple faculty, I am aware that there are differences amongst faculty regarding instrument angulation and adaptation.  HINT will  not only be a valuable tool for students to self-assess their instrument angulation and adaptation but also an excellent tool for faculty calibration.”

Trisha Krenik-Matejcek, RDH, MS

Dental Hygiene Professor

Contact

CONTACT  US

HINT™ is still under development (Patent 11,699,358 B2). We are also looking for firms to license or purchase the HINT™ technology and scale it up and commercialize it for the marketplace.

Please email us if you have any questions or comments.

Success! Message received.

Angela Monson, RDH, PhD

Dental Hygiene Department

MN State University, Mankato

angela.monson@mnsu.edu

507-381-7073

Vince Bush, BSEE

Bush Consulting Service

Madison Lake, MN

VinceBush@Outlook.com

507-995-6591

FAQ

FAQ

Why is it called HINT?

  • HINT™ is an acronym for Hygiene INstrument Tutor. It helps (tutors) any hygiene student (beginner to advanced) to improve their accuracy, consistency and speed when learning to use a wide variety of periodontal hand instruments.

 

What does HINT do?

How does it help?

  • HINT ensures the dental instrument is used correctly by tracking the position and orientation of the instrument and uses 3D modeling of the tooth surface. A key feature is its ability to measure the actual Angulation and Adaptation angles (and more) and provide continuous feedback to the student while they practice using that instrument.

  • HINT uses a wide variety of teaching modes and lesson plans making it highly adaptable to the specific needs of individual students and classrooms. For example students can learn just what they need help with and learn at their own pace.

 

Why is HINT important?

Is HINT worth the cost?

  • The extraordinary accuracy and consistency of HINT is simply impossible to replicate with a human observer.

 

  • HINT finally brings space age 3D simulation to the dental hygiene classroom. It makes learning faster, easier and more fun which will attract more students and increase your enrollment.

 

  • The consistent and objective feedback to the student finally makes teaching and learning fast easy and fun.

 

  • The Instructor no longer needs to monitor each student (one at a time) just to ensure they are maintaining the correct instrument angles as they practice.

 

  • A wide variety of teaching modes and lesson plans makes it highly adaptable to the specific needs of individual students. Students can learn just what they need help with and learn at their own pace.

 

  • HINT frees the instructor to manage the entire class while pinpointing the specific needs of individual students.

  • HINT can also provide a permanent record of each students achievements and allow remote monitoring by an instructor.

 

How does HINT track the instrument?

  • HINT uses magnetic tracking technology to precisely measure the position and orientation of the instrument tip in real time. The typodont teeth remain in a fixed location so HINT can measure the distance and angles between the instrument tip and the tooth surface.

 

How does “Magnetic Tracking” work?

  • A transmitter uses three large electromagnets (coils of wire) to generate three different magnetic fields in three directions (X, Y and Z). The sensor has three miniature coils of wire also mounted in three directions (X, Y and Z). Very quickly the transmitter electromagnets are turned on one at a time and the current induced in each of the three sensor coils depends on the distance and orientation between the transmitter and sensor. By precisely measuring the induced currents HINT can measure the instrument tip's position (x, y and z) and orientation (azimuth, elevation and roll) with high accuracy.

  • A typodont is mounted at a fixed location in front of the transmitter. Each tooth surface is modeled in 3D and they do not move. Thirty times per second HINT measures the position and orientation of the Instrument tip so it can determine which tooth surface the tip is near and calculate the actual Angulation and Adaptation angles between the Tip and the tooth surface.

Please contact us if you have other questions.

MARKET POTENTIAL

HINT™ has many benefits making the sales potential very high. It represents a paradigm shift in the training of dental hygienist and there are no other products similar to it. A wide variety of features are being developed (Patent 11,699,358 B2) making both the short term and long term sales potential very high. 

 

Please contact us if you are interested in licensing or purchasing HINT technology to scale it up for the marketplace. More information on production costs and potential sales volume is being developed every day. The following provides some general estimates.

There are approximately 400 Dental Hygiene teaching institutions just in the United States with a common dental lab size of 20 chairs. Because HINT has no competition this generates a potential need for 8000 systems total. This could average out to be 800 sales every year for 10 years!

An estimated production cost for HINT (including one Instrument) is $8,000 to $11,000 parts and labor (See Notes). Assuming a MSRP from $19,900 to $35,900 this generates a potential profit between $7 million to $22 million each year for ten years!

HINT Systems: In addition to the above 8000 systems needed for teaching institutions there are many other potential buyers of HINT. For example:

  • Regional or state board clinical exam agencies may want to purchase HINT systems to determine clinical competence prior to licensure. Currently practical dental hygiene examinations are dependent on live patients and live examiners who attempt to calibrate to the best of human possibility.  The majority of dental hygiene faculty and students do not believe the current live patient system is adequate to determine clinical competence. The HINT system could be designed to enable 100% objective, consistent and reliable analysis of dental hygiene instrumentation technique on a typodont with or without calculus. As of April 2017 both the ADEA (American Dental Educators Association) and MNDHEA (Minnesota Dental Hygiene Educators Association) now support investigating alternative methods to measure clinical competence. The current live patient exam does not measure dental hygiene instrumentation directly, instead it relies on human examiners to determine if calculus removal on the live patient was "adequate", and that the dental hygienist did not cause too much tissue trauma.  When adopted by these regional exam agencies, sales at dental hygiene programs would increase, as they will want to be using the same technology to increase student pass rates. Learn more about these exams here: http://www.adha.org/resources-docs/7313_Overview_Clinical_Examinations.pdf 

  • As the profession of dental hygiene continues to grow, dental hygiene students are expected to learn more and more information.  Dental hygienists are no longer expected to just "clean teeth", but rather serve in a variety of roles including patient education, community and public health, research, marketing and sales.  It is anticipated that HINT will help students develop their instrumentation skills faster and with more independence, which will enable teaching institutions to focus more on other skills needed to fulfill all the responsibilities of a dental hygienist.  This will benefit both dental hygiene education programs and the public at large.

  • It is hard to estimate sales in other countries but the potential is high. For example China is rapidly expanding their dental health care and has a great need for teaching more dental hygienist. The China market alone could easily exceed the sales in the United States.

  • Many Dental Instrument Manufacturers will likely purchase HINT systems for two reasons: 1.) HINT could be very helpful in the design, development and testing of their new instruments. For example it can help ensure they accurately determine the optimum Angulation and Adaptation angles for their new instrument. 2.) They may purchase HINT systems and then provide a service for continued education to help licensed dental hygienists learn and use their new instruments. This could increase their instrument sales since many dental hygienists are reluctant to stray from the instruments they were taught to use in their initial training.

  • Dental offices may purchase a HINT system to help their dental hygiene employees improve existing skills (re-calibrate) and or develop new instrumentation skills.  When dental hygiene students graduate, they are considered minimally competent. It is expected that graduates will continue to develop their skills to achieve higher levels of competence when working on the job. Unfortunately this relies on self-evaluations, with perhaps some feedback from the supervising dentist. HINT would enable dental hygienists to improve their skills at a faster rate while not compromising patient care. Dental offices that provide this service (or employee perk) could attract more and better dental hygienist. Advertising this continued education and competency testing and how it improves the quality of their practice could also attract more patients for that dental office (more business).

HINT Instruments: Instrument sales could continue indefinitely providing another long term income avenue. For example:

  • It is expected HINT will ship with one dental hygiene instrument selected by the institution. However common dental hygiene instrument setups include at least seven different instruments providing another avenue of income. Different regions in the United States prefer different types of dental hygiene instruments. Research is currently being conducted to assess these preferences and help determine which instruments would be the most popular.

  • As new types of instruments are invented and introduced by Instrument manufactures the existing HINT users will want them to be available for HINT.

  • There will be additional sales to replace worn out and broken (abused) instruments.

  • There should also be a demand for a service that will refurbish and recalibrate instruments and typodonts.

HINT Software:

  • A Software Update service (of various lengths) could also be sold to ensure bug free operation.

  • Every so often a major new software release could be sold with new and improved features.

  • Every so often new hardware could be introduced to provide additional features.

Why will dental hygiene programs want to invest in HINT technology?

The Commission of Dental Accreditation is the current accrediting body for dental hygiene.  State licensure for dental hygienists is dependent on graduating from an accredited dental hygiene program.  Standards within this accreditation process REQUIRE programs to demonstrate how they are determining competence with dental hygiene instrumentation, along with evidence as to how they are calibrating faculty.  Additionally standards require programs to provide remedial education to any dental hygiene students who are struggling to develop adequate instrumentation skills.  HINT provides the perfect answer to address ALL of these standards.

NOTES:

  • The cost for the major items like magnetic or optical tracking and Instruments is known but many other items can only be estimated at this time. The cost to mount and calibrate Sensors in the Instruments and the size, type and cost of a manikin are two of the bigger unknowns.

  • This cost analysis does not include any NRE cost or amortizing that development cost over some period of time.

  • Critical design objectives and features for HINT have been completed and more are being developed (Patent 11,699,358 B2). However writing all of the C++ code to implement those features has been limited so it can be done in the most cost effective way by the OEM. The proof of concept prototype code was developed by modifying sample code from the vendor to include the Angulation and Adaptation calculations.

  • To be more cost effective, the mechanical parts and subsystems (like the manikin) have not been developed so parts and assemblies already designed and available to an OEM can be used to keep the cost lower.

Market
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