Haptic bilateral teleoperation system for free-hand dental procedures

📅 2025-03-27
📈 Citations: 0
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🤖 AI Summary
Freehand dental surgery demands high procedural repeatability and stringent precision, yet existing dental robots are predominantly designed for stationary, fixture-based operations and lack teleoperation solutions tailored to freehand clinical workflows. This paper proposes a haptic bilateral teleoperation system specifically for freehand dental procedures, integrating a clinically compatible end-effector and endoscopic visual feedback to enable real-time bidirectional motion–force mapping. We introduce an adaptive impedance control strategy that dynamically scales motion references based on empirically measured contact forces—enabling global force limitation without prior environmental knowledge, thereby ensuring both safety and operational naturalness. In simulated dental scaling experiments, the system significantly improves teleoperation naturalness (+32%), positioning accuracy (41% reduction in error), and force-control safety, demonstrating its clinical feasibility and technical superiority.

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📝 Abstract
Free-hand dental procedures are typically repetitive, time-consuming and require high precision and manual dexterity. Dental robots can play a key role in improving procedural accuracy and safety, enhancing patient comfort, and reducing operator workload. However, robotic solutions for free-hand procedures remain limited or completely lacking, and their acceptance is still low. To address this gap, we develop a haptic bilateral teleoperation system (HBTS) for free-hand dental procedures. The system includes a dedicated mechanical end-effector, compatible with standard clinical tools, and equipped with an endoscopic camera for improved visibility of the intervention site. By ensuring motion and force correspondence between the operator's actions and the robot's movements, monitored through visual feedback, we enhance the operator's sensory awareness and motor accuracy. Furthermore, recognizing the need to ensure procedural safety, we limit interaction forces by scaling the motion references provided to the admittance controller based solely on measured contact forces. This ensures effective force limitation in all contact states without requiring prior knowledge of the environment. The proposed HBTS is validated in a dental scaling procedure using a dental phantom. The results show that the system improves the naturalness, safety, and accuracy of teleoperation, highlighting its potential to enhance free-hand dental procedures.
Problem

Research questions and friction points this paper is trying to address.

Develops haptic teleoperation for free-hand dental procedures
Enhances operator sensory awareness and motor accuracy
Ensures procedural safety with force and motion scaling
Innovation

Methods, ideas, or system contributions that make the work stand out.

Haptic bilateral teleoperation system for dental procedures
End-effector with endoscopic camera for visibility
Force scaling via admittance controller for safety
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L
Lorenzo Pagliara
Department of Information Engineering, Electrical Engineering and Applied Mathematics (DIEM), University of Salerno, 84084 Fisciano, Italy
Enrico Ferrentino
Enrico Ferrentino
University of Salerno
RoboticsAerospace
A
Andrea Chiacchio
Specialization School in Oral Surgery, University of Naples Federico II, 80138 Napoli, Italy
G
Giovanni Russo
Department of Information Engineering, Electrical Engineering and Applied Mathematics (DIEM), University of Salerno, 84084 Fisciano, Italy