Optimal Lighting of Optical Devices for Oral Cavity

Abstract

Oral surgery mainly provides surgical scope illumination by doctors wearing headlamps, but there are still clinical restrictions on use. The limitations are (1) due to the angle of the head swing and the shadow of the visual field during the operation and (2) due to projection of the light source being worn on the doctor’s head and the length of the wire, and the fiber-optic wire will affect the relative position of the surgical instrument and limit the scope of the doctor’s activity. This study will focus on the development of oral lighting optical microstructure devices to solve and improve the abovementioned clinical use limitations. The production method is to make an oral lighting mold by 3D printing technology and use the polydimethylsiloxane (PDMS) of liquid silicone material to make an oral lighting device with mold casting technology. The results show that the optical simulation achieves the target light distribution by optimizing the three geometric reflection surfaces combined with the lens design by the optimization method, and the maximum illumination value can reach 5102 lux. According to the measurement results of mold casting technology, the average errors of the profile of the 3D printing finished product and the PDMS finished product of the oral device structure are about 1.4% and 16.9%, respectively. Because the contour of the PDMS finished product’s error caused the light to shift by 0.5∼3 mm distance, the light is still concentrated in the range of the tonsils, so this study can be defined as within the acceptable range of within 16.9% of the intra lighting error. The development of oral lighting devices in this study will reduce the burden on physicians in nonprofessional fields, reduce the time of surgery for patients to maintain the health of doctors, and rise the level of medical equipment to increase surgical safety.