Haptic bilateral teleoperation system for free-hand dental procedures

IEEE TRANSACTIONS ON MEDICAL ROBOTICS AND BIONICS 1 Haptic bilateral teleoperation system for free-hand dental procedures Lorenzo Pagliara, Student Member, IEEE, Enrico Ferrentino, Member, IEEE, Andrea Chiacchio, Giovanni Russo, Senior Member, IEEE 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. T o 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. I NTRODUCTION A. Background R OBOTICS is rewriting the future of healthcare, emerging as a disruptive technology capable of optimizing and revolutionizing the way some medical procedures are conducted.