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mORAL: An mHealth Model for Inferring Oral Hygiene Behaviors in-the-wild Using Wrist-worn Inertial Sensors

Published: 29 March 2019 Publication History

Abstract

We address the open problem of reliably detecting oral health behaviors passively from wrist-worn inertial sensors. We present our model named mORAL (pronounced em oral) for detecting brushing and flossing behaviors, without the use of instrumented toothbrushes so that the model is applicable to brushing with still prevalent manual toothbrushes. We show that for detecting rare daily events such as toothbrushing, adopting a model that is based on identifying candidate windows based on events, rather than fixed-length timeblocks, leads to significantly higher performance. Trained and tested on 2,797 hours of sensor data collected over 192 days on 25 participants (using video annotations for ground truth labels), our brushing model achieves 100% median recall with a false positive rate of one event in every nine days of sensor wearing. The average error in estimating the start/end times of the detected event is 4.1% of the interval of the actual toothbrushing event.

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    cover image Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies
    Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies  Volume 3, Issue 1
    March 2019
    786 pages
    EISSN:2474-9567
    DOI:10.1145/3323054
    Issue’s Table of Contents
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

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    Publication History

    Published: 29 March 2019
    Accepted: 01 January 2019
    Revised: 01 November 2018
    Received: 01 August 2018
    Published in IMWUT Volume 3, Issue 1

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    Author Tags

    1. brushing detection
    2. flossing detection
    3. hand-to-mouth gestures
    4. mHealth

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    • (2024)Dentists who can auscultate: Microphone-based toothbrushing quality monitoring system for electronic toothbrushExpert Systems with Applications10.1016/j.eswa.2024.124817255(124817)Online publication date: Dec-2024
    • (2023)X-CHARProceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies10.1145/35808047:1(1-28)Online publication date: 28-Mar-2023
    • (2023)LiT: Fine-grained Toothbrushing Monitoring with Commercial LED ToothbrushProceedings of the 29th Annual International Conference on Mobile Computing and Networking10.1145/3570361.3613287(1-16)Online publication date: 2-Oct-2023
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    • (2022)Where Is the Artificial Intelligence Applied in Dentistry? Systematic Review and Literature AnalysisHealthcare10.3390/healthcare1007126910:7(1269)Online publication date: 8-Jul-2022
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    • (2021)Leveraging Activity Recognition to Enable Protective Behavior Detection in Continuous DataProceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies10.1145/34635085:2(1-27)Online publication date: 24-Jun-2021
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