Non-ionizing real-time ultrasonography in implant and oral surgery: A feasibility study

被引:63
作者
Chan, Hsun-Liang [1 ]
Wang, Hom-Lay [1 ]
Fowlkes, Jeffery Brian [2 ,3 ]
Giannobile, William V. [1 ,3 ]
Kripfgans, Oliver D. [2 ]
机构
[1] Univ Michigan Sch Dent, Dept Periodont & Oral Med, Ann Arbor, MI USA
[2] Univ Michigan Sch Dent, Dept Radiol, Ann Arbor, MI USA
[3] Univ Michigan, Coll Engn, Dept Biomed Engn, Ann Arbor, MI USA
关键词
alveolar ridge; anatomy; bone regeneration; cone-beam computed tomography; dental implants; ultrasonography; BEAM COMPUTED-TOMOGRAPHY; PERIAPICAL LESIONS; DIFFERENTIAL-DIAGNOSIS; GINGIVAL THICKNESS; ENAMEL THICKNESS; AESTHETIC ZONE; ULTRASOUND; ACCURACY; EFFICACY; RADIOGRAPHY;
D O I
10.1111/clr.12805
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Purpose: Ultrasound imaging has potential to complement radiographic imaging modalities in implant and oral surgery given that it is non-ionizing and provides instantaneous images of anatomical structures. For application in oral and dental imaging, its qualities are dependent on its ability to accurately capture these complex structures. Therefore, the aim of this feasibility study was to investigate ultrasound to image soft tissue, hard tissue surface topography and specific vital structures. Material and methods: A clinical ultrasound scanner, paired with two 14-MHz transducers of different sizes (one for extraoral and the other for intraoral scans), was used to scan the following structures on a fresh cadaver: (i) the facial bone surface and soft tissue of maxillary anterior teeth, (ii) the greater palatine foramen; (iii) the mental foramen and (iv) the lingual nerve. Multiple measurements relevant to these structures were made on the ultrasound images and compared to those on cone-beam computed tomography (CBCT) scans and/or direct measurements. Results: Ultrasound imaging could delineate hard tissue surfaces, including enamel, root dentin and bone as well as soft tissue with high resolution (110 mu m wavelength). The greater palatine foramen, mental foramen and lingual nerve were clearly shown in ultrasound images. Merging ultrasound and CBCT images demonstrated overall spatial accuracy of ultrasound images, which was corroborated by data gathered from direct measurements. Conclusion: For the first time, this study provides proof-of-concept evidence that ultrasound can be a real-time and non-invasive alternative for the evaluation of oral and dental anatomical structures relevant for implant and oral surgery.
引用
收藏
页码:341 / 347
页数:7
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