Clinical Implant Dentistry and Related Research,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 3, 2024
ABSTRACT
Objective
To
evaluate
the
feasibility
of
ultrasound‐image‐based
computer‐assisted
implant
planning
and
placement.
Materials
Methods
Intraoral
scans,
cone‐beam
computerized
tomography
(CBCT),
ultrasound
(US)
scans
with
a
custom
positioning
device
were
acquired
in
nine
patients.
Prosthetic‐driven
surgical
guides
planned
fabricated
based
on
images
intraoral
scans.
Implants
then
placed.
Postoperative
position
was
obtained
intra‐surgically
by
scan.
Aside
from
ultrasound‐based
plan,
conventional
performed
same
operator
pre‐surgical
CBCT
for
comparison.
Linear
deviations
between
CBCT‐planned
positions
measured
compared
intra‐surgical
position,
two
consecutive
plannings
operator.
The
linear
deviation
3D
scan
surface
edentulous
region
ultrasonographic
soft
tissue
profile
segmentation
also
assessed
reverse‐engineering
software.
Means,
standard
deviations,
root
mean
square
differences
(RMSD)
calculated
every
variable.
Results
All
ultrasound‐planned
implants
successfully
placed,
no
complications
recorded.
angles,
shoulders,
apexes
5.27
±
1.75°
(RMSD:
5.53°),
0.92
0.26
mm
0.95
mm),
1.41
0.61
1.53
respectively,
US
implants;
2.63
0.43°
2.66°),
1.16
0.30
1.19
1.26
0.27
1.28
mm)
recorded
positions;
2.90
1.36°
3.18°),
0.65
0.70
0.99
0.37
1.05
CBCTs
surfaces
model
ultrasound‐derived
area
0.19
0.08
mm.
Conclusions
Ultrasound‐guided
surgery
represents
feasible
non‐ionizing
alternative
to
static
guided
protocols
placement
sites
favorable
characteristics.
Journal Of Clinical Periodontology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 1, 2024
Abstract
Aim
To
apply
high‐frequency
ultrasound
(HFUS)
echo
intensity
for
characterizing
peri‐implant
tissues
at
healthy
and
diseased
sites
to
investigate
the
possible
ultrasonographic
markers
of
health
versus
disease.
Materials
Methods
Sixty
patients
presenting
60
implants
diagnosed
as
(
N
=
30)
peri‐implantitis
were
assessed
with
HFUS.
HFUS
scans
imported
into
a
software
where
first‐order
greyscale
outcomes
[i.e.,
mean
(EI)]
second‐order
assessed.
Other
interest
involved
vertical
extension
hypoechoic
supracrestal
area
(HSA),
soft‐tissue
(STA)
buccal
bone
dehiscence
(BBD),
among
others.
Results
EI
values
obtained
from
soft
tissue
122.9
±
19.7
107.9
24.7
grey
levels
(GL);
p
.02,
respectively.
All
showed
appearance
an
HSA
that
was
not
present
in
(area
under
curve
1).
The
proportion
HSA/STA
37.9%
14.8%.
Regression
analysis
significantly
different
between
(odds
ratio
0.97
[95%
confidence
interval:
0.94–0.99],
.019).
Conclusions
characterization
shows
significant
difference
sites.
presence/absence
may
be
valid
diagnostic
discriminate
status.
Journal of Periodontal Research,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 5, 2024
To
assess
ultrasonographic
tissue
elasticity
at
teeth
and
implant
sites
its
variation
after
peri-implant
soft
augmentation
with
a
connective
graft
(CTG).
Journal of Periodontal Research,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 22, 2025
ABSTRACT
Aim
To
assess
tissue
perfusion
changes
and
wound
healing
biomarker
levels
after
root
coverage
procedures
with
coronally
advanced
flap
in
combination
the
cross‐linked
xenogeneic
collagen
matrix
(CCMX),
loaded
either
a
placebo
or
recombinant
human
platelet‐derived
growth
factor‐BB
(rhPDGF).
Methods
This
study
was
designed
as
secondary
analysis
from
previously
published
clinical
trial,
it
assessed
over
6
months
around
multiple
gingival
recession
defects,
treated
CCMX
alone
(control)
+
rhPDGF
(test).
High
frequency
Doppler
ultrasonography
(HFUS)
scans
were
obtained
at
sites
of
interest
baseline,
2
weeks,
3
months,
surgery.
Dynamic
measurements
(DTPMs)
performed
midfacial,
interproximal,
transverse
aspects
teeth
by
an
operator,
blinded
to
treatment
allocation,
using
software
package.
The
expression
different
biomarkers
crevicular
fluid
also
assessed.
Results
regression
analyses
showed
similar
between
two
groups
throughout
majority
months.
DTPMs
weeks
test
group
have
significantly
higher
relief
intensity
(pRI,
p
<
0.001),
mean
perfused
area
(pA,
blood
flow
(FI
,
=
0.021),
total
tot
0.021)
graft
region
(ROI)
compared
control
sites.
exhibited
greater
pA
(
0.033)
“blue”
blue
meaning
away
transducer,
0.035)
level
At
FI
directly
correlated
final
0.008)
complete
0.003).
direct
correlation
volume
gain
0.031
for
both
parameters).
GT
early
(pA
)
flap.
expressions
IL‐1β,
PDFG‐BB,
VEGF
1‐week
PDGF‐BB
that
associated
time
recovery.
Conclusions
HFUS
allowed
exquisite
assessment
occurring
entire
surgical
reconstructive
regions
within
graft.
Sites
DTPMs,
primarily
ROIs
2‐week
timepoint
augmented
saline.
Early
associations
PROMs
outcomes.
Trial
Registration:
ClinicalTrials.gov
:
NCT04462237
Clinical Oral Investigations,
Journal Year:
2025,
Volume and Issue:
29(5)
Published: April 26, 2025
Abstract
Objective
The
objective
of
this
study
is
to
evaluate
a
compact
ultrasound
transducer
image
anatomical
biomarkers
for
periodontal
diagnosis
teeth,
including
difficult-to-reach
posterior
teeth.
Materials
and
methods
A
9-MHz
hockey-stick
was
used
53
premolars,
30
molars,
79
incisors
canines
from
13
subjects.
alveolar
bone
crest
(ABC),
cementoenamel
junction
(CEJ),
gingival
margin
(GM)
were
identified
by
imaging.
image-based
distances
between
these
anatomic
landmarks
measured
iABC
(ABC
CEJ),
iGR
(GM
CEJ)
iGH
GM).
measurements
compared
corresponding
parameters
obtained
clinical
examination.
also
assess
health
with
diagnosis.
Results
average
−
1.12
mm
(i.e.,
above
the
gingivitis
Stage
I
periodontitis,
0.56
III
demonstrating
significant
increase
in
recession
patients
severe
periodontitis
(Student
t-test,
unpaired,
two-tailed,
p
<
0.0001).
distinguished
gingivitis,
group,
group
(unpaired,
two-tailed
0.05
PPD,
=
iGH).
Conclusion
Non-invasive
imaging
can
be
stratify
subjects
differing
disease
severity.
are
reproducible.
Clinical
relevance
as
screening
tool
affected
examination
treatment.
Frontiers in Dental Medicine,
Journal Year:
2025,
Volume and Issue:
6
Published: May 22, 2025
Understanding
the
available
methods
to
study
blood
flow
in
oral
cavity
can
enhance
knowledge
of
research
methodology
on
periodontal
circulation
related
disease
initiation
and
progression
as
well
wound
healing.
This
aims
systematically
review
non-invasive
techniques
that
allow
for
assessment
tissue
perfusion
clinical
pre-clinical
studies.
A
complete
electronic
literature
search
5
databases
(NLM
PubMed,
Embase,
EBSCOhost
CINAHL,
Dentistry
Oral
Sciences
Source,
Wiley
Cochrane
Central
Register
Controlled
Trials)
was
conducted
by
two
reviewers.
The
terms
included
gingival
flow,
perfusion,
imaging
soft
diagnostic,
vascularization,
tissue,
microvascularization.
focused
question
is:
What
are
quantitative
used
evaluate
perfusion?
total
79
articles
were
qualitative
analysis.
Various
identified,
including
Laser
Doppler
Flowmetry
(LDF),
Speckle
Contrast
Imaging
(LSCI),
Spectral
Methods
(such
Diffuse
Reflectance
Spectroscopy),
Ultrasound
(US),
Intravital
Video
Microscopy,
Videocapillaroscopy.
LDF
is
most
applied
estimate
a
small
focal
area
diseases
healing,
among
other
indications.
LSCI,
providing
surrogate
superficial
values
2-dimensional,
larger
field-of-view,
has
been
similar
reasons.
use
cross-sectional
ultrasound
rise
record
velocity
volume
using
color
power
modes,
respectively.
Comparisons
technologies
revealed
their
strengths
limitations
spatial
resolution,
sensitivity,
reliability,
accuracy,
invasiveness,
dependence
(image)
data
field
view
relative
probe
positioning
angulation,
safety.
ideal
features
such
device
pertinent
geometry,
acquisition,
recording,
infection
control
needs
also
discussed.
few
have
identified
cavity.
These
could
potentially
augment
our
ability
diagnose
monitor
healing
objectively
timely.
In
combination,
these
treatment
outcomes
significantly.
Clinical Oral Investigations,
Journal Year:
2024,
Volume and Issue:
28(8)
Published: July 17, 2024
The
aim
of
this
study
was
to
evaluate
the
peri-implant
perfusion,
such
as
oxygen
saturation,
relative
amount
hemoglobin,
and
blood
flow,
in
implants
placed
pristine
bone
avascular
microvascular
grafts
using
a
non-invasive
measurement
method.