Accuracy of Intraoral Ultrasound to Evaluate Alveolar Bone Level: an Ex Vivo Study in Human Cadavers

Overview

Journal Oral Radiol

Specialty Radiology

Date 2024 Sep 9

PMID 39251497

Authors

Claudiu Corbea

Lawrence H Le

Neelambar R Kaipatur

Mengxun Li

Kim Cuong Nguyen

Giseon Heo

Carlos Alberto Figueredo

Paul W Major

Fabiana T Almeida

Affiliations

Soon will be listed here.

Abstract

Objectives: This study aimed to evaluate the reliability and accuracy of an intraoral ultrasound (US) device to evaluate alveolar bone by comparing it between different raters and to microCT (µCT) measurements.

Methods: 38 teeth distributed across three human cadavers were prepared by placing two notches on the facial enamel surface. The maxillary and mandibular teeth were imaged with a custom-designed intraoral 20 MHz ultrasound and µCT with 0.03 mm voxel size. µCT was considered the reference standard for this study. For each sample, the distance from the inferior border of the most apical notch to the tip of the alveolar bone crest on the facial aspect of the teeth was measured from the US and µCT images. Intraclass correlation coefficient (ICC) and standard deviation were calculated.

Results: The intra-examiner and inter-examiner reliability for both the µCT and US alveolar bone measurements were found to be excellent (intra-examiner ICC was 0.998 for µCT and 0.997 for US, inter-examiner ICC was 0.996 for µCT and between 0.947 and 0.950 for US). The accuracy of the US was found to be good compared to µCT (ICC between 0.885 and 0.894).

Conclusion: The study demonstrated that intraoral ultrasound is highly reliable and accurate compared to the µCT reference standard for evaluating facial alveolar bone height.

References

Papapanou P, Sanz M, Buduneli N, Dietrich T, Feres M, Fine D . Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018; 89 Suppl 1:S173-S182. DOI: 10.1002/JPER.17-0721. View

Xiang X, Sowa M, Iacopino A, Maev R, Hewko M, Man A . An update on novel non-invasive approaches for periodontal diagnosis. J Periodontol. 2010; 81(2):186-98. DOI: 10.1902/jop.2009.090419. View

Corbet E, Ho D, Lai S . Radiographs in periodontal disease diagnosis and management. Aust Dent J. 2009; 54 Suppl 1:S27-43. DOI: 10.1111/j.1834-7819.2009.01141.x. View

Sun L, Zhang L, Shen G, Wang B, Fang B . Accuracy of cone-beam computed tomography in detecting alveolar bone dehiscences and fenestrations. Am J Orthod Dentofacial Orthop. 2015; 147(3):313-23. DOI: 10.1016/j.ajodo.2014.10.032. View

Leung C, Palomo L, Griffith R, Hans M . Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofacial Orthop. 2010; 137(4 Suppl):S109-19. DOI: 10.1016/j.ajodo.2009.07.013. View

Shatskiy I . EFFECTIVE DOSES AND RADIATION RISKS FROM COMMON DENTAL RADIOGRAPHIC, PANORAMIC AND CBCT EXAMINATIONS. Radiat Prot Dosimetry. 2021; 195(3-4):296-305. DOI: 10.1093/rpd/ncab069. View

Reda R, Zanza A, Cicconetti A, Bhandi S, Miccoli G, Gambarini G . Ultrasound Imaging in Dentistry: A Literature Overview. J Imaging. 2021; 7(11). PMC: 8624259. DOI: 10.3390/jimaging7110238. View

Bohner L, Habor D, Tortamano P, Radermacher K, Wolfart S, Marotti J . Assessment of Buccal Bone Surrounding Dental Implants Using a High-Frequency Ultrasound Scanner. Ultrasound Med Biol. 2019; 45(6):1427-1434. DOI: 10.1016/j.ultrasmedbio.2019.02.002. View

Chan H, Kripfgans O . Ultrasonography for diagnosis of peri-implant diseases and conditions: a detailed scanning protocol and case demonstration. Dentomaxillofac Radiol. 2020; 49(7):20190445. PMC: 7549532. DOI: 10.1259/dmfr.20190445. View

10.

Nguyen K, Le B, Li M, T Almeida F, Major P, Kaipatur N . Localization of cementoenamel junction in intraoral ultrasonographs with machine learning. J Dent. 2021; 112:103752. DOI: 10.1016/j.jdent.2021.103752. View

11.

Nguyen K, Pacheco-Pereira C, Kaipatur N, Cheung J, Major P, Le L . Comparison of ultrasound imaging and cone-beam computed tomography for examination of the alveolar bone level: A systematic review. PLoS One. 2018; 13(10):e0200596. PMC: 6169851. DOI: 10.1371/journal.pone.0200596. View

12.

Nguyen K, Le L, Kaipatur N, Major P . Imaging the Cemento-Enamel Junction Using a 20-MHz Ultrasonic Transducer. Ultrasound Med Biol. 2015; 42(1):333-8. DOI: 10.1016/j.ultrasmedbio.2015.09.012. View

13.

Particelli F, Mecozzi L, Beraudi A, Montesi M, Baruffaldi F, Viceconti M . A comparison between micro-CT and histology for the evaluation of cortical bone: effect of polymethylmethacrylate embedding on structural parameters. J Microsc. 2011; 245(3):302-10. DOI: 10.1111/j.1365-2818.2011.03573.x. View

14.

Swain M, Xue J . State of the art of Micro-CT applications in dental research. Int J Oral Sci. 2010; 1(4):177-88. PMC: 3470105. DOI: 10.4248/IJOS09031. View

15.

Koo T, Li M . A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med. 2016; 15(2):155-63. PMC: 4913118. DOI: 10.1016/j.jcm.2016.02.012. View

16.

Salmon B, Le Denmat D . Intraoral ultrasonography: development of a specific high-frequency probe and clinical pilot study. Clin Oral Investig. 2011; 16(2):643-9. DOI: 10.1007/s00784-011-0533-z. View

17.

Mahmoud A, Ngan P, Crout R, Mukdadi O . High-resolution 3D ultrasound jawbone surface imaging for diagnosis of periodontal bony defects: an in vitro study. Ann Biomed Eng. 2010; 38(11):3409-22. DOI: 10.1007/s10439-010-0089-0. View

18.

Figueredo C, Catunda R, Gibson M, Major P, T Almeida F . Use of ultrasound imaging for assessment of the periodontium: A systematic review. J Periodontal Res. 2023; 59(1):3-17. DOI: 10.1111/jre.13194. View

19.

Chifor R, Badea M, Hedesiu M, Chifor I . Identification of the anatomical elements used in periodontal diagnosis on 40 MHz periodontal ultrasonography. Rom J Morphol Embryol. 2015; 56(1):149-53. View

20.

Bertram S, Emshoff R . Sonography of periimplant buccal bone defects in periodontitis patients: A pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 105(1):99-103. DOI: 10.1016/j.tripleo.2007.01.014. View