4.6 Article

Ultrasonography for noninvasive and real-time evaluation of peri-implant tissue dimensions

Journal

JOURNAL OF CLINICAL PERIODONTOLOGY
Volume 45, Issue 8, Pages 986-995

Publisher

WILEY
DOI: 10.1111/jcpe.12918

Keywords

alveolar bone; cone beam computed tomography; dental implants; peri-implantitis; soft tissue; ultrasonography

Funding

  1. Michigan Institute for Clinical and Health Research (MICHR) [UL1TR000433]
  2. Delta Dental Foundation [PAF01878]
  3. Osteology Foundation [PAF06301]
  4. Department of Periodontics and Oral Medicine Clinical Research Supplemental Research Grant
  5. School of Dentistry Research Collaborative Award

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AimExisting methods for evaluating marginal bone loss and tissue biotype around dental implants present with many limitations. The aim of this study was to examine the accuracy of high-resolution, 3-dimensional ultrasound to measure peri-implant tissue dimensions. Material and MethodsA 25-MHz ultrasound probe prototype was used to scan peri-implant tissues of 17 implants from seven fresh human cadavers. Four ultrasonic measurements were made as follows: the marginal bone level/thickness, and mucosal level/thickness. The readings were statistically compared to cone beam computed tomography (CBCT) and/or open bone measurements. ResultsThe correlations (r) between the ultrasound and direct/CBCT readings of the four parameters ranged from 0.85 to 0.98 (p<0.0001). The mean absolute difference in the four parameters between ultrasound-direct and ultrasound-CBCT ranged from 0.033 to 0.24mm. ConclusionEncouraging evidence is shown that ultrasound can accurately measure peri-implant tissue dimensions. Following clinical trial validations, ultrasound offers potential as a valuable tool to evaluate long-term peri-implant tissue stability without concerns of ionizing radiation and image artefacts around implants.

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