Ultrasonography for diagnosis of peri-implant diseases and conditions: a detailed scanning protocol and case demonstration
Ultrasonography for diagnosis of peri-implant diseases and conditions: a detailed scanning protocol and case demonstration
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DOI：
10.1259/dmfr.20190445
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发表时间：
2020-01-01
影响因子：
3.3
通讯作者：
Kripfgans, Oliver D.
中科院分区：
文献类型：
--
作者：
Chan, Hsun-Liang;Kripfgans, Oliver D.
目的：超声检查在种植牙治疗计划、术中和术后三个阶段的影像学研究中显示出了很好的诊断价值。随着越来越多的种植体周围疾病的认识和缺乏一个有效的诊断方法，其目的是提出超声成像作为一个潜在的解决方案，通过提供一个详细的扫描协议和case demonstration.Methods：超声设备规格和设置优化种植体周围组织成像进行了说明。介绍了两种常用的成像模式，即B型和彩色血流。对种植体周围疾病的准确诊断的重要解剖结构进行了说明。最后，提出了一个详细的扫描序列。结果：超声图像采集活的人，以确定四个种植体周围的疾病和条件，由美国牙周病学会和欧洲牙周病联合会举办的2017年世界研讨会认可。超声不仅可以提供横截面的解剖图像，但也功能图像（彩色血流图像），这可能是有用的评价种植体周围组织inflammation.Conclusions的程度：高频超声可能是另一种横截面的影像学模式，辅助X光片诊断迫在眉睫的种植体周围疾病和条件，负面影响数百万患者的生活质量的植入物。本个案研究提供未来相关研究工作及临床扫描指引之架构。
Objectives: Ultrasonography has shown its promising diagnostic value in dental implant imaging research in the three treatment phases, namely, planning, intraoperative, and postoperative phase. With increasing awareness of peri-implant diseases and a lack of an efficient diagnostic method, the aim is to propose ultrasound imaging as a potential solution by providing a detailed scanning protocol and case demonstration.Methods: Ultrasound device specification and the setup for optimizing peri-implant tissue imaging was described. Two useful imaging modes, viz. B-mode and color flow, were introduced. Important anatomical structures for accurate diagnosis of peri-implant diseases were illustrated. Finally, a detailed scanning sequence was proposed.Results: Ultrasound images were acquired on live humans to exemplify the four peri-implant diseases and conditions, endorsed by the 2017 World Workshop organized by the American Academy of Periodontology and the European Federation of Periodontology. Ultrasound can provide not only cross-sectional anatomical images but also functional images (color flow images) that may be useful for evaluating the degree of peri-implant tissue inflammation.Conclusions: High-frequency ultrasonography could be another cross-sectional imaging modality in adjunct to radiographs for diagnosing imminent peri-implant diseases and conditions that negatively influence quality of life of millions of patients with implants. This case study provides a framework for future related research work and clinical scanning guidelines.