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High-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects
OBJECTIVE: To determine the capacity of ultrasonographic image-based measurements of gingival height and alveolar bone level for monitoring periodontal health and disease. METHODS: Sixteen subjects were recruited from patients scheduled to receive dental care and classified as periodontally healthy...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Institute of Radiology.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043620/ https://www.ncbi.nlm.nih.gov/pubmed/35522698 http://dx.doi.org/10.1259/dmfr.20220044 |
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author | Moore, Colman A Law, Jane K Retout, Maurice Pham, Christopher T Chang, Kai Chiao J Chen, Casey Jokerst, Jesse V |
author_facet | Moore, Colman A Law, Jane K Retout, Maurice Pham, Christopher T Chang, Kai Chiao J Chen, Casey Jokerst, Jesse V |
author_sort | Moore, Colman A |
collection | PubMed |
description | OBJECTIVE: To determine the capacity of ultrasonographic image-based measurements of gingival height and alveolar bone level for monitoring periodontal health and disease. METHODS: Sixteen subjects were recruited from patients scheduled to receive dental care and classified as periodontally healthy (n = 10) or diseased (n = 6) according to clinical guidelines. A 40-MHz ultrasound system was used to measure gingival recession, gingival height, alveolar bone level, and gingival thickness from 66 teeth for comparison to probing measurements of pocket depth and clinical attachment level. Interexaminer variability and comparison between ultrasound measurements and probing measurements was performed via Bland-Altman analysis. RESULTS: Gingival recession and its risk in non-recessed patients could be determined via measurement of the supra- and subgingival cementoenamel junction relative to the gingival margin. Interexaminer bias for ultrasound image analysis was negligible (<0.10 mm) for imaged gingival height (iGH) and 0.45 mm for imaged alveolar bone level (iABL). Diseased subjects had significantly higher imaging measurements (iGH, iABL) and clinical measurements (probing pocket depth, clinical attachment level) than healthy subjects (p < 0.05). Subtraction of the average biologic width from iGH resulted in 83% agreement (≤1 mm difference) between iGH and probing pocket depth measurements. CONCLUSIONS: Ultrasonography has an equivalent diagnostic capacity as gold-standard physical probing for periodontal metrics while offering more detailed anatomical information. |
format | Online Article Text |
id | pubmed-10043620 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The British Institute of Radiology. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100436202023-09-01 High-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects Moore, Colman A Law, Jane K Retout, Maurice Pham, Christopher T Chang, Kai Chiao J Chen, Casey Jokerst, Jesse V Dentomaxillofac Radiol Research Article OBJECTIVE: To determine the capacity of ultrasonographic image-based measurements of gingival height and alveolar bone level for monitoring periodontal health and disease. METHODS: Sixteen subjects were recruited from patients scheduled to receive dental care and classified as periodontally healthy (n = 10) or diseased (n = 6) according to clinical guidelines. A 40-MHz ultrasound system was used to measure gingival recession, gingival height, alveolar bone level, and gingival thickness from 66 teeth for comparison to probing measurements of pocket depth and clinical attachment level. Interexaminer variability and comparison between ultrasound measurements and probing measurements was performed via Bland-Altman analysis. RESULTS: Gingival recession and its risk in non-recessed patients could be determined via measurement of the supra- and subgingival cementoenamel junction relative to the gingival margin. Interexaminer bias for ultrasound image analysis was negligible (<0.10 mm) for imaged gingival height (iGH) and 0.45 mm for imaged alveolar bone level (iABL). Diseased subjects had significantly higher imaging measurements (iGH, iABL) and clinical measurements (probing pocket depth, clinical attachment level) than healthy subjects (p < 0.05). Subtraction of the average biologic width from iGH resulted in 83% agreement (≤1 mm difference) between iGH and probing pocket depth measurements. CONCLUSIONS: Ultrasonography has an equivalent diagnostic capacity as gold-standard physical probing for periodontal metrics while offering more detailed anatomical information. The British Institute of Radiology. 2022-09-01 2022-05-12 /pmc/articles/PMC10043620/ /pubmed/35522698 http://dx.doi.org/10.1259/dmfr.20220044 Text en © 2022 The Authors. Published by the British Institute of Radiology https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 Unported License http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial reuse, provided the original author and source are credited. |
spellingShingle | Research Article Moore, Colman A Law, Jane K Retout, Maurice Pham, Christopher T Chang, Kai Chiao J Chen, Casey Jokerst, Jesse V High-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects |
title | High-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects |
title_full | High-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects |
title_fullStr | High-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects |
title_full_unstemmed | High-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects |
title_short | High-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects |
title_sort | high-resolution ultrasonography of gingival biomarkers for periodontal diagnosis in healthy and diseased subjects |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043620/ https://www.ncbi.nlm.nih.gov/pubmed/35522698 http://dx.doi.org/10.1259/dmfr.20220044 |
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