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40兆赫牙周超声检查中牙周诊断所使用解剖学要素的识别

Identification of the anatomical elements used in periodontal diagnosis on 40 MHz periodontal ultrasonography.

作者信息

Chifor Radu, Badea Mîndra Eugenia, Hedeşiu Mihaela, Chifor Ioana

机构信息

Department of Preventive Dentistry, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania;

出版信息

Rom J Morphol Embryol. 2015;56(1):149-53.

PMID:25826499
Abstract

Gingival inflammation is highly prevalent among adult populations in all regions of the world. High rates of chronic periodontitis have been reported worldwide. The methods for assessing the gingival inflammation and periodontal disease would need more precision and less user-dependence. The aim of this study consists in identifying the information for diagnosis and staging of periodontal disease using 40 MHz periodontal ultrasonography. Our in vivo study has been made on 49 teeth of 10 patients with marginal periodontal disease. Standard clinical and radiological periodontal examinations were performed. Afterwards the results were compared with the information obtained from images recorded with Ultrasonix SonoTouch used at 40 MHz. On the ultrasound images, were performed very accurate measurements between the cortical bone and the cement-enamel junction or the root wall compared with the measurements made on intraoral digital radiographs. Those measurements could be used to diagnose the bone resorption. In order to monitor the gingival inflammation could be recorded the width of the attached gingival mucosa and the height of the gingival margin on ultrasound images. 40 MHz periodontal ultrasonography is a reliable imagistic method for identifying the necessary anatomical elements in order to make an accurate periodontal diagnosis for the examined area.

摘要

牙龈炎症在世界所有地区的成年人群中都非常普遍。据报道,全球慢性牙周炎的发病率很高。评估牙龈炎症和牙周疾病的方法需要更高的精度和更低的用户依赖性。本研究的目的在于使用40MHz牙周超声检查来确定牙周疾病诊断和分期所需的信息。我们对10例边缘性牙周疾病患者的49颗牙齿进行了体内研究。进行了标准的临床和放射学牙周检查。之后,将结果与使用40MHz的Ultrasonix SonoTouch记录的图像所获得的信息进行比较。在超声图像上,与口腔内数字X线片上的测量相比,对皮质骨与牙骨质-釉质界或根壁之间进行了非常精确的测量。这些测量可用于诊断骨吸收。为了监测牙龈炎症,可以在超声图像上记录附着龈黏膜的宽度和牙龈边缘的高度。40MHz牙周超声检查是一种可靠的成像方法,可用于识别必要的解剖结构,以便对检查区域进行准确的牙周诊断。

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