Assessment of cortical bone thickness using ultrasound

Clin Oral Implants Res. 2017 May;28(5):520-528. doi: 10.1111/clr.12829. Epub 2016 Mar 27.

Abstract

Purpose: The aim of the study was to analyze the accuracy of measuring the cortical bone thickness using a combination of low- and high-frequency ultrasound (US) compared with cone-beam computed tomography (CBCT) and using stereomicroscopy as reference method.

Material and methods: Ten jawbone models were prepared using bovine ribs and porcine gingiva. A dental implant was placed in each model. All models were investigated by US, CBCT, and stereomicroscopy. The cortical bone thickness was measured directly above and 4 mm beside the implant with each method in different slices.

Results: The median deviation of US measurements compared to the reference method was 0.23 mm. The CBCT method was slightly more accurate (median percent deviation of 9.2%) than the US method (10.3%). However, US measurements directly above the implant were more accurate than CBCT measurements with a median percent deviation of 10.5% for US vs. 11.8% for CBCT.

Conclusion: Ultrasound showed a high potential to supplement CBCT for measurements of the cortical bone thickness.

Keywords: cone-beam computed tomography; dental implant; ultrasonography.

MeSH terms

  • Animals
  • Cattle
  • Cone-Beam Computed Tomography
  • Cortical Bone / anatomy & histology
  • Cortical Bone / diagnostic imaging*
  • Gingiva / diagnostic imaging
  • Jaw / anatomy & histology
  • Jaw / diagnostic imaging
  • Microscopy / methods
  • Reproducibility of Results
  • Ribs / diagnostic imaging
  • Swine
  • Ultrasonography / methods