Clinical comparison of an ultrasonographic periodontal probe to manual and controlled-force probing

Lynch, John E.; Hinders, Mark K.; McCombs, Gayle B

doi:10.1016/j.measurement.2005.12.001

Cited by 21 publications

(13 citation statements)

References 63 publications

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“…In the case of gingivitis or periodontitis, the periodontal probe tip may penetrate further through the inflamed connective tissue, leading to bleeding until the first intact collagen fibers that insert into the cementum resist further penetration. Thus, the difference between probing depth and true pocket depth may be significantly higher in case of gingivitis or periodontitis . Consequently, probing depth measurements may overestimate attachment loss by as much as 2 mm in inflamed sites while underestimating it after treatment, as the probe may not penetrate beyond the long junctional epithelium …”

Section: Methods Of Periodontal Pocket Probingmentioning

confidence: 99%

“…The echoes of the ultrasound wave reflected by the crest of the periodontal ligament are recorded by a transducer located inside the probe hand piece then transmitted to computer software for analysis. The ultrasonic image is constructed and the computer software translates the data to estimate periodontal pocket depth measurements . However, this technology is complex, as the reading of the periodontal pocket depth measurements requires visualizing and interpreting the echo waveform.…”

Section: Methods Of Periodontal Pocket Probingmentioning

confidence: 99%

“…Thus, the difference between probing depth and true pocket depth may be significantly higher in case of gingivitis or periodontitis. 17,20,21,23 Consequently, probing depth measurements may overestimate attachment loss by as much as 2 mm in inflamed sites while underestimating it after treatment, as the probe may not penetrate beyond the long junctional epithelium. 24…”

Section: Disadvantages Of the Conventional Periodontal Probing Methodsmentioning

confidence: 99%

See 2 more Smart Citations

From manual periodontal probing to digital 3‐D imaging to endoscopic capillaroscopy: Recent advances in periodontal disease diagnosis

Elashiry

Meghil

Arce

et al. 2018

J of Periodontal Research

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Deepened periodontal pockets exert a significant pathological burden on the host and its immune system, particularly in a patient with generalized moderate to severe periodontitis. This burden is extensive and longitudinal, occurring over decades of disease development. Considerable diagnostic and prognostic successes in this regard have come from efforts to measure the depths of the pockets and their contents, including level of inflammatory mediators, cellular exudates and microbes; however, the current standard of care for measuring these pockets, periodontal probing, is an analog technology in a digital age. Measurements obtained by probing are variable, operator dependent and influenced by site-specific factors. Despite these limitations, manual probing is still the standard of care for periodontal diagnostics globally. However, it is becoming increasingly clear that this technology needs to be updated to be compatible with the digital technologies currently being used to image other orofacial structures, such as maxillary sinuses, alveolar bone, nerve foramina and endodontic canals in 3 dimensions. This review aims to summarize the existing technology, as well as new imaging strategies that could be utilized for accurate evaluation of periodontal pocket dimensions.

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Section: Methods Of Periodontal Pocket Probingmentioning

confidence: 99%

Section: Methods Of Periodontal Pocket Probingmentioning

confidence: 99%

Section: Disadvantages Of the Conventional Periodontal Probing Methodsmentioning

confidence: 99%

See 1 more Smart Citation

From manual periodontal probing to digital 3‐D imaging to endoscopic capillaroscopy: Recent advances in periodontal disease diagnosis

Elashiry

Meghil

Arce

et al. 2018

J of Periodontal Research

View full text Add to dashboard Cite

show abstract

“…An ultrasonographic periodontal probe offers the potential for earlier detection of periodontal disease activity, non-invasive diagnosis and greater reliability of measurement 14 . The only fifth-generation probe available, the ultrasonographic probe (Visual Programs, Inc., Glen Allen, VA, USA), uses ultrasound (US) waves to detect, image and map the upper boundary of the periodontal ligament and its variation over time as an indicator of the presence of periodontal disease 7 .…”

Section: Ultrasonographic Probementioning

confidence: 99%

New developments in tools for periodontal diagnosis

Agrawal

Sanikop

Patil

2012

International Dental Journal

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“…However, soft tissues were not studied. Other ultrasonic devices have been specifically developed to assess the depth of the periodontal pocket or the thickness of the gingiva, using pulse-echo measurement, which has good validity and reproducibility [20][21][22][23][24][25][26][27]. Ultrasound appeared as an attractive alternative to manual periodontal probing, since ultrasound is painless, non-invasive, repeatable and accurate.…”

mentioning

confidence: 99%

Intraoral ultrasonography: development of a specific high-frequency probe and clinical pilot study

Salmon

Denmat

2011

Clin Oral Invest

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Although ultrasonography is a non-invasive, inexpensive and painless diagnostic tool for soft tissue imaging, this technique is not currently used for oral exploration. Therefore, we developed a 25-MHz high-frequency ultrasound probe, specially designed for intraoral applications. This paper aims to present clinical intraoral ultrasound images actually interpretable, in order to identify the relevant applications of this novel tool and to design future oral studies. Two independent radiologists performed ultrasound examinations on three healthy volunteers. All the teeth were explored on the lingual and buccal sides (162 samples) to evaluate the ergonomics of the system and the visualisation of anatomic structures. Osseointegrated dental implants and a mucocele were also scanned. At the gingivodental junction of the maxillary and mandibular teeth, the device clearly identifies the tooth surfaces, the alveolar bone reflection with its surrounding subepithelial connective tissue of the gingiva and the gingival epithelia. The bone level and the thickness of soft tissue around the implant are measurable on the buccal and lingual sides. Therefore, intraoral ultrasonography provides additional morphological information that is not accessible by conventional dental x-rays. We propose a novel diagnostic tool that explores the biological width and is able to define the thin or thick nature of the gums. Moreover, intraoral ultrasonography may help to monitor precancerous lesions. This promising device requires large-scale clinical studies to determine whether it should remain a research tool or be used as a diagnostic tool for daily dental practice.

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Clinical comparison of an ultrasonographic periodontal probe to manual and controlled-force probing

Cited by 21 publications

References 63 publications

From manual periodontal probing to digital 3‐D imaging to endoscopic capillaroscopy: Recent advances in periodontal disease diagnosis

From manual periodontal probing to digital 3‐D imaging to endoscopic capillaroscopy: Recent advances in periodontal disease diagnosis

New developments in tools for periodontal diagnosis

Intraoral ultrasonography: development of a specific high-frequency probe and clinical pilot study

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