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Ultrasound Assessment of Bone Healing after Root-end Surgery: Echoes Back to Patient's Safety.
Curvers, Frederik; Meschi, Nastaran; Vanhoenacker, Anke; Strijbos, Olaf; Van Mierlo, Maarten; Lambrechts, Paul.
Afiliación
  • Curvers F; Department of Oral Health Sciences, KU Leuven, University of Leuven, University Hospitals Leuven, Leuven, Belgium. Electronic address: Frederik.Curvers@Kuleuven.be.
  • Meschi N; Department of Oral Health Sciences, KU Leuven, University of Leuven, University Hospitals Leuven, Leuven, Belgium. Electronic address: nastaran.meschi@kuleuven.be.
  • Vanhoenacker A; Department of Oral and Maxillofacial Surgery, KU Leuven, University of Leuven, University Hospitals Leuven, Leuven, Belgium.
  • Strijbos O; Department of Oral Health Sciences, KU Leuven, University of Leuven, University Hospitals Leuven, Leuven, Belgium.
  • Van Mierlo M; Department of Oral Health Sciences, KU Leuven, University of Leuven, University Hospitals Leuven, Leuven, Belgium.
  • Lambrechts P; Department of Oral Health Sciences, KU Leuven, University of Leuven, University Hospitals Leuven, Leuven, Belgium.
J Endod ; 44(1): 32-37, 2018 Jan.
Article en En | MEDLINE | ID: mdl-29079054
INTRODUCTION: The aim of this study was to present ultrasound imaging (UI) techniques as promising and safe tools for the follow-up of root-end surgery (RES) in vivo. METHODS: The study included 8 patients who underwent RES. All were followed up using UI at 1 week, 1 month, 2 months, 3 months, and 6 months (if necessary) after RES. The bony crypt was defined on the ultrasound image, and the following observations were made during follow-up: cortical bone interruption and surface area measurement of the residual echoic bony crypt image. RESULTS: In all cases, the hypoechoic image became hyperechoic, indicating gradual bone healing of the crypt. Compared with baseline, at 3 months a remaining cortical opening of 51.2% (±12.6%) and a bony crypt surface area of 24.3% (±10.8%) was detected for all patients. For 50% of the patients, the echographic follow-up ended at 3 months because the ultrasound waves could no longer enter the bony crypt. For 4 patients who attended the 6-month recall, a remaining cortical disruption of 43.2% (±9.9%) and a bony crypt surface area of 17.2% (±7%) compared with the baseline was noted. CONCLUSIONS: UI is a promising follow-up tool for RES. It helps clinicians understand the initial stages of bone healing, allows close healing monitoring, and is radiation free.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tratamiento del Conducto Radicular / Raíz del Diente / Seguridad del Paciente Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Endod Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tratamiento del Conducto Radicular / Raíz del Diente / Seguridad del Paciente Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Endod Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos