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Comparative assessment of marginal alveolar bone using ultrasonography and cone-beam computed tomography

Dentomaxillofacial Radiology · Şubat 2026

Makale Bilgileri

DergiDentomaxillofacial Radiology
Yayın TarihiŞubat 2026
Cilt / Sayfa55 · 217-227
Erişim🔓 Açık Erişim
Özet Objectives This study aimed to compare crestal facial bone measurements obtained from ultrasonography (USG) and cone-beam computed tomography (CBCT). Methods A total of 200 teeth from 15 systemically healthy individuals were included. Teeth were categorized as maxillary anterior (n=50), maxillary posterior (n=50), mandibular anterior (n=50), and mandibular posterior (n=50). Marginal bone level (MBL) and facial bone thickness at 1mm (MBT-1), 2mm (MBT-2), and 3mm (MBT-3) apical to the bone crest were measured using both USG and CBCT. USG imaging utilized an 18MHz transducer in B-mode, with standardized settings. Measurements were repeated twice by 2 independent examiners to assess intra- and inter-observer reliability. Interclass correlation coefficients (ICCs) and Bland-Altman plots were used for statistical comparisons. Results The ICCs between examiners ranged from 0.812 to 0.980. MBL, MBT-1, and MBT-2 measurements between ultrasound and CBCT readings showed excellent agreement (ICCs>0.75). The agreement for MBT-3 in mandibular anterior was fair (ICC: 0.528). Overall, mean difference between the 2 methods for MBL was 0.06mm and for MBT-1 was 0.018mm, without systematic bias. Conclusions Ultrasound can be a valuable and reproducible tool for MBL and MBT-1 measurements, and it can serve as an alternative to CBCT. Despite reasonable agreement in MBT-2 and MBT-3, potential variability should be considered. Advances in knowledge While widely used for soft tissue measurements, USG has limited application in marginal alveolar bone assessment in living humans. This study demonstrates the potential use of USG in the evaluation of facial marginal alveolar bone in different regions of the oral cavity.

Yazarlar (8)

1
Sefa Aydındoğan
2
Hsun Liang Chan
3
Oliver D. Kripfgans
4
Yunus Emre Balaban
ORCID: 0000-0002-1754-4296
5
M. K. Korez
ORCID: 0000-0001-9524-6115
6
E. Elif Mutafcilar Velioğlu
ORCID: 0000-0003-1882-553X
7
Kaan Orhan
ORCID: 0000-0001-6768-0176
8
Sema S. Hakkı

Anahtar Kelimeler

cone-beam volumetric tomography crestal bone thickness marginal bone periodontal parameters ultrasonography

Kurumlar

Ankara Üniversitesi
Ankara Turkey
Faculty of Veterinary Medicine
Konya Turkey
Selçuk Üniversitesi
Selçuklu Turkey
The Ohio State University
Columbus United States
University of Michigan Medical School
Ann Arbor United States