To determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment– An in vivo prospective study

Until date conventional radiographs and computed tomography are the preferred diagnostic modalities to monitor the distraction osteogenesis regenerate. But these techniques do not detect the ongoing osteogenic process; moreover they obligate the patient to serial radiation exposure. In addition, ana...

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Main Authors: Neelam Andrade, Neha Aggrawal, Guruprasad Jadhav, Vyankatesh Sahu, Paul C. Mathai
Format: Article
Language:English
Published: Elsevier 2018-05-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426817302336
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author Neelam Andrade
Neha Aggrawal
Guruprasad Jadhav
Vyankatesh Sahu
Paul C. Mathai
author_facet Neelam Andrade
Neha Aggrawal
Guruprasad Jadhav
Vyankatesh Sahu
Paul C. Mathai
author_sort Neelam Andrade
collection DOAJ
description Until date conventional radiographs and computed tomography are the preferred diagnostic modalities to monitor the distraction osteogenesis regenerate. But these techniques do not detect the ongoing osteogenic process; moreover they obligate the patient to serial radiation exposure. In addition, anatomic overlap and metal artifacts obscure the virtual findings. In contrast, ultrasound is a noninvasive, efficient and an inexpensive way to evaluate bone healing. This study was conducted to test the efficacy of ultrasound in evaluating bone healing at the mandibular distraction site. Twenty patients underwent mandibular distraction. The wounds were assessed with an orthopantomograph and an ultrasound at the end of latency, mid distraction, end of distraction and post distraction periods i.e. 6 weeks, 8 weeks and 4months. Estimates of bone formation, using a semiquantitative radiological, ultrasonographic and intraoperative surgical bone fill scores were made. The correlation between intraoperative and ultrasonographic bone fill scores was statistically significant at 0.602, a total of 26 of the 31 sites correlated. Corresponding correlation between intraoperative and radiographic bone fill scores was 0.332, and only 13 of the 31 sites correlated. The results indicate that ultrasound is potentially an accurate noninvasive technique that is most useful in assessing the mandibular distraction regenerate.
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spelling doaj-art-25c499255aea4efdb32c5b519eb7265b2025-08-20T02:50:29ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682018-05-0182899310.1016/j.jobcr.2018.04.005To determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment– An in vivo prospective studyNeelam Andrade0Neha Aggrawal1Guruprasad Jadhav2Vyankatesh Sahu3Paul C. Mathai4Corresponding author at: Room No. 107, First Floor, Department of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Dr A. L. Nair Road, Opposite Maratha Mandir Cinema, Mumbai Central, Mumbai, 400008, India.; Nair Hospital Dental College, Dr. A.L. Nair Road, Opp. Maratha Mandir, Mumbai Central, Mumbai, 400008, IndiaNair Hospital Dental College, Dr. A.L. Nair Road, Opp. Maratha Mandir, Mumbai Central, Mumbai, 400008, IndiaNair Hospital Dental College, Dr. A.L. Nair Road, Opp. Maratha Mandir, Mumbai Central, Mumbai, 400008, IndiaNair Hospital Dental College, Dr. A.L. Nair Road, Opp. Maratha Mandir, Mumbai Central, Mumbai, 400008, IndiaNair Hospital Dental College, Dr. A.L. Nair Road, Opp. Maratha Mandir, Mumbai Central, Mumbai, 400008, IndiaUntil date conventional radiographs and computed tomography are the preferred diagnostic modalities to monitor the distraction osteogenesis regenerate. But these techniques do not detect the ongoing osteogenic process; moreover they obligate the patient to serial radiation exposure. In addition, anatomic overlap and metal artifacts obscure the virtual findings. In contrast, ultrasound is a noninvasive, efficient and an inexpensive way to evaluate bone healing. This study was conducted to test the efficacy of ultrasound in evaluating bone healing at the mandibular distraction site. Twenty patients underwent mandibular distraction. The wounds were assessed with an orthopantomograph and an ultrasound at the end of latency, mid distraction, end of distraction and post distraction periods i.e. 6 weeks, 8 weeks and 4months. Estimates of bone formation, using a semiquantitative radiological, ultrasonographic and intraoperative surgical bone fill scores were made. The correlation between intraoperative and ultrasonographic bone fill scores was statistically significant at 0.602, a total of 26 of the 31 sites correlated. Corresponding correlation between intraoperative and radiographic bone fill scores was 0.332, and only 13 of the 31 sites correlated. The results indicate that ultrasound is potentially an accurate noninvasive technique that is most useful in assessing the mandibular distraction regenerate.http://www.sciencedirect.com/science/article/pii/S2212426817302336Distraction osteogenesisUltrasonography
spellingShingle Neelam Andrade
Neha Aggrawal
Guruprasad Jadhav
Vyankatesh Sahu
Paul C. Mathai
To determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment– An in vivo prospective study
Journal of Oral Biology and Craniofacial Research
Distraction osteogenesis
Ultrasonography
title To determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment– An in vivo prospective study
title_full To determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment– An in vivo prospective study
title_fullStr To determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment– An in vivo prospective study
title_full_unstemmed To determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment– An in vivo prospective study
title_short To determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment– An in vivo prospective study
title_sort to determine the efficacy of ultrasonography in the evaluation of bone fill at the regenerate site for mandibular distraction osteogenesis over clinical and radiographic assessment an in vivo prospective study
topic Distraction osteogenesis
Ultrasonography
url http://www.sciencedirect.com/science/article/pii/S2212426817302336
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