The effectiveness of ultrasound examination to assess the healing process of bone lesions of the jaws: a systematic revi
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ORIGINAL ARTICLE
The effectiveness of ultrasound examination to assess the healing process of bone lesions of the jaws: a systematic review Musu Davide 1
&
Shemesh Hagay 2 & Boccuzzi Michela 1 & Dettori Claudia 1 & Cotti Elisabetta 1
Received: 7 February 2020 / Accepted: 11 May 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objective To assess the potential of ultrasound examination (USE) as an adjunctive method to conventional radiology to evaluate the healing processes occurring after the treatment of bone lesions of the jaws. The research question was: what is the effectiveness of USE to evaluate the healing of intra-osseous bone lesions when compared to radiological or clinical examination? Materials and methods Six databases (PubMed, the Web of Science, Scopus, Embase, the Cochrane Library, and Best Evidence) were searched from their inception (PROSPERO CRD42019134482). A quality assessment was performed combining the Downs and Black tool and the Newcastle-Ottawa scale. The risk of bias was calculated using the Cochrane collaboration tool to assess the risk of bias. Results A total of 4404 records were screened, and 7 studies meeting the inclusion criteria were included in the systematic review. USE allowed to evaluate the healing of jaw bone lesions by assessing their reduction in size, the increase in echogenicity of the affected area, and the progressive decrease\disappearance of the vascular flow signal within the lesions. Conclusions USE implemented with color power Doppler is an advanced imaging technique feasible to monitor the early and long-term response of the intra-osseous lesions of the jaws to both surgical and nonsurgical treatment. Clinical relevance This systematic review brought evidence that USE can constitute a safe alternative imaging technique in the dental clinical practice for the management of central lesions of the maxillary bones. Keywords Ultrasound examination . Systematic review . Central bone lesions . Healing . Apical periodontitis
Introduction Notwithstanding the variety of different radiolucent lesions that can occur in the peri-radicular area of teeth in the maxillary bones, most of them are inflammatory in origin [1]. Moreover, despite the increasing accuracy of cone-beam computed tomography (CBCT) in detecting apical periodontitis (AP) [2], the clinical signs and symptoms in conjunction with Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00784-020-03339-9) contains supplementary material, which is available to authorized users. * Musu Davide [email protected] 1
Department of Conservative Dentistry and Endodontics, University of Cagliari, Cagliari, Sardegna, Italy
2
Department of Endodontology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, Netherlands
conventional intraoral radiographs remain the gold standard for the diagnosis, treatment, and follow-up of AP [3–5]. The assessment of AP through intraoral radiographs is usually based on the detection of a radiolucent area,
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