Increased safety in periodontal surgery: Doppler ultrasound for detection of relevant palatal blood vessels-A proof-of-concept and cross-sectional study

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Valentin Bartha - , Eberhard Karls Universität Tübingen (Autor:in)
  • Dan Grünfeld - , Waterford Dental Group (Autor:in)
  • Aleksandra Kopunic - , Eberhard Karls Universität Tübingen (Autor:in)
  • Christian Klein - , Eberhard Karls Universität Tübingen, Meller Zahngesundheit Schlauzahn MVZ GmbH (Autor:in)
  • Diana Wolff - , Universität Heidelberg (Autor:in)
  • Petra Ratka-Krüger - , Albert-Ludwigs-Universität Freiburg (Autor:in)
  • Johan Peter Woelber - , Poliklinik für Parodontologie, Medizinische Fakultät Carl Gustav Carus Dresden (Autor:in)
  • Christian Meller - , Eberhard Karls Universität Tübingen (Autor:in)

Abstract

AIM: To evaluate the suitability of a Doppler ultrasound probe in detecting the greater palatine artery or its greater branches non-invasively.

MATERIALS AND METHODS: The palatal mucosa of 108 participants (median age 34 years, 51 female) was systematically divided into transversal sectors, each aligning with the positions of the upper molars (M), premolars (P) and canine teeth (C), aiming to facilitate precise and consistent localization of the detected palatal blood vessel across different patients. Blood flow of the palatal blood vessels, presumably, was located by scanning the palatal vault bilaterally using an 8-MHz ultrasound probe linked to a transducer. The distance to the corresponding tooth was measured using a millimetre-scale periodontal probe.

RESULTS: Within the regions of M2 to P1, the ultrasound transducer gave a delimitable acoustic pulse signal in 80%-98% of all measurements. The measured median distances between the determined position of the artery and the corresponding teeth ranged from 13 to 15 mm, with smaller distances in the anterior region. In several sectors, the distance was significantly higher for men (C: p = .048; P1: p = .041, M1: p < .01; M2: p = .034).

CONCLUSIONS: Use of the Doppler ultrasound transducer might be a promising approach to non-invasively detect relevant palatine blood vessels preoperatively. It, therefore, might have the potential to reduce the risk of accidental injury during palatal surgery.

Details

OriginalspracheEnglisch
Seiten (von - bis)915-925
Seitenumfang11
FachzeitschriftJournal of clinical periodontology
Jahrgang51
Ausgabenummer7
PublikationsstatusVeröffentlicht - Juli 2024
Peer-Review-StatusJa

Externe IDs

Scopus 85188639344

Schlagworte

Schlagwörter

  • Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Palate/blood supply, Proof of Concept Study, Ultrasonography, Doppler/methods, Young Adult