If a fish has hundreds of parasites in its gills you will see it on its behavior.
I disagree. I'm fairly confident that if all your fish are resistant enough that you can't see it, it will eventually die out because the fish's immune system will fight the parasite even in the gills enough so that it can't feed enough to get to full strength.
And in a reef tank the off-fish stages of Cryptocaryon and especially the rather large protomont stage have plenty of enemies (hydroid polyps, corals, sponges, feather worms, clams ...) so not everyone will be able to encyst and reproduce. And those that manage to encyst may fall victim to predation (or accidental ingestion) by copepods, snails, worms and whatever else lives in or on your gravel and rocks. And finally the theronts not only have to survive the same predators but also have to find the Achilles heel of the resistant fish (the gills) to start another cycle.
It's a numbers game and I think in a reef tank with few resistant fish the odds are stacked against the parasite.
Keep in mind that almost all the research has been done with aqua farming in mind (they are the ones who have the biggest interest in eradicating it in their systems and the money to pay for the research) and usually under conditions that rather resemble how fish are kept there (= bare tanks and high fish density) than a reef tank with relatively few fish and plenty of invertebrates.
Now, can you be sure if it is there or not? In most cases probably not.
But if your fish are stressed enough to temporarily have their immune systems weakened you will see Ich on at least some. If even then nothing shows up even for a short time you likely don't have Ich in your system.
And to be sure it is not there you need to follow a vigorous quarantine protocol.