Shintaku Werner, Enciso Reyes, Broussard Jack, Clark Glenn T
Attending Faculty, Orofacial Pain and Oral Medicine Center, University of Southern California School of Dentistry, Los Angeles 90089, USA.
J Calif Dent Assoc. 2006 Aug;34(8):633-44.
Since dentists can be faced by unusual cases during their professional life, this article reviews the common orofacial disorders that are of concern to a dentist trying to diagnose the source of pain or dysfunction symptoms, providing an overview of the essential knowledge and usage of nowadays available advanced diagnostic imaging modalities. In addition to symptom-driven diagnostic dilemmas, where such imaging is utilized, occasionally there are asymptomatic anomalies discovered by routine clinical care and/or on dental or panoramic images that need more discussion. The correct selection criteria of an image exam should be based on the individual characteristics of the patient, and the type of imaging technique should be selected depending on the specific clinical problem, the kind of tissue to be visualized, the information obtained from the imaging modality, radiation exposure, and the cost of the examination. The usage of more specialized imaging modalities such as magnetic resonance imaging, computed tomography, ultrasound, as well as single photon computed tomography, positron electron tomography, and their hybrid machines, SPECT/ CT and PET/CT, are discussed.
由于牙医在职业生涯中可能会遇到不寻常的病例，本文回顾了常见的口腔颌面疾病，这些疾病是试图诊断疼痛或功能障碍症状来源的牙医所关注的，概述了当今可用的先进诊断成像模态的基本知识和应用。除了在利用此类成像的症状驱动诊断困境外，偶尔也会在常规临床护理和/或牙科或全景图像上发现无症状异常，这需要更多讨论。图像检查的正确选择标准应基于患者的个体特征，成像技术的类型应根据具体临床问题、要可视化的组织类型、从成像模态获得的信息、辐射暴露以及检查成本来选择。本文还讨论了更专业的成像模态的应用，如磁共振成像、计算机断层扫描、超声，以及单光子计算机断层扫描、正电子电子断层扫描及其混合机器SPECT/CT和PET/CT。
