Nihon University Graduate School of Dentistry at Matsudo, Removable Prosthodontics, Matsudo, Japan.
Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Matsudo, Japan.
J Prosthodont Res. 2018 Jul;62(3):303-308. doi: 10.1016/j.jpor.2017.12.001. Epub 2018 Feb 1.
Tongue movement with unstable swallowing cause artifacts on magnetic resonance imaging (MRI). This may be associated with loss of occlusal support. This study aimed to clarify whether motion artifacts can be mitigated by denture wearing during MRI examination in patients without occlusal support, and whether denture wearing affect tongue stability, form, and position were also evaluated.
Ten subjects without occlusal support (6 male, 4 female; mean age 73.20±10.12 years) participated in the study. MRI was performed with dentures worn (DW), followed with removal of dentures (NDW). Luminance standard deviation (LSD) was measured in regions of interest in the axial and sagittal planes. The position of the base of the tongue (TB), tip of the tongue apex (TA), and tongue's long diameter (TLD) were compared between DW and NDW.
NDW evoked ambiguous MR images in the axial and sagittal planes compared with DW. There were significant differences in LSD between DW and NDW in both the axial (p=0.047) and sagittal planes (p=0.02). No significant difference in the position of TB were observed (p=0.78). The position of TA was significantly more protruded with DW (p=0.007). Also, TLD was significantly longer with DW (p=0.001).
Results of this study suggest that wearing the dentures during MRI examination reduces motion artifacts in edentulous patients without occlusal support, and maintained the normal form of the tongue during imaging.
舌运动伴吞咽不稳定会导致磁共振成像(MRI)出现伪影。这可能与咬合支持丧失有关。本研究旨在阐明在无咬合支持的患者中,MRI 检查时戴义齿是否可以减轻运动伪影,以及戴义齿是否会影响舌的稳定性、形态和位置。
10 名无咬合支持的受试者(6 名男性,4 名女性;平均年龄 73.20±10.12 岁)参与了这项研究。MRI 检查时佩戴义齿(DW),然后取下义齿(NDW)。在轴位和矢状位感兴趣区域测量亮度标准差(LSD)。比较 DW 和 NDW 时舌根部(TB)、舌尖顶点(TA)和舌长径(TLD)的位置。
与 DW 相比,NDW 在轴位和矢状位上产生的 MRI 图像不清晰。DW 和 NDW 在轴位(p=0.047)和矢状位(p=0.02)的 LSD 均有显著差异。TB 位置无显著差异(p=0.78)。DW 时 TA 位置明显更突出(p=0.007)。此外,DW 时 TLD 明显更长(p=0.001)。
本研究结果表明,在无咬合支持的无牙患者的 MRI 检查中佩戴义齿可减少运动伪影,并在成像过程中保持舌的正常形态。