Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Oral and Maxillofacial Surgery, Hindenburgdamm 30, 12203 Berlin, Germany.
Department of Oral and Maxillofacial Surgery, Translational Implantology, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Dentomaxillofac Radiol. 2023 Apr;52(4):20220333. doi: 10.1259/dmfr.20220333. Epub 2023 Mar 29.
MRI is increasingly used as a diagnostic tool for visualising the dentoalveolar complex. A comprehensive review of the current indications and applications of MRI in the dental specialities of orthodontics (I), endodontics (II), prosthodontics (III), periodontics (IV), and oral surgery (V), pediatric dentistry (VI), operative dentistry is still missing and is therefore provided by the present work.The current literature on dental MRI shows that it is used for cephalometry in orthodontics and dentofacial orthopaedics, detection of dental pulp inflammation, characterisation of periapical and marginal periodontal pathologies of teeth, caries detection, and identification of the inferior alveolar nerve, impacted teeth and dentofacial anatomy for dental implant planning, respectively. Specific protocols regarding the miniature anatomy of the dentofacial complex, the presence of hard tissues, and foreign body restorations are used along with dedicated coils for the improved image quality of the facial skull.Dental MRI poses a clinically useful radiation-free imaging tool for visualising the dentoalveolar complex across dental specialities when respecting the indications and limitations.
MRI 越来越多地被用作一种诊断工具，用于观察齿槽复合体。目前，MRI 在正畸学（I）、牙髓病学（II）、修复学（III）、牙周病学（IV）和口腔外科学（V）、儿科牙科（VI）、口腔手术等牙科专业中的应用的适应证综述仍然缺失，因此本研究提供了这方面的内容。目前关于牙科 MRI 的文献表明，它在正畸和正颌外科中用于头影测量、牙髓炎症的检测、根尖和边缘牙周病变的特征、龋齿的检测以及下牙槽神经、埋伏牙和牙颌面解剖结构的识别，分别用于牙种植规划。在尊重适应证和限制的情况下，使用针对齿槽面部复合体的微型解剖结构、硬组织和异物修复的特定方案以及专用线圈，可提高面颅骨的图像质量。MRI 是一种具有临床应用价值的无辐射成像工具，可用于观察各个牙科专业的齿槽复合体。
