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[种植牙手术中的牙科磁共振成像——现状与展望]

[Dental Magnetic Resonance Imaging in Implant Surgery - Status Quo and Outlook].

作者信息

Al-Haj Husain Adib, Stadlinger Bernd, Winklhofer Sebastian, Piccirelli Marco, Valdec Silvio

机构信息

Klinik für Mund-, Kiefer- und Gesichtschirurgie - Poliklinik für Oralchirurgie, Zentrum für Zahnmedizin, Universität Zürich.

Radiologie Hirslanden Zürich.

出版信息

Swiss Dent J. 2024 Aug 14;134(3):100-112. doi: 10.61872/sdj-2024-03-12.

Abstract

Numerous technical advances in magnetic resonance imaging have opened up promising new approaches in dentomaxillofacial radiology in recent years. With its ability to simultaneously visualize soft and hard tissues, MRI has the potential to become an innovative method for accurate diagnosis and planning of dental implants. Dental MRI is already a valuable and useful complement to conventional X-ray imaging techniques and could further minimize the risks of surgery by optimizing existing treatment protocols. Considering current efforts in dentistry to reduce radiation exposure and take a further step toward personalized oral diagnostics that consider patient-specific factors, this article reviews the capabilities of dentomaxillofacial MR imaging in implant surgery. It highlights the various applications of MRI in dental implant surgery and evaluates both the benefits and the clinical challenges. Overall, considering the specific indications and limitations of MR sequences, dental MRI represents a further significant advance in individualized treatment planning in dentistry. It allows consideration of parameters not visualized by conventional imaging techniques and is particularly useful for evaluating surgically relevant parameters, especially those related to soft tissue.

摘要

近年来,磁共振成像的众多技术进步为牙颌面放射学开辟了前景广阔的新途径。凭借其同时可视化软组织和硬组织的能力,MRI有潜力成为一种用于牙种植体精确诊断和规划的创新方法。牙科MRI已经是传统X射线成像技术的一种有价值且有用的补充,并且通过优化现有治疗方案可以进一步降低手术风险。考虑到当前牙科领域为减少辐射暴露以及朝着考虑患者特定因素的个性化口腔诊断更进一步所做的努力,本文综述了牙颌面磁共振成像在种植手术中的能力。它突出了MRI在牙种植手术中的各种应用,并评估了其益处和临床挑战。总体而言,考虑到磁共振序列的特定适应症和局限性,牙科MRI代表了牙科个性化治疗规划方面的又一重大进展。它能够考虑传统成像技术无法可视化的参数,对于评估手术相关参数,尤其是与软组织相关的参数特别有用。

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