Al-Haj Husain Adib, Valdec Silvio, Winklhofer Sebastian, Piccirelli Marco, Hainc Nicolin, Kulcsar Zsolt, Essig Harald, Frauenfelder Thomas, Spin-Neto Rubens, Kessler Peter, An Lie Suen, Stadlinger Bernd
Clinic of Cranio-Maxillofacial and Oral Surgery, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
Department of Cranio-Maxillofacial and Oral Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Swiss Dent J. 2024 Dec 16;134(4):116-150. doi: 10.61872/sdj-2024-04-08.
Dental magnetic resonance imaging (MRI) has long been perceived as overly complex, costly, and limited in availability. Despite the numerous advantages of this radiation-free, non-invasive procedure for soft tissue diagnostics in the head and neck region, its imaging capabilities for hard tissue, such as bones and teeth, have thus far remained limited in comparison to conventional X-ray technology. In recent years, however, technological advances have led to a notable enhancement in the image quality and the range of applications of dental MRI. This article presents a comprehensive review of the current literature on the utilization of dental MRI for dentomaxillofacial conditions. The article focusses on novel MRI protocols that have been specifically developed to address the inherent challenges associated with imaging the head and neck region. It also considers the latest technological advances, including innovative coils and the use of low and high-field MR systems. The practical case studies are from the fields of conservative dentistry, prosthodontics, orthodontics, oral surgery, and maxillofacial surgery, demonstrating the theoretical concepts and emphasizing the clinical advantages of dental MRI. In conclusion, dental MRI can be a valuable complement to and, in certain cases, a true alternative to X-ray-based procedures.
牙科磁共振成像（MRI）长期以来一直被认为过于复杂、成本高昂且可用性有限。尽管这种无辐射、非侵入性的程序在头颈部软组织诊断方面具有诸多优势，但其对硬组织（如骨骼和牙齿）的成像能力与传统X射线技术相比，迄今为止仍然有限。然而，近年来，技术进步显著提高了牙科MRI的图像质量和应用范围。本文全面综述了有关牙科MRI在牙颌面疾病应用方面的当前文献。文章重点关注专门为应对头颈部成像相关固有挑战而开发的新型MRI协议。它还考虑了最新的技术进展，包括创新线圈以及低场和高场磁共振系统的使用。实际案例研究来自保守牙科、修复牙科、正畸、口腔外科和颌面外科领域，展示了理论概念并强调了牙科MRI的临床优势。总之，牙科MRI可以成为基于X射线程序的有价值补充，在某些情况下甚至是真正的替代方案。
