Accuracy of magnetic resonance imaging compared with computed tomography for implant planning.

AIM The objective of this study was to evaluate the reliability of magnetic resonance imaging (MRI) compared with computed tomography (CT) for dental implant planning in respect to bone measurements. METHODS Five dry mandibles were submitted to MRI and CT examinations. Each mandible had three specific sites identified with markers, in a total of 15 sites to be studied. The images provided by the MRI and CT examinations were delivered to four specialists in Oral and Maxillofacial Radiology to measure the bone height at the specific sites. Subsequently, the bone height of the dry mandibles was directly measured in the determined sites. The measurements obtained by the specialists in MRI and CT images were compared with the measurements obtained directly from the dry mandibles using the ANOVA test with a 0.05 significance level. RESULTS The differences between the measurements obtained directly from the dry mandibles and the measurements from the MRI exams varied from 0.13 to 1.67 mm, with 10 sites being overestimated in MRI exams and five sites being underestimated. The differences between the measurements from the dry mandibles and CT exams varied from 0.02 to 1.25 mm, with nine sites being overestimated in CT exams and six sites being underestimated. The differences between the measurements from the MRI and CT exams varied from 0.03 to 1.00 mm, with nine sites giving higher values in MRI exams and six sites giving higher values in CT exams. There were no statistically significant differences between the three grous of measurements (P=0.98). CONCLUSION The MRI, when compared with CT, shown to be reliable in respect to bone measurements for dental implant planning.

[1]  M W Vannier,et al.  Validation of spiral computed tomography for dental implants. , 1998, Dento maxillo facial radiology.

[2]  P. Hirschmann Magnetic resonance imaging: a possible alternative to CT prior to dental implants , 1998, British Dental Journal.

[3]  A. Tjellström,et al.  Magnetic resonance imaging in patients with dental implants: a clinical report. , 1997, The International journal of oral & maxillofacial implants.

[4]  N L Frederiksen,et al.  Diagnostic imaging in dental implantology. , 1995, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[5]  A. Katsumata,et al.  Measurement accuracy of reconstructed 2-D images obtained by multi-slice helical computed tomography. , 2004, Clinical oral implants research.

[6]  A. Usumez,et al.  The effect of dentin desensitizers on thermal changes in the pulp chamber during fabrication of provisional restorations. , 2004, Journal of oral rehabilitation.

[7]  J. Zabalegui,et al.  Magnetic resonance imaging as an adjunctive diagnostic aid in patient selection for endosseous implants: preliminary study. , 1990, The International journal of oral & maxillofacial implants.

[8]  G J Cisneros,et al.  The accuracy of measurements of three-dimensional computed tomography reconstructions. , 1996, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[9]  M W Vannier,et al.  2-D and 3-D reconstructions of spiral computed tomography in localization of the inferior alveolar canal for dental implants. , 1999, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[10]  T. Kawai,et al.  The appearance of foramen in the internal aspect of the mental region of mandible from Japanese cadavers and dry skulls under macroscopic observation and three-dimensional CT images. , 2005, Okajimas folia anatomica Japonica.

[11]  T. Redpath,et al.  Magnetic resonance imaging assessment of a sinus lift operation using reoxidised cellulose (Surgicel) as graft material. , 2001, Clinical oral implants research.

[12]  Takashi Matsuura,et al.  A comparative study of computed tomography and magnetic resonance imaging for the detection of mandibular canals and cross-sectional areas in diagnosis prior to dental implant treatment. , 2004, Clinical Implant Dentistry and Related Research.

[13]  M. Vannier,et al.  Accurate linear measurements in the anterior maxilla using orthoradially reformatted spiral computed tomography. , 1999, Dento maxillo facial radiology.

[14]  Roger T Staff,et al.  Advanced imaging: Magnetic resonance imaging in implant dentistry. , 2003, Clinical oral implants research.

[15]  Reinhilde Jacobs,et al.  Imaging technique selection for the preoperative planning of oral implants: a review of the literature. , 2002, Clinical implant dentistry and related research.

[16]  P. Campos,et al.  Computed tomography for dental implants: the influence of the gantry angle and mandibular positioning on the bone height and width. , 2005, Dento maxillo facial radiology.

[17]  R. Emshoff,et al.  Magnetic resonance imaging findings of internal derangement in temporomandibular joints without a clinical diagnosis of temporomandibular disorder. , 2002, Journal of oral rehabilitation.

[18]  R. Pozzi Mucelli,et al.  Evaluation of lingual vascular canals of the mandible with Computed Tomography. , 2003, La Radiologia medica.