Premium
Magnetic resonance imaging as a diagnostic tool for periodontal disease: A prospective study with correlation to standard clinical findings—Is there added value?
Author(s) -
Probst Monika,
Burian Egon,
Robl Teresa,
Weidlich Dominik,
Karampinos Dimitrios,
Brunner Teresa,
Zimmer Claus,
Probst Florian Andreas,
Folwaczny Matthias
Publication year - 2021
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.13458
Subject(s) - medicine , magnetic resonance imaging , periodontitis , bleeding on probing , radiology , radiography , correlation , logistic regression , prospective cohort study , dentistry , nuclear medicine , pathology , geometry , mathematics
Aim To evaluate the correlation between standard clinical findings, radiographic (OPT) and magnetic resonance imaging (MRI) as well as to assess whether MRI is capable of providing additional information related to the severity and extent of periodontal disease. Methods 42 patients with generalized periodontitis received pre‐interventional MRI scans. These were compared to MR images of a periodontal healthy control group ( n = 34). The extent of the osseous oedema, detected by MRI, was set in correlation with clinical periodontitis‐associated findings. Results A highly significant correlation between bone oedema and clinical testings such as probing depth ( p < 0.0001) and bleeding on probing ( p < 0.0001) was revealed. The oedema exceeded the extent of demineralized bone. Patients with a positive BOP test showed a 2.51‐fold increase in risk of already having a bone oedema around the respective tooth even if probing depth was ≤3 mm (logistic binary regression analysis, OR 2.51; 95% CI: 1.54–4.11; p < 0.0001). Conclusion MRI findings correlated with standard clinical findings, and MRI was able to depict intraosseous changes before any osseous defect had occurred.