Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul;48(7):929-948.
doi: 10.1111/jcpe.13458. Epub 2021 May 3.

Magnetic resonance imaging as a diagnostic tool for periodontal disease: A prospective study with correlation to standard clinical findings-Is there added value?

Monika Probst  1 , Egon Burian  1 , Teresa Robl  1 , Dominik Weidlich  2 , Dimitrios Karampinos  2 , Teresa Brunner  3 , Claus Zimmer  1 , Florian Andreas Probst  3 , Matthias Folwaczny  4
Affiliations

Magnetic resonance imaging as a diagnostic tool for periodontal disease: A prospective study with correlation to standard clinical findings-Is there added value?

Monika Probst et al. J Clin Periodontol. 2021 Jul.

Abstract

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.

Keywords: magnetic resonance imaging; periodontal disease; periodontitis.

PubMed Disclaimer

References

REFERENCES

    1. Assessment, S. C. o. H. T. (2004). Chronic Periodontitis - Prevention, Diagnosis and Treatment: A Systematic Review. (9187890968). Accessed 16 Jan 2020, from Swedish Council on Health Technology Assessment. Retrieved from https://pubmed.ncbi.nlm.nih.gov/28876734/
    1. Baraliakos, X., Hermann, K. G., Landewe, R., Listing, J., Golder, W., Brandt, J., & Braun, J. (2005). Assessment of acute spinal inflammation in patients with ankylosing spondylitis by magnetic resonance imaging: a comparison between contrast enhanced T1 and short tau inversion recovery (STIR) sequences. Annals of the Rheumatic Diseases, 64(8), 1141-1144. https://doi.org/10.1136/ard.2004.031609.
    1. Breighner, R. E., Endo, Y., Konin, G. P., Gulotta, L. V., Koff, M. F., & Potter, H. G. (2018). Technical developments: zero echo time imaging of the shoulder: enhanced osseous detail by using MR imaging. Radiology, 286(3), 960-966. https://doi.org/10.1148/radiol.2017170906.
    1. Chambrone, L., Chambrone, D., Lima, L. A., & Chambrone, L. A. (2010). Predictors of tooth loss during long-term periodontal maintenance: a systematic review of observational studies. Journal of Clinical Periodontology, 37(7), 675-684. https://doi.org/10.1111/j.1600-051X.2010.01587.x.
    1. Chapple, I. L. C., Mealey, B. L., Van Dyke, T. E., Bartold, P. M., Dommisch, H., Eickholz, P., Geisinger, M. L., Genco, R. J., Glogauer, M., Goldstein, M., Griffin, T. J., Holmstrup, P., Johnson, G. K., Kapila, Y., Lang, N. P., Meyle, J., Murakami, S., Plemons, J., Romito, G. A., … Yoshie, H. (2018). Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45(Suppl 20), S68-S77. https://doi.org/10.1111/jcpe.12940.

Publication types

LinkOut - more resources