普通和高级牙科手术后的影像学发现、并发症和模拟。

IF 5.2 1区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Radiographics Pub Date : 2025-02-01 DOI:10.1148/rg.240072
Kotaro Ito, Hirofumi Kuno, Kohei Otsuka, V Carlota Andreu-Arasa, Osamu Sakai, Takashi Kaneda
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引用次数: 0

摘要

近年来,牙科诊所引进了各种新的牙科治疗方法,许多新材料也被用于牙科治疗。牙科分为几个专业,每个专业都提供独特的治疗方法,如牙髓学、种植学、口腔外科和正畸学。牙科治疗后的CT和MR图像显示出各种硬软组织变化和牙齿材料,这些变化经常引起图像伪影。熟悉治疗后的变化和牙科材料对于避免将图像伪影误解为真实的病理特征、识别并发症和评估复发性疾病至关重要。也有必要了解模拟治疗后变化的条件,并知道如何在成像中区分它们。作者重点讨论了头颈部区域的CT和MR图像上预期和意外的牙科治疗后的变化和牙科材料的特征。本文分为五个部分:(a)种植牙治疗后的成像,(b)口腔手术后的成像,(c)根管治疗后的成像,(d)正畸治疗后的成像,(e)牙科治疗后的成像效果。策略提供了区分真正的病理特征和治疗后的变化,并强调了了解牙科手术、使用的材料及其在放射成像中的表现的重要性。最终,这些知识可以提高放射科医生解释复杂的治疗后影像学发现的能力,提高诊断的准确性,并为有牙科手术史的患者提供有效的治疗计划。©RSNA, 2025本文可获得补充材料。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Imaging Findings, Complications, and Mimics after Common and Advanced Dental Procedures.

Various new dental treatment methods have been introduced in dental clinics, and many new materials have been used in recent years for dental treatments. Dentistry is divided into several specialties, each offering unique treatments, such as endodontics, implantology, oral surgery, and orthodontics. CT and MR images after dental treatment reveal a variety of hard- and soft-tissue changes and dental materials, which often cause image artifacts. Familiarity with posttreatment changes and dental materials is crucial to avoid misinterpretation of image artifacts as true pathologic features, identify complications, and evaluate for recurrent disease. It also is necessary to be aware of conditions that mimic posttreatment changes and know how to differentiate them at imaging. The authors focus on the imaging of expected and unexpected post-dental treatment changes and characteristics of dental materials on CT and MR images in the head and neck region. The article is divided into five sections: (a) imaging after dental implant treatment, (b) imaging after oral surgery, (c) imaging after endodontic treatment, (d) imaging after orthodontic treatment, and (e) imaging effects of dental treatments. Strategies are provided for distinguishing true pathologic features from posttreatment changes, and the importance of understanding dental procedures, the materials used, and their appearances at radiologic imaging is highlighted. Ultimately, this knowledge can enhance radiologists' ability to interpret complex posttreatment imaging findings, improve diagnostic accuracy, and facilitate effective treatment planning for patients with a history of dental procedures. ©RSNA, 2025 Supplemental material is available for this article.

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来源期刊
Radiographics
Radiographics 医学-核医学
CiteScore
8.20
自引率
5.50%
发文量
224
审稿时长
4-8 weeks
期刊介绍: Launched by the Radiological Society of North America (RSNA) in 1981, RadioGraphics is one of the premier education journals in diagnostic radiology. Each bimonthly issue features 15–20 practice-focused articles spanning the full spectrum of radiologic subspecialties and addressing topics such as diagnostic imaging techniques, imaging features of a disease or group of diseases, radiologic-pathologic correlation, practice policy and quality initiatives, imaging physics, informatics, and lifelong learning. A special issue, a monograph focused on a single subspecialty or on a crossover topic of interest to multiple subspecialties, is published each October. Each issue offers more than a dozen opportunities to earn continuing medical education credits that qualify for AMA PRA Category 1 CreditTM and all online activities can be applied toward the ABR MOC Self-Assessment Requirement.
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