Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ).
- Berg BI Department of Cranio-Maxillofacial Surgery, University Hospital Basel, 4056 Basel, Switzerland. isabelle.berg@usb.ch.
- Mueller AA Department of Cranio-Maxillofacial Surgery, University Hospital Basel, 4056 Basel, Switzerland. andreas.mueller@usb.ch.
- Augello M Clinic of Cranio-Maxillofacial Surgery, Kantonsspital Aarau, 5001 Aarau, Switzerland. marcello.augello@ksa.ch.
- Berg S Private Practice, 25524 Itzehoe, Germany. scott.berg@radiologie-itzehoe.de.
- Jaquiéry C Department of Cranio-Maxillofacial Surgery, University Hospital Basel, 4056 Basel, Switzerland. claude.jaquiery@usb.ch.
- 2018-03-23
Published in:
- Dentistry journal. - 2016
bisphosphonate-associated osteonecrosis
computed tomography
cone beam computed tomography
fluorescence-guided bone resection
magnetic resonance imaging
panoramic radiograph
positron emission tomography
single photon emission computed tomography
English
BACKGROUND
Bisphosphonate-associated osteonecrosis of the jaws (MRONJ/BP-ONJ/BRONJ) is a commonly seen disease. During recent decades, major advances in diagnostics have occurred. Once the clinical picture shows typical MRONJ features, imaging is necessary to determine the size of the lesion. Exposed bone is not always painful, therefore a thorough clinical examination and radiological imaging are essential when MRONJ is suspected.
METHODS
In this paper we will present the latest clinical update on the imaging options in regard to MRONJ: X-ray/Panoramic Radiograph, Cone Beam Computed Tomography (CBCT) and Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Nuclear Imaging, Fluorescence-Guided Bone Resection.
CONCLUSION
Which image modality is chosen depends not only on the surgeon's/practitioner's preference but also on the available imaging modalities. A three-dimensional imaging modality is desirable, and in severe cases necessary, for extended resections and planning of reconstruction.
Bisphosphonate-associated osteonecrosis of the jaws (MRONJ/BP-ONJ/BRONJ) is a commonly seen disease. During recent decades, major advances in diagnostics have occurred. Once the clinical picture shows typical MRONJ features, imaging is necessary to determine the size of the lesion. Exposed bone is not always painful, therefore a thorough clinical examination and radiological imaging are essential when MRONJ is suspected.
METHODS
In this paper we will present the latest clinical update on the imaging options in regard to MRONJ: X-ray/Panoramic Radiograph, Cone Beam Computed Tomography (CBCT) and Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Nuclear Imaging, Fluorescence-Guided Bone Resection.
CONCLUSION
Which image modality is chosen depends not only on the surgeon's/practitioner's preference but also on the available imaging modalities. A three-dimensional imaging modality is desirable, and in severe cases necessary, for extended resections and planning of reconstruction.
- Language
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- English
- Open access status
- gold
- Identifiers
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- DOI 10.3390/dj4030029
- PMID 29563471
- Persistent URL
- https://sonar.ch/global/documents/241983
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