Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ)
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. Expos...
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| Format: | Article |
| Language: | English |
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MDPI AG
2016-09-01
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| Series: | Dentistry Journal |
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| Online Access: | http://www.mdpi.com/2304-6767/4/3/29 |
| _version_ | 1798005776613113856 |
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| author | Britt-Isabelle Berg Andreas A. Mueller Marcello Augello Scott Berg Claude Jaquiéry |
| author_facet | Britt-Isabelle Berg Andreas A. Mueller Marcello Augello Scott Berg Claude Jaquiéry |
| author_sort | Britt-Isabelle Berg |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T12:45:18Z |
| format | Article |
| id | doaj.art-a3c8fa3cbca549218310dc8730d6a1b8 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-04-11T12:45:18Z |
| publishDate | 2016-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-a3c8fa3cbca549218310dc8730d6a1b82022-12-22T04:23:23ZengMDPI AGDentistry Journal2304-67672016-09-01432910.3390/dj4030029dj4030029Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ)Britt-Isabelle Berg0Andreas A. Mueller1Marcello Augello2Scott Berg3Claude Jaquiéry4Department of Cranio-Maxillofacial Surgery, University Hospital Basel, 4056 Basel, SwitzerlandDepartment of Cranio-Maxillofacial Surgery, University Hospital Basel, 4056 Basel, SwitzerlandClinic of Cranio-Maxillofacial Surgery, Kantonsspital Aarau, 5001 Aarau, SwitzerlandPrivate Practice, 25524 Itzehoe, GermanyDepartment of Cranio-Maxillofacial Surgery, University Hospital Basel, 4056 Basel, SwitzerlandBackground: 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.http://www.mdpi.com/2304-6767/4/3/29bisphosphonate-associated osteonecrosismagnetic resonance imagingpanoramic radiographcomputed tomographycone beam computed tomographysingle photon emission computed tomographypositron emission tomographyfluorescence-guided bone resection |
| spellingShingle | Britt-Isabelle Berg Andreas A. Mueller Marcello Augello Scott Berg Claude Jaquiéry Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ) Dentistry Journal bisphosphonate-associated osteonecrosis magnetic resonance imaging panoramic radiograph computed tomography cone beam computed tomography single photon emission computed tomography positron emission tomography fluorescence-guided bone resection |
| title | Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ) |
| title_full | Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ) |
| title_fullStr | Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ) |
| title_full_unstemmed | Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ) |
| title_short | Imaging in Patients with Bisphosphonate-Associated Osteonecrosis of the Jaws (MRONJ) |
| title_sort | imaging in patients with bisphosphonate associated osteonecrosis of the jaws mronj |
| topic | bisphosphonate-associated osteonecrosis magnetic resonance imaging panoramic radiograph computed tomography cone beam computed tomography single photon emission computed tomography positron emission tomography fluorescence-guided bone resection |
| url | http://www.mdpi.com/2304-6767/4/3/29 |
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