Assessment of dental pulp response to carries via MR T 2 mapping and histological analysis

Abstract Objectives The aim of our study was to assess the correlation between T 2 relaxation times and their variability with the histopathological results of the same teeth in relation to caries progression. Materials and methods: 52 extracted permanent premolars were included in the study. Prior...

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Main Authors: Ana Tenyi, Aleksandra Milutinović, Jernej Vidmar, Igor Serša, Ksenija Cankar
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-024-04165-1
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author Ana Tenyi
Aleksandra Milutinović
Jernej Vidmar
Igor Serša
Ksenija Cankar
author_facet Ana Tenyi
Aleksandra Milutinović
Jernej Vidmar
Igor Serša
Ksenija Cankar
author_sort Ana Tenyi
collection DOAJ
description Abstract Objectives The aim of our study was to assess the correlation between T 2 relaxation times and their variability with the histopathological results of the same teeth in relation to caries progression. Materials and methods: 52 extracted permanent premolars were included in the study. Prior to extractions, patients underwent magnetic resonance imaging (MRI) scanning and teeth were evaluated using ICDAS classification. Pulps of extracted teeth were histologically analysed. Results: MRI T 2 relaxation times (ms) were 111,9 ± 11.2 for ICDAS 0, 132.3 ± 18.5* for ICDAS 1, 124.6 ± 14.8 for ICDAS 2 and 112. 6 ± 18.2 for ICDAS 3 group (p = 0,013). A positive correlation was observed between MRI T 2 relaxation times and macrophage and T lymphocyte density in healthy teeth. There was a positive correlation between vascular density and T 2 relaxation times of dental pulp in teeth with ICDAS score 1. A negative correlation was found between T 2 relaxation times and macrophage density. There was a positive correlation between T 2 relaxation time variability and macrophage and T lymphocyte density in teeth with ICDAS score 2. In teeth with ICDAS score 3, a positive correlation between T 2 relaxation times and T 2 relaxation time variability and lymphocyte B density was found. Conclusion: The results of our study confirm the applicability of MRI in evaluation of the true condition of the pulp tissue. Clinical relevance: With the high correlation to histological validation, MRI method serves as a promising imaging implement in the field of general dentistry and endodontics.
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spelling doaj.art-c230f8ca6c194f54ad9622e1ecae020d2024-04-07T11:32:55ZengBMCBMC Oral Health1472-68312024-04-012411810.1186/s12903-024-04165-1Assessment of dental pulp response to carries via MR T 2 mapping and histological analysisAna Tenyi0Aleksandra Milutinović1Jernej Vidmar2Igor Serša3Ksenija Cankar4Medical Faculty, Department of dental diseases and normal dental morphology, Hrvatski trg 6, University of LjubljanaMedical Faculty, Institute of histology and embryology, University of LjubljanaInstitute of Radiology, University Medical Center LjubljanaJožef Stefan InstituteMedical Faculty, Institute of Physiology, University of LjubljanaAbstract Objectives The aim of our study was to assess the correlation between T 2 relaxation times and their variability with the histopathological results of the same teeth in relation to caries progression. Materials and methods: 52 extracted permanent premolars were included in the study. Prior to extractions, patients underwent magnetic resonance imaging (MRI) scanning and teeth were evaluated using ICDAS classification. Pulps of extracted teeth were histologically analysed. Results: MRI T 2 relaxation times (ms) were 111,9 ± 11.2 for ICDAS 0, 132.3 ± 18.5* for ICDAS 1, 124.6 ± 14.8 for ICDAS 2 and 112. 6 ± 18.2 for ICDAS 3 group (p = 0,013). A positive correlation was observed between MRI T 2 relaxation times and macrophage and T lymphocyte density in healthy teeth. There was a positive correlation between vascular density and T 2 relaxation times of dental pulp in teeth with ICDAS score 1. A negative correlation was found between T 2 relaxation times and macrophage density. There was a positive correlation between T 2 relaxation time variability and macrophage and T lymphocyte density in teeth with ICDAS score 2. In teeth with ICDAS score 3, a positive correlation between T 2 relaxation times and T 2 relaxation time variability and lymphocyte B density was found. Conclusion: The results of our study confirm the applicability of MRI in evaluation of the true condition of the pulp tissue. Clinical relevance: With the high correlation to histological validation, MRI method serves as a promising imaging implement in the field of general dentistry and endodontics.https://doi.org/10.1186/s12903-024-04165-1Magnetic resonance imagingDental pulpDental cariesInflammationHistology
spellingShingle Ana Tenyi
Aleksandra Milutinović
Jernej Vidmar
Igor Serša
Ksenija Cankar
Assessment of dental pulp response to carries via MR T 2 mapping and histological analysis
BMC Oral Health
Magnetic resonance imaging
Dental pulp
Dental caries
Inflammation
Histology
title Assessment of dental pulp response to carries via MR T 2 mapping and histological analysis
title_full Assessment of dental pulp response to carries via MR T 2 mapping and histological analysis
title_fullStr Assessment of dental pulp response to carries via MR T 2 mapping and histological analysis
title_full_unstemmed Assessment of dental pulp response to carries via MR T 2 mapping and histological analysis
title_short Assessment of dental pulp response to carries via MR T 2 mapping and histological analysis
title_sort assessment of dental pulp response to carries via mr t 2 mapping and histological analysis
topic Magnetic resonance imaging
Dental pulp
Dental caries
Inflammation
Histology
url https://doi.org/10.1186/s12903-024-04165-1
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