ArticleClinical oral investigations2021
Is MRI a viable alternative to CT/CBCT to identify the course of the inferior alveolar nerve in relation to the roots of the third molars?
Article in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Association between MR neurography-based objective quantitative parameters in inferior alveolar nerve and lingual nerve injuries.European radiology · 2026Article
- Automatic Detection and Proximity Quantification of Inferior Alveolar Nerve and Mandibular Third Molar on CBCT: A Systematic Review.Journal of pharmacy & bioallied sciences · 2025Article
- Can magnetic resonance imaging (MRI) reduce lingual nerve injuries during mandibular third molar surgery? A scoping review.BMC oral health · 2025Article
- Assessing nerve injuries in oral surgery: a survey-based study on prevention and management.Medicina oral, patologia oral y cirugia bucal · 2025Article
- Post-Traumatic Trigeminal Neuropathic Pain: A Narrative Review of Understanding, Management, and Prognosis.Biomedicines · 2024Review
- Is 3T MR nerve-bone fusion imaging a viable alternative to MRI-CBCT to identify the relationship between the inferior alveolar nerve and mandibular third molar.Clinical oral investigations · 2024Article
- Dental MRI-only a future vision or standard of care? A literature review on current indications and applications of MRI in dentistry.Dento maxillo facial radiology · 2023Review
- Validation of different protocols of inferior alveolar canal tracing using cone beam computed tomography (CBCT).Dento maxillo facial radiology · 2022Article
- Comparison of Preoperative Cone-Beam Computed Tomography and 3D-Double Echo Steady-State MRI in Third Molar Surgery.Journal of clinical medicine · 2021Article
- Mandibular Third Molar Surgery: Intraosseous Localization of the Inferior Alveolar Nerve Using 3D Double-Echo Steady-State MRI (3D-DESS).Diagnostics (Basel, Switzerland) · 2021Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the reliability of judging the spatial relation between the inferior alveolar nerve (IAN) and mandibular third molar (MTM) based on MRI or CT/CBCT images.
methodsAltogether, CT/CBCT and MRI images of 87 MTMs were examined twice by 3 examiners with different degrees of experience. The course of the IAN in relation to the MTM, the presence/absence of a direct contact between IAN and MTM, and the presence of accessory IAN were determined.
resultsThe IAN was in > 40% of the cases judged as inferior, while an interradicular position was diagnosed in < 5% of the cases. The overall agreement was good (κ = 0.72) and any disagreement between the imaging modalities was primarily among the adjacent regions, i.e., buccal/lingual/interradicular vs. inferior. CT/CBCT judgements presented a very good agreement for the inter- and intrarater comparison (κ > 0.80), while MRI judgements showed a slightly lower, but good agreement (κ = 0.74). A direct contact between IAN and MTM was diagnosed in about 65%, but in almost 20% a disagreement between the judgements based on MRI and CT/CBCT was present resulting in a moderate overall agreement (κ = 0.60). The agreement between the judgements based on MRI and CT/CBCT appeared independent of the examiner's experience and accessory IAN were described in 10 cases in MRI compared to 3 cases in CT/CBCT images.
conclusionsA good inter- and intrarater agreement has been observed for the assessment of the spatial relation between the IAN and MTM based on MRI images. Further, MRI images might provide advantages in the detection of accessory IAN compared to CT/CBCT. CLINICAL RELEVANCE: MRI appears as viable alternative to CT/CBCT for preoperative assessment of the IAN in relation to the MTM.
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