Evidence map›Paper›PMID 34359328›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Mandibular Third Molar Surgery: Intraosseous Localization of the Inferior Alveolar Nerve Using 3D Double-Echo Steady-State MRI (3D-DESS).

Adib Al-Haj Husain, Bernd Stadlinger, Sebastian Winklhofer, Marcel Müller, Marco Piccirelli, Silvio Valdec

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Imaging in Third Molar Surgery: A Clinical Update.Journal of clinical medicine · 2023
    Review
  5. Article
  6. Review
  7. Article
  8. An Update on Advanced Diagnostic Imaging in Dentistry.Diagnostics (Basel, Switzerland) · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adib Al-Haj HusainCenter of Dental Medicine, Clinic of Cranio-Maxillofacial and Oral Surgery, University of Zurich, 8032 Zurich, Switzerland.
Bernd StadlingerCenter of Dental Medicine, Clinic of Cranio-Maxillofacial and Oral Surgery, University of Zurich, 8032 Zurich, Switzerland.
Sebastian WinklhoferClinical Neuroscience Center, Department of Neuroradiology, University Hospital of Zurich, University of Zurich, 8091 Zurich, Switzerland.
Marcel MüllerStatistical Services, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland.
Marco PiccirelliClinical Neuroscience Center, Department of Neuroradiology, University Hospital of Zurich, University of Zurich, 8091 Zurich, Switzerland.
Silvio ValdecCenter of Dental Medicine, Clinic of Cranio-Maxillofacial and Oral Surgery, University of Zurich, 8032 Zurich, Switzerland.ORCID 0000-0002-8029-180X

Funding

Dentsply Sirona N/A
6 · The paper itself

Abstract

The aim of this study was to evaluate the inferior alveolar nerve's (IAN) intraosseous position within the inferior alveolar canal (IAC) using a 3D double-echo steady-state MRI sequence (3D-DESS). The IAN position was prospectively evaluated in 19 patients undergoing mandibular third molar (MTM) surgery. In the coronal reference layer, the IAC was divided into six segments. These segments were checked for the presence of hyperintense tubular MRI signals representing the IAN's nervous tissue and assessed as visible/non-visible. Furthermore, the IAN in MRI and the IAC in MRI and CBCT were segmented at the third and second molar, determining the maximum diameter in all planes and a conversion factor between the imaging modalities. Regardless of the positional relationship at the third and second molar, the IAN showed the highest localization probability in the central segments (segment 2: 97.4% vs. 94.4%, segment 5: 100% vs. 91.6%). The conversion factors from IAC in CBCT and MRI to IAN in MRI, respectively, were the following: axial (2.04 ± 1.95, 2.37 ± 2.41), sagittal (1.86 ± 0.96, 1.76 ± 0.74), and coronal (1.26 ± 0.39, 1.37 ± 0.25). This radiation-free imaging modality, demonstrating good feasibility of accurate visualization of nervous tissue within the nerve canal's osseous boundaries, may benefit preoperative assessment before complex surgical procedures are performed near the IAC.

Indexed as

anatomyinferior alveolar nervemagnetic resonance imagingoral surgeryradiology

Identifiers

PMID34359328
PMCPMC8303593

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.