In recent years, the integration of advanced imaging technologies into dentistry has opened new doors for diagnosing and treating various conditions, particularly orofacial pain disorders. As researchers and practitioners seek new solutions to complex pain issues, the evolving use of Magnetic Resonance Imaging (MRI) sheds light on the possible connection between dental health and neuropathic pain.
Despite significant advancements in the fields of medicine, radiology, and neurology, there remains a notable gap in understanding and diagnosing orofacial pain. Typically, an MRI is used to evaluate the brain and central nervous system; it does not look at the face where orofacial pain occurs. Dentistry consistently operates in peripheral areas where there are nerves involved. With current technology, it is difficult to get a clear picture of the pain due to the presence of hard tissue, air, and soft tissue in the facial region.
Emerging research suggests that advancements in imaging technology could better enable visualization of the nerves and structures within the face, enhancing diagnostic accuracy for dental and orofacial pain conditions. The goal is to use MRI capabilities to identify dental diseases and assess related inflammation, which can significantly influence pain perception and patient outcomes.
The presence of inflammation can exacerbate pain sensations, creating a feedback loop of distress and inflammation. Traditional diagnostic imaging fails to pinpoint the underlying issue, that it is not sensitive enough to detect small and/or early inflammation, demonstrating a clear need for better imaging techniques. Using advanced MRI protocols, practitioners will be able to visualize inflammation in the face effectively, which can lead to a more tailored approach in treatment planning.
This collaborative effort has the potential to minimize costs, by guiding dentists to avoid performing unnecessary procedures, while maximizing impact. By focusing on critical elements of imaging technology, researchers can create effective tools that facilitate the study of interactions between dental practices and emerging imaging modalities. This could ultimately lead to enhancements in MRI scanner design — making them smaller, more affordable, and easily deployable in dental offices.
Moving forward, the focus will shift to not only enhancing the diagnostic process but also has the potential to shape treatment plans that address both the physiological and psychosocial aspects of pain. With continued advancements in MRI technology and an increased understanding of its applications in dentistry, practitioners will be better equipped to address the complexities of orofacial pain, ultimately improving patient care and outcomes.
To read about Dr. Nixdorf’s efforts in the first MRI dental-dedicated MRI at the University of Minnesota, please visit https://dentistry.umn.edu/news-events/orofacial-mri-center-unveils-first-nation-dental-dedicated-mri
