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NCT Number: NCT07008014

Can Dental Dedicated MRI Replace Low-dose CBCT Scanning in Dentistry

Magnetic Resonance Imaging (MRI) has is a useful diagnostic tool that offers advantages over conventional radiography techniques. Unlike traditional X-ray or computed tomography (CT) scans, MRI utilizes a magnetic field and radio waves to generate detailed and high-resolution images of the body's internal structures. This non-invasive imaging modality allows the clinician to better see soft tissues in 3D without the use of ionising radiation. Furthermore, MRI enables the detection and characterization of a wide range of pathologies which can lead to improved diagnostic capabilities and better patient outcomes.

To date, the use of MRI in dentistry has been limited as dentistry imaging focuses predominantly on hard tissues (teeth and bones) in addition to the higher cost and accessibility issues with MRI machines.

However, recent developments have led to the development of a dental-specific coil for use with a low field strength (0.55 Tesla) MRI scanner. This has resulted in high diagnostic quality soft and hard tissue images and reduced imaging time. As this imaging modality has rarely been used before in dentistry, the aim of this study is to investigate its use for dental imaging, refining parameters and assessing the diagnostic quality of dental scans taken using MRI and the specific dental coil.

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Key information

Conditions

Age range

3 year and older

Sex eligibility

All sexes

Study type

Observational

About this study

The overall aim of this feasibility project is to optimise MRI parameters for dental use (i.e., dental-dedicated MRI) and assess the diagnostic quality of dental scans taken using MRI.

The objectives are to assess if MRI imaging has altered the diagnosis, retrospectively analyse the numbers of patients which can be diagnosed effectively using this radiation free imaging modality and document health resource use to inform a full health technology assessment trial.

The primary objective is to assess the feasibility of providing MRI scanning to dental patients and the resultant benefit. As such, the investigators will examine the percentage of patients whose diagnosis was altered as a result of additional MRI scanning.

The secondary objectives are to assess:

  • The percentage of patients who would have been able to complete their diagnosis with an MRI scan alone
  • Percentage of eligible patients who agreed to have an MRI scan
  • Percentage of patients who completed the MRI scan
  • Clinician rated diagnostic acceptability
  • Patient acceptability of the imaging modality (as determined by VAS scale)
  • Documentation of Health resource use including intervention costs

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients aged 3 or over with suspected orofacial pathology involving a soft tissue component or healthy volunteers
  • The patient is willing to undergo an MRI investigation
  • Patient or their carer/guardian is able to provide informed consent to the study

Exclusion criteria

  • Patient or their carer is unable to show Gillick competency for consent.
  • The patient has pronounced claustrophobia.
  • The patient has a pacemaker or implanted defibrillator.
  • The patient has history of metal shrapnel injuries to the eyes or MRI incompatible metallic inclusions or implants/ large tattoos.
  • The patient has non-removable piercings.
  • Pregnant patients, or patients who suspect they could be pregnant
  • The patient has participated in other research studies within the previous 30 days.

Treatment and study plan

Magnetic Resonance Imaging

Other

Participants will receive an additional MRI image in addition to standard of care to investigate if it was a useful imaging modality for their condition

Primary outcomes

  1. Percentage of patients whose diagnosis/care changed as a result of the additional dental MRI imaging compared to the total number of patients imaged using conventional radiography.

    Time frame: 4 weeks

    The treatment plan that was given before the MRI scan will be documented. Following review of the MRI by the overseeing consultant, any changes to the treatment plan will be documented. The number of patients whose treatment plan was altered as a result of the scan will be divided by the number of those who received a scan to get a percentage.

  2. To assess diagnostic quality of the image

    Time frame: 6 months

    This is a feasibility trial and a new imaging modality for dentistry. Working with MR physicists we will assess image quality and report on areas for improvement

Secondary outcomes

  1. Percentage of patients whereby the diagnosis could have been obtained using dental-dedicated MRI alone

    Time frame: 4 weeks

    The number of patients whereby the clinical indicators of pathology on the MRI scan were sufficient to gauge the pathology will be assessed. This will be divided by the number of patients who received a scan to get a percentage.

  2. Time spent undergoing scan

    Time frame: 4 weeks

    Time spent undergoing scan (minutes)

  3. Radiation exposure (Grays)

    Time frame: 4 weeks

    Radiation exposure of the imaging modality (Grays)

Study contacts

Contact information is provided by the study sponsor or research team.

Jonathan Consultant Maxillofacial Radiologist

CONTACT

[email protected]

+442078487343

Saoirse O'Toole, BDentSc PhD

CONTACT

[email protected]

+442078485643

Sponsors and collaborators

Lead sponsor

King's College London

Other

Registry information

Official study title

What is the Scope for Low Field MRI to Replace Cone Beam Computed Tomography in Dentistry?

Acronym: DDMRI

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jun 6, 2025
Registry last updated
Jun 29, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.