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Dental Implants, Devices, and Materials
Many of the dental implants, devices, materials, and objects evaluated for ferromagnetic qualities exhibited measurable deflection forces (e.g., brace bands, brace wires, etc.) but only the ones with magnetically-activated components present potential problems for patients during MR procedures (also, see Magnetically-Activated Implants and Devices). The issues that exist for magnetically-activated dental implants include possible demagnetization of the magnetic components and the substantial artifacts that these magnets produce on MR imaging.
Dental implants, devices, and materials made from ferromagnetic materials tend to be held in place with sufficient counter-forces to prevent them from causing problems related to movement or dislodgement in association with MR systems operating 3-Tesla or less. The extent of MRI-related heating that occurs at 3-Tesla/128-MHz for these dental implants is unknown.
REFERENCES Gegauff A, Laurell KA, Thavendrarajah A, et al. A potential MRI hazard: forces on dental magnet keepers. J Oral Rehabil 1990;17:403-410. Hubalkova H, La Serna P, Linetskiy I, Dostalova T. Dental alloys and magnetic resonance imaging. Int Dent J. 2006;56:135-41. Lissac MI, Metrop D, Brugigrad, et al. Dental materials and magnetic resonance imaging. Invest Radiol 1991;26:40-45. New PFJ, Rosen BR, Brady TJ, et al. Potential hazards and artifacts of ferromagnetic and nonferromagnetic surgical and dental materials and devices in nuclear magnetic resonance imaging. Radiology 1983;147:139-148. Shellock FG. Ex vivo assessment of deflection forces and artifacts associated with high-field strength MRI of "mini-magnet" dental prostheses. Magn Reson Imaging 1989;7 (Suppl 1):38. Shellock FG. Magnetic Resonance Procedures: Health Effects and Safety. CRC Press, LLC, Boca Raton, FL, 2001. Shellock FG, Crues JV. High-field strength MR imaging and metallic biomedical implants: an ex vivo evaluation of deflection forces. Am J Roentgenol 1988;151:389-392.
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