A standard for radiopacity of root-end (retrograde) filling materials is urgently needed. 2004

M Tagger, and A Katz
Department of Endodontology, The Maurice & Gabriela School of Dental Medicine, Tel Aviv University, Tel Aviv 69978, Israel. taggendo@post.tau.ac.il

OBJECTIVE To assess the radiopacity of materials used, or recommended for use, as apical root-end (retrograde) fillings. METHODS The radiopacity of 14 materials falling into the category of root-end filling materials was measured in equivalent millimetres of aluminium (mm Al) using a new computerized method. These included temporary or intermediate sealing materials; composite, compomer and GIC filling materials; EBA-derived cements; amalgam, etc. Gutta-percha cone material was added as a control. Samples of 1 mm thickness were radiographed on periapical film alongside an aluminium step wedge calibrated in millimetres, and the opacity of the materials, in greyscale or pseudo-colour, was compared with the equivalent step. RESULTS The radiopacity ranged from 1.75 mm Al to >10 mm Al. The lower range appears insufficient for routine clinical detection when it is compared with the minimal requirement for intracanal fillings. CONCLUSIONS Because of the proliferation of root-end filling materials with a broad range of radiopacity, an international standard stipulating the required minimal radiopacity, as well as other properties, is needed urgently. It should be based on in vitro results and on large-scale clinical radiographic surveys.

UI MeSH Term Description Entries
D011857 Radiographic Image Interpretation, Computer-Assisted Computer systems or networks designed to provide radiographic interpretive information. Computer Assisted Radiographic Image Interpretation,Computer-Assisted Radiographic Image Interpretation,Radiographic Image Interpretation, Computer Assisted
D011861 Radiography, Dental Radiographic techniques used in dentistry. Dental Radiography
D003287 Contrast Media Substances used to allow enhanced visualization of tissues. Radiopaque Media,Contrast Agent,Contrast Agents,Contrast Material,Contrast Materials,Radiocontrast Agent,Radiocontrast Agents,Radiocontrast Media,Agent, Contrast,Agent, Radiocontrast,Agents, Contrast,Agents, Radiocontrast,Material, Contrast,Materials, Contrast,Media, Contrast,Media, Radiocontrast,Media, Radiopaque
D003786 Dental Pulp Cavity The space in a tooth bounded by the dentin and containing the dental pulp. The portion of the cavity within the crown of the tooth is the pulp chamber; the portion within the root is the pulp canal or root canal. Pulp Canal,Pulp Chamber,Root Canal,Cavities, Dental Pulp,Cavity, Dental Pulp,Dental Pulp Cavities,Pulp Cavities, Dental,Pulp Cavity, Dental,Canal, Pulp,Canal, Root,Canals, Pulp,Canals, Root,Chamber, Pulp,Chambers, Pulp,Pulp Canals,Pulp Chambers,Root Canals
D012184 Retrograde Obturation Procedure that involves the removal of infectious products from a root canal space through use of special instruments and fillings. This procedure is performed when root canal treatment fails. Obturation, Retrograde,Obturations, Retrograde,Retrograde Obturations
D012387 Root Canal Filling Materials Materials placed inside a root canal for the purpose of obturating or sealing it. The materials may be gutta-percha, silver cones, paste mixtures, or other substances. (Dorland, 28th ed, p631 & Boucher's Clinical Dental Terminology, 4th ed, p187) Root Canal Filling Material,Root Canal Sealants,Sealants, Root Canal,Canal Sealant, Root,Canal Sealants, Root,Root Canal Sealant,Sealant, Root Canal

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