Comparison of digital radiography and apex locator with the conventional method in root length determination of primary teeth. 2011

I E Neena, and A Ananthraj, and P Praveen, and V Karthik, and P Rani
Department of Pedodontics and Preventive Dentistry, College of Dental Sciences, Davangere, Karnataka, India. neena.ganesh@gmail.com

OBJECTIVE The purpose of this study was to compare the Working length in primary teeth endodontics using intra oral digital radiovisiography and apex locator with conventional method for accuracy. METHODS This in vivo study was conducted on 30 primary teeth which were indicated for pulpectomy in the patients of the age group of 5-11 years All experimental teeth had adequate remaining tooth structure for rubber dam isolation and radiographicaly visible canals. Endodontic treatment was required due to irreversible pulpitis or pulp necrosis. A standardized intraoral periapical radiograph of the tooth was taken using conventional method by paralleling technique. The distance between the source and the tooth, tooth and the films were standardized using X-ray positioning device. During the pulpectomy procedure, the working length was determined by digital radiograph and apex locator. The measurements were then compared with the conventional method of root canal measurement technique for accuracy. RESULTS From the results obtained we can conclude that Working length determined in primary molars using digital radiography and Apex locator did not show any significant difference in the mean working length measurements when compared with the conventional radiographic method. CONCLUSIONS Apex locator is comparable to conventional radiograph in determining the working length without radiation in the primary teeth. Intraoral digital radiography is the safest method in determining the working length with significant reduction in radiation exposure.Hence, both the techniques can be safely used as alternatives to conventional radiographic methods in determining working length in primary teeth.

UI MeSH Term Description Entries
D009811 Odontometry Measurement of tooth characteristics.
D011670 Pulpectomy Dental procedure in which the entire pulp chamber is removed from the crown and roots of a tooth. Pulpectomies
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003762 Dental Instruments Hand-held tools or implements especially used by dental professionals for the performance of clinical tasks. Instrument, Dental,Dental Instrument,Instruments, Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000704 Analysis of Variance A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable. ANOVA,Analysis, Variance,Variance Analysis,Analyses, Variance,Variance Analyses
D014094 Tooth, Deciduous The teeth of the first dentition, which are shed and replaced by the permanent teeth. Primary Tooth,Tooth, Primary,Baby Teeth,Baby Tooth,Dentition, Deciduous,Dentition, Primary,Milk Teeth,Milk Tooth,Primary Teeth,Teeth, Deciduous,Teeth, Primary,Deciduous Dentition,Deciduous Dentitions,Deciduous Teeth,Deciduous Tooth,Dentitions, Deciduous,Dentitions, Primary,Primary Dentition,Primary Dentitions,Teeth, Baby,Teeth, Milk,Tooth, Baby,Tooth, Milk
D055615 Electrical Equipment and Supplies Apparatus and instruments that generate and operate with ELECTRICITY, and their electrical components. Electronic Equipment and Supplies
D019227 Tooth Apex The tip or terminal end of the root of a tooth. (Jablonski, Dictionary of Dentistry, 1992, p62) Apical Foramen,Tooth Apices,Apex, Tooth,Apices, Tooth,Foramen, Apical
D019252 Radiography, Dental, Digital A rapid, low-dose, digital imaging system using a small intraoral sensor instead of radiographic film, an intensifying screen, and a charge-coupled device. It presents the possibility of reduced patient exposure and minimal distortion, although resolution and latitude are inferior to standard dental radiography. A receiver is placed in the mouth, routing signals to a computer which images the signals on a screen or in print. It includes digitizing from x-ray film or any other detector. (From MEDLINE abstracts; personal communication from Dr. Charles Berthold, NIDR) Dental Digital Radiography,Digital Dental Radiography, Direct,Digital Radiography, Dental,Dental Radiovisiography,Digora,Radiovisiography, Dental,Scanora,Sens-A-Ray,Visualix,Digoras,Radiography, Dental Digital,Scanoras,Sens A Ray,SensARay,Visualices

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