A comparison between conventional and digital radiography in root canal working length determination. 2013

Abesi Farida, and Ehsani Maryam, and Mirzapour Ali, and Moudi Ehsan, and Yousefi Sajad, and Khafri Soraya
Department of Endodontics, Dental Materials Research Center, Babol University of Medical Science, Babol, Iran.

OBJECTIVE Obtaining a correct working length is necessary for successful root canal treatment. The aim of this study was to compare conventional and digital radiography in measuring root canal working length. METHODS In this in vitro study 20 mesio buccal canal from maxillary first molars with moderate and severe curvature and 20 canal form anterior teeth with mild curvature were chosen and their working length were measured with number 15 k file (Maillefer, DENTSPLY, Germany). Then for each canal five radiographies were taken, three conventional radiographies using three methods of processing: Manual, automatic, and monobath solution; in addition to two other digital radiographies using CCD and PSP receptors. Two independent observers measured working length in each technique. Finally, the mean of working length in each group was compared with real working length using a paired T-test. Also a one-way ANOVA test was used for comparing the two groups. The level of statistical significance was P < 0.05. RESULTS The results have shown that there was a high interobserver agreement on the measurements of the working length in conventional and digital radiography (P ≤ 0.001). Also there was no significant difference between conventional and digital radiography in measuring working length (P > 0.05). CONCLUSIONS Therefore it was concluded that the accuracy of digital radiography is comparable with conventional radiography in measuring working length, so considering the advantages of the digital radiography, it can be used for working length determination.

UI MeSH Term Description Entries
D007180 Incisor Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820) Incisors
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D008963 Molar The most posterior teeth on either side of the jaw, totaling eight in the deciduous dentition (2 on each side, upper and lower), and usually 12 in the permanent dentition (three on each side, upper and lower). They are grinding teeth, having large crowns and broad chewing surfaces. (Jablonski, Dictionary of Dentistry, 1992, p821) Molars
D009811 Odontometry Measurement of tooth characteristics.
D003481 Cuspid The third tooth to the left and to the right of the midline of either jaw, situated between the second INCISOR and the premolar teeth (BICUSPID). (Jablonski, Dictionary of Dentistry, 1992, p817) Canine Tooth,Canine Teeth,Cuspids,Teeth, Canine,Tooth, Canine
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
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014962 X-Ray Film A film base coated with an emulsion designed for use with x-rays. Film, X-Ray,Radiographic Film,Film, Radiographic,Xray Film,Film, X Ray,Film, Xray,Films, Radiographic,Films, X-Ray,Films, Xray,Radiographic Films,X Ray Film,X-Ray Films,Xray Films
D018915 Root Canal Preparation Various preparatory steps prior to ROOT CANAL THERAPY by extirpation of diseased pulp and preparation of access cavity to receive the sealing material. Access Cavity Preparation,Endodontics Access Cavity Preparation,Access Cavity Preparations,Preparation, Access Cavity,Preparation, Root Canal,Root Canal Preparations
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

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