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      Direct digital radiography versus conventional radiography for estimation of canal length in curved canals

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          Abstract

          Purpose

          The purpose of this study was to compare the conventional and digital radiography in the estimation of working length in mandibular molars.

          Materials and Methods

          Sixty molar teeth were selected and divided into three groups in the basis of canal curves (0-15°, 15-30°, >30°). After the placement of a 15 K-file, radiographs were taken with a conventional film (F-speed) and a digital sensor. Canal lengths were measured in these images by two observers. Statistical analysis was performed with repeated measures of ANOVA and paired sample t-test with 95% confidence.

          Results

          There was a high inter-observer agreement on the measurements of working length in conventional and digital radiographs. There was no significant difference between the mean values of measurements in conventional and digital radiography. Moreover, there was no significant difference between conventional and digital radiography with the actual values in the basis of canal curves.

          Conclusion

          The accuracy of conventional and digital radiography in the determination of the working length was in an acceptable range.

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          Most cited references14

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          Microscopic investigation of root apexes.

          Y Kuttler (1955)
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            A comparison of 18 different x-ray detectors currently used in dentistry.

            There has been a proliferation of available dental x-ray detectors over the recent past. The purpose of this short technical report is to provide a basic comparison of spatial resolution, contrast perceptibility, and relative exposure latitudes of 18 current dental x-ray detectors, including solid-state systems (CCD and CMOS), photostimulable phosphors, and analog film. Spatial resolution was measured using a 0.025 mm Pb phantom test grid with a measurement range from 1.5 to 20 lp/mm. For contrast perceptibility, a 7-mm thick aluminum perceptibility test device with wells of 0.1-0.9 mm depth at 0.1 mm intervals and 1 defect of 1.5 mm was used. The relative exposure latitude was determined by expert consensus using clear discrimination of the enamel-dentin junction as the lower limit and pixel blooming or unacceptable levels of cervical burnout as the upper limit. The highest spatial resolution was found with Kodak InSight film, RVG-ui (CCD), and RVG 6000 (CMOS) detectors, each of which achieved 20 lp/mm, followed by the Planmeca Dixi2 v3 at > or =16 lp/mm. Contrast resolution was at least to 0.2 mm through 7 mm aluminum for all 18 detectors, with the best results being found for the Visualix HDI, RVG-ui, RVG 5000, and RVG 6000 detectors and the Schick CDR wired and wireless systems. The greatest exposure ranges were found with photostimulable phosphors and the Kodak RVG 6000 and RVG 5000 detectors. Most current x-ray detectors generally perform well in terms of spatial and contrast resolutions, and in terms of exposure latitude. These findings were independent of the modality applied.
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              Accuracy of film-based, digital, and enhanced digital images for endodontic length determination.

              This study compared the accuracy of D- and F-speed intraoral radiographs and digital and enhanced digital radiographic images for endodontic file length determination. Size 15 K-files were bonded in 51 canals of 34 human cadaver teeth. The distance from file tip to root apex was measured on D- and F-speed film and on unenhanced and enhanced digital images. The quality of the images was rated by the observers. Overlying cadaver bone and root structure were subsequently removed to expose the file tip for actual measurement to the apex. The distance measured on each image was compared with the actual measurement. ANOVA, Kruskal-Wallis, sign test, and Pearson correlation statistical analyses were applied. There were no significant differences in measurement accuracy among the 4 image types (P < or = .05). Subjective ratings showed a preference for the quality of enhanced digital images. Conclusion All 4 image types were similar in accuracy of file measurement. The image quality of enhanced digital images was subjectively superior to the others.
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                Author and article information

                Journal
                Imaging Sci Dent
                ISD
                Imaging Science in Dentistry
                Korean Academy of Oral and Maxillofacial Radiology
                2233-7822
                2233-7830
                March 2011
                26 March 2011
                : 41
                : 1
                : 7-10
                Affiliations
                Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences, Guilan, Iran.
                [* ]Department of Endodontics, Faculty of Dentistry, Guilan University of Medical Sciences, Guilan, Iran.
                Author notes
                Correspondence to: Prof. Seiedeh Tahereh Mohtavipour. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences, Imam St. Opp Pardis Hotel, Rasht, Iran. Tel) 98-9111360412, Fax) 98-1313230776, s.t_mohtavipour@ 123456yahoo.com
                Article
                10.5624/isd.2011.41.1.7
                3174458
                21977467
                29dc82db-d57a-4267-b22e-cff8c84bbdec
                Copyright © 2011 by Korean Academy of Oral and Maxillofacial Radiology

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 10 August 2010
                : 26 October 2010
                : 29 October 2010
                Categories
                Original Article

                Dentistry
                measurement,dental digital radiography,root canal
                Dentistry
                measurement, dental digital radiography, root canal

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