COMPARISON OF DIGITAL RADIOGRAPHY WITH CONVENTIONAL METHOD IN ROOT LENGTH DETERMINATION OF PRIMARY TEETH

2013 ◽  
Vol 5 (2) ◽  
pp. 26-30
Author(s):  
I.E. Neena

ABSTRACT AIM Working length determination in primary teeth endodontics using intra oral digital radiovisiography, and compare it with conventional method for accuracy. METHODOLOGY 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. RESULT From the results obtained we can conclude that intraoral digital radiography methods of determining the root canal length in primary teeth can be considered reliable and safe in endodontic treatment of children. CONCLUSION The following conclusions were drawn from this present study Intraoral digital radiography also proved to be safest method in determining working length with significant reduction in radiation dosage. Hence this techniques can be safely used as an alternate to conventional radiographic method in determining working length in primary teeth.

2016 ◽  
Vol 9 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Shobha Tandon ◽  
Ahsan Abdullah ◽  
Neerja Singh ◽  
Monika S Rathore ◽  
Balakrishnan Rajkumar

2013 ◽  
Vol 14 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Mahmoud K AL-Omiri ◽  
Azhar Iqbal ◽  
Iftikhar Akbar

ABSTRACT Aim To evaluate the effects of a preflaring method on the determination of working length in the curved mesial canals of mandibular molars. Materials and methods Ninety mandibular molars with apical curvature of 30 to 40° were selected and randomly divided into two groups; each containing 45 teeth. In the first group, the initial instrumentation was performed with preflaring on the mesiobuccal canal (preflared group), and in the second group; the instrumentation was performed without preflaring on the mesiobuccal canal (nonpreflared group). A size 15 K-file was inserted in the mesiobuccal canals until the apical constriction could be felt by tactile sensation and a radiograph was taken to identify the distance between the file tip and radiographic apex. The location of the tip was classified as (a) within 1 mm of the radiographic apex, (b) more than 1 mm of the radiographic apex, or (c) overextended beyond the radiographic apex. The collected data was statistically analyzed and probability value was set to be ≤ 0.05. Results The file tip was significantly closer to the true working length in the canals with early preflaring compared to the canals without early preflaring (p < 0.005). In the preflared group; 75.5% of the cases had the file tip in location ‘a’, 13.3% in location ‘b’, and 11.1% in location ‘c’. In the nonpreflared group; 33.3% of the cases had the file tip in location ‘a’, 53.3% in location ‘b’ and 13.3% in location ‘c’. Conclusion Preflaring the coronal portion of curved canals greatly improved the access to the apical constriction, and thus enhanced correct working length determination. If the coronal portion of the curved canals is not preflared, the clinician cannot discern the accuracy of what they feel apically. Thus, preflaring is a highly recommended procedure especially in curved canals for better determination of correct working length. How to cite this article Iqbal A, Akbar I, AL-Omiri MK. An in vivo Study to determine the Effects of Early Preflaring on the Working Length in Curved Mesial Canals of Mandibular Molars. J Contemp Dent Pract 2013;14(2):163-167.


2017 ◽  
Vol 20 (3) ◽  
pp. 170
Author(s):  
UmadeviKiritsinh Gohil ◽  
VaishaliV Parekh ◽  
Niraj Kinariwala ◽  
KaushalM Oza ◽  
MonaC Somani

Author(s):  
Zahra Bahreinian ◽  
Asieh Zamani Naser ◽  
Ladan Khorrami ◽  
Nahid Maghsoudi

Introduction: Digital and film-based radiography are the most common methods of working length determination. The objective of this study was to compare the accuracy of working length determination of curved canals using digital and film-based radiography. Materials & Methods: This experimental and interventional study, included forty teeth with curved canals conducted at the Dentistry Faculty of Isfahan University of Medical Sciences, in 2018. After access cavity preparation, the direct observation method of the apical tip of the file in the root apex determined the actual working length. Teeth were mounted in acrylic blocks. Canal curvature was calculated based on Schneider’s method using software of indirect digital radiography. Images gathered by E-speed film and digital sensors. A pre-curved file was used to measure the working length of film-based images. In digital radiography, a digital caliper was used to measure the working length with three and six clicks. Data were analyzed by repeated measure analysis, paired t-test, and Intraclass Correlation Coefficient. The Level of significance was set at 0.001. Results: All groups overestimated the actual length although there weren’t any significant differences (p value > 0.05). Paired t-test didn’t show any significant differences between digital and film-based groups (p value > 0.05). Conclusion: Considering several advantages of digital radiography over the film-based method, it is the preferred method for working length determination of curved canals.


2014 ◽  
Vol 25 (1) ◽  
pp. 17-21 ◽  
Author(s):  
Key Fabiano Souza Pereira ◽  
Pedro Gregol da Silva ◽  
Fabio Simões de Vicente ◽  
Fabio Nakao Arashiro ◽  
Carmem Regina Coldebella ◽  
...  

The success of an endodontic treatment relies on a correct working length determination. The canal terminus must be detected accurately and a precise control of the working length during the endodontic treatment must be maintained. The aim of this study was to investigate the working length determination in vivo with the Quill Apex Locator® for apical limit established at 1 mm short from the apical foramen (AF). Patients scheduled to dental extraction due to orthodontic or periodontal reasons were selected for this study, resulting in a sample of 24 root canals. Written informed consent was obtained from each patient before the treatment. After the administration of local anesthesia each tooth had its pulp cavity accessed. Next, the reading corresponding to the AF showed on the device's display was recorded and the file was removed. With the use of a digital caliper, 1 mm was subtracted from that first measurement. The file with the new measurement was introduced into to the root canal again then fixed with light curing flow composite and the tooth was extracted. Next, one of the apical third walls was worn out to visualize the instrument's point and the AF. The distance from the file tip to the AF was measured by scanning electron microscopy. The average of the measurements was 1.089±0.437 mm. The Bicaudal t-test showed no significant difference (p=0.338) between the experimental values and the hypothetical value tested at 1 mm. The present investigation confirmed that the Quill Apex Locator® was able to determine the working length with good reliability for the endodontic treatment, established at 1 mm short from the AF.


2010 ◽  
Vol 36 (3) ◽  
pp. 105-108 ◽  
Author(s):  
Paulo Nelson-Filho ◽  
Marcela Pacífico Lucisano ◽  
Mário Roberto Leonardo ◽  
Raquel Assed Bezerra Da Silva ◽  
Léa Assed Bezerra Da Silva

2013 ◽  
Vol 14 (4) ◽  
pp. 644-648 ◽  
Author(s):  
Nitin Shah ◽  
Sarita Singh ◽  
Jyoti Mandlik ◽  
Kalpana Pawar ◽  
Paras Gupta ◽  
...  

ABSTRACT Objective The purpose of this in vivo study was to compare the ability of digital tactile, digital radiographic and electronic methods to determine reliability in locating the apical constriction. Materials and methods Informed consent was obtained from patients scheduled for orthodontic extraction. The teeth were anesthetized, isolated and accessed. The canals were negotiated, pulp chamber and canals were irrigated and pulp was extirpated. The working length was then evaluated for each canal by digital tactile sensation, an electronic apex locator (The Root ZX) and digital radiography. The readings were then compared with post-extraction working length measurements. Results The percentage accuracy indicated that EAL method (Root ZX) shows maximum accuracy, i.e. 99.85% and digital tactile and digital radiographic method (DDR) showed 98.20 and 97.90% accuracy respectively. Clinical significance Hence, it can be concluded that the EAL method (Root ZX) produced most reliable results for determining the accurate working length. How to cite this article Mandlik J, Shah N, Pawar K, Gupta P, Singh S, Shaik SA. An in vivo Evaluation of Different Methods of Working Length Determination. J Contemp Dent Pract 2013;14(4):644-648.


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