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Research Articles
Enhanced visualization of the root canal morphology using a chitosan-based endo-radiopaque solution
Shashirekha Govind, Amit Jena, Satabdi Pattanaik, Mahaprasad Anarasi, Satyajit Mohapatra, Vinay Shivagange
Restor Dent Endod 2021;46(3):e33.   Published online June 4, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e33
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to investigate the efficacy of ionic and non-ionic-based contrast media (in vitro study) and the combinatorial effect of chitosan-based endo-radiopaque solution (CERS) (in vivo study) for visualization of the root canal anatomy.

Materials and Methods

In vitro study (120 teeth): The root canal of maxillary premolars and molars (in vitro group 1 and 2 respectively, n = 60 each) were analyzed using 4 different contrast media (subgroups: Omnipaque 350, Iopamidol, Xenetix 350, and Urografin 76; n = 15 each) in combination with 5.25% sodium hypochlorite (NaOCl). Based on the results of the in vitro study, in vivo study (80 teeth) was done to compare Xenetix 350 + 5.25% NaOCl with CERS (in vivo group 1 and 2 respectively, n = 40 each) on maxillary and mandibular premolars and molars. Two endodontists used radiovisiography to assess the depth of ingress and identify the aberrant root anatomy after access cavity preparation, and after initial cleaning and shaping of canals. Kruskal-Wallis test was used for in vitro comparison (p < 0.05), and Wilcoxon signed-rank test and Mann-Whitney U test for in vivo analysis (p < 0.01).

Results

In vitro study, Xenetix 350 + 5.25% NaOCl facilitated a significant higher visualization (p < 0.05). For in vivo study, CERS had a statistically significant depth of ingress (p < 0.01), and was efficient in identifying the aberrant root canal anatomy of premolars and molars.

Conclusions

CERS facilitates better visualization of the root canal anatomy of human premolars and molars.

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The effects of image acquisition control of digital X-ray system on radiodensity quantification
Wook-Jin Seong, Hyeon-Cheol Kim, Soocheol Jeong, Youngcheul Heo, Woo-Bin Song, Mansur Ahmad
Restor Dent Endod 2013;38(3):146-153.   Published online August 23, 2013
DOI: https://doi.org/10.5395/rde.2013.38.3.146
AbstractAbstract PDFPubReaderePub
Objectives

Aluminum step wedge (ASW) equivalent radiodensity (eRD) has been used to quantify restorative material's radiodensity. The aim of this study was to evaluate the effects of image acquisition control (IAC) of a digital X-ray system on the radiodensity quantification under different exposure time settings.

Materials and Methods

Three 1-mm thick restorative material samples with various opacities were prepared. Samples were radiographed alongside an ASW using one of three digital radiographic modes (linear mapping (L), nonlinear mapping (N), and nonlinear mapping and automatic exposure control activated (E)) under 3 exposure time settings (underexposure, normal-exposure, and overexposure). The ASW eRD of restorative materials, attenuation coefficients and contrasts of ASW, and the correlation coefficient of linear relationship between logarithms of gray-scale value and thicknesses of ASW were compared under 9 conditions.

Results

The ASW eRD measurements of restorative materials by three digital radiographic modes were statistically different (p = 0.049) but clinically similar. The relationship between logarithms of background corrected grey scale value and thickness of ASW was highly linear but attenuation coefficients and contrasts varied significantly among 3 radiographic modes. Varying exposure times did not affect ASW eRD significantly.

Conclusions

Even though different digital radiographic modes induced large variation on attenuation of coefficient and contrast of ASW, E mode improved diagnostic quality of the image significantly under the under-exposure condition by improving contrasts, while maintaining ASW eRDs of restorative materials similar. Under the condition of this study, underexposure time may be acceptable clinically with digital X-ray system using automatic gain control that reduces radiation exposure for patient.

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The reduction methods of operator's radiation dose for portable dental X-ray machines
Jeong-Yeon Cho, Won-Jeong Han
Restor Dent Endod 2012;37(3):160-164.   Published online August 29, 2012
DOI: https://doi.org/10.5395/rde.2012.37.3.160
AbstractAbstract PDFPubReaderePub
Objectives

This study was aimed to investigate the methods to reduce operator's radiation dose when taking intraoral radiographs with portable dental X-ray machines.

Materials and Methods

Two kinds of portable dental X-ray machines (DX3000, Dexcowin and Rextar, Posdion) were used. Operator's radiation dose was measured with an 1,800 cc ionization chamber (RadCal Corp.) at the hand level of X-ray tubehead and at the operator's chest and waist levels with and without the backscatter shield. The operator's radiation dose at the hand level was measured with and without lead gloves and with long and short cones.

Results

The backscatter shield reduced operator's radiation dose at the hand level of X-ray tubehead to 23 - 32%, the lead gloves to 26 - 31%, and long cone to 48 - 52%. And the backscatter shield reduced operator's radiation dose at the operator's chest and waist levels to 0.1 - 37%.

Conclusions

When portable dental X-ray systems are used, it is recommended to select X-ray machine attached with a backscatter shield and a long cone and to wear the lead gloves.

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Basic Research
Evaluation of radiopacity and discriminability of various fiber reinforced composite posts
Eun-Hye Lee, Hang-Moon Choi, Se-Hee Park, Jin-Woo Kim, Kyung-Mo Cho
J Korean Acad Conserv Dent 2010;35(3):188-197.   Published online May 31, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.3.188
AbstractAbstract PDFPubReaderePub

The purpose of this study was to compare radiopacity and radiographic discriminability of various FRC-Posts.

Six FRC-Posts were investigated ; 1) FRC Postec Plus (Ivoclar Vivadent AG, Schaan, Liechtenstein), 2) Snowlight (Carbotech, Lewis center, OH, USA), 3) Dentin Post (Komet Brasseler, Lamgo, Germany), 4) Rely-X Fiber Post (3M ESPE, St.paul, MN, USA), 5) D.T.-Light Post (BISCO, Schaumburg, IL,USA), 6) Luxapost (DMG, Hamburg, Germany)

The radiographs of each post with a reference 1 mm / 2 mm aluminum step-wedge was taken using digital sensor. The optical density were calculated by gray value of 10 × 10 pixel and compared in mm Al equivalent at five points.

Six maxillary incisors of similar radiopacity were used. Radiographs of posts in Mx. incisors of lingual side of dry mandible were taken.

We showed radiographs and asked the questionnaire to 3 radiologists, 3 endodontists, 3 general practitioners. The questionnaire was comprised of choices of the highest, lowest radiopaque individual post and the choices of best discriminable post at apical, coronal area.

The following results were obtained.

Each post system showed various radiopacity.

There was change of discriminability between each post and simulated specimens regardless of examiner.

Although each post showed various radiopacity, the difference of radiopacity did not affect on discriminability.

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Original Articles
Evaluating the reliability and repeatability of the digital color analysis system for dentistry
Joong-Jae Jeong, Su-Jung Park, Hyun-Gu Cho, Yun-Chan Hwang, Won-Mann Oh, In-Nam Hwang
J Korean Acad Conserv Dent 2008;33(4):352-368.   Published online July 31, 2008
DOI: https://doi.org/10.5395/JKACD.2008.33.4.352
AbstractAbstract PDFPubReaderePub

This study was done to evaluate the reliability of the digital color analysis system (ShadeScan, CYNOVAD, Montreal, Canada) for dentistry.

Sixteen tooth models were made by injecting the A2 shade chemical cured resin for temporary crown into the impression acquired from 16 adults. Surfaces of the model teeth were polished with resin polishing cloth. The window of the ShadeScan handpiece was placed on the labial surface of tooth and tooth images were captured, and each tooth shade was analyzed with the ShadeScan software. Captured images were selected in groups, and compared one another.

Two models were selected to evaluate repeatability of ShadeScan, and shade analysis was performed 10 times for each tooth.

And, to ascertain the color difference of same shade code analyzed by ShadeScan, CIE L*a*b*values of shade guide of Gradia Direct (GC, Tokyo, Japan) were measured on the white and black background using the Spectrolino (GretagMacbeth, USA), and Shade map of each shade guide was captured using the ShadeScan.

There were no teeth that were analyzed as A2 shade and unique shade. And shade mapping analyses of the same tooth revealed similar shade and distribution except incisal third.

Color difference (ΔE*) among the Shade map which analyzed as same shade by ShadeScan were above 3.

Within the limits of this study, digital color analysis instrument for dentistry has relatively high repeatability, but has controversial in accuracy.

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Comparative study of digital and conventional radiography for the diagnostic ability of artificial proximal surface caries
Young-Gon Cho, Si-Seung Park
J Korean Acad Conserv Dent 2002;27(2):113-121.   Published online March 31, 2002
DOI: https://doi.org/10.5395/JKACD.2002.27.2.113
AbstractAbstract PDFPubReaderePub

Conventional intraoral radiography continues to be the most widely used image modality for the diagnosis of dental caries. But, conventional intraoral radiography has several shortcomings, including the difficulty of exposing and processing intraoral film of consistently acceptable quality. In addition, radiographic retaking that was the result of processing errors, may result in increased discomfort and radiation dose to the patient.

Recently, various digital radiographies substitute for conventional intraoral radiography to overcome these disadvantages. The advantages of digital radiography are numerous. One of advantages is the elimination of processing errors. In addition, the radiation dose for digital system is approximately 20% to 25% of that required for conventional intraoral radiography. Another potential advantage of digital imaging is the ability to perform image quality enhancements such as contrast and density modulation, which may increase diagnostic accuracy.

The purpose of this study was to compare the diagnostic ability of artificial proximal defects to conventional intraoral radiography, direct digital image(CDX2000HQ®) and indirect digital image(Digora®).

Artificial defects were made in proximal surfaces of 60 extracted human molars using #1/2, #1, #2 round bur. Five dentists assessed proximal defects on conventional intraoral radiography, direct digital image(CDX2000HQ®) and indirect digital image(Digora®). ROC(Receiver Operating Characteristic) analysis and Two-way ANOVA test were used for the evaluation of detectability, and following results were acquired.

1. The mean ROC area of conventional intraoral radiography, direct digital image(CDX2000HQ®)and indirect digital image(Digora®) were 0.6766, 0.7538, 0.6791(Grade I), 0.7176, 0.7594, 0.7361(Grade II), and 0.7449, 0.7608, 0.7414(Grade III), respectively.

2. Diagnostic ability of direct digital image was higher than other image modalities. But, there was no statistically significant difference among other imaging modalities for Grade I, II, III lesion(p>0.05).

In conclusion, when direct and indirect digital system are comparable with conventional intraoral radiography, these systems may be considered an alternative of conventional intraoral radiography for the diagnosis of proximal surface caries.

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