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- Detection of root perforations using conventional and digital intraoral radiography, multidetector computed tomography and cone beam computed tomography
- Abbas Shokri, Amir Eskandarloo, Maruf Noruzi-Gangachin, Samira Khajeh
- Restor Dent Endod 2015;40(1):58-67. Published online November 13, 2014
- DOI: https://doi.org/10.5395/rde.2015.40.1.58
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Abstract
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ePub Objectives This study aimed to compare the accuracy of conventional intraoral (CI) radiography, photostimulable phosphor (PSP) radiography, cone beam computed tomography (CBCT) and multidetector computed tomography (MDCT) for detection of strip and root perforations in endodontically treated teeth.
Materials and Methods Mesial and distal roots of 72 recently extracted molar were endodontically prepared. Perforations were created in 0.2, 0.3, or 0.4 mm diameter around the furcation of 48 roots (strip perforation) and at the external surface of 48 roots (root perforation); 48 roots were not perforated (control group). After root obturation, intraoral radiography, CBCT and MDCT were taken. Discontinuity in the root structure was interpreted as perforation. Two observers examined the images. Data were analyzed using Stata software and Chi-square test.
Results The sensitivity and specificity of CI, PSP, CBCT and MDCT in detection of strip perforations were 81.25% and 93.75%, 85.42% and 91.67%, 97.92% and 85.42%, and 72.92% and 87.50%, respectively. For diagnosis of root perforation, the sensitivity and specificity were 87.50% and 93.75%, 89.58% and 91.67%, 97.92% and 85.42%, and 81.25% and 87.50%, respectively. For detection of strip perforation, the difference between CBCT and all other methods including CI, PSP and MDCT was significant (
p < 0.05). For detection of root perforation, only the difference between CBCT and MDCT was significant, and for all the other methods no statistically significant difference was observed.Conclusions If it is not possible to diagnose the root perforations by periapical radiographs, CBCT is the best radiographic technique while MDCT is not recommended.
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Citations
Citations to this article as recorded by
- The relationship between radiographic measurements of alveolar bone in posterior single-tooth edentulous regions and non-alveolar jawbones using multidetector computed tomography
Imad Barngkgei, Leen Khattash, Samar Kakhia
Oral Radiology.2025; 41(1): 10. CrossRef - Extrusion of debris during retreatment using various nickel-titanium files in teeth with simulated lateral root perforation
Hatice Harorlı, Simay Koç, Alper Kuştarcı
Journal of Oral Science.2024; 66(3): 189. CrossRef - The importance of cone-beam computed tomography in endodontic therapy: A review
Shaul Hameed Kolarkodi
The Saudi Dental Journal.2023; 35(7): 780. CrossRef - Assessment of the diagnostic accuracy of strip and furcal perforations in different sizes by cone beam computed tomography
Zahra Ghoncheh, Hanieh Kaviani, Sara Soleimani, Shifteh Nasri, Fatemeh Malekpour, Farzaneh Afkhami
Oral Radiology.2023; 39(4): 654. CrossRef - Konik Işınlı Bilgisayarlı Tomografinin Endodontik Uygulamalarda Kullanımı
Gülsün AKAY, Kahraman GÜNGÖR
ADO Klinik Bilimler Dergisi.2022; 11(1): 8. CrossRef - CBCT Visualization of Furcation Perforation Repair Materials Using Different Voxel Sizes
Ayse Isıl ORHAN, Pelin TUFENKCİ, Aysenur ONCU, Sevinc SEVGI, Berkan CELİKTEN, Kaan ORHAN
Clinical and Experimental Health Sciences.2021; 11(4): 654. CrossRef - Accuracy of Conventional Periapical Radiography in Diagnosing Furcation Repair after Perforation Treatment
Stephanie Díaz Huamán, Maria Gerusa Brito Aragão, Ana Paula Dias Moreno, Alexandra Mussolino de Queiroz, Raquel Assed Bezerra da Silva, Francisco Wanderley Garcia de Paula-Silva, Léa Assed Bezerra da Silva
Journal of Endodontics.2020; 46(6): 827. CrossRef - Association between marginal bone loss and bone quality at dental implant sites based on evidence from cone beam computed tomography and periapical radiographs
Amir Eskandarloo, Reza Arabi, Mohsen Bidgoli, Faezeh Yousefi, Jalal Poorolajal
Contemporary Clinical Dentistry.2019; 10(1): 36. CrossRef - Effect of exposure parameters of cone beam computed tomography on metal artifact reduction around the dental implants in various bone densities
Abbas Shokri, Mohammad Reza Jamalpour, Atefeh Khavid, Zeinab Mohseni, Masoud Sadeghi
BMC Medical Imaging.2019;[Epub] CrossRef - Enhancing the three-dimensional visualization of a foreign object using Mimics software
Muhammad Khan Asif, Phrabhakaran Nambiar, Iqra Muhammad Khan, Zeti Adura Binti Che Ab Aziz, Nora Sakina Binti Mohd Noor, Palasuntharam Shanmuhasuntharam, Norliza Ibrahim
Radiology Case Reports.2019; 14(12): 1545. CrossRef - Evidence-based decision-making in endodontics
Eyal Rosen, Igor Tsesis
Clinical Dentistry Reviewed.2017;[Epub] CrossRef - Incidence of pulp sensibility loss of anterior teeth after paramedian insertion of orthodontic mini-implants in the anterior maxilla
Jan Hourfar, Dirk Bister, Jörg A. Lisson, Björn Ludwig
Head & Face Medicine.2017;[Epub] CrossRef - Image analysis for dental bone quality assessment using CBCT imaging
Suprijanto, L Epsilawati, M S Hajarini, E Juliastuti, H Susanti
Journal of Physics: Conference Series.2016; 694: 012065. CrossRef - Identification of the Procedural Accidents During Root Canal Preparation Using Digital Intraoral Radiography and Cone Beam Computed Tomography
K.-Ivácson A.- Csinszka, Monea Adriana Maria, Monea Monica, Pop Mihai, Borda Angela
Acta Medica Marisiensis.2016; 62(3): 326. CrossRef
- The relationship between radiographic measurements of alveolar bone in posterior single-tooth edentulous regions and non-alveolar jawbones using multidetector computed tomography
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- 14 Crossref
- Accuracy of Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigant
- Hyeong-Soon Shin, Won-Kyung Yang, Mi-Ri Kim, Hyun-Jung Ko, Kyung-Mo Cho, Se-Hee Park, Jin-Woo Kim
- Restor Dent Endod 2012;37(3):149-154. Published online August 29, 2012
- DOI: https://doi.org/10.5395/rde.2012.37.3.149
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Abstract
PDFPubReaderePub
Objectives To evaluate the accuracy of the Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigants, such as saline, 5.25% sodium hypochlorite (NaOCl), 2% chlorhexidine liquid, 2% chlorhexidine gel, and RC-Prep, and also to determine the electrical conductivities of these endodontic irrigants.
Materials and Methods A root perforation was simulated on twenty freshly extracted teeth by means of a small perforation made on the proximal surface of the root at 4 mm from the anatomic apex. Root ZX was used to locate root perforation and measure the electronic working lengths. The results obtained were compared with the actual working length (AWL) and the actual location of perforations (AP), allowing tolerances of 0.5 or 1.0 mm. Measurements within these limits were considered as acceptable. Chi-square test or the Fisher's exact test was used to evaluate significance. Electrical conductivities of each irrigant were also measured with an electrical conductivity tester.
Results The accuracies of the Root ZX in perforated teeth were significantly different between liquid types (saline, NaOCl) and gel types (chlorhexidine gel, RC-Prep). The accuracies of electronic working lengths in perforated teeth were higher in gel types than in liquid types. The accuracy in locating root perforation was higher in liquid types than gel types. 5.25% NaOCl had the highest electrical conductivity, whereas 2% chlorhexidine gel and RC-Prep gel had the lowest electrical conductivities among the five irrigants.
Conclusions Different canal irrigants with different electrical conductivities may affect the accuracy of the Root ZX in perforated teeth.
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Citations
Citations to this article as recorded by- Effect of Different Electroconductive Root Canal Irrigations on the Accuracy of Different Apex Locators: An In Vitro Comparative Study
Eman M. Yahya, Ashraf S. Alchalabi, Emad Farhan Alkhalidi
Journal of International Society of Preventive and Community Dentistry.2024; 14(3): 211. CrossRef - The precision of radiographic and electronic working length estimation methods in endodontics: A systematic review of clinical studies
Anithakumari Rangappa, Buvaneshwari Arul, Jayalakshmi Somasundaram, Velmurugan Natanasabapathy
Endodontology.2024;[Epub] CrossRef - Comparative evaluation of the accuracy of electronic apex locators and cone-beam computed tomography in detection of root canal perforation and working length during endodontic retreatment
Simay Koç, Hatice Harorlı, Alper Kuştarcı
BMC Oral Health.2024;[Epub] CrossRef - Comparative Accuracy and Reliability of Three Electronic Apex Locators in Determining the Apical Constriction of Molar Canals: A Micro-CT Evaluation
Reem M. Barakat, Rahaf A. Almohareb, Arwa O. Alharbi, Asma Alhazmi, Reem Alomar
Journal of Clinical Medicine.2024; 13(17): 5199. CrossRef - Accuracy of the integrated electronic apex locator in locating simulated perforation under various irrigating solutions in an in vitro study
Chintan Joshi, Surabhi Joshi, Urooj Desai, Sweety Thumar, Aashray Patel, Ankita Khunt
Brazilian Journal of Oral Sciences.2024; 23: e241118. CrossRef - The Accuracy of Different Apex Locator Systems in Detecting Root Perforations in the Presence of Different Irrigation Solutions
Oğuz Burhan Çetinkaya, Emre Çulha, Uğur Aydın
European Journal of Therapeutics.2023; 30(1): 39. CrossRef - In Vitro Comparison of the Accuracy of Cone-Beam Computed Tomography Scanning and Electronic Apex Locators in Detection of Simulated Root Perforations in Different Localizations
Hatice Harorlı, Simay Koç, Alper Kuştarcı
Journal of Endodontics.2023; 49(12): 1676. CrossRef - Accuracy of different electronic apex locators in determination of minimum Root perforation diameter
Simay Koç, Alper Kuştarcı, Kürşat Er
Australian Endodontic Journal.2023; 49(S1): 179. CrossRef - The influence of MTAD and QMix on the accuracy of electronic apex locator in locating simulated perforations
A Dumani, AA Ates, CS Ucan, S Yilmaz, I Unal, O Yoldas
Nigerian Journal of Clinical Practice.2022; 25(3): 281. CrossRef - Synthesis and evaluation of grafted xanthan gum as a drug carrier in developing lornoxicam gel formulations
SandipAshok Murtale, PrakashS Goudanavar, NRaghavendra Naveen, WalaaF Alsanie, Majid Alhomrani, AbdulhakeemS Alamri, SyedMohammed Basheeruddin Asdaq, MdKhalid Anwer, Nagaraja Sreeharsha, MazenAl Gharsan, Santosh Fattepur
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Ayşin DUMANİ, Şehnaz YILMAZ, Oğuz YOLDAŞ, Güray KILINÇÇEKER
Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.2022; : 1. CrossRef - Accuracy of electronic apex locator in the presence of different irrigating solutions
Padmanabh Jha, Vineeta Nikhil, Shalya Raj, Rohit Ravinder, Preeti Mishra
Endodontology.2021; 33(4): 232. CrossRef - Comparative Evaluation of Accuracy of Different Apex Locators: Propex IQ, Raypex 6, Root ZX, and Apex ID with CBCT and Periapical Radiograph—In Vitro Study
Okba Mahmoud, Mawada Hassan Awad Abdelmagied, Ahmad Hisham Dandashi, Bakr Nssaief Jasim, Hussam Alddin Tawfik Kayali, Saaid Al Shehadat, Luca Testarelli
International Journal of Dentistry.2021; 2021: 1. CrossRef - Evaluation of Temperature Increase From Joule Heat in Numerical Tooth Model by Applying 500 kHz Current for Apical Periodontitis Treatment—Effect of Applied Voltage and Tooth Conductivity
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J. Yamin, A. Pattini, E. Colombo
Informes de la Construcción.2020; 72(557): e329. CrossRef - The influence of two forms of chlorhexidine on the accuracy of contemporary electronic apex locators
Ewa Marek, Ryta Łagocka, Katarzyna Kot, Krzysztof Woźniak, Mariusz Lipski
BMC Oral Health.2020;[Epub] CrossRef - Efficiency of an integrated apex locator in determining working length in various irrigating solutions: An in vivo study
RakeshReddy Chukka, MalatiDevi Bellam, NarenderReddy Marukala, Sainath Dinapadu, NareshKumar Konda, Jithender Nagilla
Journal of Pharmacy And Bioallied Sciences.2020; 12(5): 410. CrossRef - Accuracy of two electronic apex locators in locating root perforations in curved canals in dry and wet conditions: A comparative in vitro study
MonishaParshotam Khatri, SheetalB Ghivari, Madhu Pujar, Reshma Faras, Pallavi Gopeshetti, Amulya Vanti
Dental Research Journal.2019; 16(6): 407. CrossRef - Consistency of electronic measurements of endodontic working length when using multiple devices from the same manufacturer—an in vitro study
Franziska Haupt, M Hülsmann
Clinical Oral Investigations.2018; 22(9): 3107. CrossRef - The Influence of Various Irrigants on the Accuracy of 2 Electronic Apex Locators in Locating Simulated Root Perforations
Demet Altunbaş, Alper Kuştarcı, Mustafa Toyoğlu
Journal of Endodontics.2017; 43(3): 439. CrossRef - Accuracy and Repeatability of 3 Apex Locators in Locating Root Canal Perforations: An Ex Vivo Study
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Journal of Endodontics.2014; 40(8): 1241. CrossRef
- Effect of Different Electroconductive Root Canal Irrigations on the Accuracy of Different Apex Locators: An In Vitro Comparative Study
- 229 View
- 3 Download
- 21 Crossref
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