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An evaluation of the quality of c-shaped root canal obturation using cone-beam CT and digital periapical radiography |
LYU Hanxiao, WANG Min, SUN Yu, DU Yu, PAN Yihuai |
Department of Endodontics, Hospital of Stomatology, Wenzhou Medical University, Wenzhou 325027, China |
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Cite this article: |
LYU Hanxiao,WANG Min,SUN Yu, et al. An evaluation of the quality of c-shaped root canal obturation using cone-beam CT and digital periapical radiography[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2019, 49(12): 926-929.
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Abstract Objective: To compare the quality of root canal obturation of C-shaped canal in mandibular second molar by using cone beam computerized tomography (CBCT) and digital periapical radiography (DPR) to assess the advantages and application value of CBCT in C-shaped root canal obturation. Methods: A total of 82 patients (86 mandibular second molars) received root canal therapy in endodontics department. After root canal obturation, the length and density of root filling were assessed with CBCT and DPR simultaneously by two experienced endodontists. Chi-square test was performed to compare the difference between CBCT and DPR in evaluating the quality of the root obturation. Results: With the same root canal preparation and obturation methods, the results varied significantly due to different postoperative evaluation methods. In terms of length and density of root obturation, CBCT was significantly better than of DPR (P<0.05). Conclusion: CBCT is more reliable than DPR in evaluating the obturation quality of C-shaped root canal in mandibular second molar, and has extensive application value in the evaluation of anatomic complex root canal system.
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Received: 03 March 2019
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[1] KAMBUROGLU K, KURT H, KOLSUZ E, et al. Occlusal caries depth measurements obtained by five different imaging modalities[J]. J Digit Imating, 2011, 24(5): 804-813.
[2] 崔燕, 刘琳. 锥形束CT在颞下颌关节临床诊断中的应用[J]. 中国实用口腔科杂志, 2015, 8(10): 629-633.
[3] ESTRELA C, BUENO M R, LELES C R, et a1. Accuracy of cone beam computed tomography and panoramicand periapical radiography for detection of apical periodontitis[J]. J Endod, 2008, 34(3): 273-279.
[4] YOSHIOKA T, KIKUCHI I, ADORNO C G, et a1. Periapical bone defects of root filled teeth with persistent lesions evaluated by cone beam computed tomography[J]. Int Endod J, 2011, 44(3): 245-252.
[5] 崔传江, 孙志涛, 郭吉来. 热牙胶充填与冷牙胶侧方加压在C型根管充填中的效果研究[J]. 现代口腔医学杂志, 2016, 30(4): 232-234.
[6] MELTON D C, KRELL K V, FULLER M W. Anatomical and histologicalfeatures of C-shaped canals in mandibular second molars[J]. J Endod, 1991, 17(8): 384-388.
[7] 朱丽娜, 郑幼洋. 热牙胶垂直加压法与iRoot SP冷恻压法对C型根管充填的临床效果分析[J]. 牙体牙髓牙周病学杂志, 2017, 27(1): 37-40.
[8] 薛立秋, 郑立娟, 李铼石. 锥形束CT对老年人下颌磨牙热牙胶根充质量的评价[J]. 口腔医学研究, 2017, 33(3): 311-314.
[9] 中华口腔医学会牙体牙髓病学专业委员会. 根管治疗技术指南[J]. 中华口腔医学杂志, 2014, 49(5): 272-274.
[10] 樊明文. 牙体牙髓病[M]. 3版. 北京: 人民卫生出版社, 2008: 245-250.
[11] PAULA-SILVA F W, WU M K, LEONARDO M R, et a1. Accuracy of periapical radiography and cone-beam copmuted tomography scans in diagnosing apical periodontitis using histopatholgical findings as a gold standard[J]. J Endod, 2009, 35(7): 1009-1012.
[12] LOFTHAG-HANSEN S, HUUMONEN S, GRONDAHL K, et al. Limited cone-beam CT and intraoral radiography for the diagnosis of periapical pathology[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 103(1): 114-119. |
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