Journal
JOURNAL OF ENDODONTICS
Volume 34, Issue 2, Pages 160-165Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.joen.2007.10.010
Keywords
anatomy; bone image superimposition; C-shaped canal; contrast medium; mandibular second molar
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The purpose of this study was to investigate the effect of image superimposition from surrounding alveolar bone and intraradicular contrast medium on radiographic interpretation of a C-shaped canal system in mandibular second molars. Thirty mandibular second molars with fused roots were collected and stored in 10% formalin solution. After being scanned by micro-computed tomography and reconstructed, the buccal-lingual radiographs of each tooth were taken with or without intraradicular contrast medium and mandibular bony plates. The number of mesial and distal canals in the coronal-to-middle canal portion and the canal number in the apical 4-mm area were recorded. The buccal-lingual and three-dimensional view of reconstructed canal images were used to evaluate the accuracy of radiograph reading. The results were subjected to the Friedman and chi-square test. The results showed that without intraradicular contrast medium, the bone superimposition could decrease the accuracy of canal recognition significantly (p < 0.001), especially in the apical area. When contrast medium was in canals, the canal reading seemed not to be affected by the bone superimposition (p > 0.05). Based on these findings, the intraradicular contrast medium could increase the accuracy of canal recognition of a C-shaped canal system in mandibular second molars despite the bone image superimposition, especially in the detection of continuous C-shaped canals and the canals in the apical area.
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