Abstract: Electronic apex locators (EAL) has been widely used
clinically for measuring root canal working length with high accuracy,
which is crucial for successful endodontic treatment. In order to
maintain high accuracy in different measurement environments,
this study presented a system for root canal length measurement
based on multifrequency impedance method. This measuring system
can generate a sweep current with frequencies from 100 Hz to
1 MHz through a direct digital synthesizer. Multiple impedance
ratios with different combinations of frequencies were obtained
and transmitted by an analog-to-digital converter and several of
them with representatives will be selected after data process. The
system analyzed the functional relationship between these impedance
ratios and the distance between the file and the apex with statistics
by measuring plenty of teeth. The position of the apical foramen
can be determined by the statistical model using these impedance
ratios. The experimental results revealed that the accuracy of
the system based on multifrequency impedance ratios method to
determine the position of the apical foramen was higher than the
dual-frequency impedance ratio method. Besides that, for more
complex measurement environments, the performance of the system
was more stable.
Abstract: An in vitro study was carried out to evaluate the feasibility of small field of view (FOV) cone beam computed tomography (CBCT) in determining endodontic working length. The objectives were to determine the accuracy of CBCT in measuring the estimated preoperative working lengths (EPWL), endodontic working lengths (EWL) and file lengths. Access cavities were prepared in 27 molars. For each root canal, the baseline electronic working length was determined using an EAL (Raypex 5). The teeth were then divided into overextended, non-modified and underextended groups and the lengths were adjusted accordingly. Imaging and measurements were made using the respective software of the RVG (Kodak RVG 6100) and CBCT units (Kodak 9000 3D). Root apices were then shaved and the apical constrictions viewed under magnification to measure the control working lengths. The paired t-test showed a statistically significant difference between CBCT EPWL and control length but the difference was too small to be clinically significant. From the Bland Altman analysis, the CBCT method had the widest range of 95% limits of agreement, reflecting its greater potential of error. In measuring file lengths, RVG had a bigger window of 95% limits of agreement compared to CBCT. Conclusions: (1) The clinically insignificant underestimation of the preoperative working length using small FOV CBCT showed that it is acceptable for use in the estimation of preoperative working length. (2) Small FOV CBCT may be used in working length determination but it is not as accurate as the currently practiced method of using the EAL. (3) It is also more accurate than RVG in measuring file lengths.
Abstract: Restoration of endodontically treated teeth is a
common problem in dentistry, related to the fractures occurring in
such teeth and to concentration of forces little information regarding
variation of basic preparation guidelines in stress distribution has
been available. To date, there is still no agreement in the literature
about which material or technique can optimally restore
endodontically treated teeth. The aim of the present study was to
evaluate the influence of the core height and restoration materials on
corono-radicular restored upper first premolar. The first step of the
study was to achieve 3D models in order to analyze teeth, dowel and
core restorations and overlying full ceramic crowns. The FEM model
was obtained by importing the solid model into ANSYS finite
element analysis software. An occlusal load of 100 N was conducted,
and stresses occurring in the restorations, and teeth structures were
calculated. Numerical simulations provide a biomechanical
explanation for stress distribution in prosthetic restored teeth. Within
the limitations of the present study, it was found that the core height
has no important influence on the stress generated in coronoradicular
restored premolars. It can be drawn that the cervical regions
of the teeth and restorations were subjected to the highest stress
concentrations.