TY - JOUR
T1 - The Impact of Different Diagnostic Imaging Modalities on the Evaluation of Root Canal Anatomy and Endodontic Residents' Stress Levels
T2 - A Clinical Study
AU - Patel, Shanon
AU - Patel, Risha
AU - Foschi, Federico
AU - Mannocci, Franceso
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Introduction: The purpose of this study was firstly to compare the impact of radiographs, cone-beam computed tomographic (CBCT) imaging, and 3D Endo software (Dentsply Sirona, Ballaigues, Switzerland) on the assessment of root canal anatomy and radiographic quality of endodontic treatment and secondly to assess stress levels in the same cohort of residents performing endodontic treatment. Methods: Sixty patients requiring primary molar endodontic treatment were allocated randomly into 3 groups: group 1 (n = 20), conventional radiographs (periapical radiography [PR]) only; group 2 (n = 20), PR and CBCT imaging; and group 3 (n = 20), PR, CBCT imaging, and 3D Endo software. All treatment was performed using a standardized protocol. Residents completed a questionnaire to assess their stress levels and usefulness of the imaging modality used. The radiographic quality of completed cases was assessed by 2 experienced endodontists who were not involved in the supervision of the cases being assessed. Results: Groups 2 (CBCT imaging) and 3 (PR, CBCT imaging, and 3D Endo) proved significantly better than group 1 (PR) (P <.001) for assessing the number of root canals and anatomy and estimating the working lengths. Group 3 provided a significantly more accurate determination of the working level (P =.002). There were significantly more cases with obturation short of the apex (<2 mm) and voids in group 1 compared with group 3 (P <.05) and a significantly higher number of cases with voids in group 1 compared with group 3 (P <.01). Clinicians found treatment to be moderately or very stressful in 75%, 5%, and 0% in groups 1, 2, and 3, respectively. Conclusions: 3D Endo software followed by CBCT imaging were found to be more desirable for the evaluation of root canal anatomy and working lengths and reducing the residents' stress levels.
AB - Introduction: The purpose of this study was firstly to compare the impact of radiographs, cone-beam computed tomographic (CBCT) imaging, and 3D Endo software (Dentsply Sirona, Ballaigues, Switzerland) on the assessment of root canal anatomy and radiographic quality of endodontic treatment and secondly to assess stress levels in the same cohort of residents performing endodontic treatment. Methods: Sixty patients requiring primary molar endodontic treatment were allocated randomly into 3 groups: group 1 (n = 20), conventional radiographs (periapical radiography [PR]) only; group 2 (n = 20), PR and CBCT imaging; and group 3 (n = 20), PR, CBCT imaging, and 3D Endo software. All treatment was performed using a standardized protocol. Residents completed a questionnaire to assess their stress levels and usefulness of the imaging modality used. The radiographic quality of completed cases was assessed by 2 experienced endodontists who were not involved in the supervision of the cases being assessed. Results: Groups 2 (CBCT imaging) and 3 (PR, CBCT imaging, and 3D Endo) proved significantly better than group 1 (PR) (P <.001) for assessing the number of root canals and anatomy and estimating the working lengths. Group 3 provided a significantly more accurate determination of the working level (P =.002). There were significantly more cases with obturation short of the apex (<2 mm) and voids in group 1 compared with group 3 (P <.05) and a significantly higher number of cases with voids in group 1 compared with group 3 (P <.01). Clinicians found treatment to be moderately or very stressful in 75%, 5%, and 0% in groups 1, 2, and 3, respectively. Conclusions: 3D Endo software followed by CBCT imaging were found to be more desirable for the evaluation of root canal anatomy and working lengths and reducing the residents' stress levels.
KW - 3DEndo
KW - cone-beam computed tomographic imaging
KW - periapical radiography
KW - root canal anatomy
KW - stress levels
UR - http://www.scopus.com/inward/record.url?scp=85061338087&partnerID=8YFLogxK
U2 - 10.1016/j.joen.2018.12.001
DO - 10.1016/j.joen.2018.12.001
M3 - Article
AN - SCOPUS:85061338087
SN - 0099-2399
VL - 45
SP - 406
EP - 413
JO - JOURNAL OF ENDODONTICS
JF - JOURNAL OF ENDODONTICS
IS - 4
ER -