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394346

Accuracy of Dental Operating Microscope versus CBCT in Detecting number of Root Canals for Maxillary Second Molars indicated for Retreatment

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Pharmaceutical, Dental, and medical disciplines whether they are descriptive, analytical, experimental, or basic studies

Abstract

Introduction: A key failure of root canal treatment is the practitioner's inability to detect all the canals during treatment. Root canal detection aids like Cone beam computer tomography (CBCT) scans and Dental operating microscopes (DOM) are valuable aids for an endodontist. Although CBCT scans are considered the most reliable method for canal detection, they cannot be employed in all cases due to the potential risk of subjecting patients to excessive levels of radiation. Nevertheless, the usage of DOM can be a valuable tool to avoid undetected canals. Aim: To assess the diagnostic precision of dental operating microscopes in identifying the number of canals in maxillary Second Molars requiring retreatment, in contrast to CBCT scans. Materials and Methods: Thirty-five individuals with upper second molars who required retreatment were included. A pre-operative cone beam computed tomography (CBCT) scan was acquired for all patients, however, it was not presented to the practitioner who performed the access cavity. CBCT stage: Scans were randomly assigned to endodontic specialists for segmentation, and the number of canals was documented. Clinical stage: Six endodontic postgraduate researchers created access cavities, removed the old root canal filling, and documented the number of canals. The data acquired in both stages was compared. Results: There was no statistically significant difference between detected number of canals by the two methods. Conclusion: There was no significant difference between detected number of canals by CBCT and the dental operating microscope. Recommendations: It is recommended to employ a dental operating microscope for retreatment cases.

DOI

10.21608/jfcr.2024.270053.1074

Keywords

Number of canals, dental operating microscope, Dom, CBCT

Authors

First Name

Ayman

Last Name

Hegab

MiddleName

Alaa

Affiliation

Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt.

Email

ayman135548@miuegypt.edu.eg

City

Cairo

Orcid

0009-0004-3611-1463

First Name

Nihal

Last Name

Sabet

MiddleName

-

Affiliation

Professor of Endodontics, Endodontics Department, Faculty of Dentistry, Cairo University, Egypt.

Email

sabetnihal@gmail.com

City

Cairo

Orcid

0000-0003-3550-8333

First Name

Ahmed

Last Name

Khalaf

MiddleName

-

Affiliation

Endodontic Department, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt.

Email

ahmed.hasan@miuegypt.edu.eg

City

Cairo, Egypt.

Orcid

0000-0002-2338-5340

Volume

4

Article Issue

2

Related Issue

51803

Issue Date

2024-12-01

Receive Date

2024-02-13

Publish Date

2024-12-01

Page Start

107

Page End

118

Online ISSN

2786-023X

Link

https://jfcr.journals.ekb.eg/article_394346.html

Detail API

https://jfcr.journals.ekb.eg/service?article_code=394346

Order

8

Type

Original research articles

Type Code

1,936

Publication Type

Journal

Publication Title

Journal of Fundamental and Clinical Research

Publication Link

https://jfcr.journals.ekb.eg/

MainTitle

Accuracy of Dental Operating Microscope versus CBCT in Detecting number of Root Canals for Maxillary Second Molars indicated for Retreatment

Details

Type

Article

Created At

28 Dec 2024