How do imaging protocols affect the assessment of root-end fillings?
Torres Fernanda Ferrari Esteves, Jacobs Reinhilde, EzEldeen Mostafa, de Faria-Vasconcelos Karla, Guerreiro-Tanomaru Juliane Maria, dos Santos Bernardo Camargo, Tanomaru-Filho Mario,
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( Torres Fernanda Ferrari Esteves ) - Sao Paulo State University School of Dentistry Department of Restorative Dentistry
( Jacobs Reinhilde ) - University Hospitals Leuven Faculty of Medicine Department of Imaging and Pathology
( EzEldeen Mostafa ) - University Hospitals Leuven Faculty of Medicine Department of Imaging and Pathology
( de Faria-Vasconcelos Karla ) - University Hospitals Leuven Faculty of Medicine Department of Imaging and Pathology
( Guerreiro-Tanomaru Juliane Maria ) - Sao Paulo State University School of Dentistry Department of Restorative Dentistry
( dos Santos Bernardo Camargo ) - Federal University of Rio de Janeiro Department of Nuclear Energy
( Tanomaru-Filho Mario ) - Sao Paulo State University School of Dentistry Department of Restorative Dentistry
Abstract
Objectives: This study investigated the impact of micro-computed tomography (micro-CT)-based voxel size on the analysis of material/dentin interface voids and thickness of different endodontic cements.
Materials and Methods: Following root-end resection and apical preparation, maxillary premolars were filled with mineral trioxide aggregate (MTA), Biodentine, and intermediate restorative material (IRM) (n = 24). The samples were scanned using micro-CT (SkyScan 1272; Bruker) and the cement/dentin interface and thickness of materials were evaluated at voxel sizes of 5, 10, and 20 ¥ìm. Analysis of variance and the Tukey test were conducted, and the degree of agreement between different voxel sizes was evaluated using the Bland and Altman method (p < 0.05).
Results: All materials showed an increase in thickness from 5 to 10 and 20 ¥ìm (p < 0.05). When evaluating the interface voids, materials were similar at 5 ¥ìm (p > 0.05), while at 10 and 20 ¥ìm Biodentine showed the lowest percentage of voids (p < 0.05). A decrease in the interface voids was observed for MTA and IRM at 20 ¥ìm, while Biodentine showed differences among all voxel sizes (p < 0.05). The Bland-Altman plots for comparisons among voxel sizes showed the largest deviations when comparing images between 5 and 20 ¥ìm.
Conclusions: Voxel size had an impact on the micro-CT evaluation of thickness and interface voids of endodontic materials. All cements exhibited an increase in thickness and a decrease in the void percentage as the voxel size increased, especially when evaluating images at 20 ¥ìm.
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Dental materials; Endodontics; Methods; X-ray microtomography
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