Evaluation of Different Techniques of Working Length Determination in Comparison with CBCT

Aim: To estimate the working length of teeth using conventional tactile technique, radiovisiography technique, Apex locator, and confirmation of working length by cone beam computed tomography technique. Materials and Methods: Forty patients with the age group between 20 and 50 years with irreversib...

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Main Authors: Anubha Srivastav, Ramesh Chandra, Shazia Siddiqui, Divya Chowdhary, Alpana Katiyar, Rehan Ahmad Khan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-10-01
Series:Indian Journal of Dental Research
Subjects:
Online Access:https://journals.lww.com/10.4103/ijdr.ijdr_404_22
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author Anubha Srivastav
Ramesh Chandra
Shazia Siddiqui
Divya Chowdhary
Alpana Katiyar
Rehan Ahmad Khan
author_facet Anubha Srivastav
Ramesh Chandra
Shazia Siddiqui
Divya Chowdhary
Alpana Katiyar
Rehan Ahmad Khan
author_sort Anubha Srivastav
collection DOAJ
description Aim: To estimate the working length of teeth using conventional tactile technique, radiovisiography technique, Apex locator, and confirmation of working length by cone beam computed tomography technique. Materials and Methods: Forty patients with the age group between 20 and 50 years with irreversible pulpitis were included in this study. After taking a preoperative radiograph, the procedure was started. The cavity wall buildup was done using composite in the cases needed and then rubber dam application was done. The working length of mesiobuccal and mesiolingual canal was taken using cone beam computed tomography and this was considered as the standard value. Then using tactile method, length of the canal was measured using radiovisiographic software followed by apexlocator. Result: The Apex locator has showed best result as compared to tactile and radiovisiography. Conclusion: Apex locator values were closest to cone beam computed tomography working length measurement values and electronic apexlocator can be used efficiently as an alternative method for working length determination. The quality of various techniques according to ranks of working length determination was found to be Cone beam computed tomography (CBCT) > Apexloc > Radiovisiography (RVG) > Tactile. Thus, Apex locator can be used as an alternative to cone beam computed tomography for working length determination.
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institution Kabale University
issn 0970-9290
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language English
publishDate 2023-10-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Dental Research
spelling doaj-art-2187cdcdf55e43a982b869d52ebb51c32025-02-07T15:31:15ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032023-10-0134440540910.4103/ijdr.ijdr_404_22Evaluation of Different Techniques of Working Length Determination in Comparison with CBCTAnubha SrivastavRamesh ChandraShazia SiddiquiDivya ChowdharyAlpana KatiyarRehan Ahmad KhanAim: To estimate the working length of teeth using conventional tactile technique, radiovisiography technique, Apex locator, and confirmation of working length by cone beam computed tomography technique. Materials and Methods: Forty patients with the age group between 20 and 50 years with irreversible pulpitis were included in this study. After taking a preoperative radiograph, the procedure was started. The cavity wall buildup was done using composite in the cases needed and then rubber dam application was done. The working length of mesiobuccal and mesiolingual canal was taken using cone beam computed tomography and this was considered as the standard value. Then using tactile method, length of the canal was measured using radiovisiographic software followed by apexlocator. Result: The Apex locator has showed best result as compared to tactile and radiovisiography. Conclusion: Apex locator values were closest to cone beam computed tomography working length measurement values and electronic apexlocator can be used efficiently as an alternative method for working length determination. The quality of various techniques according to ranks of working length determination was found to be Cone beam computed tomography (CBCT) > Apexloc > Radiovisiography (RVG) > Tactile. Thus, Apex locator can be used as an alternative to cone beam computed tomography for working length determination.https://journals.lww.com/10.4103/ijdr.ijdr_404_22apex locatorcone beam computed tomographyradiovisiographytactileworking length
spellingShingle Anubha Srivastav
Ramesh Chandra
Shazia Siddiqui
Divya Chowdhary
Alpana Katiyar
Rehan Ahmad Khan
Evaluation of Different Techniques of Working Length Determination in Comparison with CBCT
Indian Journal of Dental Research
apex locator
cone beam computed tomography
radiovisiography
tactile
working length
title Evaluation of Different Techniques of Working Length Determination in Comparison with CBCT
title_full Evaluation of Different Techniques of Working Length Determination in Comparison with CBCT
title_fullStr Evaluation of Different Techniques of Working Length Determination in Comparison with CBCT
title_full_unstemmed Evaluation of Different Techniques of Working Length Determination in Comparison with CBCT
title_short Evaluation of Different Techniques of Working Length Determination in Comparison with CBCT
title_sort evaluation of different techniques of working length determination in comparison with cbct
topic apex locator
cone beam computed tomography
radiovisiography
tactile
working length
url https://journals.lww.com/10.4103/ijdr.ijdr_404_22
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AT divyachowdhary evaluationofdifferenttechniquesofworkinglengthdeterminationincomparisonwithcbct
AT alpanakatiyar evaluationofdifferenttechniquesofworkinglengthdeterminationincomparisonwithcbct
AT rehanahmadkhan evaluationofdifferenttechniquesofworkinglengthdeterminationincomparisonwithcbct