Comparative evaluation of cone beam CT and micro-CT on blooming artifacts in human teeth filled with bioceramic sealers

Aim To assess blooming artifacts caused by root canal sealers in CBCT images compared with those that appeared in micro-CT scan images used as references. Materials and method Thirty freshly extracted human mandibular central incisors were used. Root canals were prepared with nickel titanium files w...

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Veröffentlicht in:Clinical oral investigations 2019-08, Vol.23 (8), p.3267-3273
Hauptverfasser: Celikten, Berkan, Jacobs, Reinhilde, de Faria Vasconcelos, Karla, Huang, Yan, Shaheen, Eman, Nicolielo, Laura Ferreira Pinheiro, Orhan, Kaan
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container_end_page 3273
container_issue 8
container_start_page 3267
container_title Clinical oral investigations
container_volume 23
creator Celikten, Berkan
Jacobs, Reinhilde
de Faria Vasconcelos, Karla
Huang, Yan
Shaheen, Eman
Nicolielo, Laura Ferreira Pinheiro
Orhan, Kaan
description Aim To assess blooming artifacts caused by root canal sealers in CBCT images compared with those that appeared in micro-CT scan images used as references. Materials and method Thirty freshly extracted human mandibular central incisors were used. Root canals were prepared with nickel titanium files with an ISO size 40/0.06 taper and filled with a single cone (40/0.06 taper) and three different sealers. The samples were divided into the following three groups with 10 roots each: (I) AH Plus sealer; (II) Sure Seal Root; and (III) Total BC sealer. Teeth were scanned with the same voxel sizes (0.2 mm) in different CBCT devices and the micro-CT images were acquired as reference images. Results Significantly different results in terms of blooming artifacts were detected between CBCT and micro-CT images, as well as among the CBCTs images. The canals filled with AH Plus sealer showed more blooming artifacts than those filled with bioceramic sealers ( p  
doi_str_mv 10.1007/s00784-018-2748-8
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Materials and method Thirty freshly extracted human mandibular central incisors were used. Root canals were prepared with nickel titanium files with an ISO size 40/0.06 taper and filled with a single cone (40/0.06 taper) and three different sealers. The samples were divided into the following three groups with 10 roots each: (I) AH Plus sealer; (II) Sure Seal Root; and (III) Total BC sealer. Teeth were scanned with the same voxel sizes (0.2 mm) in different CBCT devices and the micro-CT images were acquired as reference images. Results Significantly different results in terms of blooming artifacts were detected between CBCT and micro-CT images, as well as among the CBCTs images. The canals filled with AH Plus sealer showed more blooming artifacts than those filled with bioceramic sealers ( p  &lt; 0.05). Additionally, the worst blooming artifact was observed when the images were acquired with lower kilovoltage peak. Conclusion The appearance of blooming artifacts is dependent on sealer and CBCT, and their effects are significantly worse than they are in micro-CT images. The differential effect of different sealers and distinct CBCT protocols should be further investigated to enable the use of bioceramic sealers without a significant impact on post-treatment imaging. Clinical relevance Root canal sealers showed a different extent of blooming artifact in CBCT images. Hence, researchers and clinicians should be aware of these artifacts before conducting endodontic evaluations using CBCT images.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-018-2748-8</identifier><identifier>PMID: 30488119</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Computed tomography ; Cone-Beam Computed Tomography ; Dental Pulp Cavity - diagnostic imaging ; Dental roots ; Dentistry ; Endodontics ; Humans ; Incisors ; Mandible ; Medicine ; Nickel ; Original Article ; Root Canal Filling Materials ; Root canals ; Sealing compounds ; Teeth ; Tomography ; X-Ray Microtomography</subject><ispartof>Clinical oral investigations, 2019-08, Vol.23 (8), p.3267-3273</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2018). 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Materials and method Thirty freshly extracted human mandibular central incisors were used. Root canals were prepared with nickel titanium files with an ISO size 40/0.06 taper and filled with a single cone (40/0.06 taper) and three different sealers. The samples were divided into the following three groups with 10 roots each: (I) AH Plus sealer; (II) Sure Seal Root; and (III) Total BC sealer. Teeth were scanned with the same voxel sizes (0.2 mm) in different CBCT devices and the micro-CT images were acquired as reference images. Results Significantly different results in terms of blooming artifacts were detected between CBCT and micro-CT images, as well as among the CBCTs images. The canals filled with AH Plus sealer showed more blooming artifacts than those filled with bioceramic sealers ( p  &lt; 0.05). Additionally, the worst blooming artifact was observed when the images were acquired with lower kilovoltage peak. Conclusion The appearance of blooming artifacts is dependent on sealer and CBCT, and their effects are significantly worse than they are in micro-CT images. The differential effect of different sealers and distinct CBCT protocols should be further investigated to enable the use of bioceramic sealers without a significant impact on post-treatment imaging. Clinical relevance Root canal sealers showed a different extent of blooming artifact in CBCT images. 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Materials and method Thirty freshly extracted human mandibular central incisors were used. Root canals were prepared with nickel titanium files with an ISO size 40/0.06 taper and filled with a single cone (40/0.06 taper) and three different sealers. The samples were divided into the following three groups with 10 roots each: (I) AH Plus sealer; (II) Sure Seal Root; and (III) Total BC sealer. Teeth were scanned with the same voxel sizes (0.2 mm) in different CBCT devices and the micro-CT images were acquired as reference images. Results Significantly different results in terms of blooming artifacts were detected between CBCT and micro-CT images, as well as among the CBCTs images. The canals filled with AH Plus sealer showed more blooming artifacts than those filled with bioceramic sealers ( p  &lt; 0.05). Additionally, the worst blooming artifact was observed when the images were acquired with lower kilovoltage peak. Conclusion The appearance of blooming artifacts is dependent on sealer and CBCT, and their effects are significantly worse than they are in micro-CT images. The differential effect of different sealers and distinct CBCT protocols should be further investigated to enable the use of bioceramic sealers without a significant impact on post-treatment imaging. Clinical relevance Root canal sealers showed a different extent of blooming artifact in CBCT images. Hence, researchers and clinicians should be aware of these artifacts before conducting endodontic evaluations using CBCT images.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30488119</pmid><doi>10.1007/s00784-018-2748-8</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0351-3683</orcidid></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Computed tomography
Cone-Beam Computed Tomography
Dental Pulp Cavity - diagnostic imaging
Dental roots
Dentistry
Endodontics
Humans
Incisors
Mandible
Medicine
Nickel
Original Article
Root Canal Filling Materials
Root canals
Sealing compounds
Teeth
Tomography
X-Ray Microtomography
title Comparative evaluation of cone beam CT and micro-CT on blooming artifacts in human teeth filled with bioceramic sealers
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