RESUMEN
The objective of this study was to compare, ex vivo, the accuracy of three electronic apex locators (EALs), Root ZX II, Root ZX Mini and RomiApex A-15, in detecting the apical foramen (AF). Forty extracted single-Rooted human teeth with vital pulp were used in this study. After access preparation, the Root canal length of each tooth was measured by placing a #10 file until the tip was visible at the AF under a stereomicroscope. The teeth were subsequently embedded in an alginate model. In each Root canal, all three EALs were used to determine the working length, which was defined as the zero reading or equivalent. The distance between the file tip and AF was measured to an accuracy of 0.01 mm. Results were analyzed using analysis of variance and the Chi-squared test. Root ZX II, Root ZX Mini and RomiApex A-15 were accurate within 0.5 mm, 62.5, 56.2, 50% of the time. No significant differences were found between the three EALs (p > 0.05). Considering all EALs, the mean distance from the file tip to AF was 4.49 mm. The accuracy of the three EALs evaluated in this study was not statistically significantly different. The 'Apex' or '0.0' marks of the EALs do not indicate the AF itself, but just a position coronal 0.49 mm to the AF. Using a tolerance of ± 0.5 mm from the actual lengths, the ZX II yielded the most acceptable measurements.
Asunto(s)
Cavidad Pulpar/anatomía & histología , Odontometría/instrumentación , Preparación del Conducto Radicular/instrumentación , Ápice del Diente/anatomía & histología , Capacidad Eléctrica , Impedancia Eléctrica , Equipos y Suministros Eléctricos , Diseño de Equipo , Humanos , Odontometría/normas , Preparación del Conducto Radicular/normasRESUMEN
INTRODUCTION: Electronic working length measurement during root canal treatment in teeth with enlarged apical foramina is a challenge. The aims of this in vitro study were (1) to assess the influence of foramen widening on the accuracy of 5 different electronic foramen locators (EFLs) and (2) to compare the accuracy of EFLs in different foramen sizes. METHODS: The following EFLs were used: MiniApex, Root ZXII, iPex, Propex II, and Elements Apex Locator. Each EFL was used in 3 groups (n = 20) of extracted teeth, with foramen diameters of 0.27 mm (G27), 0.47 mm (G47), and 0.72 mm (G72). Working length was measured according to manufacturer's instructions and compared with visual measurements (control method). Results were classified as accurate (equal or differences ≤ 0.05 mm) or inaccurate (differences > 0.5 mm). RESULTS: In G27, all EFLs yielded accurate findings (intragroup reliability; Fisher exact test, P < .05), compared with only MiniApex, Root ZXII, and Elements Apex Locator in G47 and G72. MiniApex, Root ZXII, and Elements Apex Locator were similarly accurate regardless of foramen size. iPex and Propex II were the least accurate among the devices tested, and foramen diameter influenced their accuracy, with greater diameters yielding poorer EFL performance. CONCLUSIONS: Foramen diameter did not influence the accuracy of MiniApex, Root ZXII, and Elements Apex Locator EFLs. iPex and Propex II showed decreased accuracy as foramen size increased.
Asunto(s)
Cavidad Pulpar/anatomía & histología , Equipos y Suministros Eléctricos/normas , Odontometría/instrumentación , Preparación del Conducto Radicular/instrumentación , Ápice del Diente/anatomía & histología , Calibración , Equipos y Suministros Eléctricos/estadística & datos numéricos , Diseño de Equipo/normas , Humanos , Ensayo de Materiales , Odontometría/normas , Reproducibilidad de los Resultados , Preparación del Conducto Radicular/normasRESUMEN
The aim of this study was to analyse in vivo the accuracy of two apex locators, Root ZX and Novapex, to determine the position of the apical constriction. Twenty-three human single-rooted teeth to be extracted for periodontal reasons constituted the experiment. Endodontic access was obtained and the apical constriction was determined by one of the apex locators after initial crown-down preparation. When the electronic marker indicated that the tip of the endodontic file was at the apical constriction, the teeth were filled with composite and then surgically removed. The presence of the endodontic file tip at the apical constriction was evaluated stereomicroscopically (30×) and confirming radiographs were exposed. The accuracy of Root ZX and Novapex was 91.7% and 81.8% respectively. Within the limits of this study, the evaluated apex locators have a similar clinical performance for the apical constriction location.
Asunto(s)
Cavidad Pulpar/anatomía & histología , Odontometría/instrumentación , Ápice del Diente/anatomía & histología , Diente Premolar/anatomía & histología , Diente Canino/anatomía & histología , Cavidad Pulpar/diagnóstico por imagen , Equipos y Suministros Eléctricos/normas , Humanos , Incisivo/anatomía & histología , Odontometría/normas , Radiografía , Preparación del Conducto Radicular/instrumentación , Ápice del Diente/diagnóstico por imagenRESUMEN
The aim of this research was to evaluate the reliability and validity of measurements obtained from clinical standardized occlusal photographs compared with dental cast measurements. This study comprised a consecutive sample of 16 patients (eight males and eight females, aged 15-24 years) in the permanent dentition without agenesis and/or tooth loss. A paired t-test and intraclass correlation coefficient (ICC) were used to examine validity and reliability. Both statistics were applied for intra- and inter-methods error analysis, at P < 0.05. Random error for the photogrammetric method (less than 0.48 mm) was similar to that for the dental cast measurements (less than 0.43 mm). ICC revealed excellent reliability for both methods (P < 0.01) and no significant difference for any variables, with the exception of upper inter-canine width obtained on the dental casts (P = 0.0038) and photogrammetry (P = 0.01). However, differences were less than 1 per cent of the mean inter-canine width. Inter-method analysis showed a significant correlation for all variables (P < 0.001), with good to excellent reliability (r = 0.66-0.93). A significant mean inter-method difference was consistently observed for the upper first molars (0.33 mm, P < 0.01). For the remaining teeth (left to right second premolars), the largest mean difference was approximately equal to the resolution of the human eye (0.2 mm or less). Minor differences (around 2 per cent of the mean) and an excellent ICC (0.75-0.93, P < 0.01) were observed for arch dimensions. Except for the mesio-distal width of the upper first molars, the recently developed photogrammetric method showed accuracy, validity, and reliability acceptable for clinical and scientific purposes.
Asunto(s)
Cefalometría/métodos , Arco Dental/anatomía & histología , Odontometría/métodos , Fotogrametría/métodos , Diente/anatomía & histología , Adolescente , Diente Premolar/patología , Cefalometría/normas , Diente Canino/anatomía & histología , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Masculino , Maxilar/anatomía & histología , Modelos Dentales , Diente Molar/patología , Variaciones Dependientes del Observador , Odontometría/normas , Fotogrametría/normas , Fotografía Dental/métodos , Fotografía Dental/normas , Reproducibilidad de los Resultados , Adulto JovenRESUMEN
There is little material in the literature that compares biological width measurements in periapical and bite-wings radiographs with clinical measurements. The purpose of this study was to compare measurements of biological width taken by three different methods which are frequently used for planning periodontal surgery - periapical radiograph, bite-wing radiograph and transperiodontal probing - with the trans-surgical measurements. Thirty-four sites from twenty-one subjects were analyzed. The intra-class correlation coefficients between measurements obtained trans-surgically (gold standard) and those obtained by transperiodontal probing, periapical radiography and bite-wing radiography were determined. Average measurements were compared using the Wilcoxon test at a significance level of 0.05. Also, the frequency distribution of differences between test measurements and the gold standard was calculated. The results showed that transperiodontal probing (mean 2.05 mm) was the most accurate measurement, as compared to the gold standard (mean 1.97 mm), with no statistically significant difference observed. On the other hand, periapical and bite-wing radiographic mean values (1.56 mm and 1.72 mm, respectively) were smaller than the gold standard, with statistically significant differences (p < 0.05). It was concluded that transperiodontal probing was the most accurate measurement, as compared to the gold standard, followed by that obtained with the bite-wing radiograph. The clinical relevance of these results could be that planning for crown lengthening surgery should, preferably, include transperiodontal probing.
Asunto(s)
Alargamiento de Corona/métodos , Radiografía Dental/métodos , Corona del Diente/cirugía , Adulto , Humanos , Persona de Mediana Edad , Odontometría/normas , Técnicas de Planificación , Radiografía de Mordida Lateral , Reproducibilidad de los Resultados , Diente/anatomía & histología , Corona del Diente/diagnóstico por imagen , Adulto JovenRESUMEN
There is little material in the literature that compares biological width measurements in periapical and bite-wings radiographs with clinical measurements. The purpose of this study was to compare measurements of biological width taken by three different methods which are frequently used for planning periodontal surgery - periapical radiograph, bite-wing radiograph and transperiodontal probing - with the trans-surgical measurements. Thirty-four sites from twenty-one subjects were analyzed. The intra-class correlation coefficients between measurements obtained trans-surgically (gold standard) and those obtained by transperiodontal probing, periapical radiography and bite-wing radiography were determined. Average measurements were compared using the Wilcoxon test at a significance level of 0.05. Also, the frequency distribution of differences between test measurements and the gold standard was calculated. The results showed that transperiodontal probing (mean 2.05 mm) was the most accurate measurement, as compared to the gold standard (mean 1.97 mm), with no statistically significant difference observed. On the other hand, periapical and bite-wing radiographic mean values (1.56 mm and 1.72 mm, respectively) were smaller than the gold standard, with statistically significant differences (p < 0.05). It was concluded that transperiodontal probing was the most accurate measurement, as compared to the gold standard, followed by that obtained with the bite-wing radiograph. The clinical relevance of these results could be that planning for crown lengthening surgery should, preferably, include transperiodontal probing.
Asunto(s)
Adulto , Humanos , Persona de Mediana Edad , Adulto Joven , Alargamiento de Corona/métodos , Radiografía Dental/métodos , Corona del Diente/cirugía , Odontometría/normas , Técnicas de Planificación , Radiografía de Mordida Lateral , Reproducibilidad de los Resultados , Corona del Diente , Diente/anatomía & histología , Adulto JovenRESUMEN
The present study was performed on dental casts and lateral cephalometric films of 30 Caucasian Brazilian individuals (15 males and 15 females) aged 18 to 27 years and 4 months, all presenting normal occlusion and satisfactory facial profile. The aims were to investigate the existence of dental discrepancies according to Bolton's criteria, to obtain mean values for overbite, overjet, curve of Spee and interincisal angle, and to demonstrate any correlation among these parameters. A single calibrated operator measured each variable characteristics and the process was recorded twice with an accurate modified digital caliper. It was observed that the sample of normal occlusion did not present any dental discrepancy among the 12 teeth of opposite arches. The overall ratio (91.46) and anterior ratio (77.83) were in accordance with those proposed by Bolton. The mean values for normal occlusion in this Brazilian sample were defined as: 2.45 mm for overbite; 1.92 mm for overjet; 1.01 mm for curve of Spee and 129.57 degrees for interincisal angle. A statistically significant correlation was found between overjet and overbite.
Asunto(s)
Cefalometría/normas , Oclusión Dental , Maloclusión/diagnóstico , Odontometría/normas , Diente/anatomía & histología , Adolescente , Adulto , Brasil , Femenino , Humanos , Masculino , Mandíbula , Maxilar , Valores de Referencia , Adulto JovenRESUMEN
The present study was performed on dental casts and lateral cephalometric films of 30 Caucasian Brazilian individuals (15 males and 15 females) aged 18 to 27 years and 4 months, all presenting normal occlusion and satisfactory facial profile. The aims were to investigate the existence of dental discrepancies according to Bolton's criteria, to obtain mean values for overbite, overjet, curve of Spee and interincisal angle, and to demonstrate any correlation among these parameters. A single calibrated operator measured each variable characteristics and the process was recorded twice with an accurate modified digital caliper. It was observed that the sample of normal occlusion did not present any dental discrepancy among the 12 teeth of opposite arches. The overall ratio (91.46) and anterior ratio (77.83) were in accordance with those proposed by Bolton. The mean values for normal occlusion in this Brazilian sample were defined as: 2.45 mm for overbite; 1.92 mm for overjet; 1.01 mm for curve of Spee and 129.57° for interincisal angle. A statistically significant correlation was found between overjet and overbite.
O presente estudo foi realizado em modelos de gesso e radiografias cefalométricas laterais de 30 indivíduos brasileiros, leucodermas, sendo 15 do sexo feminino e 15 do sexo masculino, com idades variando de 18 anos a 27 anos e 4 meses, todos portadores de oclusão excelente e bom perfil facial. Os objetivos foram verificar a existência de discrepância dentária de Bolton, obter valores médios para a sobremordida (overbite), sobressaliência (overjet), curva de Spee e ângulo interincisivo e verificar a existência de correlação entre essas variáveis. As medições foram realizadas por um único avaliador e o procedimento realizado duas vezes com auxílio de um paquímetro digital modificado de alta precisão. Observou-se que a amostra de oclusão normal não apresentou discrepância dentária entre os doze dentes dos arcos opostos e as razões total (91,46) e anterior (77,83) foram próximos aos dos propostos por Bolton. Os valores médios encontrados como padrão para a amostra de oclusão normal de indivíduos brasileiros foram determinados em: 2,45 mm para a sobremordida; 1,92 mm para a sobressaliência; 1,01 mm para a curva de Spee e 129,57(0) para o ângulo interincisivo, havendo apenas correlação significativa entre sobressaliência e as classes de sobremordida.
Asunto(s)
Adolescente , Adulto , Femenino , Humanos , Masculino , Adulto Joven , Cefalometría/normas , Oclusión Dental , Maloclusión/diagnóstico , Odontometría/normas , Diente/anatomía & histología , Brasil , Mandíbula , Maxilar , Valores de Referencia , Adulto JovenRESUMEN
UNLABELLED: One of the most difficult aspects during the selection of maxillary anterior teeth for a removable prosthesis is determining the appropriate mesiodistal width of the six maxillary anterior teeth. Many attempts have been made to establish methods of estimating the combined width of these anterior teeth, and improving the esthetic outcome. The proportion of facial structures and the relationship between facial measurements and natural teeth could be used as a guide in selecting denture teeth. The aim of this study was to verify the relation between the combined mesiodistal width of the six maxillary anterior teeth and the facial segments: the width of the eyes, the inner canthal distance (ICD), the interpupillary distance (IPD), the interalar width, and the intercommissural width (ICm). Standardized digital images of 81 dentate Brazilian subjects were used to measure both facial and oral segments when viewed from the frontal aspect through an image processing program. To measure the distance between the upper canines on a curve, accurate casts were made from the upper right first premolar to the upper left first premolar. The Spearman rank correlation coefficient was conducted to measure the strength of the associations between the variables (alpha = 0.05). The results showed a significant correlation between all facial elements and the combined mesiodistal width of the six teeth, when observed from the frontal aspect. The ICD, IPD, and ICm showed the highest probability of being correlated to the mesiodistal width of the teeth (p = 0.000). CLINICAL SIGNIFICANCE: This article considers facial analysis with digital photography as a practical and efficient application to select the mesiodistal width of artificial anterior teeth in an esthetically pleasing and natural appearance during an oral rehabilitation treatment.
Asunto(s)
Cefalometría/métodos , Diseño de Dentadura , Cara/anatomía & histología , Odontometría/normas , Diente Artificial , Adolescente , Adulto , Diente Canino/anatomía & histología , Dentadura Completa , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Incisivo/anatomía & histología , Masculino , Maxilar , Odontometría/métodos , Fotografía Dental , Valores de Referencia , Estadísticas no ParamétricasRESUMEN
OBJECTIVES: The aim of this study was to determine the prevalence of the "golden proportion" in individuals presenting agreeable smiles. METHOD AND MATERIALS: Two hundred sixty university students aged 18 to 30 years of age (130 subjects of each gender) with maxillary incisors, canines, and premolars presenting anatomic integrity were evaluated. Agreeable smiles were considered to be those displaying at least second premolars; revealing no gingival recession in the smile area; having interdental papillae that filled all interdental spaces and were not hyperplastic; showing less than 3 mm of the maxillary gingiva; displaying the line of the lower lip parallel to the incisal line of the maxillary teeth and also to an imaginary line linking the contact points of these teeth; and, finally, presenting symmetry upon examination. Twenty-one individuals of this sample who presented this kind of smile (11 female and 10 male subjects) had their maxillary incisors, canines, and premolars of the same hemiarch measured in the cervicoincisal and mesiodistal directions using a periodontal probe, a digital Boley gauge, and digitalized analysis. Data were submitted to statistical analysis for comparison of adjacent teeth considering 1.618 (golden proportion) as a reference, with a statistical significance of P < .05. RESULTS: Of the agreeable smiles evaluated, 7.1% exhibited the golden proportion. CONCLUSION: The golden proportion was not often found in adjacent teeth shown in smiles in the sample studied.
Asunto(s)
Odontometría/normas , Sonrisa , Diente/anatomía & histología , Adolescente , Adulto , Femenino , Encía/anatomía & histología , Humanos , Labio/anatomía & histología , Masculino , Proyectos Piloto , Estadísticas no ParamétricasRESUMEN
The purpose of the study was to establish normative data on the mesiodistal crown dimensions of Americans of Dominican background. The Bolton tooth size analysis was performed on a sample of 54 Dominican Americans. The mean, range and standard deviation were calculated for the size of the teeth, and a coefficient of variation was obtained for the tooth size ratio. A 2-sample t-test was used to test for the statistical difference between means. In general, the values obtained for the Dominican American sample closely resembled previous data available for the African American population. The tooth size ratios obtained were compared to the Bolton ratios. The overall ratio was found to be 91.3, equivalent to the Bolton overall ratio, whereas the anterior ratio was 78.1, larger than the 77.1 Bolton ratio. The frequency of tooth size discrepancy outside 2 standard deviations from the Bolton mean was also calculated. An overall tooth size discrepancy was found in 11% of our sample, and 28% of the sample presented an anterior tooth size discrepancy.