Journal of Dental Medicine

Background and Aims: Pulpal exposures originated from the external cervical root resorptions have major effects on the treatment and prognosis. Therefore, the aim of this study was performed to compare the two different imaging systems-digital radiography with PSP (Photostimulable Phosphor) sensor in three horizontal different views and CBCT (cone beam computed tomography) images to assess the pulpal exposure in simulated cavity of external cervical root resorptions that was performed in 1398 in the School of Dentistry of Azad University.
Materials and Methods: 40 intact maxilla anterior teeth with straight roots were included. Teeth were randomly divided to two groups (20 teeth with and 20 without pulpal exposures). Each sample was assessed using PSP digital radiography (in 3 horizontal angles) and CBCT image system, to detect the presence of pulpal exposures. False negative and false positive results in 2 imaging procedures were judged with ratio test.
Results: The results showed in CBCT (P.P.V=85.7%) and (N.P.V=89.5%), and in digital intraoral radiography (P.P.V=80%) and (N.P.V=80%) in proximal defects. Ratio test showed that there were no significant differences in the proximal defects (P<0.4).
Conclusion: The results showed that there were no significant differences in detection of exposure in the proximal surfaces between two imaging systems.

Background and Aims: By using the image processing capability in Cone-Beam Computed Tomography (CBCT), obtained information can be improved. The aim of the present study was to investigate the effect of sharpen image processing filter in determining the external resorption of the root apical region in single-rooted teeth due to the proximity of the impacted tooth using CBCT.
Materials and Methods: In this laboratory study, the lateral surfaces of the apical region of the root of 40 healthy extracted teeth were artificially cut by bur and the teeth were randomly divided into four groups: control, low, moderate, and high resorption. After preparing CBCT of the teeth, the samples were then processed with and without an image sharpening processing filter and examined by two observers. The results of this study were analyzed by SPSS22 and Medcalc Statistical Software version 14. The significance level was considered P≤0.05 for all the statistical tests.
Results: Specificity (100%) and sensitivity (66%>) were either complete or very high for both modes without and with the sharpen filter. The overall accuracy (0.83>) was high in both cases and no significant difference was observed between the two overall accuracies (P>0.05). Statistical analysis of both image observations by two observers showed that the overall sensitivity and accuracy in the medium and high resorption groups was much higher than the low resorption group, but the specificity in all groups was 100%.
Conclusion: The results showed that the images with a sharpening filter did not increase the detection power compared to the unfiltered images. However, as no loss of accuracy was observed with this filter, it could be used as a processing filter.

Background and Aims: To be successful in root canal therapy, the dentists must be aware of the possible variation in the root canal and should know not only the natural anatomy of the pulp, but also a variety of possible morphologies. Frst of all, the dentists should be familiar with the possible anatomy of the root canal and then with the extraction of organic tissue from pulp chamber and root canal, increasing the chances of treatment success. Therefore, in this study, we decided to investigate the internal anatomy of root canals in the maxillary permanent molar teeth in Khoy city. Materials and Methods: In this in vitro study, 100 extracted human molars in Khoy city in West Azerbaijan province were collected. In all teeth, the access cavities were prepared, then they were decalcified and colored with India ink and evaluated by clearing technique. Data were collected based on Vertucci's classification which entered into SPSS23 software. The descriptive statistics in the form of numbers and percentages in tables and graphs were used to analyze the data. Results: The most common type observed in the mesiobuccal root of the first molars was type IV by 44%, in distobuccal root was type I by 92%, and in palatal root was type I by 94%. Also, in the mesiobuccal root of the second molars, the most common type was type I by 70%, in distobuccal root was type I by 94%, and in palatal root was type I by 96%. Conclusion: The mesiobuccal root of the first molar had the most variation in the internal anatomy. Also, the most common type of Vertucci in the mesiobuccal root of first molar was type IV and in the other roots of the first and second molar teeth was type I.