Abstract
AIM: To evaluate ex vivo, the accuracy of a preparation procedure planned for teeth with pulp canal obliteration (PCO) using a guide rail concept based on a cone-beam computed tomography (CBCT) scan merged with an optical surface scan.
METHODOLOGY: A total of 48 teeth were mounted in acrylic blocks. An apical canal preparation was created to simulate remnants of an apical root canal that acted as the target for a drill path. The test blocks were surface scanned, and merged with a CBCT scan, and a guide rail was made. A pathway for the bur was created through a metal sleeve within the guide rail into dentine. The distance was measured between the centres of the performed drill path and the apical target by two examiners. A maximum distance of 0.7 mm was defined based on the radius of the bur (0.6 mm) and the radius of a root canal just visible on a radiograph (0.1 mm). The t-test was used for evaluation, and intra- and inter-examiner reproducibility was expressed by intraclass correlation coefficients.
RESULTS: The mean distance between the drill path and the target was significantly lower than 0.7 mm, and null hypothesis H0 : μ = 0.7 was rejected (CI 95%: 0.31;0.49, P < 0.001). Intra- and inter-examiner agreements reached excellent levels.
CONCLUSIONS: The combined use of CBCT and optical scans for the precise construction of a guide rail led to a drill path with a precision below a risk threshold. The present technique may be a valuable tool for the negotiation of partial or complete pulp canal obliteration.
| Original language | English |
|---|---|
| Journal | International Endodontic Journal |
| Volume | 49 |
| Issue number | 8 |
| Pages (from-to) | 790-795 |
| Number of pages | 6 |
| ISSN | 0143-2885 |
| DOIs | |
| Publication status | Published - 1 Aug 2016 |