Reliability of Two Methods of Evaluation of the Apical Limit of Obturation of Root Canals of Primary Teeth: A Pilot Study

Objective: To verify the concordance in the evaluation of the apical limit of obturation (ALO) in filled root canals of primary teeth between digital and visual methods. Material and Methods: Twenty periapical radiographs of endodontically treated primary teeth were digitalized and evaluated by an...

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Main Authors: Maysa Lannes Duarte, Julia Cocchiarale Pepino, Mariana Coutinho Sancas, Jéssica Pronestino de Lima Moreira, Aline de Almeida Neves, Andréa Vaz Braga Pintor, Laura Guimarães Primo
Format: Article
Language:English
Published: Association of Support to Oral Health Research (APESB) 2022-03-01
Series:Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Subjects:
Online Access:https://revista.uepb.edu.br/PBOCI/article/view/1107
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author Maysa Lannes Duarte
Julia Cocchiarale Pepino
Mariana Coutinho Sancas
Jéssica Pronestino de Lima Moreira
Aline de Almeida Neves
Andréa Vaz Braga Pintor
Laura Guimarães Primo
author_facet Maysa Lannes Duarte
Julia Cocchiarale Pepino
Mariana Coutinho Sancas
Jéssica Pronestino de Lima Moreira
Aline de Almeida Neves
Andréa Vaz Braga Pintor
Laura Guimarães Primo
author_sort Maysa Lannes Duarte
collection DOAJ
description Objective: To verify the concordance in the evaluation of the apical limit of obturation (ALO) in filled root canals of primary teeth between digital and visual methods. Material and Methods: Twenty periapical radiographs of endodontically treated primary teeth were digitalized and evaluated by an endodontics specialist (E1), a PhD pediatric dentist (E2), and a MSc general dentist (E3). Calibrated evaluators (Kappa = 1.00) analysed the images in a light-isolated environment two times (D1 and D2) with a one-week interval between evaluations. ALO scores were categorized as overfilled, flush-filled and underfilled. Results: The intra-rater reliability between methods was 0.82 (D1) and 0.75 (D2) for E1, 0.93 (D1 and D2) for E2, and 0.94 (D1 and D2) for E3. Inter-rater reliability ranged from 0.71 (E1 × E3) and 1.00 (E1 × E2) for the visual method to 0.76 (E1 × E3) and 0.88 (E1 × E2) for the digital method. Spearman correlation coefficients showed a similar ranking among the evaluators. There was greater disagreement among the underfilled and ideal scores. For all evaluators, the digital method favoured the identification of the ideal score. Conclusion: Both methods are suitable for the determination of the ALO of filled primary teeth and can be used in clinical practice.
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spelling doaj.art-077e33a8caf647ec88377c9b38e959242022-12-21T21:10:30ZengAssociation of Support to Oral Health Research (APESB)Pesquisa Brasileira em Odontopediatria e Clínica Integrada1519-05011983-46322022-03-0120Reliability of Two Methods of Evaluation of the Apical Limit of Obturation of Root Canals of Primary Teeth: A Pilot StudyMaysa Lannes DuarteJulia Cocchiarale PepinoMariana Coutinho SancasJéssica Pronestino de Lima MoreiraAline de Almeida NevesAndréa Vaz Braga PintorLaura Guimarães Primo Objective: To verify the concordance in the evaluation of the apical limit of obturation (ALO) in filled root canals of primary teeth between digital and visual methods. Material and Methods: Twenty periapical radiographs of endodontically treated primary teeth were digitalized and evaluated by an endodontics specialist (E1), a PhD pediatric dentist (E2), and a MSc general dentist (E3). Calibrated evaluators (Kappa = 1.00) analysed the images in a light-isolated environment two times (D1 and D2) with a one-week interval between evaluations. ALO scores were categorized as overfilled, flush-filled and underfilled. Results: The intra-rater reliability between methods was 0.82 (D1) and 0.75 (D2) for E1, 0.93 (D1 and D2) for E2, and 0.94 (D1 and D2) for E3. Inter-rater reliability ranged from 0.71 (E1 × E3) and 1.00 (E1 × E2) for the visual method to 0.76 (E1 × E3) and 0.88 (E1 × E2) for the digital method. Spearman correlation coefficients showed a similar ranking among the evaluators. There was greater disagreement among the underfilled and ideal scores. For all evaluators, the digital method favoured the identification of the ideal score. Conclusion: Both methods are suitable for the determination of the ALO of filled primary teeth and can be used in clinical practice. https://revista.uepb.edu.br/PBOCI/article/view/1107Dimensional Measurement AccuracyRadiography, DentalRoot Canal Obturation
spellingShingle Maysa Lannes Duarte
Julia Cocchiarale Pepino
Mariana Coutinho Sancas
Jéssica Pronestino de Lima Moreira
Aline de Almeida Neves
Andréa Vaz Braga Pintor
Laura Guimarães Primo
Reliability of Two Methods of Evaluation of the Apical Limit of Obturation of Root Canals of Primary Teeth: A Pilot Study
Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Dimensional Measurement Accuracy
Radiography, Dental
Root Canal Obturation
title Reliability of Two Methods of Evaluation of the Apical Limit of Obturation of Root Canals of Primary Teeth: A Pilot Study
title_full Reliability of Two Methods of Evaluation of the Apical Limit of Obturation of Root Canals of Primary Teeth: A Pilot Study
title_fullStr Reliability of Two Methods of Evaluation of the Apical Limit of Obturation of Root Canals of Primary Teeth: A Pilot Study
title_full_unstemmed Reliability of Two Methods of Evaluation of the Apical Limit of Obturation of Root Canals of Primary Teeth: A Pilot Study
title_short Reliability of Two Methods of Evaluation of the Apical Limit of Obturation of Root Canals of Primary Teeth: A Pilot Study
title_sort reliability of two methods of evaluation of the apical limit of obturation of root canals of primary teeth a pilot study
topic Dimensional Measurement Accuracy
Radiography, Dental
Root Canal Obturation
url https://revista.uepb.edu.br/PBOCI/article/view/1107
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