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    Importance of The Radiograph in Endodontics: Dr. Nemes Júlia

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    Monica Amelia
    Radiographs are important for endodontic treatment for several reasons. Pre-operative radiographs are used for diagnosis and to estimate working length. During treatment, working length radiographs using parallel technique or excentric projections help determine the exact working length. Post-treatment radiographs evaluate the quality of obturation by assessing length, density, taper, and coronal seal.

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    Importance of The Radiograph in Endodontics: Dr. Nemes Júlia

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    Monica Amelia
    32 views36 pages
    Radiographs are important for endodontic treatment for several reasons. Pre-operative radiographs are used for diagnosis and to estimate working length. During treatment, working length radiographs using parallel technique or excentric projections help determine the exact working length. Post-treatment radiographs evaluate the quality of obturation by assessing length, density, taper, and coronal seal.

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    Radiographs are important for endodontic treatment for several reasons. Pre-operative radiographs are used for diagnosis and to estimate working length. During treatment, working length radiographs using parallel technique or excentric projections help determine the exact working length. Post-treatment radiographs evaluate the quality of obturation by assessing length, density, taper, and coronal seal.

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    32 views36 pages

    Importance of The Radiograph in Endodontics: Dr. Nemes Júlia

    Uploaded by

    Monica Amelia
    Radiographs are important for endodontic treatment for several reasons. Pre-operative radiographs are used for diagnosis and to estimate working length. During treatment, working length radiographs using parallel technique or excentric projections help determine the exact working length. Post-treatment radiographs evaluate the quality of obturation by assessing length, density, taper, and coronal seal.

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    of 36

    IMPORTANCE OF THE

    RADIOGRAPH IN ENDODONTICS

    DR. NEMES JLIA


    THE OBJECTIVE OF OBTURATION:

    is to create a complete seal along the


    length of the root canal, from coronal
    opening to the apical determination.

    Radiograph
    THE RADIOGRAPH IN ENDODONTICS

    1. Why is it recommended to make radiograph


    during the rootcanal treatment?

    2. What kind of radiographs recommended?

    3. When is it recommended to make radiographs?


    ANATOMIE OF THE APICAL THIRD OF ROOTCANAL
    THE LENGTH OF THE OBTURATION

    Requirement:
    foramen physiologicum (3)
    (physiological apex)
    End of the
    cement
    cement
    Apical third of rootcanal
    (1)
    -apical constriction (3)
    -foramen apicale (2) (2)

    (foramen anatomicum)
    (3)
    -radiological apex (1)
    There is a different distance between 1-3
    THE APICAL THIRD OF ROOTCANAL

    Christine Haugseth
    THE ROLE OF THE RADIOGRAPH IN
    ENDODONTICS

    1. Why it is recommended to make radiograph


    during the rootcanal treatment?

    2. What kind of radiographs recommended?

    3. When it is recommended to make radiographs?


    What kind of radiograph?

    Periapical radiograph, with


    paralleling technique
    with longtube

    film and tooth axel is


    parallel
    (filmholder)

    longtube technique
    X-ray parallel
    X-ray arrives the film/sensor at about 90

    Film or
    Sensor
    CONE (TUBE)-IMAGE SHIFT

    Can be :

    Orthoradiale (facial) pro-


    jection (basic!)

    Excentric (2O-30)
    -mesial-excentric M
    D F
    -distal-excentric
    (mesial, or distal projection)
    Reveals the third dimension!
    UPPER FIRST PREMOLAR
    SLOB rule : same lingual, opposite buccal
    (tube movement)

    mesial M F D
    facial

    The lingual root moves in the same direction as the cone,and


    the buccal root moves in the opposite direction.
    ORTORADIALE and EXCENTRIC RADIOGRAPH
    Facial and mesial or distal projection
    SLOB rule

    Mesial projection Distal projection

    Facial projection
    Other technic

    Film and tooth are not


    BISECTING technique
    parallel!
    X-RAY

    MODIFIED PARALLELING
    technique: neither
    parallel, nor bisecting
    Earlier Conical tube was used, in this case
    the direction of the X-ray was not parallel
    ROLE OF THE RADIOGRAPH IN ENDODONTICS

    Why is it recommended to make radiograph during


    the rootcanal treatment?
    What kind of radiograph recommended?

    3. When it is recommended to make radiograph?


    -befor the treatment (diagnostic radiograph)
    -during the treatment (working length determination)
    -after the treatment (controll radiograph)
    PREOPERATIVE, WORKING LENGTH
    DETERMINATION, CONTROLL RADIOGRAPH

    Apex locator
    Needle controll
    1. PREOPERATIVE or DIAGNOSTIC
    RADIOGRAPH
    AIM:

    Anatomic structures
    extension of pulp chamber, curved or
    not curved root

    Diagnostic information
    (periapical process)

    Estimated working length


    determination
    1. PREOPERATIVE or DIAGNOSTIC
    RADIOGRAPH
    Estimated working length determination
    - reference point
    - measuring the distance between the
    reference point and radiologic apex
    - ? mm will be removed from this
    distance? Depends on :
    digital technic or film are used
    film: magnification 10% (at about 2 mm)
    radiologicum-physiologicum : 1 mm
    sensor film
    digital technic:only 1 mm 18 mm 18 mm
    - 1 mm - 3 mm
    17 mm
    15 mm
    2. WORKING LENGTH DETERMINATION
    (needel-controll or apex-locator)

    Aim:
    to check the estimated
    working length
    PRECONDITION
    -Reference point
    -Silicon stop
    -Stable file in canal
    (mindestens ISO 15) Correction!

    -Endoblock or ruler
    2. WORKING LENGTH DETERMINATION
    with Apex-locator

    Apex-Lokator: mesures resistance


    Development:direct current, alternating current, and
    impedanc-equotient (in either a wet/dry canal can be used)
    Two electrode :
    one is in tooth, the other is in contact with the lip.

    When tip of te file touchis the foramen


    anatomicum, current begins to flow.

    Foramen anatomicum
    Different apex-lokators
    At the clinic with students the most frequently used
    apex-locator is:

    Red: foramen anatomicum

    Yellow: the field of


    physiologicum

    Green: we havent arrived


    the foramen
    physiologicum

    The light shows, how deep we


    are. Light + Sound
    EVALUATION OF WORKING LENGTH
    DETERMINATION (needel-controll or apex
    locator)
    The working length is good. There is 1-2 mm
    distance between the end of the needel and the
    radiological apex.
    Apex-locator: (sound, color, mm)
    (Foramatron: for.anat.= red, above yellow, green )
    The working length is to short.
    The working length is too long.

    If the distance more than 3 mm, in this case has to


    make a second radiograph with the korrekted
    working length.
    CALCULATION

    LTR x LIT
    LT = LIR

    LT length of the tooth ?


    LIT length of the instrument
    LTR length of the tooth on RTG
    LIR length of the instrument on RTG
    3. EVALUATION OF OBTURATION

    The length of the rootcanal


    filling
    (good, short, long)

    The density of the rootcanal


    filling
    Uniform density from
    coronal to apical
    (voids, bubble)
    Shape: It should be tapered from coronal
    to apical region.

    Coronalremoval: material remains or not


    remain in the chamber
    PREOPERATIV or DIAGNOSTIC RADIOGRAPH

    diagnosis
    anatomic information
    estimated working
    length determination
    WORKING LENGTH DETERMINATION or
    NEEDEL CONTROLL

    rubber dam
    silicon stop
    reference point
    Stable file in canal
    (at least ISO 15)
    endoblock or ruler
    CONTROLL, AFTER THE OBTURATION

    the length
    (good, short, or long)

    density
    (bubble, homogene)

    The shape
    (taper)
    22
    UPPER FIRST PREMOLARE
    UPPER FIRST PREMOLAR
    UPPER FIRST MOLAR
    UPPER FIRST MOLAR
    LOWER SECOND MOLAR

    Pulp chamber ?
    LOWER SECOND MOLAR
    IMPORTANCE OF THE RADIOGRAPH IN
    ENDODONTICS

    1. Why it is recommended to make radiograph


    during the rootcanal treatment?

    2. What kind of radiographs recommended?

    3. When it is recommended to make radiographs?

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