Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany.
Department of Medical Statistics, University Medical Center Göttingen, Göttingen, Germany.
Int Endod J. 2018 Mar;51(3):357-363. doi: 10.1111/iej.12850. Epub 2017 Sep 18.
To evaluate the effect of moisture content in root canal dentine on detection of microcracks using micro-computed tomography.
Ten roots with and without craze lines or cracks (each n = 5) were selected and scanned six times with different moisture conditions of root dentine using a micro-CT scanner at a high resolution of 10.5 μm. Scanning conditions were as follows: (i) after 30-day wet storage, (ii) after 2-h dry time, (iii) after 48-h wet storage, (iv) after 24-h dry time, (v) after 48-h wet storage, (vi) after 2-h dry time. From each scan, cross-sectional images were obtained at intervals of 1 mm (total n = 708) and evaluated for the presence of dentinal microcracks twice by five calibrated blinded observers. Statistical analysis was performed by nonparametric analysis of variance for longitudinal data (P < 0.05).
Intra-rater percentage agreement ranged between 92% and 98%, whereas inter-rater percentage agreement was 81% and 83%, respectively. No significant differences between all wet groups as well as between both groups with 2-h dry time were detected (P > 0.05). Almost no cracks were observed after wet storage with a significant increase of cracks after 2-h dry time (P < 0.001). Significantly more microcracks were identified after 24 h than after 2-h dry time (P < 0.004).
Moisture content of dentine influenced detection of microcracks when evaluated using micro-CT. Scanning should be performed on dried specimens to allow reliable identification of dentinal defects. Formation of new cracks during dry periods up to 24 h was disproved.
利用微计算机断层扫描评估根管牙本质含水量对微裂纹检测的影响。
选择有或无微裂纹或裂纹的 10 个牙根(每组 n=5),在高分辨率 10.5μm 下使用微 CT 扫描仪分别在根管牙本质的六种不同水分条件下进行六次扫描。扫描条件如下:(i)湿储存 30 天后,(ii)干燥 2 小时后,(iii)湿储存 48 小时后,(iv)干燥 24 小时后,(v)湿储存 48 小时后,(vi)干燥 2 小时后。从每次扫描中,以 1mm 的间隔获取横截面图像(总 n=708),由五名经过校准的盲法观察者进行两次评估,以检测牙本质微裂纹的存在。通过非参数方差分析对纵向数据进行统计分析(P<0.05)。
内部观察者的百分比一致性在 92%至 98%之间,而外部观察者的百分比一致性分别为 81%和 83%。所有湿组之间以及 2 小时干燥时间的两组之间均未检测到显著差异(P>0.05)。湿储存后几乎没有观察到裂缝,但在 2 小时干燥后裂缝显著增加(P<0.001)。在 24 小时后比在 2 小时干燥时间后识别出更多的微裂缝(P<0.004)。
当使用微计算机断层扫描评估时,牙本质的水分含量会影响微裂纹的检测。为了能够可靠地识别牙本质缺陷,应在干燥标本上进行扫描。在长达 24 小时的干燥期间形成新裂缝的说法是站不住脚的。