Comparison of two methods of digital imaging technology for small diameter K-file length determination

Objectives: Obtaining the proper working length in endodontic treatment is essential. The aim of this study was to compare the working length (WL) assessment of small diameter K-files using the two different digital imaging methods. Methodology: The samples for this in-vitro experimental study consisted of 40 extracted single-rooted premolars. After access cavity preparation, the ISO files no. 6, 8, and 10 stainless steel K-files were inserted in the canals in the three different lengths to evaluate the results in a blinded manner: 1. At the level of apical foramen(actual) 2. 1 mm short of apical foramen 3. 2 mm short of apical foramen A digital caliper was used to measure the length of the files which was considered as the Gold Standard. Five observers (two oral and maxillofacial radiologists and three endodontists) observed the digital radiographs which were obtained using PSP and CCD digital imaging sensors. The collected data were analyzed by SPSS 17 and Repeated Measures Paired T-test. Results: In WL assessment of small diameter K-files, a significant statistical relationship was seen among the observers of two digital imaging techniques (P<0.001). However, no significant difference was observed between the two digital techniques in WL assessment of small diameter K-files (P<0.05). Conclusion: PSP and CCD digital imaging techniques were similar in WL assessment of canals using no. 6, 8, and 10 K-files.