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Coronal and Intraradicular Appearances Affect Radiographic Perception of the Periapical Region.
J Endod. 2017 May; 43(5):723-727.JE

Abstract

INTRODUCTION

The influence of the radiographic appearances of the coronal and intraradicular areas on periapical radiographic interpretation has been minimally evaluated in dentistry and endodontics. The purpose of this study was to evaluate the effects that the coronal and intraradicular radiographic appearance has on endodontists' radiographic interpretations of periapical areas.

METHODS

In a split-group study design using an online survey format, 2 pairs of digital periapical radiographic images were evaluated by 2 groups (A and B) of endodontist readers for the presence of a periapical finding. The images in each pair were identical except that 1 image of each image pairs had coronal restorations and/or root canal fillings altered using Adobe Photoshop software (Adobe Systems, San Jose, CA). The periapical areas were not altered. Using a 5-point Likert scale, the endodontist readers were asked to "Please evaluate the periapical area(s)." A Mann-Whitney U test was used to statistically evaluate the difference between the groups. Significance was set at P < .01.

RESULTS

There were 417 readers in group A and 442 readers in group B. The Mann-Whitney U test showed a significant difference in the responses between the groups for both image pairs (P < .01).

CONCLUSIONS

Because the periapical areas of the image pairs were unaltered, the differing coronal and intraradicular areas of the radiographs appear to have influenced endodontists' interpretations of the periapical areas. This finding has implications for all radiographic outcome assessments.

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Authors+Show Affiliations

Strong JW
Private Practice, Butte, Montana.
Woodmansey KF
Graduate Endodontics, Saint Louis University, St Louis, Missouri; Center for Advanced Dental Education, Saint Louis University, St Louis, Missouri; Illinois Air National Guard.
Khademi JA
Graduate Endodontics, Saint Louis University, St Louis, Missouri; Center for Advanced Dental Education, Saint Louis University, St Louis, Missouri; Private Practice, Durango, Colorado.
Hatton JF
Graduate Endodontics, Saint Louis University, St Louis, Missouri; Center for Advanced Dental Education, Saint Louis University, St Louis, Missouri. Electronic address: Hattonjf@slu.edu.

MeSH

HumansPeriapical TissueRadiography, Dental, DigitalRadiography, PanoramicTooth Apex

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28343931

Citation

Strong, Julie W., et al. "Coronal and Intraradicular Appearances Affect Radiographic Perception of the Periapical Region." Journal of Endodontics, vol. 43, no. 5, 2017, pp. 723-727.
Strong JW, Woodmansey KF, Khademi JA, et al. Coronal and Intraradicular Appearances Affect Radiographic Perception of the Periapical Region. J Endod. 2017;43(5):723-727.
Strong, J. W., Woodmansey, K. F., Khademi, J. A., & Hatton, J. F. (2017). Coronal and Intraradicular Appearances Affect Radiographic Perception of the Periapical Region. Journal of Endodontics, 43(5), 723-727. https://doi.org/10.1016/j.joen.2017.01.003
Strong JW, et al. Coronal and Intraradicular Appearances Affect Radiographic Perception of the Periapical Region. J Endod. 2017;43(5):723-727. PubMed PMID: 28343931.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coronal and Intraradicular Appearances Affect Radiographic Perception of the Periapical Region. AU - Strong,Julie W, AU - Woodmansey,Karl F, AU - Khademi,John A, AU - Hatton,John F, Y1 - 2017/03/23/ PY - 2016/10/17/received PY - 2017/01/03/revised PY - 2017/01/08/accepted PY - 2017/3/28/pubmed PY - 2018/7/7/medline PY - 2017/3/28/entrez KW - Dental radiography KW - diagnosis KW - endodontics KW - interpretation KW - outcomes KW - perception SP - 723 EP - 727 JF - Journal of endodontics JO - J Endod VL - 43 IS - 5 N2 - INTRODUCTION: The influence of the radiographic appearances of the coronal and intraradicular areas on periapical radiographic interpretation has been minimally evaluated in dentistry and endodontics. The purpose of this study was to evaluate the effects that the coronal and intraradicular radiographic appearance has on endodontists' radiographic interpretations of periapical areas. METHODS: In a split-group study design using an online survey format, 2 pairs of digital periapical radiographic images were evaluated by 2 groups (A and B) of endodontist readers for the presence of a periapical finding. The images in each pair were identical except that 1 image of each image pairs had coronal restorations and/or root canal fillings altered using Adobe Photoshop software (Adobe Systems, San Jose, CA). The periapical areas were not altered. Using a 5-point Likert scale, the endodontist readers were asked to "Please evaluate the periapical area(s)." A Mann-Whitney U test was used to statistically evaluate the difference between the groups. Significance was set at P < .01. RESULTS: There were 417 readers in group A and 442 readers in group B. The Mann-Whitney U test showed a significant difference in the responses between the groups for both image pairs (P < .01). CONCLUSIONS: Because the periapical areas of the image pairs were unaltered, the differing coronal and intraradicular areas of the radiographs appear to have influenced endodontists' interpretations of the periapical areas. This finding has implications for all radiographic outcome assessments. SN - 1878-3554 UR - https://www.unboundmedicine.com/medline/citation/28343931/Coronal_and_Intraradicular_Appearances_Affect_Radiographic_Perception_of_the_Periapical_Region_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0099-2399(17)30008-0 DB - PRIME DP - Unbound Medicine ER -