Comparing image qualities of dental cone-beam computed tomography with different scanning parameters for detecting root canals

Abstract

Cone-beam computed tomography (CBCT) is a useful device in creating 3-dimensional images in the examining area of dentistry and is one of the most common clinical methods in detecting second mesiobuccal (MB2) canals in maxillary molars. The aim of this invitro study was to compare the image quality of the small field of view (FOV) CBCT with different rotation arcs and scanning speeds in the use of detecting root canals. A dentate human skull was scanned in Morita 3D Accuitomo 170 with 4×4cm FOV under 5mA and 90kVp. Two different rotation arcs (360° and 180°) and three different scanning modes (slow-speed mode, standard mode and high-speed mode) combined into six different groups. Five different levels of axial sections were selected from each group. Five endodontic specialists rated the image quality by focusing on the sharpness of the MB2 canal of the upper right first molar and the surrounding structures. Despite the rotation arcs, all the observers gave excellent ratings to images taken with slow-speed mode. The high-speed mode taken with 360° and 180° got the second lowest and the lowest ratings, respectively. Under the same scanning speed, the rotation arc did not have a significant difference in image quality. Slow-speed mode is inevitable in maintaining adequate image quality during taking CBCT. However, endodontists can use the half rotation mode to significantly reduce radiation dose, exposure time, and still maintain sufficient image quality for root canal anatomy assessment.