X.L. Velders

Dose reduction of two digital sensor systems measuring file lengths

OBJECTIVE The aim of this study was to determine the effect of dose reduction on the image quality of two sensor systems with automatic greyscale adjustment. STUDY DESIGN Two digital sensor systems, Sidexis (Siemens, Bensheim, Germany) and Digora (Soredex, Helsinki, Finland), were tested. The image quality of the systems was determined by comparing lengths of endodontic files (025, 020, 015, and 010 files) and a premolar root in the digital images with lengths on conventional radiographic films. For the experiments the exposure was changed to 100%, 50%, 25%, 12.5%, 6.25%, and 3.125% of that for Ektaspeed films. RESULTS The lengths of 025 and 020 files and the premolar root in the digital images were comparable with the lengths on films even if the exposure was reduced to 6% of that used for Ektaspeed films. The lengths of 015 files reduced as the exposure was reduced. The lengths of 010 files were significantly shorter than the lengths on films. CONCLUSIONS With the systems tested, a dose reduction of approximately 95% compared with Ektaspeed films is possible to determine the lengths of a premolar root and 025 and 020 files. For thinner objects a dose reduction is questionable.

In vivo study of approximal caries depth on storage phosphor plate images compared with dental x-ray film

The aim of this in vivo study was to compare approximal caries depth on storage phosphor plate images to conventional film. A Soredex Digora imaging plate was placed in a film bite-wing positioner behind a Kodak Ektaspeed Plus film package without lead foil. The effect of scattered radiation on film without lead foil with a storage phosphor plate at the back was studied in a separate in vitro experiment. Compared with film protected by lead foil, the film showed higher density, but comparable contrast. For the in vivo study, clinical bite-wing exposures were made with the setup described above, with exposure settings for Ektaspeed Plus film. A four-point scale was chosen for approximal caries depth: 0 = no caries; 1 = caries in enamel; 2 = caries reaching dentino-enamel junction; 3 = caries into dentin. The bite-wing film images were shown to a panel of four experts. Sixty surfaces were selected for observer performance, based on identical scorings of the experts consensus classification. Next, six dentists evaluated both film and storage phosphor plate images with the same four point scale. Analysis of variance revealed a significant observer and image modality effect without an interaction effect. In conclusion, caries depth on storage phosphor plate images was underestimated compared with film-based images.