Prior investigations have demonstrated dentinal cracking and chipping during ultrasonic preparation of the root-end. This study compared the frequency of cracking and chipping in two groups, cadaver and extracted teeth, using an indirect resin technique. Preparations were performed using either a 33 1/2 inverted cone bur in a high-speed handpiece, or with ultrasonics using a CT-2 tip at either high or low intensity. After replication of the root-end in epoxy resin, all teeth were evaluated for cracking and chipping under scanning electron microscopy. Statistical analysis using a general contingency table or ANOVA with Scheffé post-hoc analysis (p = 0.05) revealed no significant difference between all groups in terms of root-end cracking. In extracted teeth (n = 15), rotary instrumentation produced less chipping than either ultrasonic technique. Varying the intensity was not significant. There was no significant difference between any instrumentation group in cadaver teeth (n = 10) related to the amount of chipping.
The creation of the radiographic illusion known as a mach band at the intersection of two images of differing radiopacities can be misinterpreted as pathosis in certain situations. After reviewing instances where misinterpretation may occur, this study asked 33 fourth-year dental students and 40 dentists to interpret the same radiograph involving a maxillary central incisor under two different hypothetical scenarios: first, in the case of a patient requesting vital bleaching, and second, where a patient has received recent trauma to the mouth. Results showed that dental students are more susceptible than dentists to misinterpreting as a horizontal root fracture (a mach band illusion) what is known to be the junction of alveolar crestal bone and root. Furthermore when presented with a scenario of trauma, both students and dentists are more likely to mistake what is being seen as being a fracture line.
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