On Previously Root Canal-treated Patients Using an AI Program, Detect the Accuracy of it in the Detection of Root Canal Obturation Quality on CBCT Compared With Conventional PA Radiography, e.g., Voids, Length of Obturation, and Density, and Then do Retreatment if Any Failure is Recorded.

Tala Ghassan Hassan Odeh

Status: Invitation-only

Conditions: Root Canal Treatment

Treatments: Procedure: root canal retreatment

Study type: Interventional

Funder types: Other

Identifiers

NCT07056998

FUE.REC(44)/11-2024

Details and patient eligibility

About

aims to evaluate the accuracy of clinicians (conventional radiograph) compared to cone beam computed tomography (CBCT) and artificial intelligence software's ability to identify the quality of root canal obturation. Will the use of artificial intelligence software be compared to conventional software in accuracy?

Full description

AI is a new method used in the medical field, specifically dentistry. aiming to detect the accuracy of AI in the field of endodontics, specifically in root canal quality (correct length, density, taper, and coronal seal) compared to the skill of the endodontist using 2D radiograph and CBCT, and if any signs and symptoms of failure are detected in the treatment, retreatment is done according to the needs of each case.

Enrollment: 3 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Medically free patients with no systemic disease: (American Society of Anesthesiologists / (ASA Class I or II).
2. Age range is between18 to 50 years
3. No sex predilection.
4. All patients must have good oral hygiene. 5 -patients with root canal-treated teeth.

6- restorable teeth. 7- Positive patient acceptance for participating in the study. 8- Patients can sign informed consent.

Exclusion criteria

• 1-Patients with very poor oral hygiene. 2-Patients above 50 years and below 18 years. 3-Pregnant and lactating women 4-Psychologically disturbed patients. 5-nonrestorable teeth.

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: Single Blind

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3 participants in 3 patient groups

Length of Root Filling

Active Comparator group

Description:

1. Length of Root Filling Ideal: 0-2 mm short of the radiographic apex Overfilling: Beyond the apex - may lead to periapical irritation Underfilling: More than 2 mm short - associated with poor prognosis Measuring unit: millimeters (mm) from the radiographic apex

Treatment:

Procedure: root canal retreatment

Density/Homogeneity

Active Comparator group

Description:

Criteria: No visible voids in: Canal system, Between gutta-percha and canal wall Assessment: Radiographic inspection (digital or analog) Measuring tool: Qualitative (visual rating) or CBCT grayscale values for homogeneity

Treatment:

Procedure: root canal retreatment

Presence of Voids

Active Comparator group

Description:

Criteria: Voids indicate poor condensation or adaptation Assessment tools: Periapical radiographs, CBCT. Measuring unit: Number, size (mm or μm), or volume (%) of voids

Treatment:

Procedure: root canal retreatment