Radiopacity of endodontic materials on film and a digital sensor

The purpose of this study was to compare the radiographic appearance of 12 endodontic materials as visualized on either Kodak Ultra-speed D speed film (Eastman Kodak Company, Rochester, NY) or a Gendex eHD digital sensor (Gendex Dental Systems, Milan, Italy). Ten discs of each material were radiographed alongside an aluminum alloy 1100 (Alcoa, Pittsburgh, PA) stepwedge that was used for reference. For every radiograph, the average grayscale value of the material was converted into absorbance notation and compared with that of the reference stepwedge in order to determine the equivalent radiopacity in terms of millimeters of Al 1100 per millimeter of material. Two-way repeated-measures analysis of variance testing detected significant differences with respect to imaging system, material, and the interaction of the two factors (p < 0.001). The difference in a material's radiopacity as measured on the digital sensor compared with film was greater than 10% for 4 of the 12 materials and over 40% for InnoEndo (Heraus Kulzer, Armonk, NY). It was speculated that barium fillers cause this effect.