Interpretation of endodontic file lengths using RadioVisiography

The purpose of this investigation was to compare RadioVisioGraphy (RVG) imaging with conventional radiography in determining endodontic file length adjustment. Human cadaver sections with first or second molars were used. Files were inserted into canals at randomly selected lengths, from 4 mm short of the radiographic apex to 3 mm beyond. Radiographs and RVG images were evaluated to determine the adjustment needed to place the file 0.5 mm from the radiographic apex. Results showed no significant difference in the ability of endodontists to make accurate file length adjustments using conventional radiography versus RVG. In this study, it was found that: (a) accurate file length adjustments can be made from an image two times larger than the actual tooth; (b) RVG is not significantly better than conventional radiography; and (c) if both methods are available, RVG is preferred because of the significant reduction in radiation dose.