The aim of this study was to compare the accuracy of endodontic file lengths after application of various image enhancement modalities.Study Design
Endodontic files of three different ISO sizes were inserted in 20 single-rooted extracted permanent mandibular premolar teeth and standardized images were obtained. Original digital images were then enhanced using five processing algorithms. Six evaluators measured the length of each file on each image. The measurements from each processing algorithm and each file size were compared using repeated measures ANOVA and Bonferroni tests (P = 0.05). Paired t test was performed to compare the measurements with the true lengths of the files (P = 0.05).Results
All of the processing algorithms provided significantly shorter measurements than the true length of each file size (P < 0.05). The threshold enhancement modality produced significantly higher mean error values (P < 0.05), while there was no significant difference among the other enhancement modalities (P > 0.05). Decrease in mean error value was observed with increasing file size (P < 0.05).Conclusions
Invert, contrast/brightness and edge enhancement algorithms may be recommended for accurate file length measurements when utilizing storage phosphor plates.