It is generally agreed that the radiographic patterns of periapical lesions, in its early stage, are difficult to detect.The radiographic representability in such pathological patterns varies in accordance with the structural characterics of body sites.This is mainly due to the fact that undesirable scatter rays from adjacent tissues considerably affect the image quality, and lower the image representability.It is also well established that the smaller the radiation field, the less the radiation scatter, contributing to impoved image quality.
The present author compared the image effect between a conventional“Open-end Cone”and a“Narrow-collimation Tube”with the view to decrease scatter ray. Exposures were made using“Open-end Cone”and“Narrow-collimation Tube”, of a molar region specimen of mandible, and examined the radiograms for the quality of detail in the areas of interest.Image variation was also examined when different materials were inserted inside the bone defects.
The clinical contribution of“Narrow-collimation Tube”on the radiographic image representability of periapical bone defects was confirmed based on the above experimental results, the effect on image enhancement was also studied in four clinical trials.
The results were as follows;
1.The radiographic image representability of artificial bone defects in the periapical region of the manbible specimen differs according tothe amount of destruction of bone structures.Further, the radiographic image represntability varies, even when the bone defects are o the same size, in accordance with their contents of different materials,
2.“Narrow-collimation Tube”compared to the conventional“Open-end Cone”provides us with clear and contrasted images of bone defects.Even using this new“Narrow-collimation Tube”device it is impossible to detect cancellous bone defects more than 4mm in diameter unless they also extends into the cortical bone.
3.With“Narrow-collimation Tube”, the four clinical radiograms provides us with better image representability of periapical lesions than the conventional“Open-end Cone”.
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