{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T17:23:58Z","timestamp":1773854638308,"version":"3.50.1"},"reference-count":0,"publisher":"Caleo","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Endod J"],"abstract":"<jats:p>Objective: This study compared the accuracy of digital periapical radiography (DPR) and cone beam computed tomography (CBCT) in detecting extruded filling material, using a human cadaver model. Microcomputed tomography (Micro-CT) served as the gold standard.\r\nMethods: A total of 27 single-rooted teeth embedded in cadaveric mandibular segments, obtained from a prior retreatment study, were included: 25 with confirmed apical extrusion of filling material on micro-CT and 2 without extrusion serving as negative controls. The segments were imaged using both DPR and CBCT. Two calibrated endodontists independently assessed the images for visible extrusion; discrepancies were resolved by a third evaluator.\r\nResults: Although DPR demonstrated lower overall sensitivity than CBCT, both modalities showed identical specificity (100%). Diagnostic accuracy was 70% for DPR and 74% for CBCT, without statistically significant difference between them (P &gt; .05). Moreover, the volume of extruded filling material was not a significant predictor of detection accuracy for either DPR (P &gt; .05) or CBCT (P &gt; .05).\r\nConclusion: In conclusion, both DPR and CBCT demonstrated low accuracy in detecting filling material extrusion, with no significant difference between them. The occurrence of false-negative results may compromise the reliable assessment of extruded filling materials. In cases of true extrusion, approximately one-third would go undetected by both methods.<\/jats:p>","DOI":"10.65717\/eej.2026.25090","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:53:42Z","timestamp":1773831222000},"page":"45-49","source":"Crossref","is-referenced-by-count":0,"title":["Accuracy of Digital Radiography and Cone Beam Computed Tomography in Assessing Filling Material Extrusion Using Micro- Computed Tomography as Gold Standard: A Study in Human Cadavers"],"prefix":"10.65717","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4390-6633","authenticated-orcid":false,"given":"Thamyres","family":"Monteiro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6482-0628","authenticated-orcid":false,"given":"Kaline","family":"Romeiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7480-0092","authenticated-orcid":false,"given":"Karen","family":"Brisson-Su\u00e1rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9544-0494","authenticated-orcid":false,"given":"Karim","family":"Aazzouzi-Raiss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2917-5934","authenticated-orcid":false,"given":"Mar\u00edlia","family":"Marceliano-Alves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2328-5021","authenticated-orcid":false,"given":"Andrea","family":"Campello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9922-8202","authenticated-orcid":false,"given":"Fl\u00e1vio","family":"Alves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"55248","published-online":{"date-parts":[[2026,2,27]]},"container-title":["European Endodontic Journal"],"original-title":[],"link":[{"URL":"https:\/\/eurendodj.com\/index.php\/pub\/article\/download\/382\/381","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eurendodj.com\/index.php\/pub\/article\/download\/382\/381","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:53:43Z","timestamp":1773831223000},"score":1,"resource":{"primary":{"URL":"https:\/\/eurendodj.com\/index.php\/pub\/article\/view\/382"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2,27]]}},"URL":"https:\/\/doi.org\/10.65717\/eej.2026.25090","relation":{},"ISSN":["2548-0839"],"issn-type":[{"value":"2548-0839","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,27]]}}}