(a) Platelet-rich fibrin, (b) nano-hydroxyapatite (G Bone, SHAG31 - Surgiwear company) (c) samples radiographed along with 8-mm aluminum step wedge, (d) radiopacity measured using DIGORA for windows 2.9.113.490, (e) Preoperative radiograph of 11 (left side) with an open apex. Postoperative (right-side labeled with red circle) radiograph shows increased amount of radiopacity obtained within root canal when platelet-rich fibrin + 50wt% nanohydroxyapatite used as apexification material
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The presented plugin technique finds general application as it may be used for other than periodontal measurements, like oral surgical, cariological and endodontic evaluations and purposes. However, the smaller the object or length measured, the less clinically significant is the distortion problem. Applying the attached formula (Fig. 1) it can be shown that if all objects or lengths measured in a study are below 2 mm, the presented technique is of little value as compared to the direct technique. On the other hand, if all objects are larger than 2 mm, or there is a variation in object size or length from below 2 mm and increasing, the presented technique has been found to be a useful and reliable tool. Moreover, it is still faster to use and less exhausting to the readers. Actually, with the above mentioned limitations, any radiographic measurement, over time, that diagnose changes in bone/tooth/tissue anatomy where the angle α (Figs. 1, 2) may vary from examination to examination, may benefit from this technique. However, an adapted protocol/version (point definition) of the plugin should be produced for each purpose. This may be done by visiting the above mentioned website and downloading the plugin (ImageJ plugin; -diseases/). 2ff7e9595c
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