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 lengt
hs, from 4 mm short of the radiographic apex to 3 mm beyond. Radiograp
hs and RVG images were evaluated to determine the adjustment needed to
place the file 0.5 mm from the radiographic apex.Results showed no si
gnificant difference in the ability of endodontists to make accurate f
ile length adjustments using conventional radiography versus RVG. In t
his 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 significa
nt reduction in radiation dose.