Multifrequency Impedance Method Based on Neural Network for Root Canal Length Measurement

Root canal therapy is the most fundamental and effective approach for treating endodontics and periapicalitis. The length of the root canal must be accurately measured to clean the pathogenic substances in it. This study aims to present a multifrequency impedance method based on a neural network for root canal length measurement. A circuit system was designed which generates a current of frequencies from 100 Hz to 20 kHz in order to augment the data of impedance ratios with different combinations of frequencies. Several impedance ratios and other quantified characteristics, such as the type of tooth and file, were selected as features to train a neural network model that could predict the distance between the file and apical foramen. The model uses leave-one-out cross-validation, adopts the Adam optimizer and regularization, and has two hidden layers with nine and five nodes, respectively. The neural network-based multifrequency impedance method exhibits nearly 95% accuracy, compared with the dual-frequency impedance ratio method (which demonstrated no more than 85% accuracy in some situations). This method may eliminate the influence of human and environmental factors on measurement of the root canal length, thereby increasing measurement robustness.