Acta Scientific Dental Sciences (ISSN: 2581-4893)

Research Article Volume 4 Issue 1

Accuracy of Two Different Electronic Apex Locators in Treatment and Re-Treatment Cases: An Ex-Vivo Study

Javanmardi S1, Maghaireh Gh1*, Al Omari M1 and Zeinalddin M2

1Department Of Conservative Dentistry, Jordan University of Science and Technology, University in Irbid, Jordan.
2Senior Lecturer and Course Coordinator, Oman Dental College, Oman

*Corresponding Author: Maghaireh Gh, Department of Conservative Dentistry, Jordan University of Science and Technology, University in Irbid, Jordan.

Received: January 01, 2019; Published: Januaay 11, 2020

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Abstract

Aim: The aim of this study was to compare the accuracy of two electronic apex locators (Root ZX II and Mini Apex Locator) at initial, preflaring, after instrumentation and retreatment stages of root canal therapy.

Methodology: Sixty canals in 47 extracted teeth were divided into two groups of 30 each. Teeth were accessed, and then the actual working length was measured visually and recorded as the actual canal length at the initial, at preflaring, after instrumentation and after retreatment stages. Teeth were embedded in alginate and the canal length was measured using the Electronic Apex Locator assigned for that group at each stage. Paired sample and the independent t-tests were used for statistical analysis (p = 0.05).

Results: At the initial and preflaring stages, the accuracy of Mini Apex Locator was significantly higher than the Root ZX II (P = 0.029 and P = 0.004). The corresponding percentage values of working length measurements as actual working length, within ± 0.5mm and within ± 1.0mm at each stage were ; for Root ZX II® (30% - 33.33% - 36.66%, 43.33% - 50% - 6.66%, 70% - 30% - 0% and 66.66% - 30% - 3.33%), respectively. For the Mini Apex Locator® (40% - 50% - 10%, 63.33% - 33.33% - 3.33%, 66.66% - 30% - 3.33% and 66.66 - 30% - 3.33%) respectively.

Conclusions: Both Root ZX II and Mini Apex Locator were accurate and reduced the risk of over instrumentation. The accuracy of Mini Apex Locator was more statistically significant at initial and preflaring stages.

Keywords: Electronic Apex Locator; Mini Apex; Root Canal; Root ZX II; Working Length.

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References

  1. D’Assunção F., et al. “The accuracy of root canal measurements using the Mini apex locator and Root ZX-II: an eveluation in Vitro”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology (2007).
  2. Siu C., et al. “An in vivo comparison of the Root ZX-II, the Apex NRG XFR, and Mini Apex Locator by using rotary nickel-titanium files”. Journal of Endodontics (2009).
  3. Ricucci D and Langeland L. “Apical limit of root canal instrumentation and obturation: part 1: Literature review”. International Endodontic Journal (1998).
  4. Kuttler Y. “Microscopic investigation of root apexes”. Journal of the American Dental Association (1955).
  5. Ricucci D and Langeland L. “Apical limit of root canal instrumentation and obturation: part 2-a histological study”. International Endodontic Journal (1998).
  6. Gordon M and Chandler N. “Electronic apex locators”. International Endodontic Journal (2004).
  7. Kaufman A., et al. “Accuracy of a new apex locator: an in vitro study”. International Endodontic Journal (2002).
  8. Haffiner C., et al. “Accuracy of electronic apex locators in comparison to actual length: an in vivo study”. Journal of Dentistry (2005).
  9. Venturi M and Breschi L. “A comparison between two electronic apex locators: an in vivo investigation”. International Endodontic Journal (2005).
  10. Plotino G., et al. “Ex vivo accuracy of three electronic apex locators: Root ZX, Elements Diagnostic Unit and Apex Locator and ProPex”. International Endodontic Journal (2006).
  11. Leonardo M., et al. “Ex vivo evaluation of the accuracy of two apex locators during root canal length determination in primary teeth”. International Endodontic Journal (2008).
  12. Ebrahim A and Wadachi R. “Ex vivo evaluation of the ability of four different electronic apex locators to determine the working length in teeth with various foramen diameters”. Australian Dental Journal (2006).
  13. Welk A., et al. “An in vivo comparison of two frequency-based electronic apex locators”. Journal of Endodontics (2003).
  14. Kim E and Lee S. “Electronic apex locator”. Dental Clinics of North America (2004).
  15. Sjögren U., et al. “Factors affecting the long-term results of endodontic treatment”. Journal of Endodontics (1990).
  16. Mc Donald N. “The electronic determination of working length”. Dental Clinics of North America (1992).
  17. Kobayashi C. “Electronic canal length measurement”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology (1995).
  18. Friedman S., et al. “Evaluation of success and failure after endodontic therapy using glass ionomer cement sealer”. Journal of Endodontics (1995).
  19. ElAyouti A., et al. “Consistency of Apex Locator Function: A Clinical Study”. Journal of Endodontics (2009).
  20. Vieyra J., et al. “Comparison of working length determination with radiograph and two electronic apex locators”. International Endodontic Journal (2010).
  21. De Camargo E., et al. “Influence of preflaring on the accuracy of length determination with four electronic apex locators”. Journal of Endodontics (2009).
  22. Haffiner C., et al. “Accuracy of electronic apex locators in comparison to actual length: an in vivo study”. Journal of Dentistry (2005).
  23. Felippe W., et al. “Ex vivo evaluation of the ability of the ROOT ZX II to locate the apical foramen and to control the apical extent of rotary canal instrumentation” (2008).
  24. Angwaravong O and Panitvisai P. “Accuracy of an electronic apex locator in primary teeth with root resorption”. International Endodontic Journal (2009).
  25. Mayeda D., et al. “In vivo measurment accuracy in vital and necrotic canals with the Endex apex locator”. Journal of Endodontics (1993).
  26. Shabahang S., et al. “An in vivo evaluation of Root ZX electronic apex locator”. Journal of Endodontics (1996).
  27. Pagavino G., et al. “A SEM study in vivo accuracy of the Root ZX electronic apex locator”. Journal of Endodontics (1998).
  28. Hoer D and Attin T. “The accuracy of electronic working length determination”. International Endodontic Journal (2004).
  29. Stein T and Corocoran J. “Nonionizing method of locating the apical constriction (minor foramen) on root canals”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology (1991).
  30. Dunlap C., et al. “An in vivo evaluation of an electronic apex locator that uses the ratio method in vital and necrotic canals”. Journal of Endodontics (1998). 
  31. Nam K., et al. “Root canal length measurment in teeth with electrolyte compersation”. Medical and Biological Engineering and Computing (2002).
  32. Trop M., et al. “Accuracy of an electronic apex locator under controlled clinical conditions”. Endodontics and Dental Traumatology (1985).
  33. Kaufman A., et al. “The efficiency and reliability of the Dentometer for detecting root canal length”. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology (1989).
  34. Ibarrola J., et al. “Effect of preflaring on Root ZX apex locators”. Journal of Endodontics (1999).
  35. Goldberg F., et al. “In vitro evaluation of the ability of three apex locators to determine the working length during retreatment”. Journal of Endodontics (2005).
  36. Herrera M., et al. “Influance of apicak constriction diameter on Root ZX apex locator precision”. Journal of Endodontics (2007).
  37. Wilcox R., et al. “Endodontic retreatment: Evaluation of gutta-percha and sealer removal and canal reinstrumentation”. Journal of Endodontics (1987).
  38. Barrieshi K. “Gutta-percha retreatment: effectiveness of nickel-titanium rotary instruments versus stainless steel hand files”. Journal of Endodontics (2002).
  39. Uzun O., et al. “Apical accuracy of two apex-locating handpieces in root canal retreatments of root-end resected teeth”. Journal of Endodontics (2007).
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Citation

Citation: Maghaireh Gh., at al. “Accuracy of Two Different Electronic Apex Locators in Treatment and Re-Treatment Cases: An Ex-Vivo Study”.Acta Scientific Dental Sciences 4.2 (2020): 40-46.




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Impact Factor1.278

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