Vimala N¹*, Mansi Vandekar², Rashmi Sharma³, Nikita Toprani⁴, Abhishek Tiwari⁵ and Aishwarya Pawar⁵

¹Professor, Department of Conservative Dentistry, DY Patil University School of Dentistry, Navi Mumbai, Maharashtra, India
²Head of Department, Department of Conservative Dentistry, DYPatil University School of Dentistry, Navi Mumbai, Maharashtra, India
³Professor, Department of Conservative Dentistry, DYPatil University School of Dentistry, Navi Mumbai, Maharashtra, India
⁴Lecturer, Department of Conservative Dentistry, DYPatil University School of Dentistry, Navi Mumbai, Maharashtra, India
⁵Postgraduate, Department of Conservative Dentistry, DYPatil University School of Dentistry, Navi Mumbai, Maharashtra, India

*Corresponding Author: Vimala N, Professor, Department of Conservative Dentistry, DY Patil University School of Dentistry, Navi Mumbai, Maharashtra, India.

Received: December 22, 2022; Published: December 30, 2022

Abstract

Introduction: The study compared accuracy of J Morita- Root ZX mini (multiple frequency based), Woodpecker gold V (multiple frequency based), Coltene Canal pro (multiple frequency based) apex locators with the irrigating solutions, NaOCl, Endosolv, Citric acid, HEBP.

Methodology: The actual root canal length of teeth were measured using a 10 size K file under a dental operating microscope. The samples were mounted in alginate model and the electronic working length was recorded in both dry and wet (with irrigants. Variation in the readings of EALs after blockage was compared with actual length (measurement under microscope). The error was subjected to statistical analysis (ANOVA test and Post hoc Bonferroni test).

Results: The mean overall (dry and wet canal) error for Root zx mini was 0.116 mm with maximum and minimum error range of: -2.1 to 1.5mm. The overall (dry and wet canal) mean error for Woodpex 5 was 0.305 within a range of: -1 mm to 1.80mm.The overall (dry and wet canal) mean error for Coltene canal pro was 0.271 within a range of : -2.100 to 1.80.

Conclusion: Root ZX mini was the most accurate EAL amongst all the three EALs used in this study in both wet and dry conditions. Amongst the 4 irrigants used, all the three EALs recorded the highest deviation from actual length in presence of Citric acid.

Keywords: Apex Locators; Irrigants; Working Length

References

1. Kuttler Y. “Microscopic investigation of root apexes”. Journal of the American Dental Association 50 (1955): 544-552.
2. “Effect of different irrigating solutions on electronic working length determination of root canals: An in vitro study”. International Journal of Applied Dental Sciences 5 (2019): 113-115.
3. Maciej Janeczek., et al. “The Effect of File Size and Type and Irrigation Solutions on the Accuracy of Electronic Apex Locators: An In Vitro Study on Canine Teeth”. BioMed Research International (2016).
4. Okba Mahmoud., et al. “Comparative Evaluation of Accuracy of Different Apex Locators: Propex IQ, Raypex 6, Root ZX, and Apex ID with CBCT and Periapical Radiograph 8212 In Vitro Study”. International Journal of Dentistry (2021).
5. Nikhil Puri., et al. “An in vitro comparison of root canal length determination by DentaPort ZX and iPex apex locators”. Journal of Conservative Dentistry 16 (2013): 555-558.
6. Soumya Abraham., et al. “Journal of Pharmaceutical Sciences and Research 7 (2015): 5-9.
7. Guerisoli DMZ., et al. “Evaluation of some physico-chemical properties of different concentrations of sodium hypochlorite solutions”. Brazilian Endodontic Journal 3 (1998): 21-23.
8. Agrawal Vineet S., et al. “A Contemporary Overview of Endodontic Irrigants - A Review”. Journal of Dental Applications 6 (2014): 105-115.
9. Tinaz AC., et al. “A simple model to demonstrate the electronic apex locator”. International Endodontic Journal 35 (2002): 940-945.
10. Joslyn A Jenkins., et al. “An In Vitro Evaluation of the Accuracy of the Root ZX in the Presence of Various Irrigants”. Journal of Endodontics 27 (2001): 209-211.
11. Aaron R Welk., et al. “An In Vivo Comparison of Two Frequency-based Electronic Apex Locators”. Journal of Endodontics 29 (2003): 497-500.
12. Swapna DV., et al. “Comparison of third generation versus fourth generation electronic apex locators in detecting apical constriction: An in vivo study”. Journal of Conservative Dentistry 18 (2015): 288-291.
13. Altunbaş D., et al. “Comparison of various current electronic apex locators to determine the working length using the clearing technique”. Nigerian Journal of Clinical Practice 18 (2014): 359-363.
14. “Effect of different irrigating solutions on electronic working length determination of root canals: An in vitro study”. International Journal of Applied Dental Sciences 5 (2019): 113-115.
15. Prasanna Neelakantan., et al. “The effect of root dentin conditioning protocols on the push-out bond strength of three calcium silicate sealers”. International Journal of Adhesion and Adhesives 60 (2015): 104-108.
16. Gustavo De-Deus., et al. “Soft Chelating Irrigation Protocol Optimizes Bonding Quality of Resilon/Epiphany Root Fillings”. Journal of Endodontics 34 (2008): 703-705.
17. N Meredith and K Gulabivala. “Electrical impedance measurements of root canal length”. Endodontics and Dental Traumatology 13 (1997): 126-131.
18. S Kapur R. “Comparative evaluation of accuracy of two electronic apex locators in the presence of various irrigants: An in vitro study”. Contemporary Clinical Dentistry 3 (2012): 140-145.
19. Goel Y., et al. “A comparative evaluation of the accuracy of third generation electonic apex locator (Root ZX) in presence of various intracanal irrigants”. Journal of Endodontology 18 (2006): 28-33.
20. W Anthony Meares., et al. “The Influence of Sodium Hypochlorite Irrigation on the Accuracy of the Root ZX Electronic Apex Locator”. Journal of Endodontology 28 (2002): 595-598.
21. CHEBI:27750 - ethyl acetate.
22. Yakup Ustun., et al. “Hindawi Publishing Corporation. Effects of Dissolving Solutions on the Accuracy of an Electronic Apex Locator-Integrated Endodontic Handpiece”. The Scientific World Journal (2013).
23. Taneja S., et al. “Comparative Evaluation of Accuracy of Three Electronic Apex Locators in Different Simulated Clinical Conditions- An invitro Study”. Annals of Medical and Health Science Research 7 (2017): 190-194.

Citation

Citation: Vimala N., et al. “Accuracy of Different Apex Locators in presence of Newer Irrigants- An invitro study".Acta Scientific Dental Sciences 7.1 (2023): 114-120.

Copyright

Copyright: © 2023 Vimala N., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.