Literature DB >> 23739852

Accuracy of five electronic foramen locators with different operating systems: an ex vivo study.

Bruno Carvalho de Vasconcelos1, Michelli de Medeiros Bueno, Suyane Maria Luna-Cruz, Marco Antonio Hungaro Duarte, Carlos Augusto de Oliveira Fernandes.   

Abstract

OBJECTIVE: The aim of this study was to evaluate, ex vivo, the precision of five electronic root canal length measurement devices (ERCLMDs) with different operating systems: the Root ZX, Mini Apex Locator, Propex II, iPex, and RomiApex A-15, and the possible influence of the positioning of the instrument tips short of the apical foramen.
MATERIAL AND METHODS: Forty-two mandibular bicuspids had their real canal lengths (RL) previously determined. Electronic measurements were performed 1.0 mm short of the apical foramen (-1.0), followed by measurements at the apical foramen (0.0). The data resulting from the comparison of the ERCLMD measurements and the RL were evaluated by the Wilcoxon and Friedman tests at a significance level of 5%.
RESULTS: Considering the measurements performed at 0.0 and -1.0, the precision rates for the ERCLMDs were: 73.5% and 47.1% (Root ZX), 73.5% and 55.9% (Mini Apex Locator), 67.6% and 41.1% (Propex II), 61.7% and 44.1% (iPex), and 79.4% and 44.1% (RomiApex A-15), respectively, considering ±0.5 mm of tolerance. Regarding the mean discrepancies, no differences were observed at 0.0; however, in the measurements at -1.0, the iPex, a multi-frequency ERCLMD, had significantly more discrepant readings short of the apical foramen than the other devices, except for the Propex II, which had intermediate results. When the ERCLMDs measurements at -1.0 were compared with those at 0.0, the Propex II, iPex and RomiApex A-15 presented significantly higher discrepancies in their readings.
CONCLUSIONS: Under the conditions of the present study, all the ERCLMDs provided acceptable measurements at the 0.0 position. However, at the -1.0 position, the ERCLMDs had a lower precision, with statistically significant differences for the Propex II, iPex, and RomiApex A-15.

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Year:  2013        PMID: 23739852      PMCID: PMC3881880          DOI: 10.1590/1678-7757201302188

Source DB:  PubMed          Journal:  J Appl Oral Sci        ISSN: 1678-7757            Impact factor:   2.698


  30 in total

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4.  Ex vivo evaluation of the ability of four different electronic apex locators to determine the working length in teeth with various foramen diameters.

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8.  Influence of cervical preflaring on determination of apical file size in mandibular molars: SEM analysis.

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10.  Evaluation of the apical infiltration after root canal disruption and obturation.

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2.  Consistency of electronic measurements of endodontic working length when using multiple devices from the same manufacturer-an in vitro study.

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6.  A comparative clinical evaluation of accuracy of six apex locators with intraoral periapical radiograph in multirooted teeth: An in vivo study.

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7.  An in vivo comparison of accuracy of two electronic apex locators in determining working length using stainless steel and nickel titanium files.

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