medigraphic.com
ISSN 1561-3011 (Electronic)

2020, Number 1

<< Back Next >>

Rev Cubana Invest Bioméd 2020; 39 (1)

Assessment the accuracy of electronic apex locater in single canal teeth

Chaple GAM, Quintana ML, Fernández GE, Cuesta NMC

Language: Spanish
References: 14
Page: 1-11
PDF size: 224.68 Kb.


ABSTRACT

Introduction: The correct determination of working length is one of the main determining factors for the success of endodontic treatments. Objective: to assess the accuracy when determining the working length of an electronic apex locator.
Objective: To assess the accuracy of the determination of the working length of an electronic apex locator in monoradicular teeth.
Material and methods: An exploratory experimental study was carried out in vivo where the working length was taken in 141 monoradicular root canals of patients with indication of extraction. Working length was determined using iPex II electronic apex locator (NSK). When the locator marked that the file was at the apex, without removing the instrument from the duct, it was fixed. The extraction was performed with caution and subsequently a proximal wall of the apical third was worn down until the file was observed inside the duct, observed and studied with the help of a magnifying glass. The working length was acceptable when the locator determined that it was between 0.5-1.5 mm of the cement-dentin-duct limit; short when it was more than 1.5 mm and long when it was observed that it exceeded the cement-dentine-duct limit.
Results: The accuracy of 95.7 % (135) of the measurements was acceptable and only 13(9.2 %) ducts had instability, with an existing relationship between the accuracy and instability of the measurements. It was observed that 88(62.4 %) ducts with secretions obtained an acceptable one in the determination of the length of work. Only 3 (2.1 %) ducts with secretions had short measurements. The presence of secretions was not significant to assess the accuracy.
Conclusions: The measurements of the working lengths using the locator studied were, almost entirely, of acceptable precision and were practically unstable. Similarly, the presence of secretions inside the root canals did not significantly affect the accuracy of the localizer in question.


REFERENCES

  1. Janeczek M, Kosior P, Piesiak-Panczyszyn D, Dudek K, Chroszcz A, Czajczynska- Waszkiewicz A, 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 [acceso: 06/2019]; 2016. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056237/pdf/BMRI2016-8594087.pdf.

  2. Gehlot PM, Manjunath V, Manjunath MK. An in vitro evaluation of the accuracy of four electronic apex locators using stainless-steel and nickel-titanium hand files. Restorative dentistry & endodontics. 2016 [acceso: 07/2019]; 41(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4751208/pdf/rde-41-6.pdf.

  3. Raghu KN, Daniel JG, Razvi S, Vinaychandra R, Kini A, Nandakishore KJ. In vivo evaluation of the accuracy of working length determination using an electronic apex locater IPEX (NSK) on vital uninfected teeth and teeth with radiographic evidence of periapical lesions. Journal of International Society of Preventive & Community Dentistry. 2014;4(Suppl 3):S204-8.

  4. Sidhu P, Shankargouda S, Dicksit DD, Mahdey HM, Muzaffar D, Arora S. Evaluation of Interference of Cellular Phones on Electronic Apex Locators: An In Vitro Study. Journal of endodontics. 2016;42(4):622-5.

  5. Altunbas D, Kustarci A, Arslan D, Er K, Kocak S. Comparison of various current electronic apex locators to determine the working length using the clearing technique. Nigerian journal of clinical practice. 2015 [acceso: 07/2019]; 18(3). Available from: http://www.njcponline.com/article.asp?issn=1119- 3077;year=2015;volume=18;issue=3;spage=359;epage=363;aulast=Altunbas.

  6. Gurel MA, Helvacioglu Kivanc B, Ekici A. A comparative assessment of the accuracies of Raypex 5, Raypex 6, iPex and iPex II electronic apex locators: An in vitro study. Journal of Istanbul University Faculty of Dentistry. 2017 [acceso: 07/2019]; 51(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573492/pdf/jiufd-051- 028.pdf.

  7. Aggarwal V, Singla M, Bhasin SS. Influence of instrument size and varying electrical resistance of root canal instruments on accuracy of three electronic root canal length measurement devices. International endodontic journal. 2017;50(5):506-11.

  8. Chaudhary S, Gharti A, Adhikari B. An in vivo comparison of accuracy of two electronic apex locators in determining working length using stainless steel and nickel titanium files. Clinical, cosmetic and investigational dentistry. 2018 [cited: Pmc5968804]; 10:75-82. Available from: https://www.dovepress.com/getfile.php?fileID=42232.

  9. Saxena D, Saha SG, Bharadwaj A, Vijaywargiya N, Dubey S, Kala S. A comparative evaluation of accuracy of three electronic apex locators using histological section as gold standard: An ex vivo study. Journal of conservative dentistry : JCD. 2017;20(4):251-4.

  10. Bahrololoomi Z, Soleymani AA, Modaresi J, Imanian M, Lotfian M. Accuracy of an Electronic Apex Locator for Working Length Determination in Primary Anterior Teeth. Journal of dentistry (Tehran, Iran). 2015 [cited: Pmc4662761]; 12(4):[243-8 pp.]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662761/pdf/JOD-12- 243.pdf.

  11. Estrela C, Couto GS, Bueno MR, Bueno KG, Estrela LRA, Porto OCL, et al. Apical Foramen Position in Relation to Proximal Root Surfaces of Human Permanent Teeth Determined by Using a New Cone-beam Computed Tomographic Software. Journal of endodontics. 2018;44(11):1741-48.

  12. Guerrero Montoya CYSU, V. Castro Salazar, Y. Verdugo Barraza, L. Zavala Cazares, S. . Efectividad de dos localizadores apicales en la determinación de la longitud de trabajo. Revista Odontológica Latinoamericana. 2012 [acceso: 07/2019]; 4(1). Available from: http://www.odontologia.uady.mx/revistas/rol/pdf/V04N1p21.pdf.

  13. Altunbas D, Kustarci A, Toyoglu M. The Influence of Various Irrigants on the Accuracy of 2 Electronic Apex Locators in Locating Simulated Root Perforations. Journal of endodontics. 2017;43(3):439-42.

  14. Fretes VR, Pedrozo A, Gamarra J, Escobar PM, Cubilla RE, Adorno CG. Estudio preliminar sobre la repetibilidad in vivo de tres localizadores apicales electrónicos. Rev Cubana Estomatol. 2019 [acceso: 09/2019]; 56(3). Available from: http://www.revestomatologia.sld.cu/index.php/est/article/view/2176.




2020     |     www.medigraphic.com