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Erschienen in: Clinical Oral Investigations 7/2016

04.11.2015 | Original Article

Comparison of two electronic apex locators on human cadavers

verfasst von: Luca Marigo, Gian Luca Gervasi, Francesco Somma, Giuseppe Squeo, Raffaella Castagnola

Erschienen in: Clinical Oral Investigations | Ausgabe 7/2016

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Abstract

Objective

The aim of this study on human cadavers was to compare the accuracy of two electronic apex locators (EALs) Dentaport ZX (J. Morita Corporation, Tokyo, Japan) and Raypex 6 (VDW, Munich, Germany).

Materials and methods

Twenty-two single rooted teeth of four human cadaver heads were scheduled for this study. Before the extraction, an access cavity was opened and the crown was cut to establish a stable reference point for all measurements. The working length determination was performed with Dentaport ZX and Raypex 6 in the presence or not of 5.25 % sodium hypochlorite (SH) using a k-file 10. The teeth were then extracted and the real working length (RWL) was measured under a stereomicroscope at ×30 magnification. The difference between the two working lengths was calculated: positive values indicate measurements exceeding the foramen, while negative values indicated measurements short of the foramen. The data were analyzed with a t test analysis.

Results

The mean of distances was 0.33 ± 0.20 mm and 0.32 ± 0.2 mm for Dentaport ZX respectively in the presence or not of SH and 0.38 ± 0.20 mm and 0.39 ± 0.19 mm for Raypex 6. No statistical differences were found between the two devices (p > 0.05).

Conclusions

Both apex locators showed a high accuracy in the presence or not of SH.

Clinical relevance

Both electronic apex locators can be recommended for clinical use and their accuracy is not affected by SH.
Literatur
1.
Zurück zum Zitat Estrela C, Estrela CR, Decurcio DA, Hollanda AC, Silva JA (2007) Antimicrobial efficacy of ozonated water, gaseous ozone, sodium hypochlorite and chlorhexidine in infected human root canals. Int Endod J 40:85–93CrossRefPubMed Estrela C, Estrela CR, Decurcio DA, Hollanda AC, Silva JA (2007) Antimicrobial efficacy of ozonated water, gaseous ozone, sodium hypochlorite and chlorhexidine in infected human root canals. Int Endod J 40:85–93CrossRefPubMed
2.
Zurück zum Zitat Kuttler Y (1955) Microscopic investigation of root apexes. J Am DentAssoc 50:545–552 Kuttler Y (1955) Microscopic investigation of root apexes. J Am DentAssoc 50:545–552
4.
Zurück zum Zitat Dummer PMH, McGinn JH, Rees DG (1984) The position and topography of the apical canal constriction and apical foramen. Int Endod J 17:192–198CrossRefPubMed Dummer PMH, McGinn JH, Rees DG (1984) The position and topography of the apical canal constriction and apical foramen. Int Endod J 17:192–198CrossRefPubMed
5.
Zurück zum Zitat Ricucci D, Langeland K (1998) Apical limit of root canal instrumentation and obturation, part 2. A histological study. Int Endod J 31:394–409CrossRefPubMed Ricucci D, Langeland K (1998) Apical limit of root canal instrumentation and obturation, part 2. A histological study. Int Endod J 31:394–409CrossRefPubMed
6.
Zurück zum Zitat Basmadjian-Charles CL, Farge P, Bourgeois DM, Lebrun T (2002) Factors influencing the long term results of endodontic treatment: a review of the literature. Int Dent J 52:81–86CrossRefPubMed Basmadjian-Charles CL, Farge P, Bourgeois DM, Lebrun T (2002) Factors influencing the long term results of endodontic treatment: a review of the literature. Int Dent J 52:81–86CrossRefPubMed
7.
Zurück zum Zitat Kojima K, Inamoto K, Nagamatsu K, et al. (2004) Success rate of endodontic treatment of teeth with vital and nonvital pulps. A meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:95–99CrossRefPubMed Kojima K, Inamoto K, Nagamatsu K, et al. (2004) Success rate of endodontic treatment of teeth with vital and nonvital pulps. A meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:95–99CrossRefPubMed
8.
Zurück zum Zitat Real DG, Davidowicz H, Moura-Netto C (2011) Accuracy of working length determination using 3 electronic apex locators and direct digital radiography. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics 111:44–49CrossRef Real DG, Davidowicz H, Moura-Netto C (2011) Accuracy of working length determination using 3 electronic apex locators and direct digital radiography. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics 111:44–49CrossRef
9.
Zurück zum Zitat Shanmugaraj M, Nivedha R, Mathan R, Balagopal S (2007) Evaluation of working length determination methods: an in vivo/ex vivo study. Indian Dent Res 18:60–62CrossRef Shanmugaraj M, Nivedha R, Mathan R, Balagopal S (2007) Evaluation of working length determination methods: an in vivo/ex vivo study. Indian Dent Res 18:60–62CrossRef
10.
Zurück zum Zitat Gutierrez JH, Aguayo P (1995) Apical foraminal openings in human teeth. Number and location. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:769–777CrossRefPubMed Gutierrez JH, Aguayo P (1995) Apical foraminal openings in human teeth. Number and location. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:769–777CrossRefPubMed
11.
Zurück zum Zitat Vieyra JP, Acosta J, Mondaca JM (2010) Comparison of working length determination with radiographs and two electronic apex locators. Int Endod J 43:16–20CrossRefPubMed Vieyra JP, Acosta J, Mondaca JM (2010) Comparison of working length determination with radiographs and two electronic apex locators. Int Endod J 43:16–20CrossRefPubMed
12.
Zurück zum Zitat Martins JN, Marques D, Mata A, Caramês J (2014) Clinical efficacy of electronic apex locators: systematic review. J Endod 40:759–777CrossRefPubMed Martins JN, Marques D, Mata A, Caramês J (2014) Clinical efficacy of electronic apex locators: systematic review. J Endod 40:759–777CrossRefPubMed
13.
Zurück zum Zitat Pratten H, Mc Donald JN (1996) Comparison of radiographic and electronic working lengths. J Endod 22:173–176CrossRefPubMed Pratten H, Mc Donald JN (1996) Comparison of radiographic and electronic working lengths. J Endod 22:173–176CrossRefPubMed
14.
Zurück zum Zitat Mayeda DL, Simon JH, Aimar DF, Finley K (1993) In vivo measurement accuracy in vital and necrotic canals with the Endex apex locator. J Endod 19:545–548CrossRefPubMed Mayeda DL, Simon JH, Aimar DF, Finley K (1993) In vivo measurement accuracy in vital and necrotic canals with the Endex apex locator. J Endod 19:545–548CrossRefPubMed
15.
Zurück zum Zitat Shabahang S, Goon WW, Gluskin AH (1996) An in vivo evaluation of Root ZX electronic apex locator. J Endod 22:616–618CrossRefPubMed Shabahang S, Goon WW, Gluskin AH (1996) An in vivo evaluation of Root ZX electronic apex locator. J Endod 22:616–618CrossRefPubMed
16.
Zurück zum Zitat Venturi M, Breschi L (2007) A comparison between two electronic apex locators: an ex vivo investigation. Int Endod 40:362–373CrossRef Venturi M, Breschi L (2007) A comparison between two electronic apex locators: an ex vivo investigation. Int Endod 40:362–373CrossRef
17.
Zurück zum Zitat Pagavino G, Pace R, Baccetti T (1998) A SEM study of in vivo accuracy of the Root ZX electronic apex locator. J Endod 24:438–441CrossRefPubMed Pagavino G, Pace R, Baccetti T (1998) A SEM study of in vivo accuracy of the Root ZX electronic apex locator. J Endod 24:438–441CrossRefPubMed
18.
Zurück zum Zitat Weiger R, John C, Geigle H, Löst C (1999) An in vitro comparison of two modern apex locators. J Endod 25:765–768CrossRefPubMed Weiger R, John C, Geigle H, Löst C (1999) An in vitro comparison of two modern apex locators. J Endod 25:765–768CrossRefPubMed
19.
Zurück zum Zitat Welk AR, Baumgartner JC, Marshall JG (2003) An in vivo comparison of two frequency-based electronic apex locators. J Endod 29:497–500CrossRefPubMed Welk AR, Baumgartner JC, Marshall JG (2003) An in vivo comparison of two frequency-based electronic apex locators. J Endod 29:497–500CrossRefPubMed
20.
Zurück zum Zitat Ozsezer E, Inan U, Aydin U (2007) In vivo evaluation of ProPex electronic apex locator. J Endod 33:974–977CrossRefPubMed Ozsezer E, Inan U, Aydin U (2007) In vivo evaluation of ProPex electronic apex locator. J Endod 33:974–977CrossRefPubMed
21.
Zurück zum Zitat Meares WA, Steiman HR (2009) The influence of sodium hypochlorite irrigation on the accuracy of the Root ZX electronic apex locator. J Endod 28:595–598CrossRef Meares WA, Steiman HR (2009) The influence of sodium hypochlorite irrigation on the accuracy of the Root ZX electronic apex locator. J Endod 28:595–598CrossRef
23.
Zurück zum Zitat Guise GM, Goodell GG, Imamura GM (2010) In vitro comparison of three electronic apex locators. J Endod 36:279–281CrossRefPubMed Guise GM, Goodell GG, Imamura GM (2010) In vitro comparison of three electronic apex locators. J Endod 36:279–281CrossRefPubMed
24.
Zurück zum Zitat Columb MO, Stevens A (2008) Power analysis and sample size calculations. Curr Anaesth Crit Care 19:12–14CrossRef Columb MO, Stevens A (2008) Power analysis and sample size calculations. Curr Anaesth Crit Care 19:12–14CrossRef
25.
Zurück zum Zitat Lee SJ, Nam KC, Kim YJ, Kim DW (2002) Clinical accuracy of a new apex locator with an automatic compensation circuit. J Endod 28:706–709CrossRefPubMed Lee SJ, Nam KC, Kim YJ, Kim DW (2002) Clinical accuracy of a new apex locator with an automatic compensation circuit. J Endod 28:706–709CrossRefPubMed
26.
Zurück zum Zitat Ounsi HF, Naaman A (1999) In vitro evaluation of the reliability of the Root ZX electronic apex locator. Int Endod J 32:120–123CrossRefPubMed Ounsi HF, Naaman A (1999) In vitro evaluation of the reliability of the Root ZX electronic apex locator. Int Endod J 32:120–123CrossRefPubMed
27.
Zurück zum Zitat Stöber EK, de Ribot J, Mercadé M, Vera J, Bueno R, Roig M, Duran-Sindreu F (2011) Evaluation of the Raypex 5 and the Mini Apex Locator: an in vivo study. J Endod 37:1349–1352CrossRefPubMed Stöber EK, de Ribot J, Mercadé M, Vera J, Bueno R, Roig M, Duran-Sindreu F (2011) Evaluation of the Raypex 5 and the Mini Apex Locator: an in vivo study. J Endod 37:1349–1352CrossRefPubMed
28.
Zurück zum Zitat Duran-Sindreu F, Gomes S, Stöber E, Mercadé M, Jané L, Roig M (2013) In vivo evaluation of the iPex and Root ZX electronic apex locators using various irrigants. Int Endod J 46:769–774CrossRefPubMed Duran-Sindreu F, Gomes S, Stöber E, Mercadé M, Jané L, Roig M (2013) In vivo evaluation of the iPex and Root ZX electronic apex locators using various irrigants. Int Endod J 46:769–774CrossRefPubMed
29.
Zurück zum Zitat Gomes S, Oliver R, Macouzet C, Mercadé M, Roig M, Duran-Sindreu F (2012) In vivo evaluation of the Raypex 5 by using different irrigants. J Endod 38:1075–1057CrossRefPubMed Gomes S, Oliver R, Macouzet C, Mercadé M, Roig M, Duran-Sindreu F (2012) In vivo evaluation of the Raypex 5 by using different irrigants. J Endod 38:1075–1057CrossRefPubMed
30.
Zurück zum Zitat Lucena C, Lopez JM, Martın JA, Robles V, Gonzalez-Rodrıguez MP (2014) Accuracy of working length measurement: electronic apex locator versus cone-beam computed tomography. Int Endod J 47:246–256CrossRefPubMed Lucena C, Lopez JM, Martın JA, Robles V, Gonzalez-Rodrıguez MP (2014) Accuracy of working length measurement: electronic apex locator versus cone-beam computed tomography. Int Endod J 47:246–256CrossRefPubMed
Metadaten
Titel
Comparison of two electronic apex locators on human cadavers
verfasst von
Luca Marigo
Gian Luca Gervasi
Francesco Somma
Giuseppe Squeo
Raffaella Castagnola
Publikationsdatum
04.11.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Oral Investigations / Ausgabe 7/2016
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-015-1644-8

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