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Published in: Clinical Oral Investigations 9/2018

01-12-2018 | Original Article

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

Authors: Franziska Haupt, M Hülsmann

Published in: Clinical Oral Investigations | Issue 9/2018

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Abstract

Objectives

To assess the consistency of electronic determination of endodontic working length obtained from four identical electronic root canal length measurement devices (ERCLMD) from five different types of ERCLMD each under various in vitro conditions.

Materials and methods

Eight extracted teeth, seven single-rooted teeth, and one molar were accessed. Root length was measured and instruments were inserted and fixed with the tip placed beyond and short of the apical constriction, in roots with an artificial perforation or an open apex. Devices tested were Root ZX (Morita, Kyoto, Japan), Dentaport ZX (Morita), Apex ID (SybronEndo, Glendora, USA), ProPex II (Dentsply Maillefer, Victoria, Australia), and Raypex 6 (VDW-Antaeos, Munich, Germany). Teeth were irrigated with different solutions (NaOCl, EDTA, CHX). ERCLMDs were connected and measurements were recorded. Consistency was classified by the scores 0–4. Comparisons were carried out using the Kruskal-Wallis test (α = 0.05). For multiple testing, the level of significance was adjusted and analysis was performed using the Mann-Whitney U test.

Results

Among the five types of ERCLMD, Apex ID and Raypex 6 showed the highest consistency. There was no statistically significant difference between the settings and conditions. Raypex 6 showed the highest consistency for measurements in case of a perforation.

Conclusion

Different devices from one type of ERCLMD show a high consistency. Nevertheless, general statements on the accuracy of one type of ERCLMD taken from studies investigating only one device per type should be drawn with caution.

Clinical relevance

The study refers to the reliability and repeatability of determination of endodontic working length by using ERCLMDs.
Literature
1.
go back to reference Dummer PM, McGinn JH, Rees DG (1984) The position and topography of the apical canal constriction and apical foramen. Int Endod J 17:192–198CrossRef Dummer PM, McGinn JH, Rees DG (1984) The position and topography of the apical canal constriction and apical foramen. Int Endod J 17:192–198CrossRef
2.
go back to reference Wu MK, Wesselink PR, Walton RE (2000) Apical terminus location of root canal treatment procedures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:99–103CrossRef Wu MK, Wesselink PR, Walton RE (2000) Apical terminus location of root canal treatment procedures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89:99–103CrossRef
3.
go back to reference Vieyra JP, Acosta J (2011) Comparison of working length determination with radiographs and four electronic apex locators. Int Endod J 44:510–518CrossRef Vieyra JP, Acosta J (2011) Comparison of working length determination with radiographs and four electronic apex locators. Int Endod J 44:510–518CrossRef
4.
go back to reference Saatchi M, Aminozarbian MG, Hasheminia SM, Mortaheb A (2014) Influence of apical periodontitis on the accuracy of 3 electronic root canal length measurement devices: an in vivo study. J Endod 40:355–359CrossRef Saatchi M, Aminozarbian MG, Hasheminia SM, Mortaheb A (2014) Influence of apical periodontitis on the accuracy of 3 electronic root canal length measurement devices: an in vivo study. J Endod 40:355–359CrossRef
5.
go back to reference Welk AR, Baumgartner JC, Marshall JG (2003) An in vivo comparison of two frequency-based electronic apex locators. J Endod 29:497–500CrossRef Welk AR, Baumgartner JC, Marshall JG (2003) An in vivo comparison of two frequency-based electronic apex locators. J Endod 29:497–500CrossRef
6.
go back to reference Duran-Sindreu F, Stöber E, Mercadé M, Vera J, Garcia M, Bueno R, Roig M (2012) Comparison of in vivo and in vitro readings when testing the accuracy of the Root ZX apex locator. J Endod 38:236–239CrossRef Duran-Sindreu F, Stöber E, Mercadé M, Vera J, Garcia M, Bueno R, Roig M (2012) Comparison of in vivo and in vitro readings when testing the accuracy of the Root ZX apex locator. J Endod 38:236–239CrossRef
7.
go back to reference Steffen H, Löw A (1999) Klinische Bewertung der Messgenauigkeit des Root ZX im Vergleich zur Röntgenmessaufnahme. Dtsch Zahnärztl Z 54:559–562 Steffen H, Löw A (1999) Klinische Bewertung der Messgenauigkeit des Root ZX im Vergleich zur Röntgenmessaufnahme. Dtsch Zahnärztl Z 54:559–562
8.
go back to reference Aurelio JA, Nahmias Y, Gerstein H (1983) A model for demonstrating an electronic canal length measuring device. J Endod 9:568–569CrossRef Aurelio JA, Nahmias Y, Gerstein H (1983) A model for demonstrating an electronic canal length measuring device. J Endod 9:568–569CrossRef
9.
go back to reference Czerw RJ, Fulkerson MS, Donnelly JC (1994) An in vitro test of a simplified model to demonstrate the operation of electronic root canal measuring devices. J Endod 20:605–606CrossRef Czerw RJ, Fulkerson MS, Donnelly JC (1994) An in vitro test of a simplified model to demonstrate the operation of electronic root canal measuring devices. J Endod 20:605–606CrossRef
10.
go back to reference Baldi JV, Victorino FR, Bernardes RA, de Moraes IG, Bramante CM, Garcia RB, Bernardineli N (2007) Influence of embedding media on the assessment of electronic apex locators. J Endod 33:476–479CrossRef Baldi JV, Victorino FR, Bernardes RA, de Moraes IG, Bramante CM, Garcia RB, Bernardineli N (2007) Influence of embedding media on the assessment of electronic apex locators. J Endod 33:476–479CrossRef
11.
go back to reference Huang L (1987) An experimental study of the principle of electronic root canal measurement. J Endod 13:60–64CrossRef Huang L (1987) An experimental study of the principle of electronic root canal measurement. J Endod 13:60–64CrossRef
12.
go back to reference Meares WA, Steiman HR (2002) 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 (2002) The influence of sodium hypochlorite irrigation on the accuracy of the Root ZX electronic apex locator. J Endod 28:595–598CrossRef
13.
go back to reference de Vasconcelos BC, do Vale TM, de Menezes AST et al (2010) An ex vivo comparison of root canal length determination by three electronic apex locators at positions short of the apical foramen. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110:e57–e61CrossRef de Vasconcelos BC, do Vale TM, de Menezes AST et al (2010) An ex vivo comparison of root canal length determination by three electronic apex locators at positions short of the apical foramen. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110:e57–e61CrossRef
14.
go back to reference de VBC, Medeiros Bueno M, Luna-Cruz SM et al (2013) Accuracy of five electronic foramen locators with different operating systems: an ex vivo study. J Appl Oral Sci Rev FOB 21:132–137CrossRef de VBC, Medeiros Bueno M, Luna-Cruz SM et al (2013) Accuracy of five electronic foramen locators with different operating systems: an ex vivo study. J Appl Oral Sci Rev FOB 21:132–137CrossRef
15.
go back to reference Briseño-Marroquín B, Frajlich S, Goldberg F, Willershausen B (2008) Influence of instrument size on the accuracy of different apex locators: an in vitro study. J Endod 34:698–702CrossRef Briseño-Marroquín B, Frajlich S, Goldberg F, Willershausen B (2008) Influence of instrument size on the accuracy of different apex locators: an in vitro study. J Endod 34:698–702CrossRef
16.
go back to reference Cianconi L, Angotti V, Felici R et al (2011) Exact determination of the working length by electronic apex locators, digital radiology, and visual test: presentation of a new experimental research strategy—an ex-vivo study. G Ital Endod 25:24–32 Cianconi L, Angotti V, Felici R et al (2011) Exact determination of the working length by electronic apex locators, digital radiology, and visual test: presentation of a new experimental research strategy—an ex-vivo study. G Ital Endod 25:24–32
17.
go back to reference Kang J-A, Kim SK (2008) Accuracies of seven different apex locators under various conditions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:e57–e62CrossRef Kang J-A, Kim SK (2008) Accuracies of seven different apex locators under various conditions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:e57–e62CrossRef
18.
go back to reference Pilot TF, Pitts DL (1997) Determination of impedance changes at varying frequencies in relation to root canal file position and irrigant. J Endod 23:719–724CrossRef Pilot TF, Pitts DL (1997) Determination of impedance changes at varying frequencies in relation to root canal file position and irrigant. J Endod 23:719–724CrossRef
19.
go back to reference Shin H-S, Yang W-K, Kim M-R, Ko HJ, Cho KM, Park SH, Kim JW (2012) Accuracy of Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigant. Restor Dent Endod 37:149–154CrossRef Shin H-S, Yang W-K, Kim M-R, Ko HJ, Cho KM, Park SH, Kim JW (2012) Accuracy of Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigant. Restor Dent Endod 37:149–154CrossRef
20.
go back to reference Altunbaş D, Kuştarcı A, Toyoğlu M (2017) The influence of various irrigants on the accuracy of 2 electronic apex locators in locating simulated root perforations. J Endod 43:439–442CrossRef Altunbaş D, Kuştarcı A, Toyoğlu M (2017) The influence of various irrigants on the accuracy of 2 electronic apex locators in locating simulated root perforations. J Endod 43:439–442CrossRef
21.
go back to reference Ebrahim AK, Wadachi R, Suda H (2007) An in vitro evaluation of the accuracy of Dentaport ZX apex locator in enlarged root canals. Aust Dent J 52:193–197CrossRef Ebrahim AK, Wadachi R, Suda H (2007) An in vitro evaluation of the accuracy of Dentaport ZX apex locator in enlarged root canals. Aust Dent J 52:193–197CrossRef
22.
go back to reference Akisue E, Gratieri SD, Barletta FB, Caldeira CL, Grazziotin-Soares R, Gavini G (2014) Not all electronic foramen locators are accurate in teeth with enlarged apical foramina: an in vitro comparison of 5 brands. J Endod 40:109–112CrossRef Akisue E, Gratieri SD, Barletta FB, Caldeira CL, Grazziotin-Soares R, Gavini G (2014) Not all electronic foramen locators are accurate in teeth with enlarged apical foramina: an in vitro comparison of 5 brands. J Endod 40:109–112CrossRef
23.
go back to reference ElAyouti A, Kimionis I, Chu A-L, Löst C (2005) Determining the apical terminus of root-end resected teeth using three modern apex locators: a comparative ex vivo study. Int Endod J 38:827–833CrossRef ElAyouti A, Kimionis I, Chu A-L, Löst C (2005) Determining the apical terminus of root-end resected teeth using three modern apex locators: a comparative ex vivo study. Int Endod J 38:827–833CrossRef
24.
go back to reference Herrera M, Ábalos C, Lucena C, Jiménez-Planas A, Llamas R (2011) Critical diameter of apical foramen and of file size using the Root ZX apex locator: an in vitro study. J Endod 37:1306–1309CrossRef Herrera M, Ábalos C, Lucena C, Jiménez-Planas A, Llamas R (2011) Critical diameter of apical foramen and of file size using the Root ZX apex locator: an in vitro study. J Endod 37:1306–1309CrossRef
25.
go back to reference Ebrahim AK, Wadachi R, Suda H (2006) Ex vivo evaluation of the ability of four different electronic apex locators to determine the working length in teeth with various foramen diameters. Aust Dent J 51:258–262CrossRef Ebrahim AK, Wadachi R, Suda H (2006) Ex vivo evaluation of the ability of four different electronic apex locators to determine the working length in teeth with various foramen diameters. Aust Dent J 51:258–262CrossRef
26.
go back to reference Arora RK, Gulabivala K (1995) An in vivo evaluation of the ENDEX and RCM Mark II electronic apex locators in root canals with different contents. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:497–503CrossRef Arora RK, Gulabivala K (1995) An in vivo evaluation of the ENDEX and RCM Mark II electronic apex locators in root canals with different contents. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:497–503CrossRef
27.
go back to reference 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 19:545–548CrossRef 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 19:545–548CrossRef
Metadata
Title
Consistency of electronic measurements of endodontic working length when using multiple devices from the same manufacturer—an in vitro study
Authors
Franziska Haupt
M Hülsmann
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 9/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2404-3

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