Skip to main content
Top
Published in: BMC Oral Health 1/2017

Open Access 01-12-2017 | Research article

Use of artificial primary teeth for endodontic laboratory research: experiments related to canal length determination

Authors: Anna Carolina V. Mello-Moura, Carmela R. Bresolin, Cacio Moura-Netto, André Ito, Angela T. Araki, José Carlos P. Imparato, Fausto M. Mendes

Published in: BMC Oral Health | Issue 1/2017

Login to get access

Abstract

Background

Due to the scarcity of exfoliated/extracted human primary teeth with complete roots, artificial teeth were developed as an alternative to be used for educational and laboratory research purposes. This study aimed to assess the feasibility of using artificial primary teeth for conducting laboratory research through an experiment related to canal length determination, comparing artificial teeth with natural teeth.

Methods

Thirty anterior and 21 posterior artificial teeth, and the same number of natural primary teeth were selected. After preparing the access cavity, the root canal length was determined by two examiners twice using three different methods: radiography and two electronic apex locators. Then, the actual root canal length was measured by inserting a K-file up to the apical foramen (reference standard). Accuracy was calculated using Bland-Altman analysis and intraclass correlation coefficient (ICC). The inter- and intra-examiner reproducibility was also calculated using the ICC.

Results

The methods using the electronic apex locators showed better accuracy in both artificial and natural teeth. Trends observed with artificial primary teeth were similar to those observed with natural teeth, except for the results in artificial anterior teeth.

Conclusions

The model of artificial teeth might be a good alternative for educational purposes; however, improvements are necessary to employ these teeth for research purposes when considering experiments for canal length determination.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kopel HM. Root canal therapy for primary teeth. J Mich State Dent Assoc. 1970;52:28–33.PubMed Kopel HM. Root canal therapy for primary teeth. J Mich State Dent Assoc. 1970;52:28–33.PubMed
2.
go back to reference American Academy of Pediatric Dentistry. Guideline on pulp terapy for primary and young permanent teeth. Pediatr Dent. 2008;30:170–4. American Academy of Pediatric Dentistry. Guideline on pulp terapy for primary and young permanent teeth. Pediatr Dent. 2008;30:170–4.
3.
go back to reference Journal of Endodontics. Editorial board: success and failure in Endodontics: an online study guide. J Endod. 2008;34:1–6. Journal of Endodontics. Editorial board: success and failure in Endodontics: an online study guide. J Endod. 2008;34:1–6.
4.
go back to reference Mello-Moura AC, Moura-Netto C, Araki AT, Guedes-Pinto AC, Mendes FM. Ex vivo performance of five methods for root canal length determination in primary anterior teeth. Int Endod J. 2010;43:142–7.CrossRefPubMed Mello-Moura AC, Moura-Netto C, Araki AT, Guedes-Pinto AC, Mendes FM. Ex vivo performance of five methods for root canal length determination in primary anterior teeth. Int Endod J. 2010;43:142–7.CrossRefPubMed
5.
go back to reference Leonardo MR, Silva LA, Nelson-Filho P, Silva RA, Raffaini MS. Ex vivo evaluation of the accuracy of two electronic apex locators during root canal length determination in primary teeth. Int Endod J. 2008;41:317–21.CrossRefPubMed Leonardo MR, Silva LA, Nelson-Filho P, Silva RA, Raffaini MS. Ex vivo evaluation of the accuracy of two electronic apex locators during root canal length determination in primary teeth. Int Endod J. 2008;41:317–21.CrossRefPubMed
6.
go back to reference Nadin G, Goel BR, Yeung CA, Glenny AM. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2003;1:CD003220. Nadin G, Goel BR, Yeung CA, Glenny AM. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2003;1:CD003220.
7.
go back to reference Smail-Faugeron V, Courson F, Durieux P, Muller-Bolla M, Glenny AM, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2014;8:CD003220. Smail-Faugeron V, Courson F, Durieux P, Muller-Bolla M, Glenny AM, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2014;8:CD003220.
8.
go back to reference Mejare IA, Klingberg G, Mowafi FK, Stecksen-Blicks C, Twetman SH, Tranaeus SH. A systematic map of systematic reviews in pediatric dentistry--what do we really know? PLoS One. 2015;10:e0117537.CrossRefPubMedPubMedCentral Mejare IA, Klingberg G, Mowafi FK, Stecksen-Blicks C, Twetman SH, Tranaeus SH. A systematic map of systematic reviews in pediatric dentistry--what do we really know? PLoS One. 2015;10:e0117537.CrossRefPubMedPubMedCentral
9.
go back to reference Guerreiro-Tanomaru JM, Croti HR, Silva GF, Tanomaru-Filho M. Tooth embedding medium influences the accuracy of electronic apex locator. Acta Odontol Latinoam. 2012;25:214–7.PubMed Guerreiro-Tanomaru JM, Croti HR, Silva GF, Tanomaru-Filho M. Tooth embedding medium influences the accuracy of electronic apex locator. Acta Odontol Latinoam. 2012;25:214–7.PubMed
10.
go back to reference Bitter K, Gruner D, Wolf O, Schwendicke F. Artificial versus natural teeth for preclinical endodontic training: a randomized controlled trial. J Endod. 2016;42:1212–7.CrossRefPubMed Bitter K, Gruner D, Wolf O, Schwendicke F. Artificial versus natural teeth for preclinical endodontic training: a randomized controlled trial. J Endod. 2016;42:1212–7.CrossRefPubMed
11.
go back to reference Ahmad IA, Pani SC. Accuracy of electronic apex locators in primary teeth: a meta-analysis. Int Endod J. 2015;48:298–307.CrossRefPubMed Ahmad IA, Pani SC. Accuracy of electronic apex locators in primary teeth: a meta-analysis. Int Endod J. 2015;48:298–307.CrossRefPubMed
12.
go back to reference Kielbassa AM, Muller U, Munz I, Monting JS. Clinical evaluation of the measuring accuracy of ROOT ZX in primary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;95:94–100.CrossRefPubMed Kielbassa AM, Muller U, Munz I, Monting JS. Clinical evaluation of the measuring accuracy of ROOT ZX in primary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;95:94–100.CrossRefPubMed
13.
go back to reference Martins JN, Marques D, Mata A, Carames J. Clinical efficacy of electronic apex locators: systematic review. J Endod. 2014;40:759–77.CrossRefPubMed Martins JN, Marques D, Mata A, Carames J. Clinical efficacy of electronic apex locators: systematic review. J Endod. 2014;40:759–77.CrossRefPubMed
14.
go back to reference Fouad AF, Rivera EM, Krell KV. Accuracy of the Endex with variations in canal irrigants and foramen size. J Endod. 1993;19:63–7.CrossRefPubMed Fouad AF, Rivera EM, Krell KV. Accuracy of the Endex with variations in canal irrigants and foramen size. J Endod. 1993;19:63–7.CrossRefPubMed
15.
go back to reference Saito T, Yamashita Y. Electronic determination of root canal length by newly developed measuring device. Influences of the diameter of apical foramen, the size of K-file and the root canal irrigants. Dent Jpn (Tokyo). 1990;27:65–72. Saito T, Yamashita Y. Electronic determination of root canal length by newly developed measuring device. Influences of the diameter of apical foramen, the size of K-file and the root canal irrigants. Dent Jpn (Tokyo). 1990;27:65–72.
16.
go back to reference Kim YJ, Chandler NP. Determination of working length for teeth with wide or immature apices: a review. Int Endod J. 2013;46:483–91.CrossRefPubMed Kim YJ, Chandler NP. Determination of working length for teeth with wide or immature apices: a review. Int Endod J. 2013;46:483–91.CrossRefPubMed
17.
go back to reference Angwaravong O, Panitvisai P. Accuracy of an electronic apex locator in primary teeth with root resorption. Int Endod J. 2009;42:115–21.CrossRefPubMed Angwaravong O, Panitvisai P. Accuracy of an electronic apex locator in primary teeth with root resorption. Int Endod J. 2009;42:115–21.CrossRefPubMed
18.
go back to reference Nelson-Filho P, Lucisano MP, Leonardo MR, da Silva RA, da Silva LA. Electronic working length determination in primary teeth by ProPex and digital signal processing. Aust Endod J. 2010;36:105–8.CrossRefPubMed Nelson-Filho P, Lucisano MP, Leonardo MR, da Silva RA, da Silva LA. Electronic working length determination in primary teeth by ProPex and digital signal processing. Aust Endod J. 2010;36:105–8.CrossRefPubMed
19.
go back to reference Dummer PM, Alodeh MH, Al-Omari MA. A method for the construction of simulated root canals in clear resin blocks. Int Endod J. 1991;24:63–6.CrossRefPubMed Dummer PM, Alodeh MH, Al-Omari MA. A method for the construction of simulated root canals in clear resin blocks. Int Endod J. 1991;24:63–6.CrossRefPubMed
20.
go back to reference Petersson K, Olsson H, Soderstrom C, Fouilloux I, Jegat N, Levy G. Undergraduate education in endodontology at two European dental schools. A comparison between the Faculty of Odontology, Malmo university, Malmo, Sweden and Faculty of Odontology, Paris 5 university (Rene Descartes), France. Eur J Dent Educ. 2002;6:176–81.CrossRefPubMed Petersson K, Olsson H, Soderstrom C, Fouilloux I, Jegat N, Levy G. Undergraduate education in endodontology at two European dental schools. A comparison between the Faculty of Odontology, Malmo university, Malmo, Sweden and Faculty of Odontology, Paris 5 university (Rene Descartes), France. Eur J Dent Educ. 2002;6:176–81.CrossRefPubMed
Metadata
Title
Use of artificial primary teeth for endodontic laboratory research: experiments related to canal length determination
Authors
Anna Carolina V. Mello-Moura
Carmela R. Bresolin
Cacio Moura-Netto
André Ito
Angela T. Araki
José Carlos P. Imparato
Fausto M. Mendes
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2017
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-017-0420-3

Other articles of this Issue 1/2017

BMC Oral Health 1/2017 Go to the issue