الملخص
This research aims to study the precision of Woodpex III Electronic Apex Locators for the type of File mixture used in determination, nickel titanium or stainless steel.
The sample included 20 single root and canal teeth and divided into two main groups (n=10 teeth each).
Dental crowns were cut horizontally to provide easy access to the root canal and a stable reference point. Then the actual working length (AWL) was measured by inserting a # 10 k-file until the file tip was just visible, 0.5 mm was subtracted from this length and the new length was considered as the actual working length.
In each group, the measurement was carried out using the Electronic Apex Locators, in the presence of distilled water in the channel, where the measurement was performed until the reading (0.0) was reached, and the value was taken and recorded.
Measurement is carried out in the first group with a stainless steel file and in the second group with a nickel titanium file and the results are compared.
Results: At the confidence level of 95%, there are no statistically significant differences in the average of working length between a group stainless steel file and nickel titanium file when using Electronic Apex Locators.
There is no effect of the difference of the file used (nickel titanium-stainless steel) on the measurement precision of the Woodpex III Electronic Apex Locators.
References
الحلبية، ح. 2018. مداواة الأسنان اللبية 1، منشورات جامعة حماة.، حماة.
A. Kustarci,D.Arsian, andD.Altunbag, “Invitro comparisonof working length determination using three different electronic apex locators,” Dental Research Journal, vol. 11, pp. 568– 573,2014.
Barthelemy J, Gregor L, Krejci I, Wataha J, Bouillaguet S. Accuracy of electronic apex locater-controlled handpieces. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:437-441.
Berman, l. h. & HARGREAVES, K. M. 2021. Pathways of the Pulp.
Burch JG, Hulen S. The relationship of the apical foramen to the anatomic apex of the tooth root. Oral Surg Oral Med Oral Pathol. 1972 Aug;34(2):262-8.
Chakravarthy Pishipati KV. An in vitro comparison of Propex II apex locator to standard radiographic method. Iran Endod J. 2013;8:114–117
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 2018:10 75–82.
Dinapadu S Et al. Accuracy of electronic apex locator in enlarged root canals with different root canal irrigants: An in vitro study. J Contemp Dent Pract. 2013; 14:649 52.
FERREIRA, I, BRAGA, A.C, PINA-VAZ, I. The Precision of Propex Pixi with Different Instruments and Coronal Preflaring Procedures. EUR Endod J 2019; 4: 75-9.
Gehlot,P,M , Manjunath,V , Manjunath,M,K. An in vitro evaluation of the accuracy of four electronic apex locators using stainless-steel and nickel-titanium hand files. 2016. The Korean Academy of Conservative Dentistry.
Grossman, L.: Endodontics practice.10th ed.,lea&feibiger,(193-195) (178-179) (212-213) 216,1981
HARGREAVES, K. M. & BERMAN, L. H. 2016. Cohen's pathways of the pulp.
Hülsmann M, Pieper K. Use of an electronic apex locator in the treatment of teeth with incomplete root formation, Endod Dent Traumatol 1989;5: 5
Ingle J, Bakland L, JC B. Ingle’s Endodontics 6. 6th ed. Hamilton: BC Decker; 2008.
INGLE, J. I., Rotstein, Ilan. 2019. Ingle's Endodontics 7, BC Decker
Janeczek, Kosior, 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 2016, Article ID 8594087, 7 pages
Jenkins JA, Walker WA, 3rd, Schindler WG, Flores CM. An in vitro evaluation of the accuracy of the root ZX in the presence of various irrigants. J Endod. 2001;27:209–211.
K. Raghu, J. G. Daniel, S. Razvi, R. Vinaychandra, A. Kini, and K. J. Nandakishore, “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 and Community Dentistry, vol. 4, no. 6, pp. 204–208, 2014.
M. Janeczek, W. Janeczek, A. Sender-Janeczek, and R.Henklewski, “Postępowanie w przypadku złamania kła z długotrwałą ekspozycją miazgi zęba u psa,” Acta Scientiarum Polonorum Medicina Veterinaria, vol. 3, pp. 37–43, 2004
Nekoofar MH, Ghandi MM, Hayes SJ, Dummer PMH. The fundamental operating principles of electronic root canal length measurement devices. Int Endod J 2006; 39: 595–609. doi:10.1111/j.1365-2591.2006.01131.
Pommer O, Stamm O, Attin T. Influence of the canal contents on the electrical assisted determination of the length of root canals. J Endod. 2002;28:83–85.
Puri N, Chadha R, Kumar P, Puri K. An in vitro comparison of root canal length determination by DentaPort ZX and iPex apex locators. J Conserv Dent. 2013;16:555–558.
Ravanshad S, Adl A, Anvar J. Effect of working length measurement by electronic apex locator or radiography on the adequacy of final working length: a randomized clinical trial. J Endod. 2010;36:1753–1756.
Sadeghi S, Abolghasemi M. The accuracy of the Raypex5 electronic apex locator using stainless-steel hand K-file versus nickel-titanium rotary Mtwo file. Med Oral Patol Oral Cir Bucal. 2010 Sep 1;15 (5):e788-90.
Santhosh L, Raiththa P, Aswathanarayana S, et al. Influence of root canal curvature on the accuracy of an electronic apex locator: an in vitro study. J Conserv Dent. 2014;17:583–586.
TIBTECH innovations: Properties table of Stainless steel, Metals and other Conductive materials. Available from: http://www.tibtech.com/conductivity.php (updated 2015 Mar 20).
Vertucci FJ, Haddix JE. Tooth Morphology and Access Cavity Preparation. In: Hargreaves KM, Cohen S, Berman LH, editors. Cohen’s Pathways of the Pulp. 10th ed. St. Louis, MO: Mosby Elsevier; 2011. pp. 136–222.
Vier Pelisser FV et al. Influence of the instrumentation technique and apical preparation diameter on calcium hydroxide filling in simulated curved canals. Indian J Dent Res. 2012; 23:784 8.
Walton R, Torabinejad M. Endodontics: principles and practice. 4th ed. St. Louis, MO: Saunders/Elsevier; 2009.
Wu MK, Wesselink PR, Walton RE. Apical terminus location of root canal treatment procedures, Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89: 1.