J Korean Acad Conserv Dent. 2008 Jan;33(1):20-27. Korean.
Published online Jan 31, 2008.
Copyright © 2008 The Korean Academy of Conservative Dentistry
Original Article

In vitro evaluation of the consistency of two electronic apex locators

Gyu-Young Hwang, Byoung-Duck Roh, Eui-Sung Kim and Seung-Jong Lee
    • Department of Conservative Dentistry, School of Dentistry, Yonsei University, Korea.
Received October 26, 2007; Revised December 01, 2007; Accepted December 26, 2007.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this study was to evaluate the consistency of two electronic apex locators in vitro model.

Materials consisted of fifty two extracted premolars and two electronic apex locators; Root ZX (J. Morita, Osaka, Japan) and E-Magic Finder Deluxe (S-Denti, Cheonan, Korea). After access preparation, the teeth were embedded in a saline-mixed alginate model. Canal lengths of each tooth were measured at "0.5" and "Apex" mark of the apex locators, respectively so that each tooth had two measurements from 0.5 and Apex points. The file was fixed at final measurement using a glass ionomer cement. The apical 4 mm from the apex was exposed to measure the distance from the file tip to the major apical foramen of each tooth. Average distances and standard deviations were used to evaluate the consistency.

Results showed that all measurements of both Root ZX and E-Magic Finder located the major foramen the range of ± 0.5 mm level. Both apex locators showed better consistency at Apex mark than at 0.5 mark. The average distance of file tip-major foramen was - 0.18 mm at 0.5 mark and - 0.07 mm at Apex mark in Root ZX, - 0.25 mm at 0.5 mark and - 0.02 mm at Apex mark in E-Magic Finder. Standard deviation was 0.21 at 0.5 mark and 0.12 at Apex mark in Root ZX, 0.12 at 0.5 mark and 0.09 at Apex mark in E-Magic Finder.

Keywords
Alginate model; apical constriction; consistency; electronic apex locator; major foramen

Figures

Figure 3
Length measurements with digital caliper.

Figure 4
Distance from file tip to major foramen with EasyDent Viewer.

Figure 5
Box plots: Quartile of file tip-major foramen distance at 0.5 mark and Apex mark.

Tables

Table 1
Distance of file tip-major foramen at 0.5 mark and Apex mark (mm)

Table 2
Difference of the length at 0.5 mark and Apex mark

Table 3
Range of Apex band

References

    1. Seltzer S, Soltanoff W, Sinai I, Goldenberg A, Bender IB. Biologic aspects of endodontics. Part III. Periapical tissue reactions to root canal instrumentation. Oral Surg Oral Med Oral Pathol 1968;26:534–546. 694–705.
    1. Kuttler Y. Microscopic investigation of root apexes. J Am Dent Assoc 1955;50:544–552.
    1. Lee SJ, Nam KC, Kim YJ, Kim DW. Clinical accuracy of a new apex locator with an automatic compensation circuit. J Endod 2002;28:706–709.
    1. Sunada I. New method for the measuring the length of the root canal. J Dent Res 1962;41:375–387.
    1. Inoue N. An audiometric method for determining the length of root canals. J Can Dent Assoc (Tor) 1973;39:630–636.
    1. Frank AL, Torabinejad M. An in vivo evaluation of Endex electronic apex locator. J Endod 1993;19:177–179.
    1. Kobayashi C, Okiji T, Kaqwashima N, Suda H, Sunada I. A basic study on the electronic root canal length measurement: Part 3. Newly designed electronic root canal length measuring device using division method. Jpn J Conservative Dent 1991;34:1442–1448.
    1. Kobayashi C, Suda H. New electronic canal measuring device based on the ratio method. J Endod 1994;20:111–114.
    1. Kobayashi C. Electronic canal length measurement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:226–231.
    1. Kaufman AY, Keila S, Yoshpe M. Accuracy of a new apex locator: an in vitro study. Int Endod J 2002;35:186–192.
    1. Fouad AF, Rivera EM, Krell KV. Accuracy of the Endex with variations in canal irrigants and foramen size. J Endod 1993;19:63–67.
    1. Riccuci D, Langeland K. Apical limit of root canal instrumentation and obturation. Int Endod J 1998;31:394–409.
    1. Dummer PM, McGinn JH, Rees DG. Theposition and topography of the apical canal constriction and apical foramen. Int Endod J 1984;17:192–198.
    1. Green D. Stereomicroscopic study of 700 root apices of maxillary and mandibular posterior teeth. Oral Surg Oral Med Oral Pathol 1960;13:728–733.
    1. Dunlap CA, Remeikis NA, BeGole EA, Rauschenberger CR. An in vivo evaluation of an electronic apex locator that uses the ratio method. J Endod 1998;24:48–50.
    1. Pagavino G, Pace R, Baccetti T. A SEM study of in vivo accuracy of the Root ZX electronic apex locator. J Endod 1998;24:438–441.
    1. Tselnik M, Baumgartner CJ, Marshall GJ. An evaluation of Root ZX and Elements Diagnostic Apex Locators. J Endod 2005;31:507–509.

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