scholarly journals Accuracy of Working Length Measured by Apex Locator and Digital Radiography

2021 ◽  
Vol 30 (1) ◽  
pp. 24-28
Author(s):  
Ghulam Ishaq Khan ◽  
◽  
Muhammad Talha Khan ◽  
Saroosh Ehsan ◽  
Anam Fayyaz ◽  
...  
Keyword(s):  
Digital Radiography ◽  
Root Canal ◽  
Reference Points ◽  
Radiographic Measurement ◽  
Apical Constriction ◽  
Actual Length ◽  
Actual Working ◽  
Working Length ◽  
Length Determination ◽  
Electronic Apex Locator

OBJECTIVE: The objective of this study was to compare the measurements of electronic and radiographic method of working lengths calculation with actual working length of root canals. Precise working length determination is the most important part for successful root canal procedure. The most commonly used methods to determine the working length in root canal treatment are radiography and electronic apex locator. METHODOLOGY: A cross sectional study was done over a period of 06 months in the Department of Operative Dentistry, Fatima Memorial Hospital, Lahore. Sixty patients who were recommended extraction of their premolar teeth with sixty canals were selected by convenience sampling. The Root ZX* apex locator was used to determine electronic working length exactly identifying the apical constriction. Reference points were identified and radiographic working length were determined 1mm short of radiographic apex. The teeth were extracted along with file cemented before extraction inside root canal. The actual length of the root canal was then calculated using the same files and reference point with 3.5X magnification. Pearson chi square test was applied to compare the apex locator and digital radiographic measurement with actual working length. RESULTS: The Root ZX® apex locator was 95% accurate to identify the apical constriction as compared 70% accuracy given by radiographs within 0.5 mm of the apex. CONCLUSION: Electronic apex locator was more accurate as compared to digital radiography in working length determination. KEYWORDS: Working length (WL), Electronic apex locators (EAL), Radiographic working length(RWL), Apical constriction (AC) HOW TO CITE: Khan GI, Khan MT, Ehsan S, Fayyaz A, Malik HA, Hussain S. Accuracy of working length measured by apex locator and digital radiography. J Pak Dent Assoc 2021;30(1):24-28.

scholarly journals Endodontic length measurements using 3D Endo, cone-beam computed tomography, and electronic apex locator

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Khoa Van Pham
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Actual Length ◽  
Exact Test ◽  
Working Length ◽  
Length Determination ◽  
Mean Differences ◽  
Electronic Apex Locator

Abstract Background The objective of this study is to investigate the accuracy of the 3D Endo software, cone-beam computed tomography (CBCT) software, and the electronic apex locator (EAL) in endodontic length determination. Methods 302 root canals in 111 human extracted molars were chosen. Access cavity was performed, and root canal lengths were measured with a digital caliper for actual length (AL) and EAL for electronic length. Teeth were then scanned using CBCT device at voxel size of 0.10 mm. It measured root canal lengths using the CBCT (Romexis Viewer), 3D Endo for proposed length (3D-PL) and correct length (3D-CL). Mean differences between the four methods with the AL were calculated and compared. Fisher’s exact test, paired t-test, Bland-Altman plot were used to test the differences among the experimental modalities in working length determination at the significance of 0.05. Results The accuracy in the range of ± 0.5 mm of the EAL ProPex II was highest among the experimental modalities, however this method disagreed with the actual length. Conclusions The correct working length after adjustment from the semi-automatically length by the 3D Endo software and Romexis Viewer measurements agreed with the AL.

scholarly journals An in vitro Comparison of Root Canal Measurement in Permanent Teeth by Electronic Apex Locator, Conventional and Digital Radiography

2011 ◽  
Vol 2 (4) ◽  
pp. 312-315
Author(s):  
Alexander LNU ◽  
Musab Hamed Saeed ◽  
Nazil A Abtahl ◽  
A Praveen Pradeep
Keyword(s):  
Failure Rate ◽  
Digital Radiography ◽  
Root Canal ◽  
Correlation Coefficients ◽  
Conventional Radiography ◽  
Permanent Teeth ◽  
Radiographic Measurements ◽  
Interclass Correlation ◽  
Working Length ◽  
Electronic Apex Locator

ABSTRACT Introduction In endodontic treatment for permanent teeth, it is important to estimate the working length precisely. Currently, various methods are used in clinical practice for working length estimation. The objective of this study is to compare the accuracy of root canal length in permanent teeth determined by electronic apex locators, conventional and digital radiography. Materials and methods A total of 50 single rooted permanent teeth with mature apices were extracted for periodontal reasons and obtained from different sources without caries were studied. The radiographic measurements were done using paralleling technique. Electronic measurements were done next using third generation, DentAport ZX. Actual canal length of each tooth was measured using direct observation of the apical exit of the file. Measurements obtained from radiographic and electronic methods were compared to the actual tooth length. Interclass correlation coefficients and failure rate for each method and their combinations were calculated using STATA 12.0 software. Results The measurements obtained through all the three techniques showed high interclass correlation coefficients and excellent level of agreement. The failure rate of measurements obtained through conventional radiography, digital radiography and electronic apex locators was 38, 30 and 22% respectively. Combination of conventional radiography with electronic apex locator showed an accuracy of 90%, while combination of digital radiographs and electronic apex locators given an accuracy of 96%. Conclusion A combination of digital radiographic and apex locator methods for determining the root canal length in permanent teeth can be considered safe, reliable and precise.

scholarly journals An in vivo Evaluation of Different Methods of Working Length Determination

2013 ◽  
Vol 14 (4) ◽  
pp. 644-648 ◽  
Author(s):  
Nitin Shah ◽  
Sarita Singh ◽  
Jyoti Mandlik ◽  
Kalpana Pawar ◽  
Paras Gupta ◽  
...  
Keyword(s):  
Tactile Sensation ◽  
Pulp Chamber ◽  
In Vivo Evaluation ◽  
Extraction Working ◽  
Apical Constriction ◽  
Working Length ◽  
Length Measurements ◽  
Length Determination ◽  
Electronic Apex Locator

ABSTRACT Objective The purpose of this in vivo study was to compare the ability of digital tactile, digital radiographic and electronic methods to determine reliability in locating the apical constriction. Materials and methods Informed consent was obtained from patients scheduled for orthodontic extraction. The teeth were anesthetized, isolated and accessed. The canals were negotiated, pulp chamber and canals were irrigated and pulp was extirpated. The working length was then evaluated for each canal by digital tactile sensation, an electronic apex locator (The Root ZX) and digital radiography. The readings were then compared with post-extraction working length measurements. Results The percentage accuracy indicated that EAL method (Root ZX) shows maximum accuracy, i.e. 99.85% and digital tactile and digital radiographic method (DDR) showed 98.20 and 97.90% accuracy respectively. Clinical significance Hence, it can be concluded that the EAL method (Root ZX) produced most reliable results for determining the accurate working length. How to cite this article Mandlik J, Shah N, Pawar K, Gupta P, Singh S, Shaik SA. An in vivo Evaluation of Different Methods of Working Length Determination. J Contemp Dent Pract 2013;14(4):644-648.

scholarly journals Accuracy of Electronic Apex Locator for Determining the Root Canal Length in Presence of Blood - An In Vitro Study

1970 ◽  
Vol 37 (1) ◽  
pp. 15-18 ◽  
Author(s):  
AKM Bashar ◽  
Reema Joshi ◽  
MS Alam
Keyword(s):  
Root Canal ◽  
In Vitro Study ◽  
Actual Length ◽  
Single Root ◽  
Anterior Teeth ◽  
Acceptable Range ◽  
Working Length ◽  
Length Measurements ◽  
Electronic Apex Locator

Present study was conducted to evaluate the accuracy of Electronic Apex Locator to measure the root canal length in presence of blood, an unavoidable event during extirpation of vital pulp. A number of sixty (60) previously untreated extracted human maxillary and mandibular permanent mature anterior teeth having more or less straight roots with single root canal were included in the study. Root canal lengths were measured using a no. 15 k-file (Mani Inc, Tokyo Japan) in all the teeth until it was just visible through apical foramen that was confirmed by viewing them in Stereomicroscope. The measurements obtained by the Stereomicroscope of all teeth were consider as the ‘Gold standard' and was also consider as the actual length of those teeth. Using an Electronic Apex locator (Foramatron D 10, Percell, USA) was used to measure the canal length of the same sixty teeth introducing human blood into the canal. Now the measurements taken by Electronic Apex locator (EAL) in presence of blood were compared with the actual length taken by the stereomicroscope and difference in the error length compared with stereomicroscopic length were calculated in a range from -0.5mm to >1 mm. It was observed that working length measurements by EAL in presence of blood within canal mostly remain within clinically acceptable range (± 0.5 mm).   DOI: 10.3329/bmj.v37i1.3602 Bangladesh Medical Journal 37(1) 2008 15-18

scholarly journals Apex Locator - Booster to Dentist : Literature Review

2020 ◽  
Vol 3 (07) ◽  
Author(s):  
Swati Manhas ◽  
Sonia Lakra ◽  
Mehak ◽  
Abhishek Sharma ◽  
Kriti Garg ◽  
...  
Keyword(s):  
Literature Review ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Apical Constriction ◽  
Precise Control ◽  
3 Dimensional ◽  
Working Length ◽  
Electronic Method ◽  
Length Determination

Successful root canal treatment depends on thorough cleaning & shaping and 3- dimensional fluid impervious obturation of tooth within the confines of canals. To achieve this objective  the apical constriction must be detected accurately during canal preparation and precise  control over  working length  during the  procedure must  be maintained.  There are  many methods  of working length determination including  radigraphs  and electronic method(apex locator). Introduction of apex locators  have definitely served  as an effective adjuvant  to radiographs. 

scholarly journals A comparison between conventional and digital radiography in root canal working length determination

2013 ◽  
Vol 24 (2) ◽  
pp. 229 ◽  
Author(s):  
Ehsani Maryam ◽  
Mirzapour Ali ◽  
Moudi Ehsan ◽  
Yousefi Sajad ◽  
Khafri Soraya ◽  
...  
Keyword(s):  
Digital Radiography ◽  
Root Canal ◽  
Working Length ◽  
Length Determination

scholarly journals Comparison of root canal length measurement methods in primary teeth

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Mine Koruyucu ◽  
Merve Bayram ◽  
Yelda Kasımoğlu ◽  
Figen Seymen
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Root Canal ◽  
Primary Teeth ◽  
Conventional Radiography ◽  
Actual Length ◽  
Root Canals ◽  
Working Length ◽  
Electronic Apex Locator ◽  
Scanning Electron

Objectives: The purpose of this study was to evaluate the accuracy of conventional radiography, intraoral digital radiovisiography and electronic apex locator in determining the working length of root canals in primary teeth (in-vivo) and to compare the results with scanning electron microscopy measurements (ex-vivo). Materials and Methods: This study was conducted on 50 primary molar teeth. Standard endodontic access cavity preparations were prepared and the actual length was calculated by calibrated investigators. Working lengths were determined by using conventional radiography, RVG and apex locator in a total of 116 root canals. After the extraction of the teeth, each canal length was determined by using SEM. Data were analysed statistically by using Oneway Anova, Tukey HDS, Student t test and Bonferroni tests. Results: The mean root length measurements with conventional radiography were significantly higher than apex locator, RVG and SEM. The accuracy of apex locator and RVG were higher than conventional radiography in determining the working length in primary teeth. Conclusions: The electronic apex locators provide an acceptable level of accuracy in determining root canal length in primary teeth. Clinical Relevance: The purpose of this study was to evaluate the accuracy of conventional radiography, intraoral digital radiovisiography and electronic apex locator in determining the working length of root canals in primary teeth and,to compare the results with scanning electron microscopy measurements.

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