Comparative evaluation of working length determination by using conventional radiography, digital radiography and electronic apex locator

2015 ◽  
Vol 3 (3) ◽  
pp. 70 ◽  
Author(s):  
MeenuGarg Singla ◽  
Rakesh Mittal ◽  
Ashima Sood ◽  
Anchal Singla
Keyword(s):  
Digital Radiography ◽  
Comparative Evaluation ◽  
Conventional Radiography ◽  
Working Length ◽  
Length Determination ◽  
Electronic Apex Locator

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 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 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.

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