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A laboratory study of the accuracy of three electronic apex locators: influence of embedding media and radiographic assessment of the electronic apical limit.
Iparraguirre Nuñovero, M F; Piasecki, L; Segato, A V K; Westphalen, V P D; Silva Neto, U X; Carneiro, E.
Afiliação
  • Iparraguirre Nuñovero MF; Department of Endodontics, Life Sciences School, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
  • Piasecki L; Department of Periodontics and Endodontics, University at Buffalo, New York, NY, USA.
  • Segato AVK; Department of Endodontics, Life Sciences School, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
  • Westphalen VPD; Department of Endodontics, Life Sciences School, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
  • Silva Neto UX; Department of Endodontics, Life Sciences School, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
  • Carneiro E; Department of Endodontics, Life Sciences School, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Int Endod J ; 54(7): 1200-1206, 2021 Jul.
Article em En | MEDLINE | ID: mdl-33683733
AIM: To evaluate several factors that might interfere with the use of electronic root canal length measurement devices (ERCLMDs) in a laboratory setting, including two different embedding media (alginate and electroconductive gel), three different types of devices and the radiographic view on the assessment of the electronic readings. METHODOLOGY: Thirty single-rooted extracted human mandibular premolars were selected. After access and canal pre-flaring, a size 10 K-file was inserted in the canal up to the major apical foramen under magnification (×10), and this length was recorded as the actual length (AL) of the canal. Teeth were mounted on a specific endodontic training kit platform (ProTrain). Two different embedding media (electroconductive gel and alginate) and three different ERCLMDs: Apex ID (SybronEndo, Glendora, CA, USA), CanalPro Apex Locator (Coltene-Endo, Cuyahoga Falls, OH, USA) and the Root ZX II (J. Morita, Tokyo, Japan), were tested. Following the measurement at the 0.5 mark of each ERCLMD using alginate, two periapical radiographs (bucco-lingual and proximal views) were taken. The difference between the electronic readings and the AL, as well as the distance from the file tip to the apex of the roots on the radiographs, was calculated. Data were analysed statistically (two-way anova, Tukey's and chi-squared tests) at 5% significance level. RESULTS: The incidence of over-extended readings was significantly greater (P < 0.05) when using the ProTrain electroconductive gel, except for Root ZX II at the 0.5 mark. Root ZX, CanalPro and Apex ID had similar accuracy when the 0.0/APEX mark was used to locate the foramen. For the radiographic method, no difference was found between the devices or radiographic views. CONCLUSION: Compared with alginate, the conductive gel of the ProTrain kit negatively affected most of the electronic readings. The three evaluated ERCLMDs had similar accuracy in locating the apical foramen when using the mark 0.0/APEX and alginate as the embedding media. Although the ProTrain platform allows radiographs to be exposed in both bucco-lingual and proximal views, no difference was found between the views when evaluating the apical limit provided by the 0.5 mark in mandibular premolars embedded in alginate.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Preparo de Canal Radicular / Cavidade Pulpar Limite: Humans Idioma: En Revista: Int Endod J Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Preparo de Canal Radicular / Cavidade Pulpar Limite: Humans Idioma: En Revista: Int Endod J Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido