Research Article
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The Effect of Calcium Hydroxide and File Sızes on the Accuracy of the Electronic Apex Locator in Simulated Immature Teeth

Year 2019, Volume: 5 Issue: 3, 273 - 278, 31.12.2019
https://doi.org/10.19127/mbsjohs.665667

Abstract

Objective: The aim of this research was to appreciate the
effects of different file sizes and the presence of calcium hydroxide on the
correctness of the electronic apex locator (EAL) at simulated immature teeth.



Methods: In this study, 30 maxillary central teeth were used
beforehand extracted due to periodontal reasons. The actual root canal length
determined with K-File and measured behind 0.5mm from the apex. In order to
simulate an immature tooth, the apical of roots were prepared with a diameter
of 1,4mm Gates-Glidden drills and K-Files. Working lengths of samples were
measured using the Root ZX by 110-140 K-Files. Each measurement was repeated
three times and averaged. Then all the samples were filled with calcium
hydroxide medicament and working lengths were determined by the same method.
Statistical analysis was performed using the Two-way ANOVA.



Results: The measurements were closer to the actual root
canal length as the diameter of the file increased at the presence and absence
of calcium hydroxide. However, there was a difference between the presence and
absence of calcium hydroxide in the determination of root canal length.



Conclusions: In these experimental study conditions, it was
concluded that the presence of calcium hydroxide in simulated immature teeth and
file size affect the EAL.

References

  • Angwaravong O, Panitvisai P (2009). Accuracy of an electronic apex locator in primary teeth with root resorption. Int Endod J 42(2):115-21.
  • Athanassiadis B, Abbott PV, Walsh LJ (2007). The use of calcium hydroxide, antibiotics and biocides as antimicrobial medicaments in endodontics. Aust Dent J 52(1):64-82.
  • Baldi JV, Victorino FR, Bernardes RA, de Moraes IG, Bramante CM, Garcia RB et al. (2007). Influence of embedding media on the assessment of electronic apex locators. J Endod 33(4):476-79.
  • Bystrom A, Claesson R, Sundqvist G (1985). The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1(5):170-75.
  • Dunlap CA, Remeikis NA, BeGole EA, Rauschenberger CR (1998). An in vivo evaluation of an electronic apex locator that uses the ratio method in vital and necrotic canals. J Endodont 24(1):48-50.
  • Ebrahim AK, Yoshioka T, Kobayashi C, Suda H (2006). The effects of file size, sodium hypochlorite and blood on the accuracy of Root ZX apex locator in enlarged root canals: an in vitro study. Aust Dent J 51(2):153-57.
  • Freeman BA, Crapo JD (1982). Free-Radicals and Tissue-Injury. Lab Invest 47(5):412-26.
  • Gordon MP, Chandler NP (2004). Electronic apex locators. Int Endod J 37(7):425-37.
  • Herrera M, Abalos C, Lucena C, Jimenez-Planas A, Llamas R (2011). Critical diameter of apical foramen and of file size using the Root ZX apex locator: an in vitro study. J Endod 37(9):1306-9.
  • Hulsmann M, Pieper K (1989). Use of an electronic apex locator in the treatment of teeth with incomplete root formation. Endod Dent Traumatol 5(5):238-41.
  • JI Ingle, LK Bakland, DL Peters, LS Buchanan, TP Mullaney. Endodontic Cavity Preparation. In:Ingle JI, Bakland LK (Editors). Endodontics, 4th ed. Baltimore: Williams & Wilkins. 1994:220–24.
  • Jeger FB, Janner SFM, Bornstein MM, Lussi A (2012). Endodontic Working Length Measurement with Preexisting Cone-Beam Computed Tomography Scanning: A Prospective, Controlled Clinical Study. J Endodont 38(7):884-88.
  • Jenkins JA, Walker WA, 3rd, Schindler WG, Flores CM (2001). An in vitro evaluation of the accuracy of the root ZX in the presence of various irrigants. J Endod 27(3):209-11.
  • Kolanu SK, Bolla N, Varri S, Thummu J, Vemuri S, Mandava P (2014). Evaluation of Correlation Between apical Diameter and File Size Using Propex Pixi Apex Locator. J Clin Diagn Res 8(12):ZC18-20.
  • Lambrianidis T, Margelos J, Beltes P (1999). Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 25(2):85-8.
  • Lost C (2006). Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. International Endodontic Journal 39(12):921-30.
  • Nguyen HQ, Kaufman AY, Komorowski RC, Friedman S (1996). Electronic length measurement using small and large files in enlarged canals. Int Endod J 29(6):359-64.
  • Pilot TF, Pitts DL (1997). Determination of impedance changes at varying frequencies in relation to root canal file position and irrigant. J Endod 23(12):719-24.
  • Pratten DH, McDonald NJ (1996). Comparison of radiographic and electronic working lengths. J Endod 22(4):173-76.
  • Shabahang S, Goon WW, Gluskin AH (1996). An in vivo evaluation of Root ZX electronic apex locator. J Endod 22(11):616-18.
  • Sharma MC, Arora V (2010). Determination of Working Length of Root Canal. Med J Armed Forces India 66(3):231-34.
  • Sjogren U, Hagglund B, Sundqvist G, Wing K (1990). Factors affecting the long-term results of endodontic treatment. J Endod 16(10):498-504.
  • Tinaz AC, Sevimli LS, Gorgul G, Turkoz EG (2002). The effects of sodium hypochlorite concentrations on the accuracy of an apex locating device. J Endod 28(3):160-62.
  • Uzunoglu E, Eymirli A, Uyanik MO, Calt S, Nagas E (2015). Calcium hydroxide dressing residues after different removal techniques affect the accuracy of Root-ZX apex locator. Restor Dent Endod 40(1):44-49.
Year 2019, Volume: 5 Issue: 3, 273 - 278, 31.12.2019
https://doi.org/10.19127/mbsjohs.665667

Abstract

References

  • Angwaravong O, Panitvisai P (2009). Accuracy of an electronic apex locator in primary teeth with root resorption. Int Endod J 42(2):115-21.
  • Athanassiadis B, Abbott PV, Walsh LJ (2007). The use of calcium hydroxide, antibiotics and biocides as antimicrobial medicaments in endodontics. Aust Dent J 52(1):64-82.
  • Baldi JV, Victorino FR, Bernardes RA, de Moraes IG, Bramante CM, Garcia RB et al. (2007). Influence of embedding media on the assessment of electronic apex locators. J Endod 33(4):476-79.
  • Bystrom A, Claesson R, Sundqvist G (1985). The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1(5):170-75.
  • Dunlap CA, Remeikis NA, BeGole EA, Rauschenberger CR (1998). An in vivo evaluation of an electronic apex locator that uses the ratio method in vital and necrotic canals. J Endodont 24(1):48-50.
  • Ebrahim AK, Yoshioka T, Kobayashi C, Suda H (2006). The effects of file size, sodium hypochlorite and blood on the accuracy of Root ZX apex locator in enlarged root canals: an in vitro study. Aust Dent J 51(2):153-57.
  • Freeman BA, Crapo JD (1982). Free-Radicals and Tissue-Injury. Lab Invest 47(5):412-26.
  • Gordon MP, Chandler NP (2004). Electronic apex locators. Int Endod J 37(7):425-37.
  • Herrera M, Abalos C, Lucena C, Jimenez-Planas A, Llamas R (2011). Critical diameter of apical foramen and of file size using the Root ZX apex locator: an in vitro study. J Endod 37(9):1306-9.
  • Hulsmann M, Pieper K (1989). Use of an electronic apex locator in the treatment of teeth with incomplete root formation. Endod Dent Traumatol 5(5):238-41.
  • JI Ingle, LK Bakland, DL Peters, LS Buchanan, TP Mullaney. Endodontic Cavity Preparation. In:Ingle JI, Bakland LK (Editors). Endodontics, 4th ed. Baltimore: Williams & Wilkins. 1994:220–24.
  • Jeger FB, Janner SFM, Bornstein MM, Lussi A (2012). Endodontic Working Length Measurement with Preexisting Cone-Beam Computed Tomography Scanning: A Prospective, Controlled Clinical Study. J Endodont 38(7):884-88.
  • Jenkins JA, Walker WA, 3rd, Schindler WG, Flores CM (2001). An in vitro evaluation of the accuracy of the root ZX in the presence of various irrigants. J Endod 27(3):209-11.
  • Kolanu SK, Bolla N, Varri S, Thummu J, Vemuri S, Mandava P (2014). Evaluation of Correlation Between apical Diameter and File Size Using Propex Pixi Apex Locator. J Clin Diagn Res 8(12):ZC18-20.
  • Lambrianidis T, Margelos J, Beltes P (1999). Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 25(2):85-8.
  • Lost C (2006). Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. International Endodontic Journal 39(12):921-30.
  • Nguyen HQ, Kaufman AY, Komorowski RC, Friedman S (1996). Electronic length measurement using small and large files in enlarged canals. Int Endod J 29(6):359-64.
  • Pilot TF, Pitts DL (1997). Determination of impedance changes at varying frequencies in relation to root canal file position and irrigant. J Endod 23(12):719-24.
  • Pratten DH, McDonald NJ (1996). Comparison of radiographic and electronic working lengths. J Endod 22(4):173-76.
  • Shabahang S, Goon WW, Gluskin AH (1996). An in vivo evaluation of Root ZX electronic apex locator. J Endod 22(11):616-18.
  • Sharma MC, Arora V (2010). Determination of Working Length of Root Canal. Med J Armed Forces India 66(3):231-34.
  • Sjogren U, Hagglund B, Sundqvist G, Wing K (1990). Factors affecting the long-term results of endodontic treatment. J Endod 16(10):498-504.
  • Tinaz AC, Sevimli LS, Gorgul G, Turkoz EG (2002). The effects of sodium hypochlorite concentrations on the accuracy of an apex locating device. J Endod 28(3):160-62.
  • Uzunoglu E, Eymirli A, Uyanik MO, Calt S, Nagas E (2015). Calcium hydroxide dressing residues after different removal techniques affect the accuracy of Root-ZX apex locator. Restor Dent Endod 40(1):44-49.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Leyla Ayranci

Ahmet Çetinkaya 0000-0002-7488-4334

Serkan Özkan 0000-0002-7506-9649

Publication Date December 31, 2019
Published in Issue Year 2019 Volume: 5 Issue: 3

Cite

Vancouver Ayranci L, Çetinkaya A, Özkan S. The Effect of Calcium Hydroxide and File Sızes on the Accuracy of the Electronic Apex Locator in Simulated Immature Teeth. Mid Blac Sea J Health Sci. 2019;5(3):273-8.

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