Kök Kanallarında Sodyum Hipoklorit Varlığında 3 Farklı Apex Bulucunun Doğruluğunun Ex-vivo Olarak Değerlendirilmesi

Year 2024, Volume: 9 Issue: 2, 162 - 167, 16.06.2024

Ayşenur Kamacı Esen , Tuğçenur Yıldız

https://doi.org/10.26453/otjhs.1445560

Abstract

Amaç: Propex Pixi, Woodpex III, ve VDW Gold Reciproc apex bulucu cihazların doğruluğunun klinik koşulları yansıtacak şekilde in-vitro olarak kıyaslanması.
Materyal ve Metot: Otuz altı adet tek köklü diş dekorone edildi ve gerçek kanal boyları 20X büyütme altında operasyon mikroskobu ile belirlenerek kaydedildi. Ardından dişler kanal boylarının elektronik olarak ölçülebilmesi için ex-vivo modele gömüldü. Her ölçüm üçer defa tekrarlandı ve ortalama değerler kaydedildi. Veriler istatistiksel olarak analiz edildi. Normal dağılıma uygun verilerin incelenmesinde ikili paired sample t test ile, uygun olmayan veriler ise Wilcoxon testi ile değerlendirildi. Gruplar arasındaki kategorik değişimlerin incelenmesinde ki-kare testi kullanıldı.
Bulgular: Woodpex III Propex Pixi ve VDW Gold Reciproc cihazlarından istatistiksel olarak anlamlı düzeyde doğru sonuçlar verdi.
Sonuç: Mevcut çalışmanın limitasyonları dahilinde Woodpex III apex bulucu diğer cihazlardan daha tutarlı sonuçlar vermiştir.

Keywords

Apex bulucular, elektronik kök kanal boyu tespiti, kök kanal tedavisi

Ex-vivo Evaluation of the Accuracy of Three Different Apex Locators in the Presence of Sodium Hypochlorite in Root Canals

Abstract

Objective: To evaluate the precision of three endodontic apex locators-Propex Pixi, Woodpex III, and VDW Gold Reciproc-in vitro and under clinical conditions.
Materials and Methods: Thirty-six single-rooted teeth were decoranated, and actual root canal lengths were measured and recorded with an operating microscope at x20 magnification. The teeth were then embedded in an ex-vivo model, and the measurement of the root canal length was obtained electronically. Each measurement was performed in triplicate, and the mean value was recorded. Data were analyzed statistically. Two paired sample t-tests were used for normally distributed data, and the Wilcoxon test was used for data that did not show normal distribution. A chi-squared test was used to compare categorical variables according to the experimental groups.
Results: Woodpex III showed significantly more accurate results than the other apex locators. Propex Pixi and VDW Gold Reciproc apex locators showed no significant difference.
Conclusions: Under the circumstances of the present study, Woodpex III allowed for more accurate measurements compared with the other tested devices.

Keywords

Apex locators, electronic root canal length determination, root canal treatment

Ethical Statement

Authors have no conflict of interest.

References

• Inoue N, Skinner DH. A simple and accurate way to measuring root canal length. J Endod. 1985;11(10):421-427. doi:10.1016/s0099-2399(85)80079-0
• Ricucci D. Apical limit of root canal instrumentation and obturation, part 1. Literature review. Int Endod J. 1998;31(6):384-393. doi:10.1046/j.1365-2591.1998.00184.x
• Sjogren U, Figdor D, Persson S, et al. Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J. 1997;30(5):297-306. doi:10.1046/j.1365-2591.1997.00092.x
• Seltzer S, Soltanoff W, Sinai I, et al. Biologic aspects of endodontics part III. periapical tissue reactions to root canal instrumentation. J Endod. 2004;30(7):491-499, doi:10.1097/00004770-200407000-00008
• Seltzer S, Soltanoff W, Sinai I, et al. Biologic aspects of endodontics. IV. Periapical tissue reactions to root-filled teeth whose canals had been instrumented short of their apices. Oral Surg Oral Med Oral Pathol. 1969;28(5):724-738. Doi:10.1016/0030-4220(69)90421-6
• Chugal NM, Clive JM, Spangberg LS. Endodontic infection: some biologic and treatment factors associated with outcome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003;96(1):81-90. doi:10.1016/s1079-2104(02)91703-8
• Basmadjian-Charles CL, Farge P, Bourgeois DM, et al. Factors influencing the long-term results of endodontic treatment: a review of the literature. Int Dent J. 2002;52(2):81-86. doi:10.1111/j.1875-595x.2002.tb00605.x
• Kojima K, Inamoto K, Nagamatsu K, et al. Success rate of endodontic treatment of teeth with vital and nonvital pulps. A meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(1):95-99. doi:10.1016/j.tripleo.2003.07.006
• Gurel MA, Helvacioglu Kivanc B, Ekici A. A comparative assessment of the accuracies of Raypex 5, Raypex 6, iPex and iPex II electronic apex locators: An in vitro study. J Istanb Univ Fac Dent. 2017;51(1):28-33. doi:10.17096/jiufd.61309
• Real DG, Davidowicz H, Moura-Netto C, et al. Accuracy of working length determination using 3 electronic apex locators and direct digital radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111(3):e44-49. doi:10.1016/j.tripleo.2010.10.033
• Haffner C, Folwaczny M, Galler K, et al. Accuracy of electronic apex locators in comparison to actual length--an in vivo study. J Dent. 2005;33(8):619-625. doi:10.1016/j.jdent.2004.11.017
• Kocak S, Kocak MM, Saglam BC. Efficiency of 2 electronic apex locators on working length determination: A clinical study. J Conserv Dent. 2013;16(3):229-232. doi:10.4103/0972-0707.111320
• Gordon MP, Chandler NP. Electronic apex locators. Int Endod J. 2004;37(7):425-437. doi:10.1111/j.1365-2591.2004.00835.x
• Tekinarslan D, Erkal D, Pehlivan B, et al. Effects of different irrigation solutions on the accuracy of electronic apex locators in curved and straight root canals.  G Ital Endod. 2023;37(1):54-61. doi:10.32067/gie.2023.37.01.11
• De-Deus G, Cozer V, Souza EM, et al. Clinical Accuracy and Precision of 3 Multifrequency Electronic Apex Locators Assessed through Micro-Computed Tomographic Imaging. J Endod. 2023;49(5):487-495. doi:10.1016/j.joen.2023.02.011
• Plotino G, Grande NM, Brigante L, et al. Ex vivo accuracy of three electronic apex locators: Root ZX, Elements Diagnostic Unit and Apex Locator and ProPex. Int Endod J. 2006;39(5):408-414. doi:10.1111/j.1365-2591.2006.01095.x
• Vasconcelos BC, Bueno Mde M, Luna-Cruz SM, et al. Accuracy of five electronic foramen locators with different operating systems: an ex vivo study. J Appl Oral Sci. 2013;21(2):132-137. doi:10.1590/1678-7757201302188
• Venturi M, Breschi L. A comparison between two electronic apex locators: an ex vivo investigation. Int Endod J. 2007;40(5):362-373. doi:10.1111/j.1365-2591.2006.01229.x
• Somma F, Castagnola R, Lajolo C, et al. In vivo accuracy of three electronic root canal length measurement devices: Dentaport ZX, Raypex 5 and ProPex II. Int Endod J. 2012;45(6):552-556. doi:10.1111/j.1365-2591.2011.02010.x
• Tufenkci P, Kalayci A. Evaluation of the accuracy of different apex locators in determining the working length during root canal retreatment. J Dent Res Dent Clin Dent Prospects. 2020;14(2):125-129. doi:10.34172/joddd.2020.026
• Haapasalo M, Shen Y, Qian W, et al. Irrigation in endodontics. Dent Clin North Am. 2010;54(2):291-312. doi:10.1016/j.cden.2009.12.001
• Heo KY, Hwang HK, Jo HH. Accuracy of electronic apex locators using heat-treated Ni-Ti file. Aust Endod J. 2023;49(1):111-116. doi:10.1111/aej.12626
• Jenkins JA, Walker WA, 3rd, Schindler WG, et al. An in vitro evaluation of the accuracy of the root ZX in the presence of various irrigants. J Endod. 2001;27(3):209-211. doi:10.1097/00004770-200103000-00018
• Ali R, Okechukwu NC, Brunton P, et al. An overview of electronic apex locators: part 2. Br Dent J. 2013;214(5):227-231. doi:10.1038/sj.bdj.2013.215
• Cimpean SI, Chisnoiu RM, Colceriu Burtea AL, et al. In Vitro Evaluation of the Accuracy of Three Electronic Apex Locators Using Different Sodium Hypochlorite Concentrations. Medicina (Kaunas). 2023;59(5):918-929 doi:10.3390/medicina59050918
• Mull JP, Manjunath V, Manjunath M. Comparison of accuracy of two electronic apex locators in the presence of various irrigants: An in vitro study. J Conserv Dent. 2012 Apr;15(2):178-182. doi:10.4103/0972-0707.94585.
• Saritha V, Raghu H, Kumar TH, et al. The accuracy of two electronic apex locators on effect of preflaring and file size: An in vitro study. J Conserv Dent. 2021;24(1):46-49. doi:10.4103/JCD.JCD.
• Kaufman AY, Fuss Z, Keila S, et al. Reliability of different electronic apex locators to detect root perforations in vitro. Int Endod J. 1997;30(6):403-407. doi:10.1046/j.1365-2591.1997.00107.x