New electronic apex locator Romiapex A-15 presented accuracy for working length determination in permanent teeth

Authors

  • Etevaldo Matos Maia Filho School of Dentistry of Ceuma University
  • Cláudia de Castro Rizzi School of Dentistry of Ribeirao Preto
  • Daniela Silva Barroso de Oliveira School of Dentistry, University of São Paulo
  • Paulo Nelson Filho School of Dentistry of Ribeirão Preto
  • Raquel Assed Bezerra da Silva School of Dentistry of Ribeirão Preto
  • Léa Assed Bezerra da Silva School of Dentistry of Ribeirão Preto

DOI:

https://doi.org/10.5195/d3000.2014.26

Keywords:

electronic apex foraminal, working length determination, endodontics

Abstract

Purpose: The present study aims to evaluate, ex vivo, the accuracy of electronic apex locators Root ZX II and Romiapex-15, for working length (WL) determination in permanent teeth. Materials and Methods: Fourteen single-rooted teeth (incisors and canines), with their apices fully formed were used. The dental crowns were removed. The anatomic length of the tooth (real measurement) was visually determined through the insertion of a size 10 K-file until the tip of the instrument could be observed in the apical foramen under a microscope (20X). Teeth were fixed in a model of resin and adapted into alginate soaked with saline solution, which was used as an  electrical conductor. Using a K-file, root canals were measured electronically using both devices. The results obtained for each apex locator were compared to the real measurements. The accuracy between the devices was statistically analyzed using the Bland-Altman graph, Intraclass Correlation Coefficient (ICC), and Student’s t-test. Results: The mean difference between the measurements using the Root ZX II was 0.277mm greater than the real measurement, while the measurements from the Romiapex-15 were 0.308mm higher on average. The comparison between Root ZX II and Romiapex-15 had no significant difference (p= 0.868). Conclusion: It was concluded that Root ZX II and Romiapex-15 had similar accuracy. Romiapex-15 could be an option for WL determination in permanent teeth.

Author Biographies

Etevaldo Matos Maia Filho, School of Dentistry of Ceuma University

Aluna de Doutorado

Faculdade de odontologia de Ribeirão Preto

Universidade de São Paulo

Daniela Silva Barroso de Oliveira, School of Dentistry, University of São Paulo

Department of Paediatric Dentistry

Paulo Nelson Filho, School of Dentistry of Ribeirão Preto

Department of Pediatric Dentistry

Raquel Assed Bezerra da Silva, School of Dentistry of Ribeirão Preto

Department of Pediatric Dentistry

Léa Assed Bezerra da Silva, School of Dentistry of Ribeirão Preto

Department of Pediatric Dentistry

References

Factors affecting the long-term results of endodontic treatment. Sjogren U, Hagglund B, Sundqvist G, Wing K. J En-dod. 1990 Oct; 16: 498-504. PMID:20844204

Apical limit of root canal instrumenta-tion and obturation, Part 2. A histologi-cal study. Ricucci D, Langeland K. Int Endod J. 1998 Nov; 31: 394-409. PMID:15551607

Study of the apices of human perma-nent teeth with the use of a scanning electron microscope. Morfis A, Sylaras SN, Georgopoulou M, Kernani M, Prountzos F.Oral Surg Oral Med Oral Pathol. 1994 Feb; 77: 172-6. PMID:8139836

Electronic apex locator: a useful tool for root canal treatment in the primary dentition. Katz A, Mass E, Kaufman AY. ASDC J Dent Child. 1996 Nov-Dec; 63: 414-7. PMID:9017174

The fundamental operating principles of electronic root canal length meas-urement devices. Nekoofar MH, Ghandi MM, Hayes SJ, Dummer PM. Int Endod J. 2006 Aug; 39: 595-609. PMID:16872454

New principle and method for measur-ing the root canal length. Ushiyama J. J Endod. 1983 Mar; 9(3): 97-104. PMID: 6590776

Ex vivo evaluation of the ability of four different electronic apex locators to de-termine the working length in teeth with various foramen diameters. Ebrahim AK, Wadachi R, Suda H. Aust Dent J. 2006 Sep; 51:258-62. PMID:17037894

Evaluation of precision of length de-termination with 3 electronic apex locators: Root ZX, Elements Diagnostic Unit and Apex Locator, and RomiAPEX D-30. Bernardes RA, Duarte MA, Vasconcelos BC, Moraes IG, Bernard-ineli N, Garcia RB, Baldi JV, Victorino FR, Bramante CM. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Oct; 104:e91-4. PMID:17703968

Electronic working length determina-tion in primary teeth by ProPex and Digital Signal Processing. Nelson-Filho P, Lucisano MP, Leonardo MR, da Silva RA, da Silva LA. Aust Endod J. 2010 Dec; 36:105-8. PMID:21091842

Accuracy of the iPex multi-frequency electronic apex locator in primary mo-lars: an ex vivo study. Nelson-Filho P, Romualdo PC, Bonifácio KC, Leonardo MR, Silva RA, Silva LA. Int Endod J. 2011 Apr;44:303-6. PMID:21166827

Comparison of accuracy of two elec-tronic apex locators in the presence of various irrigants: An in vitro study. Mull JP, Manjunath V, Manjunath M. J Conserv Dent. 2012 Apr;15:178-82. PMID:22557820

An in vivo Evaluation of Different Methods of Working Length Determi-nation. Mandlik J, Shah N, Pawar K, Gupta P, Singh S, Shaik SA. J Contemp Dent Pract. 2013 Jul;14:644-8. PMID:24309342

Efficiency of 2 electronic apex locators on working length determination: A clinical study. Koçak S, Koçak MM, Sağlam BC. J Conserv Dent. 2013 May;16:229-32. PMID:23833456

Comparative evaluation of accuracy of two electronic apex locators in the presence of various irrigants: An in vitro study. Jain S, Kapur R. Contemp Clin Dent. 2012 Sep; 3(Suppl 2): S140-5. PMID:23230349

Comparison of working length deter-mination with radiographs and four electronic apex locators. Vieyra JP, Acosta J. Int Endod J. 2011 Jun; 44(6): 510-8. PMID:21306402

Clinical reproducibility of three elec-tronic apex locators. Miletic V, Beljic-Ivanovic K, Ivanovic V. Int Endod J. 2011 Aug; 44(8): 769-76. PMID:21599708

Evaluation of the Joypex 5 and Root ZX II: an in vivo and ex vivo study. Soares RM, Silva EJ, Herrera DR, Krebs RL, Coutinho-Filho TS. Int Endod J. 2013 Oct;46:904-9. PMID:23480176

Clinical reproducibility of three elec-tronic apex locators. Miletic V, Beljic-Ivanovic K, Ivanovic V. Int Endod J. 2011 Aug; 44(8): 769-76. PMID:21599708

Accuracy of five electronic foramen locators with different operating sys-tems: an ex vivo study. Vasconcelos BC, Bueno MM, Luna-Cruz SM, Duarte MA, Fernandes CA. J Appl Oral Sci. 2013 Mar-Apr; 21(2): 132-7. PMID:23739852

Ex vivo accuracy of Root ZXII, Root ZX Mini and Romiapex A-15 apex locators in extracted vital pulp teeth. Silva TM, Alves FR. J Contemp Dent Pract. 2014 May; 15(3): 312-4. PMID:25307812

Accuracy of the Justy II Apex locator in determining working length in simu-lated horizontal and vertical fractures. Azabal M, Garcia-Otero D, de la Macor-ra JC. Int Endod J. 2004 Mar; 37: 174-7. PMID:15009406

The ability of two apex locators to lo-cate the apical foramen: an in vitro study. D'Assuncao FL, de Albuquerque DS, de Queiroz Ferreira LC. J Endod. 2006 Jun; 32: 560-22. PMID:16728251

Influence of embedding media on the assessment of electronic apex locators. Baldi JV, Victorino FR, Bernardes RA, de Moraes IG, Bramante CM, Garcia RB, et al. J Endod. 2007 Apr; 33: 476-9. PMID:17368343

In vitro evaluation of the accuracy of three electronic apex locators. Lucena-Martin C, Robles-Gijon V, Ferrer-Luque CM, de Mondelo JM. J Endod. 2004 Apr; 30: 231-3. PMID:15085053

In vitro evaluation of the ability of three apex locators to determine the working length during retreatment. Goldberg F, Marroquin BB, Frajlich S, Dreyer C. J Endod. 2005 Sep; 31: 676-8. PMID:16123705

Ex vivo accuracy of three electronic apex locators: Root ZX, Elements Diag-nostic Unit and Apex Locator and ProPex. Plotino G, Grande NM, Brigante L, Lesti B, Somma F. Int Endod J. 2006 May; 39: 408-14. PMID:16640641

Apical limit of root canal instrumenta-tion and obturation, part 1. Literature review. Ricucci D. Int Endod J. 1998 Nov; 31: 384-93. PMID:15551606

Accuracy of five electronic foramen locators with different operating sys-tems: an ex vivo study. de Vasconcelos BC, Bueno Mde M, Luna-Cruz SM, Du-arte MA, Fernandes CA. J Appl Oral Sci. 2013 Mar-Apr;21:132-7. PMID:23739852

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Published

2014-12-18

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Section

Infancy & Adolescence