The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations

Meşeci, Büşra; altunbaş, demet; UĞUR AYDIN, ZELİHA

doi:10.4274/meandros.galenos.2020.41196

The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations

Zeliha UĞUR AYDIN, (Bolu Abant İzzet Baysal Üniversitesi, Diş Hekimliği Fakültesi, Endodonti Anabilim Dalı, Bolu, Türkiye)

Demet ALTUNBAŞ, (Sivas Cumhuriyet Üniversitesi, Diş Hekimliği Fakültesi, Endodonti Anabilim Dalı, Sivas, Türkiye)

Büşra MEŞECİ (Bolu Abant İzzet Baysal Üniversitesi, Diş Hekimliği Fakültesi, Endodonti Anabilim Dalı, Bolu, Türkiye)

Meandros Medical And Dental Journal

4 1

Yıl: 2020 Cilt: 21 Sayı: 2 Sayfa Aralığı: 134 - 139 Metin Dili: İngilizce DOI: 10.4274/meandros.galenos.2020.41196 İndeks Tarihi: 06-05-2021

The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations

Öz:

Objective: This study aimed to assess the accuracy of the Raypex 6 (VDW GmbH, Munich, Germany) and Root ZX mini (J. Morita Corp., Tokyo, Japan) electronic apex locators (EALs) with regard to detecting root perforations in dry conditions and in the presence of irrigation solutions [2.5% sodium hypochlorite (NaOCl), 17% ethylenediaminetetraacetic acid (EDTA) and Qmix].Materials and Methods: Twenty single-rooted human teeth were perforated artificially with a 1 mm diameter in the middle region. The actual canal lengths up to the perforation site were determined, and then the teeth were embedded in an alginate mold. The electronic measurements of the perforations were obtained using a size #20 K-file for each EAL in various conditions. Results: There were significant differences between the different canal conditions in the Raypex 6 group (p<0.05), but no significant differences in the Root ZX mini group (p>0.05). There was a statistically significant difference (p<0.05) between the two EALs in the presence of EDTA solution, but no statistically significant difference between the accuracy of two EALs in the presence of other solutions and in the dry canal condition (p>0.05). Conclusion: Under the conditions of this study, both apex locators detected root canal perforations within a clinically acceptable (range of -0.18 to 0.31mm) distance from the coronal border of the perforation region. Irrigation solutions within the root canal affected the accuracy of Raypex 6, but not of Root ZX mini

Anahtar Kelime:

Yapay Kök Perforasyonlarını Belirlemede Farklı İrrigasyon Solüsyonlarının İki Elektronik Apeks Bulucunun Doğruluğuna Etkisi

Öz:

Amaç: Bu çalışmanın amacı kök perforasyonunu tespit etmede kuru koşullardave irrigasyon solüsyonları varlığında [%2,5 sodyum hipoklorit (NaOCl), %17etilendiamintetraasetik asit (EDTA) ve Qmix] Raypex 6 (VDW GmbH, Münih,Almanya) ve Root ZX mini (J. Morita Corp., Tokyo, Japonya) elektronik apeksbulucularının (EAB) doğruluğunu değerlendirmektir. Gereç ve Yöntemler: Yirmi adet tek köklü insan diş kökünün orta bölümünde 1mm çapında yapay perforasyon oluşturuldu. Perforasyon alanına kadar olan gerçek kanal uzunlukları belirlendi ve sonra dişler bir aljinat kalıbına gömüldü. Her koşulda her bir EAB için #20 K boyutunda bir eğe ileperfore alana kadar olan elektronik ölçümler elde edildi. Bulgular: Raypex 6 grubunda farklı kanal koşulları arasında anlamlı fark vardı (p<0,05), ancak Root ZX mini grubunda (p>0,05)anlamlı fark yoktu. EDTA çözeltisinin varlığında iki EAB arasında istatistiksel olarak anlamlı bir fark vardı (p<0,05), diğer çözeltilerinvarlığında ve kuru kanal koşulunda iki EAB’nin doğruluğu arasında istatistiksel olarak anlamlı bir fark yoktu (p>0,05). Sonuç: Bu çalışmanın koşulları altında, her iki apeks bulucu da, perforasyon bölgesinin koronal sınırından klinik olarak kabul edilebilirsınırlar içinde (-0,18 ila 0,31 mm aralığında) kök kanal perforasyonlarını saptamışlardır. Kök kanalı içindeki irrigasyon çözeltileri,Raypex 6’nın ölçüm doğruluğunu etkiledi, ancak Root ZX Mini’nin ölçüm doğruluğunu etkilememiştir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Siew K, Lee AH, Cheung GS. Treatment Outcome of Repaired Root Perforation: A Systematic Review and Meta-analysis. J Endod 2015; 41: 1795-804.
2. D’Assuncao FL, Sousa JC, Felinto KC, de Medeiros TC, Leite DT, de Lucena RB, et al. Accuracy and repeatability of 3 apex locators in locating root canal perforations: an ex vivo study. J Endod 2014; 40: 1241-4.
3. Tinoco J, De‐Deus G, Tinoco E, Saavedra F, Fidel R, Sassone L. Apical extrusion of bacteria when using reciprocating single‐file and rotary multifile instrumentation systems. Int Endod J 2014; 47: 560-6.
4. Tinaz AC, Alacam T, Uzun O, Maden M, Kayaoglu G. The effect of disruption of apical constriction on periapical extrusion. J Endod 2005; 31: 533-5.
5. Altunbaş D, Kuştarcı A, Toyoğlu M. The Influence of Various Irrigants on the Accuracy of 2 Electronic Apex Locators in Locating Simulated Root Perforations. J Endod 2017; 43: 439-42.
6. Shemesh H, Cristescu RC, Wesselink PR, Wu M-K. The use of conebeam computed tomography and digital periapical radiographs to diagnose root perforations. J Endod 2011; 37: 513-6.
7. Bodur H, Odabaş M, Tulunoğlu Ö, Tinaz AC. Accuracy of two different apex locators in primary teeth with and without root resorption. Clin Oral investig 2008; 12: 137-41.
8. Martins JN, Marques D, Mata A, Carames J. Clinical efficacy of electronic apex locators: systematic review. J Endod 2014; 40: 759-77.
9. Kumar LV, Sreelakshmi N, Reddy ER, Manjula M, Rani ST, Rajesh A. Clinical Evaluation of Conventional Radiography, Radiovisiography, and an Electronic Apex Locator in Determining the Working Length in Primary Teeth. Pediatr Dent 2016; 38: 37- 41.
10. Ustun Y, Aslan T, Sekerci AE, Sagsen B. Evaluation of the Reliability of Cone-beam Computed Tomography Scanning and Electronic Apex Locator Measurements in Working Length Determination of Teeth with Large Periapical Lesions. J Endod 2016; 42: 1334-7.
11. D’Addazio PS, Campos CN, Ozcan M, Teixeira HG, Passoni RM, Carvalho AC. A comparative study between cone-beam computed tomography and periapical radiographs in the diagnosis of simulated endodontic complications. Int Endod J 2011; 44: 218-24.
12. Khojastepour L, Moazami F, Babaei M, Forghani M. Assessment of Root Perforation within Simulated Internal Resorption Cavities Using Cone-beam Computed Tomography. J Endod 2015; 41: 1520-3. 13. Shemesh H, Cristescu RC, Wesselink PR, Wu MK. The use of conebeam computed tomography and digital periapical radiographs to diagnose root perforations. J Endod 2011; 37: 513-6.
14. Goldberg F, De Silvio AC, Manfre S, Nastri N. In vitro measurement accuracy of an electronic apex locator in teeth with simulated apical root resorption. J Endod 2002; 28: 461-3.
15. Cianconi L, Angotti V, Felici R, Conte G, Mancini M. Accuracy of three electronic apex locators compared with digital radiography: an ex vivo study. J Endod 2010; 36: 2003-7.
16. Angwaravong O, Panitvisai P. Accuracy of an electronic apex locator in primary teeth with root resorption. Int Endod J 2009; 42: 115-21.
17. Duran-Sindreu F, Stober E, Mercade M, Vera J, Garcia M, Bueno R, et al. Comparison of in vivo and in vitro readings when testing the accuracy of the Root ZX apex locator. J Endod 2012; 38: 236- 9.
18. Fouad AF, Rivera EM, Krell KV. Accuracy of the Endex with variations in canal irrigants and foramen size. J Endod 1993; 19: 63-7.
19. Kaufman AY, Keila S, Yoshpe M. Accuracy of a new apex locator: an in vitro study. Int Endod J 2002; 35: 186-92.
20. Shin HS, Yang WK, Kim MR, Ko HJ, Cho KM, Park SH, et al. Accuracy of Root ZX in teeth with simulated root perforation in the presence of gel or liquid type endodontic irrigant. Restor Dent Endod 2012; 37: 149-54.
21. Zmener O, Grimberg F, Banegas G, Chiacchio L. Detection and measurement of endodontic root perforations using a newly designed apex-locating handpiece. Endod Dent Traumatol 1999; 15: 182-5.
22. Li YH, Zhou Z, Zheng YQ, Gan N, Tang YY, Li R, et al. Accuracy of three different electronic apex locators in determination of perforation with various conditions in vitro. Hua Xi Kou Qiang Yi Xue Za Zhi 2011; 29: 272-5.
23. Venturi M, Breschi L. A comparison between two electronic apex locators: an in vivo investigation. Int Endod J 2005; 38: 36-45.
24. Nazari Moghaddam K, Nazari S, Shakeri L, Honardar K, Mirmotalebi F. In vitro detection of simulated apical root perforation with two electronic apex locators. Iran Endod J 2010; 5: 23-6.
25. Shabahang S, Goon WW, Gluskin AH. An in vivo evaluation of Root ZX electronic apex locator. J Endod 1996; 22: 616-8.
26. Lee SJ, Nam KC, Kim YJ, Kim DW. Clinical accuracy of a new apex locator with an automatic compensation circuit. J Endod 2002; 28: 706-9.
27. Duran-Sindreu F, Gomes S, Stober E, Mercade M, Jane L, Roig M. In vivo evaluation of the iPex and Root ZX electronic apex locators using various irrigants. Int Endod J 2013; 46: 769-74

APA	UĞUR AYDIN Z, altunbaş d, Meşeci B (2020). The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. , 134 - 139. 10.4274/meandros.galenos.2020.41196
Chicago	UĞUR AYDIN ZELİHA,altunbaş demet,Meşeci Büşra The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. (2020): 134 - 139. 10.4274/meandros.galenos.2020.41196
MLA	UĞUR AYDIN ZELİHA,altunbaş demet,Meşeci Büşra The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. , 2020, ss.134 - 139. 10.4274/meandros.galenos.2020.41196
AMA	UĞUR AYDIN Z,altunbaş d,Meşeci B The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. . 2020; 134 - 139. 10.4274/meandros.galenos.2020.41196
Vancouver	UĞUR AYDIN Z,altunbaş d,Meşeci B The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. . 2020; 134 - 139. 10.4274/meandros.galenos.2020.41196
IEEE	UĞUR AYDIN Z,altunbaş d,Meşeci B "The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations." , ss.134 - 139, 2020. 10.4274/meandros.galenos.2020.41196
ISNAD	UĞUR AYDIN, ZELİHA vd. "The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations". (2020), 134-139. https://doi.org/10.4274/meandros.galenos.2020.41196

APA	UĞUR AYDIN Z, altunbaş d, Meşeci B (2020). The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. Meandros Medical And Dental Journal, 21(2), 134 - 139. 10.4274/meandros.galenos.2020.41196
Chicago	UĞUR AYDIN ZELİHA,altunbaş demet,Meşeci Büşra The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. Meandros Medical And Dental Journal 21, no.2 (2020): 134 - 139. 10.4274/meandros.galenos.2020.41196
MLA	UĞUR AYDIN ZELİHA,altunbaş demet,Meşeci Büşra The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. Meandros Medical And Dental Journal, vol.21, no.2, 2020, ss.134 - 139. 10.4274/meandros.galenos.2020.41196
AMA	UĞUR AYDIN Z,altunbaş d,Meşeci B The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. Meandros Medical And Dental Journal. 2020; 21(2): 134 - 139. 10.4274/meandros.galenos.2020.41196
Vancouver	UĞUR AYDIN Z,altunbaş d,Meşeci B The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations. Meandros Medical And Dental Journal. 2020; 21(2): 134 - 139. 10.4274/meandros.galenos.2020.41196
IEEE	UĞUR AYDIN Z,altunbaş d,Meşeci B "The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations." Meandros Medical And Dental Journal, 21, ss.134 - 139, 2020. 10.4274/meandros.galenos.2020.41196
ISNAD	UĞUR AYDIN, ZELİHA vd. "The Effect of Different IrrigationSolutions on the Accuracy of TwoElectronic Apex Locators in LocatingArtificial Root Perforations". Meandros Medical And Dental Journal 21/2 (2020), 134-139. https://doi.org/10.4274/meandros.galenos.2020.41196