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Basic Research| Volume 36, ISSUE 2, P279-281, February 2010

In Vitro Comparison of Three Electronic Apex Locators

Published:November 11, 2009DOI:https://doi.org/10.1016/j.joen.2009.09.016

      Abstract

      Introduction

      The purpose of this study was to compare the accuracy of the Root ZX II Apex Locator (RZX), the Elements Apex Locator (ELE), and the Precision Apex Locator (PAL).

      Methods

      Forty single-rooted extracted teeth were decoronated and the root canals coronally flared. Actual canal lengths were determined by inserting a #10 file until the tip was visualized (12.8× magnification) just within the apical foramina. Teeth were mounted in gelatin conducting medium and randomly tested with each electronic apex locator (EAL) to determine the electronic canal length. Differences between the electronic and actual canal lengths were calculated.

      Results

      The mean differences were −0.02 mm, 0.13 mm, and 0.15 mm for the RZX, PAL, and ELE, respectively. One-way analysis of variance showed a highly significant difference among EALs (p = 0.003). Student-Newman-Keuls post hoc analysis found significant differences between the RZX and the PAL and between the RZX and the ELE at p < 0.05. No significant difference was noted between the PAL and the ELE. The proportion of electronic canal length measurements falling within ±0.5 mm of the actual canal lengths for the EALs was as follows: 97.5% for the RZX, 95% for the PAL, and 90% for the ELE.

      Conclusion

      The RZX was the most accurate at locating the apical foramen compared with the ELE and the PAL.

      Key Words

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      References

        • Grove C.
        Why canals should be filled to the dentinocemental junction.
        J Am Dent Assoc. 1930; 17: 293-296
        • Schilder H.
        Filling root canals in three dimensions.
        Dent Clin North Am. 1967; 11: 723-744
        • Lee S.J.
        • Nam K.C.
        • Kim Y.J.
        • et al.
        Clinical accuracy of a new apex locator with an automatic compensation circuit.
        J Endod. 2002; 28: 706-709
        • Kuttler Y.
        Microscopic investigation of root apexes.
        J Am Dent Assoc. 1955; 50: 544-552
        • Suzuki K.
        Experimental study on iontophoresis.
        Japanese J Stomatol. 1942; 16: 411-429
        • Sunada I.
        New method for measuring the length of the root canal.
        J Dent Res. 1962; 41: 375-387
        • Pagavino G.
        • Pace R.
        • Baccetti T.
        A SEM study of in vivo accuracy of the Root ZX electronic apex locator.
        J Endod. 1998; 24: 438-441
        • Czerw R.J.
        • Fulkerson M.S.
        • Donnely J.C.
        • et al.
        In vitro evaluation of the accuracy of several electronic apex locators.
        J Endod. 1995; 21: 572-575
        • Shabahang S.
        • Goon W.W.
        • Gluskin A.H.
        An in vivo evaluation of Root ZX electronic apex locator.
        J Endod. 1996; 22: 616-618
        • Ounsi H.F.
        • Naaman A.
        In vitro evaluation of the reliability of the Root ZX electronic apex locator.
        Int Endod J. 1999; 32: 120-123
        • Plotino G.
        • Grande N.M.
        • 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: 408-414
        • Cunha D'Assunção F.L.
        • de Albuquerque D.S.
        • de Queiroz Ferreira L.C.
        The ability of two apex locators to locate the apical foramen: an in vitro study.
        J Endod. 2006; 32: 560-562
        • Tamse A.
        • Kaffe I.
        • Fishel D.
        Zygomatic arch interference with correct radiographic diagnosis in maxillary molar endodontics.
        Oral Surg Oral Med Oral Pathol. 1980; 50: 563-566
        • Green D.
        A stereomicroscopic study of the root apices of 400 maxillary and mandibular anterior teeth.
        Oral Surg Oral Med Oral Pathol. 1956; 9: 1224-1232
        • Dummer P.M.
        • McGinn J.H.
        • Rees D.G.
        The position and topography of the apical canal constriction and apical constriction.
        Int Endod J. 1984; 17: 192-198
        • Root II, Z.X.
        Operation Instructions.
        J. Morita Corp. Japan, Kyoto2005
        • Mayeda D.L.
        • Simon J.H.
        • Aimar D.F.
        • et al.
        In vivo measurement accuracy in vital and necrotic canals with the Endex apex locator.
        J Endod. 1993; 19: 545-548
        • Herrera M.
        • Ábalos C.
        • Planas A.J.
        • et al.
        Influence of apical constriction diameter on Root ZX apex locator precision.
        J Endod. 2007; 33: 995-998
        • ElAyouti A.
        • Dima E.
        • Ohmer J.
        • et al.
        Consistency of apex locator function: a clinical study.
        J Endod. 2009; 35: 179-181
        • Hassanien E.E.
        • Hashem A.
        • Chalfin H.
        Histomorphometric study of the root apex of mandibular premolar teeth: an attempt to correlate working length measured with electronic and radiograph methods to various anatomic positions in the apical portion of the canal.
        J Endod. 2008; 34: 408-412
        • Fouad A.F.
        • Krell K.V.
        • McKendry D.J.
        • et al.
        Clinical evaluation of five electronic root canal length measuring instruments.
        J Endod. 1990; 16: 446-449
        • Ricard O.
        • Roux D.
        • Bourdeau L.
        • et al.
        Clinical evaluation of the accuracy of the Evident RCM Mark II apex locator.
        J Endod. 1991; 17: 567-569
      1. Precision Apex Locator, Operation Manual. Brasseler USA, Savannah, GA, 2006.

      2. Elements Apex Locator, Instruction Guidelines, SybronEndo, Sybron Dental Specialties, Glendora, CA, 2006.