Comparison of the Accuracies of CBCT, Radiography, and Four Electronic Apex Locators in Working Length Determination

Background: One of the significant stages during endodontic procedures is determining the correct working length (WL). This study aimed to evaluate the accuracy of four electronic apex locators (EALs) (Root ZX mini, Raypex 6, Propex Pixi, and E-Pex Pro) and cone-beam computed tomography (CBCT) and r...

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Main Authors: Merve Yeniçeri Özata, Seda Falakaloğlu, Sadullah Kaya
Format: Article
Language:English
Published: Universitas Indonesia 2022-04-01
Series:Makara Journal of Health Research
Subjects:
Online Access:https://scholarhub.ui.ac.id/mjhr/vol26/iss1/9/
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author Merve Yeniçeri Özata
Seda Falakaloğlu
Sadullah Kaya
author_facet Merve Yeniçeri Özata
Seda Falakaloğlu
Sadullah Kaya
author_sort Merve Yeniçeri Özata
collection DOAJ
description Background: One of the significant stages during endodontic procedures is determining the correct working length (WL). This study aimed to evaluate the accuracy of four electronic apex locators (EALs) (Root ZX mini, Raypex 6, Propex Pixi, and E-Pex Pro) and cone-beam computed tomography (CBCT) and radiographic measurement in determining the actual WL (A-WL). Methods: Thirty extracted single-root mandibular premolars were selected and flattened at the crown. The WL was determined by advancing the #15 K file until its tip was visible from the apical, and the A-WL was established by subtracting 0.5 mm from this length. The WL was also determined using periapical radiography, four EALs, and CBCT. The differences in all measurements were compared with the A-WL. The data were statistically analyzed using one-way analysis of variance (Welch) and Tamhane’s test. The significance level was set at p < 0.05. Results: Compared with other measurement methods, CBCT gave shorter values than the A-WL, and this finding was statistically significant compared with those of the PR and Propex Pixi groups (p = 0.009) (p = 0.024). No significant difference was observed between the other groups (p > 0.05) except the CBCT group (p < 0.05). Conclusions: Root ZX mini and Raypex 6 made measurements close to the A-WL.
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spelling doaj.art-83015c0a7d154733a7b0f8454f6983f32023-02-17T02:32:03ZengUniversitas IndonesiaMakara Journal of Health Research2356-36642356-36562022-04-01261616610.7454/msk.v26i1.1334Comparison of the Accuracies of CBCT, Radiography, and Four Electronic Apex Locators in Working Length DeterminationMerve Yeniçeri Özata0https://orcid.org/0000-0003-3619-3118Seda Falakaloğlu1https://orcid.org/0000-0001-5230-969XSadullah Kaya2https://orcid.org/0000-0002-4644-0058Department of Endodontics, Faculty of Dentistry, Dicle University, Diyarbakır 21280, TurkeyDepartment of Endodontics, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Afyonkarahisar 03200, TurkeyDepartment of Endodontics, Faculty of Dentistry, Dicle University, Diyarbakır 21280, TurkeyBackground: One of the significant stages during endodontic procedures is determining the correct working length (WL). This study aimed to evaluate the accuracy of four electronic apex locators (EALs) (Root ZX mini, Raypex 6, Propex Pixi, and E-Pex Pro) and cone-beam computed tomography (CBCT) and radiographic measurement in determining the actual WL (A-WL). Methods: Thirty extracted single-root mandibular premolars were selected and flattened at the crown. The WL was determined by advancing the #15 K file until its tip was visible from the apical, and the A-WL was established by subtracting 0.5 mm from this length. The WL was also determined using periapical radiography, four EALs, and CBCT. The differences in all measurements were compared with the A-WL. The data were statistically analyzed using one-way analysis of variance (Welch) and Tamhane’s test. The significance level was set at p < 0.05. Results: Compared with other measurement methods, CBCT gave shorter values than the A-WL, and this finding was statistically significant compared with those of the PR and Propex Pixi groups (p = 0.009) (p = 0.024). No significant difference was observed between the other groups (p > 0.05) except the CBCT group (p < 0.05). Conclusions: Root ZX mini and Raypex 6 made measurements close to the A-WL.https://scholarhub.ui.ac.id/mjhr/vol26/iss1/9/apex locatorcbctperiapical radiographyworking length
spellingShingle Merve Yeniçeri Özata
Seda Falakaloğlu
Sadullah Kaya
Comparison of the Accuracies of CBCT, Radiography, and Four Electronic Apex Locators in Working Length Determination
Makara Journal of Health Research
apex locator
cbct
periapical radiography
working length
title Comparison of the Accuracies of CBCT, Radiography, and Four Electronic Apex Locators in Working Length Determination
title_full Comparison of the Accuracies of CBCT, Radiography, and Four Electronic Apex Locators in Working Length Determination
title_fullStr Comparison of the Accuracies of CBCT, Radiography, and Four Electronic Apex Locators in Working Length Determination
title_full_unstemmed Comparison of the Accuracies of CBCT, Radiography, and Four Electronic Apex Locators in Working Length Determination
title_short Comparison of the Accuracies of CBCT, Radiography, and Four Electronic Apex Locators in Working Length Determination
title_sort comparison of the accuracies of cbct radiography and four electronic apex locators in working length determination
topic apex locator
cbct
periapical radiography
working length
url https://scholarhub.ui.ac.id/mjhr/vol26/iss1/9/
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AT sedafalakaloglu comparisonoftheaccuraciesofcbctradiographyandfourelectronicapexlocatorsinworkinglengthdetermination
AT sadullahkaya comparisonoftheaccuraciesofcbctradiographyandfourelectronicapexlocatorsinworkinglengthdetermination