Accuracy of working length measurement by Raypex 6: Electronic apex locator versus actual measurements under stereomicroscope

Background/Aim: This study aimed to evaluate the precision of the Raypex 6 apex locator in locating the apical constriction (AC) and major foramen (MF) during a root canal treatment compared with a microscopic evaluation. Another aim of the present study was to evaluate the accuracy of the Raypex 6...

Ամբողջական նկարագրություն

Մատենագիտական մանրամասներ
Հիմնական հեղինակներ: Peker Begum Unsal, Hepsenoglu Yelda Erdem, Ersahan Seyda, Eyuboglu Tan Firat
Ձևաչափ: Հոդված
Լեզու:English
Հրապարակվել է: Balkan Stomatological Society 2022-01-01
Շարք:Balkan Journal of Dental Medicine
Խորագրեր:
Առցանց հասանելիություն:https://scindeks-clanci.ceon.rs/data/pdf/2335-0245/2022/2335-02452201015P.pdf
_version_ 1828532176544595968
author Peker Begum Unsal
Hepsenoglu Yelda Erdem
Ersahan Seyda
Eyuboglu Tan Firat
author_facet Peker Begum Unsal
Hepsenoglu Yelda Erdem
Ersahan Seyda
Eyuboglu Tan Firat
author_sort Peker Begum Unsal
collection DOAJ
description Background/Aim: This study aimed to evaluate the precision of the Raypex 6 apex locator in locating the apical constriction (AC) and major foramen (MF) during a root canal treatment compared with a microscopic evaluation. Another aim of the present study was to evaluate the accuracy of the Raypex 6 in the presence of different irrigating solutions (NaOCl, saline, EDTA, etidronic acid-HEBP). Material and Methods: One hundred and nine patients were included in this study and were randomly assigned into four groups according to the irrigation solution used; NaOCl, EDTA, HEBF and saline. Electronic MF (EMF) and AC (EAC) were measured by using Raypex 6. The teeth were extracted. The apical 3 mm of each canal was trimmed to expose the file tip. The samples were observed under a stereomicroscope, and the actual length of MF (ALMF) and AC (ALAC) were measured. The data were analyzed by using x2 test, and significance was set at P< 0.05. Results: The Raypex 6 was accurate 71.4% of the time to ±0.5mm and 93.3% of the time to ±1mm in determining the ALAC. While similar ALAC-EAC differences were observed in EDTA, NaOCl, and saline groups (p= 0.230), the highest differences were seen in the HEBP group (p= 1.000). The precision of Raypex 6 in determining the working length measurement depends on the type of irrigation. All solutions allowed reliable detection of AC. However, HEBF significantly increased the risk of overpreparation. Conclusions: Raypex 6 can be recommended for clinical use and its accuracy is not affected by the type of irrigant when locating MF.
first_indexed 2024-12-11T22:49:25Z
format Article
id doaj.art-a85eaa3cb1b14c1a85b2ec2acb0c5677
institution Directory Open Access Journal
issn 2335-0245
language English
last_indexed 2024-12-11T22:49:25Z
publishDate 2022-01-01
publisher Balkan Stomatological Society
record_format Article
series Balkan Journal of Dental Medicine
spelling doaj.art-a85eaa3cb1b14c1a85b2ec2acb0c56772022-12-22T00:47:31ZengBalkan Stomatological SocietyBalkan Journal of Dental Medicine2335-02452022-01-01261152110.5937/bjdm2201015P2335-02452201015PAccuracy of working length measurement by Raypex 6: Electronic apex locator versus actual measurements under stereomicroscopePeker Begum Unsal0Hepsenoglu Yelda Erdem1Ersahan Seyda2Eyuboglu Tan Firat3Istanbul Medipol University, Faculty of Dentistry, Department of Endodontics, Istanbul, TurkeyIstanbul Medipol University, Faculty of Dentistry, Department of Endodontics, Istanbul, TurkeyIstanbul Medipol University, Faculty of Dentistry, Department of Endodontics, Istanbul, TurkeyIstanbul Medipol University, Faculty of Dentistry, Department of Endodontics, Istanbul, TurkeyBackground/Aim: This study aimed to evaluate the precision of the Raypex 6 apex locator in locating the apical constriction (AC) and major foramen (MF) during a root canal treatment compared with a microscopic evaluation. Another aim of the present study was to evaluate the accuracy of the Raypex 6 in the presence of different irrigating solutions (NaOCl, saline, EDTA, etidronic acid-HEBP). Material and Methods: One hundred and nine patients were included in this study and were randomly assigned into four groups according to the irrigation solution used; NaOCl, EDTA, HEBF and saline. Electronic MF (EMF) and AC (EAC) were measured by using Raypex 6. The teeth were extracted. The apical 3 mm of each canal was trimmed to expose the file tip. The samples were observed under a stereomicroscope, and the actual length of MF (ALMF) and AC (ALAC) were measured. The data were analyzed by using x2 test, and significance was set at P< 0.05. Results: The Raypex 6 was accurate 71.4% of the time to ±0.5mm and 93.3% of the time to ±1mm in determining the ALAC. While similar ALAC-EAC differences were observed in EDTA, NaOCl, and saline groups (p= 0.230), the highest differences were seen in the HEBP group (p= 1.000). The precision of Raypex 6 in determining the working length measurement depends on the type of irrigation. All solutions allowed reliable detection of AC. However, HEBF significantly increased the risk of overpreparation. Conclusions: Raypex 6 can be recommended for clinical use and its accuracy is not affected by the type of irrigant when locating MF.https://scindeks-clanci.ceon.rs/data/pdf/2335-0245/2022/2335-02452201015P.pdfraypex 6electronic apex locatorsworking length measurementirrigation solutions
spellingShingle Peker Begum Unsal
Hepsenoglu Yelda Erdem
Ersahan Seyda
Eyuboglu Tan Firat
Accuracy of working length measurement by Raypex 6: Electronic apex locator versus actual measurements under stereomicroscope
Balkan Journal of Dental Medicine
raypex 6
electronic apex locators
working length measurement
irrigation solutions
title Accuracy of working length measurement by Raypex 6: Electronic apex locator versus actual measurements under stereomicroscope
title_full Accuracy of working length measurement by Raypex 6: Electronic apex locator versus actual measurements under stereomicroscope
title_fullStr Accuracy of working length measurement by Raypex 6: Electronic apex locator versus actual measurements under stereomicroscope
title_full_unstemmed Accuracy of working length measurement by Raypex 6: Electronic apex locator versus actual measurements under stereomicroscope
title_short Accuracy of working length measurement by Raypex 6: Electronic apex locator versus actual measurements under stereomicroscope
title_sort accuracy of working length measurement by raypex 6 electronic apex locator versus actual measurements under stereomicroscope
topic raypex 6
electronic apex locators
working length measurement
irrigation solutions
url https://scindeks-clanci.ceon.rs/data/pdf/2335-0245/2022/2335-02452201015P.pdf
work_keys_str_mv AT pekerbegumunsal accuracyofworkinglengthmeasurementbyraypex6electronicapexlocatorversusactualmeasurementsunderstereomicroscope
AT hepsenogluyeldaerdem accuracyofworkinglengthmeasurementbyraypex6electronicapexlocatorversusactualmeasurementsunderstereomicroscope
AT ersahanseyda accuracyofworkinglengthmeasurementbyraypex6electronicapexlocatorversusactualmeasurementsunderstereomicroscope
AT eyuboglutanfirat accuracyofworkinglengthmeasurementbyraypex6electronicapexlocatorversusactualmeasurementsunderstereomicroscope