Santhosh Lekha, Raiththa Pooja, Aswathanarayana Srirekha, Panchajanya Srinivas, Reddy Jayakumar Thimmaraya, Susheela Shwetha Rajanna
Department of Conservative Dentistry and Endodontics, The Oxford Dental College, Bommanahalli, Bangalore, Karnataka, India.
J Conserv Dent. 2014 Nov;17(6):583-6. doi: 10.4103/0972-0707.144610.
This study investigated whether the canal curvature has an influence on the accuracy of Electronic Apex Locator.
Sixty mandibular posterior teeth were decoronated. A number (No.) 10 file was inserted into the mesiobuccal canal and radiographs were taken to determine the degree of curvature by Schneider's method. Samples were divided into three groups of mild (<20°), moderate (20-36°) and severe curvature (>36°). After enlarging the orifice, the actual canal length was determined by introducing a file until the tip emerged through the major foramen when observed under 20X magnification. The teeth were embedded in an alginate model and the Root ZX was used to determine the electronic length. The data was analyzed by Kruskal-Wallis test followed by Mann-Whitney test.
The difference in measurement of Actual and Electronic working length was statistically significant between group 1 and 2 (P < 0.05) as well as between group 1 and group 3 (P < 0.05) with group 1 showing the lowest difference.
Considering ± 0.5 mm as tolerance limit for accuracy, the device was 95% accurate for the mild curvature group and 80% accurate for moderate and severe groups.
本研究调查根管弯曲度是否对电子根尖定位仪的准确性有影响。
选取60颗下颌后牙截冠。将10号锉插入近中颊根管,通过施奈德法拍摄X线片以确定弯曲度。样本分为轻度(<20°)、中度(20 - 36°)和重度弯曲(>36°)三组。扩大根管口后,通过插入锉直至在20倍放大倍数下观察到锉尖穿出主根尖孔来确定实际根管长度。将牙齿嵌入藻酸盐模型中,使用Root ZX测定电子长度。数据采用Kruskal - Wallis检验,随后进行Mann - Whitney检验。
第1组与第2组以及第1组与第3组之间实际工作长度和电子工作长度测量值的差异具有统计学意义(P < 0.05),第1组差异最小。
以±0.5 mm作为准确性的公差限度,该设备对轻度弯曲组的准确率为95%,对中度和重度弯曲组的准确率为80%。