Marigo Luca, Gervasi Gian Luca, Somma Francesco, Squeo Giuseppe, Castagnola Raffaella
Department of Operative Dentistry, School of Dentistry, Catholic University of Sacred Heart, Largo A. Gemelli, 8, 00168, Rome, Italy.
Institute of Translational Research of Locomotor Apparatus Nicola Cerulli -LPMRI- srl, Via A. Einstein, 12 /L, 52100, Arezzo, Italy.
Clin Oral Investig. 2016 Sep;20(7):1547-50. doi: 10.1007/s00784-015-1644-8. Epub 2015 Nov 4.
The aim of this study on human cadavers was to compare the accuracy of two electronic apex locators (EALs) Dentaport ZX (J. Morita Corporation, Tokyo, Japan) and Raypex 6 (VDW, Munich, Germany).
Twenty-two single rooted teeth of four human cadaver heads were scheduled for this study. Before the extraction, an access cavity was opened and the crown was cut to establish a stable reference point for all measurements. The working length determination was performed with Dentaport ZX and Raypex 6 in the presence or not of 5.25 % sodium hypochlorite (SH) using a k-file 10. The teeth were then extracted and the real working length (RWL) was measured under a stereomicroscope at ×30 magnification. The difference between the two working lengths was calculated: positive values indicate measurements exceeding the foramen, while negative values indicated measurements short of the foramen. The data were analyzed with a t test analysis.
The mean of distances was 0.33 ± 0.20 mm and 0.32 ± 0.2 mm for Dentaport ZX respectively in the presence or not of SH and 0.38 ± 0.20 mm and 0.39 ± 0.19 mm for Raypex 6. No statistical differences were found between the two devices (p > 0.05).
Both apex locators showed a high accuracy in the presence or not of SH.
Both electronic apex locators can be recommended for clinical use and their accuracy is not affected by SH.
本项针对人体尸体的研究旨在比较两种电子根尖定位仪(EAL)——登特波特ZX(日本东京森田公司)和瑞速6(德国慕尼黑VDW公司)的准确性。
本研究选用了四颗人体尸体头部的22颗单根牙。在拔牙前,开髓并磨除牙冠以建立一个稳定的参考点用于所有测量。使用10号K锉,在有或无5.25%次氯酸钠(SH)的情况下,分别用登特波特ZX和瑞速6测定工作长度。然后将牙齿拔除,并在30倍放大率的体视显微镜下测量实际工作长度(RWL)。计算两种工作长度之间的差值:正值表示测量值超过根尖孔,而负值表示测量值短于根尖孔。采用t检验分析数据。
在有或无SH的情况下,登特波特ZX的平均距离分别为0.33±0.20毫米和0.32±0.2毫米,瑞速6的平均距离分别为0.38±0.20毫米和0.39±0.19毫米。两种仪器之间未发现统计学差异(p>0.05)。
两种根尖定位仪在有或无SH的情况下均显示出较高的准确性。
两种电子根尖定位仪均可推荐用于临床,其准确性不受SH影响。