Rambabu Tanikonda, Srikanth Visinigiri, Sajjan Girija S, Ganguru Sirisha, Gayatri Chava, Roja K
Department of Conservative Dentistry and Endodontics, Vishnu Dental College, West Godavari District, Andhra Pradesh, India.
Department of Oral Medicine and Radiology, Vishnu Dental College, West Godavari District, Andhra Pradesh, India.
Contemp Clin Dent. 2018 Jan-Mar;9(1):88-91. doi: 10.4103/ccd.ccd_790_17.
The apical termination of obturation is the most important factor influencing the success of root canal treatment (RCT). Working length (WL) is the key element in achieving this.
The aim of this study is to compare and evaluate the preoperative estimated WL with conventional radiograph and with grid radiograph, with reference to electronic apex locator (EAL) in single-rooted teeth.
Thirty permanent anterior teeth with complete root formation indicated for RCT were included in this study.
Conventional radiograph (Group 1) and conventional radiograph with external grid (Group 2) were made before access opening. WL with EAL (Group 3) was determined after access opening.
The statistical package for the social sciences (SPSS) version 16.0 (SPSS Inc., Chicago, IL, USA) was used to compare the WLs of three groups, and the statistical significance was considered to be ≤ 0.05. ANOVA, test were made to measure the intergroup comparison, and Pearson correlation values were obtained.
The results of the study showed a higher correlation between grid WL and apex locator WL than conventional WL and apex locator WL. Preoperative metrics with radiographic grid along with the apex locator is a better measuring tool compared to the conventional radiographic WL in a single-rooted tooth.
根管充填的根尖终止点是影响根管治疗(RCT)成功的最重要因素。工作长度(WL)是实现这一目标的关键要素。
本研究的目的是在单根牙中,参照电子根尖定位仪(EAL),比较和评估术前通过传统X线片和网格X线片估计的工作长度。
本研究纳入了30颗根尖完全形成且需进行根管治疗的恒牙。
在开髓前拍摄传统X线片(第1组)和带有外部网格的传统X线片(第2组)。开髓后使用EAL确定工作长度(第3组)。
使用社会科学统计软件包(SPSS)16.0版(SPSS公司,美国伊利诺伊州芝加哥)比较三组的工作长度,统计学显著性设定为≤0.05。进行方差分析和检验以测量组间比较,并获得Pearson相关值。
研究结果表明,网格工作长度与根尖定位仪工作长度之间的相关性高于传统工作长度与根尖定位仪工作长度之间的相关性。与传统X线片工作长度相比,术前使用带网格的X线片结合根尖定位仪是单根牙更好的测量工具。