Farklı Kanal İçi Ortamların Apeks Bulucuların DoğruluğuÜzerine Etkisi

Başarlı bir endodontik tedavi için gerçek kanal uzunluğunun tamolarak belirlenmesi, kök kanalının uygun bir şekildeşekillendirilmesini ve etkili dezenfeksiyonu için en önceliklişartlardan biridir. Radyografik yöntemle çalışma boyutu tespitindekiproblemler nedeniyle elektronik apeks bulucular (EAB) gündemegelmiştir. Kemo-mekanik şekillendirme esnasında kullanılan yıkamasolüsyonları, kök kanal içeriği ve patolojik faktörlerden kaynaklanankök kanal anatomisindeki değişim EAB'ler tarafından yapılanölçümlerin doğruluğunu etkileyen faktörler olarak düşünülmüş vebununla ilgili pek çok çalışma yapılmıştır. Bu derlemenin hedefi, buliteratür bilgisi ışığında, farklı kanal içi ortamların elektronik apeksbulucuların ölçüm hassasiyetine etkilerinin özetlenmesidir.

The Effect of Different In-Canal Environments On theAccuracy of Apex Locaters

For a successful endodontic treatment, precise determination ofthe actual canal length is one of the top priorities for properpreparation and effective disinfection of the root canal. Electronicapex locaters (EAL) have been brought to the agenda due toproblems in root canal length detection by radiographic method.Irrigation solutions used during chemomechanical preparation,root canal content and change in root canal anatomy due topathological factors have been considered as factors affectingthe accuracy of measurements made by EALs and many studieshave been done. The aim of this review is to summarize theeffects of different in-canal environments on the measurementaccuracy of electronic apex locaters, in light of this literature.

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1. Ricucci D, Langeland K. Apical limit of root canal instrumentation and obturation, part 2. A histological study. Int Endod J. 1998; 31(6): 394- 409.
2. Kaval ME, Dönmez H. Elektronik Apeks Bulucular. EÜ Dişhek Fak Derg. 2013; 34(2): 73-8
3. Tınaz C. Kanal tedavisinde çalışma boyutu. Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2001;18(1):31-7.
4. Welk AR, Baumgartner JC, Marshall JG. An in vivo comparison of two frequency-based electronic apex locators. J Endod. 2003; 29(8): 497-500.
5. Gordon MP, Chandler NP. Electronic apex locators. Int Endod J. 2004; 37(7): 425-37.
6. Khadse A, Shenoi P, Kokane V, Khode R, Sonarkar S. Electronic Apex Locators- An overview. IJCE. 2017; 2(2): 35-40.
7. Dimitrov S, Roshkev D. Sixth generation adaptive apex locator. Journal of IMAB-Annual Proceeding (Scientific Papers). 2009; 15(2009): 75-8.
8. ŞEN ÖG. Endodontide Çalışma Boyunun Doğruluğunu Araştırmada Kullanılan Yöntemler. Türkiye Klinikleri Endodonti-Özel Konular. 2017;3(1):38-41.
9. Nekoofar M, Ghandi M, Hayes S, Dummer P. The fundamental operating principles of electronic root canal length measurement devices. Int Endod J. 2006 Aug;39(8):595-609.
10.Özsezer E, İnan U, Aydın U. In vivo evaluation of ProPex electronic apex locator. J Endod. 2007; 33(8): 974-7.
11.Wesselink P, Bergenholtz G. Treatment of the necrotic pulp. PROBAB ENG INFORM SCI.2003:156-175
12.Cohen S, Burns R. Pathways of the pulp. St. Louis (MO): Mosby. Elsevier; 2006.
13.Khursheed I, Bansal R, Bansal T, Singh HP, Yadav M, Reddy KJ. A comparative evaluation of working length with digital radiography and third generation apex locator (ProPex) in the presence of various intracanal irrigants: An in vivo/ex vivo study. Dent Res J. 2014; 11(1): 56
14.Swapna DV, Krishna A, Patil AC, Rashmi K, Pai VS, Ranjini MA. Comparison of third generation versus fourth generation electronic apex locators in detecting apical constriction: An in vivo study. J Conserv Dent. 2015; 18(4): 288-91.
15.Stoll R, Urban‐Klein B, Roggendorf M, Jablonski‐ Momeni A, Strauch K, Frankenberger R. Effectiveness of four electronic apex locators to determine distance from the apical foramen. Int Endod J. 2010; 43(9): 808-17.
16.Vasconcelos BCd, Araújo RBR, Luna-Cruz SM, Duarte MAH, Fernandes CAdO. In vivo accuracy of two electronic foramen locators based on different operation systems. Braz Dent J. 2014; 25(1): 12-6.
17.Duran‐Sindreu F, Gomes S, Stöber E, Mercadé M, Jané L, Roig M. In vivo evaluation of the iPex and Root ZX electronic apex locators using various irrigants. Int Endod J. 2013; 46(8): 769- 74.
18.Kang J-A, Kim SK. Accuracies of seven different apex locators under various conditions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(4): 57-62.
19.Baruah Q, Sinha N, Singh B, Reddy PN, Baruah K, Augustine V. Comparative evaluation of accuracy of two electronic apex locators in the presence of contemporary irrigants: An in vitro study. J Int Soc Prevent Communit Dent. 2018; 8(4): 349.
20.Tınaz AC, Sevimli LS, Görgül G, Türköz EG. The effects of sodium hypochloride concentrations on the accuracy of an apex locating device. J Endod. 2002; 28(3): 160-2.
21.Chen E, Kaing S, Mohan H, Ting S-Y, Wu J, Parashos P. An ex vivo comparison of electronic apex locator teaching models. J Endod. 2011; 37(8): 1147-51.
22.Raypex V. apex locator: For successful endodontic treatments. Munich: VDW Endodontic Synergy. 2005:1-4.
23.Marek E, Łagocka R, Kot K, Woźniak K, Lipski M. The influence of two forms of chlorhexidine on the accuracy of contemporary electronic apex locators. BMC Oral Health. 2020; 20(1): 3.
24.Gomes S, Oliver R, Macouzet C, Mercadé M, Roig M, Duran-Sindreu F. In vivo evaluation of the Raypex 5 by using different irrigants. J Endod. 2012;38(8):1075-7.
25.Khatri MP, Ghivari SB, Pujar M, Faras R, Gopeshetti P, Vanti A. Accuracy of two electronic apex locators in locating root perforations in curved canals in dry and wet conditions: A comparative in vitro study. Dent Res J (Isfahan). 2019 Nov 12;16(6):407-412.
26.Chukka RR, Bellam MD, Marukala NR, Dinapadu S, Konda NK, Nagilla J. Efficiency of an integrated apex locator in determining working length in various irrigating solutions: An in vivo study. J Pharm Bioallied Sci. 2020 Aug;12(Suppl 1):S410-S414.
27.Marigo L, Gervasi GL, Somma F, Squeo G, Castagnola R. Comparison of two electronic apex locators on human cadavers. Clin Oral Investig. 2016 Sep;20(7):1547-50.
28.Siqueira JF, de Uzeda M. Intracanal medicaments: evaluation of the antibacterial effects of chlorhexidine, metronidazole, and calcium hydroxide associated with three vehicles. J Endod. 1997; 23(3): 167-9.
29.Ebrahim A, Wadachi R, Suda H. An in vitro evaluation of the accuracy of Dentaport ZX apex locator in enlarged root canals. Aust Dent J. 2007; 52(3): 193-7.
30.Dinapadu S, Pasari S, Admala SR, Marukala NR, Gurram S, Peddi R. Accuracy of electronic apex locator in enlarged root canals with different root canal irrigants: an in vitro study. J Contemp Dent Pract. 2013; 14(4): 649.
31.Bolbolian M, Golchin S, Faegh S. In vitro Evaluation of the Accuracy of the Root Zx in the Presence of Naocl 2.5% and Chlorhexidine 0.2%. J Clin Exp Dent. 2018; 10(11): 1054-7.
32.Prasad AB, Srivastava H, Srivastava AA, Raisingani D. An in vitro evaluation of the accuracy of two electronic apex locators to determine working length in the presence of various irrigants. Ethiop J Health Sci. 2016; 26(5): 457-62.
33.Aydın M. Endodontik mikrobiyoloji. Ed Alaçam T Endodonti Bölüm. 2000;13.
34.Altunbaş D, Kuştarcı A, Toyoğlu M. The influence of various irrigants on the accuracy of 2 electronic apex locators in locating simulated root perforations. J Endod. 2017; 43(3): 439-42.
35.Bergenholtz G, Spångberg L. Controversies in endodontics. Crit Rev Oral Biol Med. 2004; 15(2): 99- 114.
36.Çalt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod. 1999; 25(6): 431-3.
37.Kim S, Kim Y. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J. 2002; 35(7): 623-8.
38.Rödig T, Vogel S, Zapf A, Hülsmann M. Efficacy of different irrigants in the removal of calcium hydroxide from root canals. Int Endod J. 2010; 43(6): 519-27.
39.Sağsen B, Üstün Y, Aslan T, Çanakçi BC. The effect of peracetic acid on removing calcium hydroxide from the root canals. J Endod. 2012; 38(9): 1197- 201.
40.Ustun Y, Uzun O, Er O, Canakcı BC, Topuz O. The effect of residual calcium hydroxide on the accuracy of a contemporary electronic apex locator. Acta Odontol Scand. 2015; 73(2): 132-6.
41.Uzunoglu E, Eymirli A, Uyanik MÖ, Çalt S, Nagas E. Calcium hydroxide dressing residues after different removal techniques affect the accuracy of Root-ZX apex locator. Restor Dent Endod. 2015; 40(1): 44-
42.Shojaee NS, Zaeri Z, Shokouhi MM, Sobhnamayan F, Adl A. Influence of calcium hydroxide residues after using different irrigants on the accuracy of two electronic apex locators: An in vitro study. Dent Res J (Isfahan). 2020 Jan 21;17(1):48-53
43.Bashar A, Joshi R, Alam M. Accuracy of electronic apex locator for determining the root canal length in presence of blood-an in vitro study. Bangla Med J. 2008; 37(1): 15-8.
44.Ebrahim A, Yoshioka T, Kobayashi C, Suda H. The effects of file size, sodium hypochlorite and blood on the accuracy of Root ZX apex locator in enlarged root canals: an in vitro study. Aust Dent J. 2006; 51(2): 153-7.
45.Saatchi M, Aminozarbian MG, Noormohammadi H, Baghaei B. Influence of blood on the accuracy of Raypex 5 and root ZX electronic foramen locators: an in vivo study. Braz Dent J. 2016; 27(3): 336-9.
46.Renner D, Grazziotin-Soares R, Gavini G, Barletta FB. Influence of pulp condition on the accuracy of an electronic foramen locator in posterior teeth: an in vivo study. Braz Oral Res.2012; 26(2): 106-11.
47.D'Assunção FLC, Sousa JCN, Felinto KCA, de Medeiros TC, Leite DT, de Lucena RB, et al. Accuracy and repeatability of 3 apex locators in locating root canal perforations: an ex vivo study. J Endod. 2014; 40(8): 1241-4.
48.Marroquín BB, Fernández CC, Schmidtmann I, Willershausen B, Goldberg F. Accuracy of electronic apex locators to detect root canal perforations with inserted metallic posts: an ex vivo study. Head Face Med. 2014; 10(1): 57.
49.Moghaddam KN, Nazari S, Shakeri L, Honardar K, Mirmotalebi F. In vitro detection of simulated apical root perforation with two electronic apex locators. Iran Endod J. 2010; 5(1): 23-6.
50.Bilaiya S, Patni PM, Jain P, Pandey SH, Raghuwanshi S, Bagulkar B. Comparative Evaluation of Accuracy of Ipex, Root Zx Mini, and Epex Pro Apex Locators in Teeth with Artificially Created Root Perforations in Presence of Various Intracanal Irrigants. Eur Endod J. 2020 Mar 19;5(1):6-9.
51.Nasiri K, Wrbas K-T. Comparing the accuracy of two electronic apex locators in the determination of working length and the detection of root perforations: An in vitro study. Dent Oral Craniofac Res, 2019;5:1-5.
52.Azabal M, Garcia‐Otero D, De la Macorra J. Accuracy of the Justy II Apex locator in determining working length in simulated horizontal and vertical fractures. Int Endod J. 2004; 37(3): 174-7.
53.Ebrahim AK, Wadachi R, Suda H. Accuracy of three different electronic apex locators in detecting simulated horizontal and vertical root fractures. Aust Endod J. 2006; 32(2): 64-9.
54.Sykes L, Vally Z. Accuracy of the Raypex-4 and Propex apex locators in detecting horizontal and vertical root fractures: an in vitro study. SADJ. 2006; 61(6): 244-7.
55.Topuz Ö, Uzun Ö, Tinaz AC, Bodrumlu E, Görgül G. Accuracy of two apex-locating handpieces in detecting simulated vertical and horizontal root fractures. J Endod. 2008; 34(3): 310-3
56.Goldberg F, Frajlich S, Kuttler S, Manzur E, Briseño-Marroquín B. The evaluation of four electronic apex locators in teeth with simulated horizontal oblique root fractures.
57.Beri L, Matariya G. The evaluation of three electronic apex locators in teeth with simulated incomplete oblique root fractures. Journal of the International Clinical Dental Research Organization. 2009;1(3):49.
58.Goldberg F, De Silvio AC, Manfré S, Nastri N. In vitro measurement accuracy of an electronic apex locator in teeth with simulated apical root resorption. Journal of Endodontics. 2002;28(6):461-3. J Endod. 2008; 34(12): 1497-9.
59.Sasaki T, Shimizu T, Watanabe C, Hiyoshi Y. Cellular roles in physiological root resorption of deciduous teeth in the cat. J Dent Res. 1990; 69(1): 67-74.
60.Stavrianos C, Vasiliadis L, Stavrianou I, Louloudiadis A. In vitro Evaluation of the ability of Ray-Pex 5 to determine the working length in teeth with simulated apical root resorption. Balk J Stom. 2009; 13(2): 96- 8.
61. Jadhav GR, Mittal P, Patil V, Kandekar P, Kulkarni A, Shinde S, et al. Accuracy of Different Apex Locators in Teeth with Simulated Apical Root Resorption: an In Vitro Study. Folia Med. 2018; 60(4): 624-31.
62.Enes Odabaş M, Bodur H, Tulunoğlu Ö, Alaç am A. Accuracy of an electronic apex locator: a clinical evaluation in primary molars with and without resorption. J Clin Pediatr Dent. 2011; 35(3): 255-8.
63.Nellamakkada K, Patil SS, Kakanur M, Kumar RS, Thakur R. A clinical evaluation of two electronic apex locators and conventional radiography in working length determination in primary molar and its influence on children's behavioral responses. J Indian Soc Pedod Prev Dent. 2020;38(2):158.
64.Angwaravong O, Panitvisai P. Accuracy of an electronic apex locator in primary teeth with root resorption. Int Endod J. 2009; 42(2): 115-21.
65.Tosun G, Erdemir A, Eldeniz A, Sermet U, Sener Y. Accuracy of two electronic apex locators in primary teeth with and without apical resorption: a laboratory study. Int Endod J. 2008; 41(5): 436-41
66.Mente J, Seidel J, Buchalla W, Koch M. Electronic determination of root canal length in primary teeth with and without root resorption. Int Endod J. 2002; 35(5): 447-52.
67.Tronstad L. Root resorption—etiology, terminology and clinical manifestations. Dent Traumatol. 1988; 4(6): 241-52.
68.Çalışkan M, Kaval M, Tekin U. Clinical accuracy of two electronic apex locators in teeth with large periapical lesions. Int Endod J. 2014; 47(10): 920-5.
69.Saatchi M, Aminozarbian MG, Hasheminia SM, Mortaheb A. Influence of apical periodontitis on the accuracy of 3 electronic root canal length measurement devices: an in vivo study. J Endod. 2014 Mar;40(3):355-9.
70.Üstün Y, Aslan T, Şekerci AE, Sağsen B. Evaluation of the reliability of cone-beam computed tomography scanning and electronic apex locator measurements in working length determination of teeth with large periapical lesions. J Endod. 2016; 42(9): 1334-7