Fogorvosi szemle, 2008 (101. évfolyam, 1-6. szám)
2008-06-01 / 3. szám
111 FOGORVOSI SZEMLE ■ 101. évf. 3. sz. 2008. Irodalom 1. Dentsply-Maillefer: ProPex apex locator user manual. Montigni le Bretonneux, France, 2003. 2. Dummer PMH, McGinn JH, Rees DG: The position and topography of the apical canal constriction and apical foramen. Int EndodJ 1984; 17: 192-198. 3. Dunlap CA, Remeikis NA, Begole EA, Rauschenberger CR: An in vivo evaluation of an electronic apex locator that uses the rc'io method in vital and necrotic canals. J Endod 1998; 24: 48-50. 4. Elayouti A, Weiger R, Löst C: The ability of the Root ZX apex locator to reduce the frequency of overestimated radiographic working length. J Endod 2002; 28: 116-119. 5. Fazekas Á: Megtartó fogászat és endodoncia. Semmelweis, Budapest, 2006; 235-427. 6. Győrfi A, Fazekas Á: A munkahossz meghatározásának problematikája gyökérkezelés során. Fogorv Szmle 2006; 99: 153-159. 7. Hembrough JH, Weine FS, Pisano JV, Eskoz N: Accuracy of an electronic apex locator: a clinical evaluation in maxillary molars. J Endod 1993; 19: 242-246. 8. KATZ A, MASS E, KAUFMAN AY: Electronic apex locator: A useful tool for root canal treatment in the primary dentition. J Dent Child 1996; 63: 414-417. 9. Kim-Park MA, BauGhan LW, Hartwell GR: Working length determination in palatal roots of maxillary molars. J Endod2003; 29:58-61. 10. Kobayashi C: Electonic canal length measurement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79:226-231. 11. Kobayashi C, Suda H: New electronic canal measuring device based on the ratio method. J Endod 1994; 20:111-114. 12. Kuttler Y: Microscopic investigation of root apexes. J Am Dent Assoc 1955; 50: 544-552. 13. Lee SJ, Nam KC, Kim YJ, Kim DW: Clinical accuracy of a new apex locator with an automatic compensation circuit. J Endod 2002; 28: 706-709. 14. Lucena-MartíN C, Robles-Gijón V, Ferrer-Luque M, Navajas- Rodrígez JM: In vitro evaluation of the accuracy of three electronic apex locators. J Endod 2004; 30: 231-233. 15. McDonald NJ: The electronic determination of working length. Dent Clin North Am 1992; 36: 293-299. 16. Meares WA, Steiman HR: The influence of sodium hypochlorite irrigation on the accuracy of the Root ZX electronic apex locator. J Endod 2002; 28: 595-598. 17. Melius B, Jiang J, Zhu Q: Measurement of the distance between the minor foramen and the anatomic apex by digital and conventional radiography. J Endod 2002; 28: 125-126. 18. Oishi A, Yoshioka T, Kobayashi C, Suda H: Electronic detection of root canal constrictions. J Endod 2002; 28: 361-364. 19. Ounsi HF, Naaman A: In vitro evaluation of the reliability of the Root ZX elektronic apex locator. Int Endod J1999; 32: 120-123. 20. Pagavino G, Pace R, Baccetti T: A SEM study of in vivo accuracy of the Root ZX electronic apex locator. J Endod 1998; 24: 438-441. 21. Pallares A, Faus V: An in vivo comparative study of two apex locators. J Endod 1994;20: 576-579. 22. Plotino G, Grande N.M, Brigante L, Lesti B, Somma F: Ex vivo accuracy of three apex locators: Root ZX, Elements Diagnostic Unit and Apex Locator and ProPex. Int Endod J 2006; 39: 408-414. 23. Pratten DH, McDonald NJ: Comparison of radiographic and electronic working lengths. J Endod 1996; 22:173-176. 24. RiCucci D: Apical limit of root canal instrumentation and obturation. Part 1. Literature review. Int Endod J1998; 31:384-93. 25. RiCucci D, Langeland K: Apical limit of root canal instrumentation and obturation. Part 2. A hystological study. Int Endod J 1998; 31: 394-409. 26. Seltzer S, Soltanoff W, Smith J: Biologic aspects of endodontics. V. Periapical tissue reactions to root canal instrumentation beyond the apex and root canal fillings short of and beyond the apex. Oral Surg 1973; 36:725-729. 27. Sjögren U, Hägglund B, Sundqvist G, Wing K: Factors affecting the long-term results of endodontic treatment. J Endod 1990; 16: 498-504. 28. Sunada I: New method for measuring the length of the root canal. J Dent Res 1962; 41: 375-387. 29. Thomas AS, Hartwell GR, Moon PC: The accuracy of the Root ZX electronic apex locator using stainless-steel and nickel-titanium files. J Endod 2003; 29: 662-663. 30. Tinaz AC, Sevimli LS, Görgül G, Türköz EG: The effects of sodium hypochlorite concentrations on the accuracy of an apex locating device. J Endod 2002; 28: 160-162. 31. Van de Voorde HE, Molline I, Bjorndahl AM: Estimating endodontic ’’working length" with parallelling radiographs. Oral Surg Oral Med Oral Pathol 1969; 27: 106-110. 32. Weat JD, Roanne JB, Goerig AC: Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds.: Pathways of the Pulp. 6th ed. St. Louis: Mosby-Year Book Inc. 1994; 179-218. 33. Welk AR, Baumgartner JC, Marshall JG: An in vivo comparison of two frequency-based electronic apex locators. J Endod 2003; 29: 497-500. 34. Wu MK, Wesselink PR, Walton RE: Apical terminus location of root canal treatment procedures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod2000; 89: 99-103. Dr. Krajczar K, Dr. Soltész M. Zs, Dr. Gyulai G, Dr. Marada Gy, Dr. Szabó Gy, Dr. Tóth V: Direct comparison of working length determination by ProPex electronical apex locator and radiographic method - an in vitro study The purpose of this study was to compare the accuracy of electronical and radiographical working length determination in extracted molars. Palatal root canals of twenty maxillary molars were used. Teeth were randomically divided into two groups. In case of the first group the working length was measured by apex locator (Propex, Dentsply-Maillefer), and in the second group it was measured with radiographic method (RVG, Trophy). The files, used for measuring the working length, were cemented into the teeth. The apical half of the root was grinded, and the tips of the files visualised as well as the apical region of the root canal with the apical constriction. Standard digital photographs were taken from the prepared samples, and the distance between the tip of the file and the physiological foramen was measured. Two sample ftest was used for statistical analysis. The physiological foramen was approached on average to 0.11 mm by the electronical method and to 0.58 mm by the radiological method. There was no significant difference in the measuring accuracy between the two methods (p=0.10). The electronical and radiological working length determination may prove to show an equivalent consistency. Key words: physiological foramen, apex locator, radiological working length determination, in vitro