Skip to main content
Log in

Clinical evaluation of Root ZX II electronic apex locator in primary teeth

  • Scientific Article
  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

AIM: To evaluate the accuracy of Root ZX II electronic apex locator (EAL) for root canal working length determination in primary teeth. METHODS: Forty primary maxillary incisor teeth were included in the study. Root ZX II EAL was used to determine the electronic working length (EL). The working length obtained with EAL was evaluated using digital radiography with the measuring file set to EL. The samples were categorised into three groups. Group 1 (acceptable): file tip 0–1 mm short of the radiographic apex; Group 2 (short): file tip ≫ 1mm short of the apex and Group 3 (long): file tip beyond the apex. Digital radiographic working length (RL) was derived by adjusting EL to the radiographic apex. The assigned calibrations were tabulated and statistically analysed. RESULTS: Group 1 included 28 out of 40 teeth indicating a clinical accuracy of 70%. Group 2 contained 10 (25%) teeth whereas group 3 had only 2 (5%) teeth. STATISTICS: Pearson correlation coefficient statistical analysis showed a high correlation (r = +0.82; p =s < 0.001) among the groups. CONCLUSION: Root ZX II EAL can be used as a reliable device for obtaining root canal length in primary maxillary incisor teeth.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Angwaravong O, Panitvisai P. Accuracy of electronic apex locator in primary teeth with resorption. Int Endod J 2009; 42:115–121.

    Article  PubMed  Google Scholar 

  • Athar A, Angelopoulos C, Katz JO, Williams KB, Spencer P. Radiographic endodontic working length estimation: comparison of three digital image receptors. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106:604–608.

    Article  PubMed  Google Scholar 

  • Ebrahim AK, 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; 51:153–157.

    Article  PubMed  Google Scholar 

  • Elayouti A, Dima E, Ohmer J. Consistency of Apex Locator Function: A clinical Study. J Endod 2009; 35:2.

    Article  Google Scholar 

  • Ghaemmaghami S, Eberle J, Duperon D. Evaluation of RootZX Apex Locator in primary teeth. Pediatr Dent 2008; 30:496–498.

    PubMed  Google Scholar 

  • Goldberg F, De Silvio AC, Manfre S, Nastri N. In vitro measurement accuracy of an electronic apex locator in teeth with simulated apical root resorption. J Endod 2002; 28:461–463.

    Article  PubMed  Google Scholar 

  • Gordon MPJ, Chandler NP. Electronic apex locators. Int Endod J 2004; 37:408–414.

    Article  Google Scholar 

  • Hoer D, Attin T. The accuracy of electronic working length determination. Int Endod J 2004; 37:125–131.

    Article  PubMed  Google Scholar 

  • Horner K, Shearer AC, Walker A, Wilson NHF. “Radiovisiography”: An initial evaluation. Br Dent J 1990; 168:244–428.

    Article  PubMed  Google Scholar 

  • Katz A, Mass E, Kaufman AY. Electronic apex locator: a useful tool for root canal treatment in the primary dentition. ASDC J Dent Child 1996; 63:414–417.

    PubMed  Google Scholar 

  • Kaufman AY, Keila S, Yoshpe M. Accuracy of a new apex locator: an in vitro study. Int Endod J 2002; 35:186–192.

    Article  PubMed  Google Scholar 

  • Kielbassa AM, Muller U, Munz I, Monting JS. Clinical evaluation of the measuring accuracy of Root ZX in primary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95:94–100.

    Article  PubMed  Google Scholar 

  • Leonardo MR, Silva LAB, Nelson-Filho P, Silva RAB, Raffaini MSGG. Ex vivo evaluation of the accuracy of two electronic apex locators during root canal length determination in primary teeth. Int Endod J 2008; 41:317–321.

    Article  PubMed  Google Scholar 

  • Leonardo MR, Da Silva LA, Nelson-Filho P, Da Silva RA, Lucisano MP. In vitro comparative study of conventional radiography and Root ZX apex locator in determining root canal working length. N Y State Dent J 2009; 754:48–51.

    Google Scholar 

  • Moshonov, Goldberg IS. Apex Locators: Updates and Prospects for the future. Int J Computerized Dent 2004; 7:359–370.

    Google Scholar 

  • Nelson-Filho P, Lucisano MP, Leonardo MR, da Silva RA, da Silva LA. Electronic working length determination in primary teeth by ProPex and Digital Signal Procession. Aust Endod J. 2010; 36:105–108.

    Article  PubMed  Google Scholar 

  • Odabas ME, Bodur H, Tulunoglu O, Alacam A. Accuracy of an electronic apex locator: A clinical evaluation in primary molars with and without resorption. J Clin Pediatr Dent 2011; 35:255–258.

    PubMed  Google Scholar 

  • Ounsi HF, Naaman A. In vitro evaluation of the reliability of the Root ZX electronic apex locator. Int Endod J 1999; 32:120–123.

    Article  PubMed  Google Scholar 

  • Pratten DH, McDonald NJ. Comparison of radiographic and electronic working lengths. J Endod 1996; 22:173–176.

    Article  PubMed  Google Scholar 

  • Sanabe ME, Basso MD, Goncalves MA, Cordiero RDCL, Santos Pinto L. Digital versus conventional radiography for determination of primary incisor length. Braz J Oral Sci 2009; 8:101–104.

    Google Scholar 

  • Shabahang S, Goon WW, Gluskin AH. An in vivo evaluation of Root ZX electronic apex locator. J Endod 1996; 22:616–618.

    Article  PubMed  Google Scholar 

  • Sim S. Modern endodontic practice: instruments and techniques. Dent Clin North Am 2004; 48:1–9.

    Article  Google Scholar 

  • Subramaniam P, Konde S, Mandanna DK. An in vitro comparison of root canal measurement in primary teeth. J Indian Soc Pedod Prev Dent. 2005; 23:124–125.

    Article  PubMed  Google Scholar 

  • Sunada I. New method for measuring the Length of the root canal. J. Dent. Res 1962; 41:375–387.

    Article  Google Scholar 

  • Versteeg KH, Sanderink GC, Van Ginkel FC, Van der Stelt PF. Estimating distances on direct digital images and conventional radiographs. J Am Dent Assoc 1997; 128:439–443.

    PubMed  Google Scholar 

  • Weiger R, John C, Geigle H, Lost C. An in vitro comparison of two modern apex locators. J Endod 1999; 25:765–768.

    Article  PubMed  Google Scholar 

  • Wrbas KT, Ziegler AA, Altenburger MJ, Schirrmeister JF. In vivo comparison of working length determination with two electronic apex locators. Int Endod J 2007; 40:133–138.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to K. S. Uloopi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Saritha, S., Uloopi, K.S., Vinay, C. et al. Clinical evaluation of Root ZX II electronic apex locator in primary teeth. Eur Arch Paediatr Dent 13, 32–35 (2012). https://doi.org/10.1007/BF03262838

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03262838

Key words

Navigation