Influence of different sized files on the accuracy of two electronic apex locators

Aust Endod J. 2018 Dec;44(3):251-254. doi: 10.1111/aej.12235. Epub 2017 Sep 20.

Abstract

The aim of this study was to evaluate the impact of different file sizes on the accuracy of two electronic apex locators (EALs). Thirty extracted human single-rooted permanent mandibular incisors were used. A #10 K-file was inserted in the root canal until its end could be observed (using a light microscope) through the apical foramen. One millimetre was subtracted to establish working length (WL). Electronic readings were performed using MiniApex Locator or Root ZX II, from #10 K-file to #130 K-file. Statistical analysis was performed by two-way anova and Tukey test (P ≤ 0.05). From #60 to #130 K-file, observed differences were noted between the values obtained with both EALs and WL (P ≤ 0.05). The MiniApex Locator showed increased means when measurements were made with #50 to #70 and with #120 (P = 0.008) and #130 (P = 0.005) K-files. File sizes influenced the accuracy of EALs - the greater the instrumentation size, the higher mean differences compared to WL.

Keywords: apical foramen; electronic apex locator; endodontics; root length determination.

Publication types

  • Comparative Study

MeSH terms

  • Apexification / instrumentation*
  • Apexification / methods
  • Dental Instruments*
  • Humans
  • Incisor / surgery
  • Root Canal Therapy / instrumentation*
  • Root Canal Therapy / methods*
  • Sampling Studies
  • Sensitivity and Specificity
  • Tooth Extraction