Variations in the morphology of apical constriction affecting electronic readings: An in vitro investigation using 3D-printed tooth models

Aust Endod J. 2023 Sep:49 Suppl 1:245-252. doi: 10.1111/aej.12724. Epub 2022 Nov 30.

Abstract

We investigated the interference of apical constriction position and diameter on the accuracy of electronic apex locators using 3D-printed tooth models. Single-rooted tooth models with the same length, canal taper and major foramen, but variation in apical constriction position or size, were designed and 3D-printed. A mounting model was custom-made for precise measurement of both marks (0.5 and APEX/0.0) of two electronic apex locators. The electronic measurements of both devices were correlated significantly to the major foramen rather than apical constriction. The mean measurements of the group with 0.45 mm in apical constriction width were significantly shorter than those of the other groups for both marks of the two devices (p < 0.05). The variations in apical constriction position and width negatively affected the precision of the 0.5 mark of the tested devices. The 0.0 or APEX mark was consistently located the major foramen.

Keywords: 3D-printed models; Propex Pixi; Root ZX mini; apical constriction; electronic apex locator.

MeSH terms

  • Constriction
  • Dental Pulp Cavity* / anatomy & histology
  • Dental Pulp Cavity* / diagnostic imaging
  • Electronics
  • Odontometry
  • Printing, Three-Dimensional
  • Root Canal Preparation
  • Tooth Apex* / anatomy & histology
  • Tooth Apex* / diagnostic imaging