Accuracy of root canal length determination with the impedance ratio method.

Abstract:

AIM:To provide insight into the principles of operation of electronic apex locators, determine optimal measuring parameters of the impedance ratio method, and to evaluate its accuracy. METHODOLOGY:Electrical impedance was measured ex vivo on 14 extracted human teeth using a QuadTech 1920 precision impedance analyzer. A file electrode was inserted into the root canal; the second electrode was placed in the saline solution surrounding the tooth. Measurements were performed in a frequency range from 20 Hz to 1 MHz, and repeated with different distances of the file tip from the major apical foramen. The measured impedances were analysed as a function of distance of the file tip to the major apical foramen. Parameters (e.g. measurement frequencies, impedance ratio value) that would result in optimal working length determination were evaluated. RESULTS:The optimal determination of the major apical foramen position was obtained at frequencies of 5 kHz and 0.5 kHz, 10 kHz and 0.5 kHz, and 5 kHz and 1 kHz, for the impedance ratios 0.73 (95% CI: -0.33 to 1.74 mm), 0.66 (95% CI: -0.34 to 1.81 mm) and 0.79 (95% CI: -0.33 to 1.58 mm) respectively. The limit of +/-0.5 mm was attained in 86% of all measurements. Standard deviations decreased as the average measured distance approached and extended beyond the major apical foramen. CONCLUSIONS:With the obtained optimal measuring parameters, the impedance ratio method determined position of the major foramen within +/-0.5 mm. Accuracy varied depending on the set of frequencies used for evaluation as well as on the selected impedance ratio.

journal_name

Int Endod J

authors

Jan J,Krizaj D

doi

10.1111/j.1365-2591.2009.01589.x

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

819-26

issue

9

eissn

0143-2885

issn

1365-2591

pii

IEJ1589

journal_volume

42

pub_type

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