Consistency of electronic measurements of endodontic working length when using multiple devices from the same manufacturer-an in vitro study

Abstract

Objectives: To assess the consistency of electronic determination of endodontic working length obtained from four identical electronic root canal length measurement devices (ERCLMD) from five different types of ERCLMD each under various in vitro conditions.

Materials and methods: Eight extracted teeth, seven single-rooted teeth, and one molar were accessed. Root length was measured and instruments were inserted and fixed with the tip placed beyond and short of the apical constriction, in roots with an artificial perforation or an open apex. Devices tested were Root ZX (Morita, Kyoto, Japan), Dentaport ZX (Morita), Apex ID (SybronEndo, Glendora, USA), ProPex II (Dentsply Maillefer, Victoria, Australia), and Raypex 6 (VDW-Antaeos, Munich, Germany). Teeth were irrigated with different solutions (NaOCl, EDTA, CHX). ERCLMDs were connected and measurements were recorded. Consistency was classified by the scores 0-4. Comparisons were carried out using the Kruskal-Wallis test (α = 0.05). For multiple testing, the level of significance was adjusted and analysis was performed using the Mann-Whitney U test.

Results: Among the five types of ERCLMD, Apex ID and Raypex 6 showed the highest consistency. There was no statistically significant difference between the settings and conditions. Raypex 6 showed the highest consistency for measurements in case of a perforation.

Conclusion: Different devices from one type of ERCLMD show a high consistency. Nevertheless, general statements on the accuracy of one type of ERCLMD taken from studies investigating only one device per type should be drawn with caution.

Clinical relevance: The study refers to the reliability and repeatability of determination of endodontic working length by using ERCLMDs.

Keywords: Electronic root canal length measurement device; Intra-device consistency; Open apex; Perforation; Working length.