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FARKLI KANAL YIKAMA SOLÜSYONLARI KULLANILARAK İKİ FARKLI APEKS BULUCUNUN DOĞRULUĞUNUN KARŞILAŞTIRILMASI

A COMPARISON OF THE ACCURACY OF TWO DIFFERENT APEX LOCATORS USING DIFFERENT ROOT CANAL SOLUTIONS

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2012

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Aim: The aim of this study was to investigate whether the Apex Pointer EAL (Electronic Apex Locator) or the Propex EAL can give actual working length measurements in dry canals or canal irrigated with NaOCl, EDTA, or saline. Material and Methods: Thirty-one human premolar and incisor teeth with single roots were used in this study. To determine the actual working length, a number 10 K-file was progressed as far as the major foramen under a stereomicroscope. When the tip of the K-file was visible in the major apical foramen, a silicon stopper was immediately adjusted to the canal surface. The K-file was removed from the root canal and the distance between an endodontic ruler and the silicon stopper was measured. These measurements were selected as the control group. Then, measurements were performed with both the Propex EAL and Apex Pointer EAL under different conditions (dry, NaOCl, EDTA, and saline). A measurement was deemed unstable when the reading of the EAL did not remain stable for at least 5 seconds. The stable measurements were selected as the study group. Results: The rate of the accurate measurements with the Propex were 35% at ± 0.5 mm and 70% at ±1 mm in dry canals; 26% at ±0.5 mm and 58% at ±1 mm in canals with NaOCl; 58% at ± 0.5 mm and 90% at ±1 mm in canals with saline; and 26% at ±0.5 mm and 71% at ±1 mm in canals with EDTA. The rate of the with the actual measurements with the Apex Pointer were 35% at ±0.5 mm and 61% at ±1 mm in dry canals; 26% at ±0.5 mm and 45% at ±1 mm in canals with NaOCl; 45% at ±0.5 mm and 70% at ±1 mm in canals with saline; and 54% at ±0.5 mm and 80% at ±1 mm in canals with EDTA. None of the tested devices delivered an actual measurement of 100%. However, the differences between control and study groups in all samples were not statistically significant. Conclusion: Therefore, both the Propex EAL and Apex Pointer can be used safely to determine the actual working length.
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Abstract (Original Language): 
Amaç: Bu çalışmanın amacı Apex Pointer EAL (Elektronik Apeks Bulucu) ve Propex EAL’nin kuru veya NaOCl, EDTA ve salin solüsyonu ile yıkanmış kanallarda gerçek çalışma uzunluğunu verip vermediğini incelemektir. Gereç ve Yöntem: Bu çalışmada 31 tek köklü premolar ve kesici insan dişi kullanıldı. Gerçek çalışma boyutunu belirlemek için 10 numaralı K tipi kanal eğesi bir steromikroskop altında majör foramene kadar ilerletildi. Kanal eğesinin ucu majör apikal foramende görüldüğü zaman silikon bir stoper hemen kanal yüzeyine ayarlandı. Kanal eğesi kök kanalından çıkarıldı ve endodontik cetvel ile silikon stoper arasındaki mesafe ölçüldü. Bu ölçümler kontrol gurubu olarak kabul edildi. Sonraki ölçümler hem Propex EAL hem de Apex Pointer EAL ile farklı koşullar altında (kuru, NaOCl, EDTA ve saline) yapıldı. EAL’nin okuması en az 5 saniye stabil kalmadıkça o ölçüm “stabil değil” şeklinde kabul edildi. Stabil ölçümler çalışma gurubu olarak dahil edildi. Bilgular: Propex ile yapılan değerlendirmeler; kuru kanallarda ±0.5 mm de %35 ve ±1 mm de %70, NaOCl’li kanallarda ±0.5 mm de %26 ve ±1 mm de %58, salin sulüsyonu ile yıkanan kanallarda ± 0.5 mm de %58 ve ±1 mm de %90 ve EDTA’lı kanallarda ±0.5 mm de %26 ve ±1 mm de %71 gerçek boyuta yakın değerler gösterdi. Apex Pointer ile yapılan değerlendirmeler; kuru kanallarda ±0.5 mm de %35 ve ±1 mm de %61, NaOCl’li kanallarda ±0.5 mm de %26 ve ±1 mm de %45, salin sulüsyonu ile yıkanan kanallarda ± 0.5 mm de %45 ve ±1 mm de %70 ve EDTA’lı kanallarda ±0.5 mm de %54 ve ±1 mm de %80 gerçek boyuta yakın değerler gösterdi. Test aletlerinin hiçbiri %100 gerçek boyut doğruluğu göstermedi. Bununla birlikte tüm örneklerde çalışma ve kontrol gurubu arasındaki farklılıklar istatistiksel olarak anlamlı değildi. Sonuç: Bu nedenle hem Propex EAL hem de Apex Pointer gerçek çalışma boyutunu belirlemede güvenle kullanılabilir.
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  • 2
133-182
  • Turkish

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