Working length determination in primary teeth pulpectomy: A systematic review and meta‐analysis

Paradiso, Daniele; Tullio, Antonio; Bensi, Caterina

doi:10.1111/aej.12652

Cited by 5 publications

(3 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17 With regard to the determination of the initial working length, a study has compared different apical locators with other methods, concluding that the methods achieve similar results in determining working length in primary teeth and apical locators can be used as a safe alternative. 19 Although the literature suggests the use of this method, most faculty members recommended measurement through the initial radiograph with a millimetre ruler. A possible reason for the non-use of apical locators is that faculty members may believe that these tools are inadequate due to root resorption.…”

Section: Discussionmentioning

confidence: 99%

“…The literature, however, supports the use of electronic apex locators in primary teeth, regardless of the root resorption stage. 19 Another potential reason is a lack of mastery over clinical techniques or concerns about cost. It was not the aim of the present study to explore the underlying reasons, and further studies should be conducted to address this subject.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Teaching pulpectomy in paediatric dentistry: A national cross‐sectional survey of dental schools in Brazil

Campos,

Gois,

Serafim

et al. 2024

Int J Paed Dentistry

View full text Add to dashboard Cite

BackgroundPulpectomy is used to treat primary teeth with irreversibly inflamed or necrotic pulp tissue. There is, however, a lack of consensus on clinical protocols for teaching pulpectomy at dental schools.AimTo determine what faculty members at Brazilian dental schools are teaching about pulpectomy in primary teeth.DesignA cross‐sectional, observational study was conducted using a 39‐question survey available via the Google Forms® platform. A snowball sampling strategy was used for recruitment. Invitations to participate were sent via e‐mail, WhatsApp® and Instagram®. The data were analysed descriptively.ResultsA total of 177 (58.4%) responses were obtained. Most faculty members recommended the use of Kerr hand files (66.1%), and 1% sodium hypochlorite was the most common choice for the irrigating solution (35.3%). Iodoform pastes were the first choice of faculty members (41.6%), and 60.5% of the faculty members recommended composite resin as the definitive restoration.ConclusionSimilarities were found in the teaching of pulpectomy for primary teeth among faculty members at dental schools in Brazil.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Teaching pulpectomy in paediatric dentistry: A national cross‐sectional survey of dental schools in Brazil

Campos,

Gois,

Serafim

et al. 2024

Int J Paed Dentistry

View full text Add to dashboard Cite

show abstract

“…It has been reported that factors such as metallic restorations, excess electrolytes, blood or exudate in the canal, caries, saliva, canal instruments in another canal, debris accumulation in the canal, and calcifications can negatively affect WL measurement [10]. Various studies have shown that pulp vitality, the presence of electrolyte in the canal, the degree of resorption, canal width, the diameter of the canal instrument, and differences in experience among practitioners can negatively affect the success of EALs [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of accuracy of an electronic apex locator in presence of sodium hypochlorite in primary teeth with and without resorption

2023

Journal of Clinical Pediatric Dentistry

View full text Add to dashboard Cite

This study compared the accuracy of Root ZX mini apex locator in presence of sodium hypochlorite (NaOCl) in primary molars with and without apical resorption. Sixty-four extracted primary lower molar teeth with 32 root resorption and 32 without resorption were selected. To determine the actual working length (AWL), a K-file was inserted into the root canal until the tip of the file was visible at the major foramen or the resolution level. It was then withdrawn 1 mm. This value was recorded as AWL. The teeth were then divided subgroups (with/without NaOCl). To determine the electronic working length, a Root ZX mini apex locator in canals with/without NaOCl was used. A K-file was inserted into the canal to just beyond the foramen, as indicated by the flashing “APEX” bar, and the electronic working length was determined by subtracting 1 mm from this length. The deviation of the Root ZX mini measurement from the AWL was determined. Student’s t-test was used for statistical analysis. In teeth with no resorption, the measurement accuracy rates (within+/−0.5 mm) of non-NaOCl and NaOCl groups were 84.37% and 81.25%, respectively (p > 0.05); within+/−1 mm, the non-NaOCl and NaOCl demonstrated 100% and 96.87% accuracy, respectively (p > 0.05). In teeth with resorption, the measurement accuracy rates (within+/−0.5 mm) was 81.25% for the non-NaOCl and 62.50% for the NaOCl, respectively (p < 0.05). The measurement accuracy rates (within+/−1 mm) of the non-NaOCl and NaOCl was 96.87% and 84.37%, respectively (p < 0.05). The presence of NaOCl in the root canal affected the accuracy of the Root ZX mini in primary teeth with apical resorption, but not in teeth without resorption.

show abstract

The evaluation of the accuracy of a wireless electronic apex locator in primary molar teeth

Oncu,

Sisko,

Demirel

et al. 2024

BMC Oral Health

View full text Add to dashboard Cite

Background The working length determination is necessary before root canal shaping, chemical cleaning, disinfection, and obturation in pulpectomy of primary dentition. This study aimed to evaluate the accuracy of Wirele-X and compare it with DentaPort ZX and Woodpex III in primary molar teeth. Methods The in vitro study was performed by using 30 extracted primary mandibular molar teeth. In distal roots, the actual working length was determined by taking forward a #10 K-type canal file under a dental operating microscope with 10x magnification. Each tooth and lip clip were embedded in alginate before determining the working lengths using electronic apex locators. The average of three electronic working lengths was calculated for each sample, and the actual working length was subtracted from the electronic working length. Results There were no significant differences in the accuracy rate of DentaPort ZX, Wirele-X, and Woodpex III in the determination of the working length set at ± 0.5 mm and ± 1 mm, respectively ( P > 0.05). Conclusions This study reported that DentaPort ZX, Wirele-X, and Woodpex III can be safely used in the pulpectomy of primary molars. Wirele-X can provide an advantage in working length determination in children because of its wireless feature.

show abstract

Working length determination in primary teeth pulpectomy: A systematic review and meta‐analysis

Cited by 5 publications

References 32 publications

Teaching pulpectomy in paediatric dentistry: A national cross‐sectional survey of dental schools in Brazil

Teaching pulpectomy in paediatric dentistry: A national cross‐sectional survey of dental schools in Brazil

Evaluation of accuracy of an electronic apex locator in presence of sodium hypochlorite in primary teeth with and without resorption

The evaluation of the accuracy of a wireless electronic apex locator in primary molar teeth

Contact Info

Product

Resources

About