Eletronic working length determination in primary tooth: review of literature and case report

Authors

DOI:

https://doi.org/10.22456/2177-0018.117180

Keywords:

Odontometry, Tooth, deciduous, Root canal therapy

Abstract

Aim: To review the main articles found in the literature on the use of Electronic Apex Locators (EAL) in deciduous teeth, and to represent, through a clinical case report, the importance of using these devices during endodontic treatment in deciduous teeth. Review of literature: A search was performed in the main databases, and 13 articles considered most relevant were selected. All studies showed that the determination of odontometry in deciduous teeth using LEF is quite safe and with good accuracy, and the localizer can be used for this purpose. Case report: In the clinical case presented, the use of EAL was fundamental to obtain an accurate odontometry, besides the reduction of chair time and exposure to ionizing radiation. The case was conducted in two sessions, where in the first one the access surgery was performed, electronic odontometry, manual preparation of the canals and use of intracanal medication of calcium hydroxide. In the second session the intracanal medication was removed and the canals were filled using iodoform paste. Discussion: The use of LEF in the endodontic treatment of primary teeth has been shown to be a safe and efficient tool, with better permormance in determining the working length when compared to other methods. Conclusion: According to the studies presented in the literature review and the clinical case presented, we could verify that the use of LEF contributes positively to treatment, especially in terms of time gain and acurate determination of working length.

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References

Navit S, Jaiswal N, Khan SA, Malhotra S, Sharma A, Mukesh, et al. Antimicrobial efficacy of contemporary obturating materials used in primary teeth- an in-vitro study. J Clin Diagnostic Res [Internet]. 2016 Sep 1 [Acesso em 10 fev. 2021];10(9):ZC09-ZC12. Disponível em: https://pubmed.ncbi.nlm.nih.gov/27790570/.

Chen X, Liu X, Zhong J. Clinical and radiographic evaluation of pulpectomy in primary teeth: a 18-months clinical randomized controlled trial. Head Face Med [Internet]. 2017 Oct 27 [Acesso em 10 fev. 2021];13(1):12. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29073902/.

Ahmad IA, Pani SC. Accuracy of electronic apex locators in primary teeth: a meta-analysis. Int Endod J [Internet]. 2015 Mar 1 [Acesso em 04 fev. 2021];48(3):298–307. Disponível em: https://pubmed.ncbi.nlm.nih.gov/24863852/.

Volpato LE, Gomes LA, Oliveira AA, de Campos Neves AT, Aranha AM. Technology incorporation in primary teeth endodontics: case reports. Int J Clin Pediatr Dent. 2020;13(2):180–5.

Adriano LZ, Barasuol JC, Cardoso M, Bolan M. In vitro comparison between apex locators, direct and radiographic techniques for determining the root canal length in primary teeth. Eur Arch Paediatr Dent [Internet]. 2019 Oct 1 [Acesso em 4 fev. 2021];20(5):403–8. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30603843/.

Mello-Moura ACV, Moura-Netto C, Araki AT, Guedes-Pinto AC, Mendes FM. Ex vivo performance of five methods for root canal length determination in primary anterior teeth. Int Endod J [Internet]. 2010 [Acesso em 10 fev. 2021];43(2):142–7. Disponível em: https://pubmed.ncbi.nlm.nih.gov/20078703/.

Ahmed HM. Anatomical challenges, electronic working length determination and current developments in root canal preparation of primary molar teeth. Int Endod J. 2013 [Acesso em 04 fev. 2021];46(11):1011-22. Disponível em: https://pubmed.ncbi.nlm.nih.gov/23711096/.

Nekoofar MH, Ghandi MM, Hayes SJ, Dummer PM. The fundamental operating principles of electronic root canal length measurement devices. Int Endod J. 2006 [Acesso em 08 de set. 2020];39(8):595-609. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16872454/.

Sunada I. New method for measuring the length of the root canal. J Dent Res. 1962;41(2):375–87.

Abidi SYA, Azfar M, Nayab T, Shaukat A, Hasan M, Baig NN, et al. Accuracy of working length measurement with endo motor having built-in apex locator and comparison with periapical radiographs. J Pak Med Assoc [Internet]. 2020 [Acesso em 08 set. 2020];70(3):437–41. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32207421/.

Cianconi L, Angotti V, Felici R, Conte G, Mancini M. Accuracy of three electronic apex locators compared with digital radiography: An ex vivo study. J Endod [Internet]. 2010 Dec [Acesso em 8 set. 2020];36(12):2003–7. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21092822/.

Duran-Sindreu F, Gomes S, Stöber E, Mercadé M, Jané L, Roig M. In vivo evaluation of the iPex and Root ZX electronic apex locators using various irrigants. Int Endod J [Internet]. 2013 Aug [Acesso em 08 set. 2020];46(8):769–74. Disponível em: https://pubmed.ncbi.nlm.nih.gov/23551276/.

Guimarães BM, Marciano MA, Amoroso-Silva PA, Alcalde MP, Bramante CM, Duarte AH. O uso dos localizadores foraminais na endodontia: revisão de literatura. Rev Odontol Bras Central [Internet]. 2014 [Acesso em 04 fev. 2021];23(64):2–7. Disponível em: https://www.robrac.org.br/seer/index.php/ROBRAC/article/view/836/703.

Mente J, Seidel J, Buchalla W, Koch MJ. Electronic determination of root canal length in primary teeth with and without root resorption. Int Endod J [Internet]. 2002 May [Acesso em 04 fev. 2021];35(5):447–52. Disponível em: https://pubmed.ncbi.nlm.nih.gov/12059916/.

Katz A, Mass E, Kaufman AY. Electronic apex locator: a useful tool for root canal treatment in the primary dentition. J Dent Child [Internet]. 1996 [Acesso em 10 fev. 2021];63(6):414–7. Disponível em: https://pubmed.ncbi.nlm.nih.gov/9017174/.

Kielbassa AM, Muller U, Munz I, Monting JS. Clinical evaluation of the measuring accuracy of ROOT ZX in primary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2003 [Acesso em 04 fev. 2021];95(1):94–100. Disponível em: https://pubmed.ncbi.nlm.nih.gov/12539034/.

Subramaniam P, Konde S, Mandanna DK. An in vitro comparison of root canal measurement in primary teeth. J Indian Soc Pedod Prev Dent [Internet]. 2005 [Acesso em 10 fev. 2021];23(3):124–5. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16224130/.

Leonardo MR, Silva LAB, Nelson-Filho P, Silva RAB, Raffaini MSGG. Ex vivo evaluation of the accuracy of two electronic apex locators during root canal length determination in primary teeth. Int Endod J [Internet]. 2008 Apr [Acesso em 4 fev. 2021];41(4):317–21. Disponível em: https://pubmed.ncbi.nlm.nih.gov/18217990/.

Angwaravong O, Panitvisai P. Accuracy of an electronic apex locator in primary teeth with root resorption. Int Endod J [Internet]. 2009 Feb [Acesso em 4 fev. 2021];42(2):115–21. Disponível em: https://pubmed.ncbi.nlm.nih.gov/19134039/.

Enes Odabaş M, Bodur H, Tulunoǧlu Ö, Alaç Am A. Accuracy of an electronic apex locator: a clinical evaluation in primary molars with and without resorption. J Clin Pediatr Dent [Internet]. 2011 Apr 1 [Acesso em 4 fev. 2021];35(3):255–8. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21678666/.

Kumar LV, Sreelakshmi N, Reddy ER, Manjula M, Rani ST, Rajesh A. Clinical evaluation of conventional radiography, radiovisiography, and an electronic apex locator in determining the working length in primary teeth. Pediatr Dent [Internet]. 2016 [Acesso em 4 fev. 2021];38(1):37-41. Disponível em: https://pubmed.ncbi.nlm.nih.gov/26892213/.

Oznurhan F, Ünal M, Kapdan A, Ozturk C, Aksoy S. Clinical evaluation of apex locator and radiography in primary teeth. Int J Paediatr Dent [Internet]. 2015 [Acesso em 4 fev. 2021];25(3):199-203. Disponível em: https://pubmed.ncbi.nlm.nih.gov/25073636/.

Ghule KD, Naik S. Comparing the accuracy of cone-beam computed tomography and electronic apex locator for root canal length determination in primary teeth. J Indian Soc Pedod Prev Dent. 2019 Apr 1;37(2):157–61.

Takushige T, Cruz EV, Asgor Moral A, Hoshino E. Endodontic treatment of primary teeth using a combination of antibacterial drugs. Int Endod J [Internet]. 2004 [Acesso em 4 fev. 2021];37(2):132-8. Disponível em: https://pubmed.ncbi.nlm.nih.gov/14871180/.

Tosun G, Erdemir A, Eldeniz AU, Sermet U, Sener Y. Accuracy of two electronic apex locators in primary teeth with and without apical resorption: A laboratory study. Int Endod J [Internet]. 2008 May [Acesso em 04 fev. 2021];41(5):436–41. Disponível em: https://pubmed.ncbi.nlm.nih.gov/18312377/.

Beltrame APCA, Triches TC, Sartori N, Bolan M. Electronic determination of root canal working length in primary molar teeth: An in vivo and ex vivo study. Int Endod J [Internet]. 2011 May [Acesso em 4 fev. 2021];44(5):402–6. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21219365/.

Gordon MP, Chandler NP. Electronic apex locators. Int Endod J [Internet]. 2004 [Acesso em 04 fev. 2021];37(7):425-37. Disponível em: https://pubmed.ncbi.nlm.nih.gov/15189431/.

Elayouti A, Weiger R, Löst C. Frequency of overinstrumentation with an acceptable radiographic working length. J Endod [Internet]. 2001 [Acesso em 4 fev. 2021];27(1):49–52. Disponível em: https://pubmed.ncbi.nlm.nih.gov/11487165/.

Williams CB, Joyce AP, Roberts S. A Comparison between in vivo radiographic working length determination and measurement after extraction. J Endod [Internet]. 2006 Jul [Acesso em 4 fev. 2021];32(7):624–7. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16793467/.

Katz A, Tamse A, Kaufman AY. Tooth length determination: a review. Oral Surg Oral Med Oral Pathol [Internet]. 1991 [Acesso em 04 fev. 2021];72(2):238-42. Disponível em: https://pubmed.ncbi.nlm.nih.gov/1923402/.

Amin J, Lines J, Milosevic MP, Park A, Sholapurkar A. Comparison of accuracy and reliability of working length determination using cone beam computed tomography and electronic apex locator: a systematic review. J Contemp Dent Pract. 2019;20(9):1118–23.

Rodríguez G, Abella F, Durán-Sindreu F, Patel S, Roig M. Influence of cone-beam computed tomography in clinical decision making among specialists. J Endod. 2017;43(2):194–9.

Published

2022-09-15

How to Cite

Paiva, H. C., Borelli, A. L., de Almeida, M. O., Sá, D. P., Akisue, E., & dos Santos, R. L. O. (2022). Eletronic working length determination in primary tooth: review of literature and case report. Revista Da Faculdade De Odontologia De Porto Alegre, 63(1), 98–105. https://doi.org/10.22456/2177-0018.117180

Issue

Section

Review articles