Comparison of Two Different Methods of Average Working Length Determination in Second Molars and Premolars

Within the procedures involved in a successful endodontic treatment is the working length (WL) determination. The root canal end must be detected accurately, and a precise control of the WL must be maintained. There are several methods to determine WL. Researchers have published the average teeth le...

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Autores principales: Rodríguez-Niklitschek,Cynthia, Cantín,Mario, Oporto,V. G. H
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2015
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000300052
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spelling oai:scielo:S0717-950220150003000522015-12-04Comparison of Two Different Methods of Average Working Length Determination in Second Molars and PremolarsRodríguez-Niklitschek,CynthiaCantín,MarioOporto,V. G. H Endodontics Electronic apex locator Working length Root canal system anatomy Within the procedures involved in a successful endodontic treatment is the working length (WL) determination. The root canal end must be detected accurately, and a precise control of the WL must be maintained. There are several methods to determine WL. Researchers have published the average teeth length (ATL) to the human permanent dentition. These measurements are used as an anatomical reference. If the WL is evaluated using a radiographic image, it is accepted as clinical success if the limit of the canal sealing is 1 mm coronal to the root apex. One method to determine WL is based in substract 1 mm to ATL. Another method widely used, assert to achieve a more precise WL determination, through the use of an electronic apex locator (AL). Nevertheless, published measures of ATL are still used as anatomical reference, and are used to determine WL in the absence of an AL. The aim of this study was to determine the average WL of second molars and premolars with endodontic treatment indication using a PropexII® AL, and compare these measurements to WL determination using ATL method. A descriptive cross-sectional study with a non-random sample of consecutive cases was executed. Results showed that there were no statistically significant differences between the WL obtained with AL and ATL method in studied teeth, except mesio-buccal canal of second maxillary molars (19.94 mm average using AL, 1.54 mm greater than ATL method 18.40 mm; p= 0.002). The ATL method to determine WL could be used to determine the WL of second molars and premolars in studied population. Further research should be performed to determine if ATL method is safe and reliable to be used in absence of an AL or in patients where this instrument cannot be used.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.33 n.3 20152015-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000300052en10.4067/S0717-95022015000300052
institution Scielo Chile
collection Scielo Chile
language English
topic Endodontics
Electronic apex locator
Working length
Root canal system anatomy
spellingShingle Endodontics
Electronic apex locator
Working length
Root canal system anatomy
Rodríguez-Niklitschek,Cynthia
Cantín,Mario
Oporto,V. G. H
Comparison of Two Different Methods of Average Working Length Determination in Second Molars and Premolars
description Within the procedures involved in a successful endodontic treatment is the working length (WL) determination. The root canal end must be detected accurately, and a precise control of the WL must be maintained. There are several methods to determine WL. Researchers have published the average teeth length (ATL) to the human permanent dentition. These measurements are used as an anatomical reference. If the WL is evaluated using a radiographic image, it is accepted as clinical success if the limit of the canal sealing is 1 mm coronal to the root apex. One method to determine WL is based in substract 1 mm to ATL. Another method widely used, assert to achieve a more precise WL determination, through the use of an electronic apex locator (AL). Nevertheless, published measures of ATL are still used as anatomical reference, and are used to determine WL in the absence of an AL. The aim of this study was to determine the average WL of second molars and premolars with endodontic treatment indication using a PropexII® AL, and compare these measurements to WL determination using ATL method. A descriptive cross-sectional study with a non-random sample of consecutive cases was executed. Results showed that there were no statistically significant differences between the WL obtained with AL and ATL method in studied teeth, except mesio-buccal canal of second maxillary molars (19.94 mm average using AL, 1.54 mm greater than ATL method 18.40 mm; p= 0.002). The ATL method to determine WL could be used to determine the WL of second molars and premolars in studied population. Further research should be performed to determine if ATL method is safe and reliable to be used in absence of an AL or in patients where this instrument cannot be used.
author Rodríguez-Niklitschek,Cynthia
Cantín,Mario
Oporto,V. G. H
author_facet Rodríguez-Niklitschek,Cynthia
Cantín,Mario
Oporto,V. G. H
author_sort Rodríguez-Niklitschek,Cynthia
title Comparison of Two Different Methods of Average Working Length Determination in Second Molars and Premolars
title_short Comparison of Two Different Methods of Average Working Length Determination in Second Molars and Premolars
title_full Comparison of Two Different Methods of Average Working Length Determination in Second Molars and Premolars
title_fullStr Comparison of Two Different Methods of Average Working Length Determination in Second Molars and Premolars
title_full_unstemmed Comparison of Two Different Methods of Average Working Length Determination in Second Molars and Premolars
title_sort comparison of two different methods of average working length determination in second molars and premolars
publisher Sociedad Chilena de Anatomía
publishDate 2015
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000300052
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