Accuracy of electronic apex locator in relation to the condition of human dental pulp
Research Abstract
Abstract: This study was conducted to evaluate the effect of pulp condition on the accuracy of apex locator
compared with periapical radiograph. 50 patients were collected for this study. Endodontic treatment was performed
with root length measurement with 5th generation apex locator (AL). X-ray was performed while the file in place to
verify the working length. The pulp was extirpated for histological and histochemical examination. After
histopathological and histochemical examination, the extirpated pulps were classified into 5 groups (10 canals in
each group), Group I: normal pulp, Group II: acutely inflammed pulp, Group III: chronically inflammed pulp, Group
IV: degenerated pulp, Group V: degenerated pulp with periapical radiolucency. From the radiographic findings and
histopathological finding we concluded that presence of pulp tissue inside the canal (normal or inflammed pulp
tissue) affects the accuracy of AL during root length determination. As AL gives the most accurate readings in case
of degenerated pulp without periapical radiolucency. While in case of degenerated pulp with periapical
radiolucency, the AL tends to give over reading in most cases.
[Asmaa Serry, Mohamed Adel and Ehab Mohey Elden. Accuracy of electronic apex locator in relation to the
condition of human dental pulp: Histological and histochemical study. J Am Sci 2012;8(8):391-397]. (ISSN:
1545-1003). http://www.jofamericanscience.org. 60
Keywords: Electronic
Research Keywords
apex locator, anatomical root apex