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근관 성형 전후의 네 가지 전자근관장측정기의 측정 정확성의 비교

In vitro comparison of measurement accuracy In pre-enlarged and enlarged canals with four apex locators

  • 성상엽 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 박정길 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 허복 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 김현철 (부산대학교 치의학전문대학원 치과보존학교실)
  • Sung, Sang-Yup (Department of Conservative Dentistry, School of Dentistry, Pusan National University) ;
  • Park, Jeong-Kil (Department of Conservative Dentistry, School of Dentistry, Pusan National University) ;
  • Hur, Bock (Department of Conservative Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Hyeon-Cheol (Department of Conservative Dentistry, School of Dentistry, Pusan National University)
  • 발행 : 2006.09.01

초록

이 연구의 목적은 확대하기 전 근관에서 전자근관장 측정 시의 정확성을 평가하고 확대된 근관에서 파일의 크기에 따른 네 가지 전자근관장 측정기의 정확성을 비교하기 위한 것이다. 발치된 치아 10개를 #10파일을 이용하여 치아의 실제길이를 측정하였다 현미경에서 25배 확대 하에 #10 파일이 치근단공을 넘어 해부학적 치근단공에 이를 때까지 전진하여 디지털 캘리퍼로 측정하였다. Root ZX, Bingo 1020, SmarPex, e-Magic Finder를 알지네이트를 이용한 인체 재현 모델을 이용하여 #10 파일로 apex 표시등에서 측정하였다 (S10). #45까지 핸드 파일로 확대한 다음 #10, #40 파일을 이용하여 전자근관장을 측정하였다. 실제 길이와 각각 측정값의 차이를 계산하여 L10, L40으로 정의하고 기계간의 비교는 one-way ANOVA통계처리하고, Scheffe's multiple range test로 사후 검증하였고, 같은 기계 안의 L10, L40은 Student's t-test로 비교하였다. 본 연구의 실험 조건 하에서, 측정값의 정확도가 기계간에 차이를 보였고, 파일의 크기는 측정값의 정확도에 영향을 주지 못하며, e-Magic Finder는 이 실험 조건하에서 다른 기계에 비해 가장 정확하였다.

The purposes of this study were to assess the accuracy of measurements in pre-enlarged canals with small instruments and to compare the accuracies, in enlarged canal, with small size instruments and instruments that match the actual canal diameter using Root ZX, Bingo1020, SmarPex, and e-Magic Finder. Ten extracted teeth were embedded in an alginate model made for testing apex locators. A size 10 file was placed into the root canal until the tip of the file reached the plane of the major diameter of the foramen under a dental operating microscope at the 25 x magnification. The measurement was done with digital caliper and defined as actual length. Electronic length measurement with a size 10 file in pre-enlarged canal was done by reading the index indicating Apex of each device to gain a definite value After completion of canal enlargement to a size 45 file, each difference between actual length and electric measurement value with a size 10 and 40 files in enlarged canal was recorded as L10 and L40. The one-way ANOVA and Scheffe's multiple range tests were computed for analyze the differences among the four apex locators in the same group. The Student's t-test between L10 and L40 of each locator was done. The accuracies of electronic measurements were significantly different among the 4 devices. The file size made no difference on the accuracy of electronic measurement in enlarged canal with same device. The e-Magic Finder was the most accurate device among the 4 apex locators used in this study.

키워드

참고문헌

  1. Sjogren U, Haggluland B, Sunquist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 16:616-618, 1990
  2. Kaufman AY, Katz A. Reliability of Root ZX apex locator tested by an in vitro model. J Endod 19:201 (abstract), 1993
  3. Dunlap CA, Remeikis NA, BeGole EA, Rauschenberger CR. An in vivo evaluation of an electronic apex locator that uses the ratio method in vital and necrotic canals. J Endod 24:48-50, 1998 https://doi.org/10.1016/S0099-2399(98)80214-8
  4. Sunada I. New method for measuring the length of the root canal. J Dent Res 41:375-387, 1962 https://doi.org/10.1177/00220345620410020801
  5. McDonald NJ, Hovland EJ. An evaluation of the Apex Locator Endocater. J Endod 16:5-8, 1990 https://doi.org/10.1016/S0099-2399(07)80022-7
  6. O'Neill LJ. A clinical evaluation of electronic root canal measurement. Oral Surg Oral Med Oral Pathol 38:469-473, 1974 https://doi.org/10.1016/0030-4220(74)90376-4
  7. Trope M, Rabie G, Tronstad L. Accuracy of an electronic apex locator under controlled clinical conditions. Endod Dent Traumatol 1:142-145, 1985 https://doi.org/10.1111/j.1600-9657.1985.tb00579.x
  8. Kobayashi C, Suda H. New electronic canal measuring device based on the ratio method. J Endod 20:111- 114, 1994 https://doi.org/10.1016/S0099-2399(06)80053-1
  9. Kobayashi C. Electronic canal length measurement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79: 226-231, 1995 https://doi.org/10.1016/S1079-2104(05)80288-4
  10. Fouad AF, Rivera EM, Krell KV. Accuracy of the Endex with variations in canal irrigants and foramen size. J Endod 19: 63-67, 1993 https://doi.org/10.1016/S0099-2399(06)81196-9
  11. Frank AL, Torabinejad M. An in vivo evaluation of Endex electronic apex locator. J Endod 19:177-179, 1993 https://doi.org/10.1016/S0099-2399(06)80683-7
  12. Mayeda DL, Simon JH, Aimar DF, Finley K. In vivo measurement accuracy in vital and necrotic canals with the Endex apex locator. J Endod 19:545-548, 1993 https://doi.org/10.1016/S0099-2399(06)81283-5
  13. Fouad AF, Krell KV. An in vitro comparison of five root canal length measuring instruments. J Endod 15:573-577, 1989 https://doi.org/10.1016/S0099-2399(89)80152-9
  14. Operating Instructions of Root ZX, J. Morita MFG. Corp., Kyoto, Japan. 1998
  15. Kuttler Y. Microscopic investigation of root apexes. J Am Dent Assoc 50:544-552, 1955 https://doi.org/10.14219/jada.archive.1955.0099
  16. Tinaz AC, Alacam T, Topuz O. A simple model to demonstrate the electronic apex locator. Int Endod J 35:940-945, 2002 https://doi.org/10.1046/j.1365-2591.2002.00576.x
  17. Kaufman AY, Keila S, Yoshpe M. Accuracy of a new apex locator: an in vitro study. Int Endod J 35:186- 192, 2002 https://doi.org/10.1046/j.1365-2591.2002.00468.x
  18. Ounsi HF, Naaman A. In vitro evaluation of the realiability of the Root ZX electronic apex locator. Int Endod J 32:120-123, 1999 https://doi.org/10.1046/j.1365-2591.1999.00202.x
  19. Nguyen HQ, Kaufman AY, Komowski RC, Friedman S. Electronic length measuring using small and large files in enlarged canals. Int Endod J 29:359-364, 1996 https://doi.org/10.1111/j.1365-2591.1996.tb01398.x
  20. Shabahang S, Goon WWY, Gluskin AH. An in vivo evaluation of Root ZX electronic apex locator. J Endod 11:616-618, 1996
  21. Weik AR, Baumgartner JC, Marshall JG. An in vivo comparison of two frequency-based electronic apex locators. J Endod 29:497-500, 2003 https://doi.org/10.1097/00004770-200308000-00002
  22. Donnelly IC. A simplified model to demonstrate the operation of electronic root canal measuring devices. J Endod 19:579-80, 1993 https://doi.org/10.1016/S0099-2399(06)81292-6
  23. Czerw RJ, Fulkerson MS, Donnelly JC. An in vitro test of a simplified model to demonstrate the operation of electronic root canal measuring devices. J Endod 20:605-606, 1994 https://doi.org/10.1016/S0099-2399(06)80086-5
  24. Fouad AF, Krell KV, McKendry DJ, Koorbusch GF, Olson RA. A clinical evaluation of five electronic root canal length measuring instruments. J Endod 16:446- 449, 1990 https://doi.org/10.1016/S0099-2399(06)81889-3
  25. Ricard O, Roux D, Bourdeau L, Woda A. Clinical evaluation of the accuracy of the evident RCM MarkII apex locator. J Endod 17:567-569, 1991 https://doi.org/10.1016/S0099-2399(06)81723-1