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      Comparative Evaluation of Accuracy of Two Electronic Apex Locators in the Presence of Contemporary Irrigants: An In vitro Study

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          Abstract

          Aim:

          The present study was aimed to compare the accuracy of Root ZX Mini and Propex II in the presence of 0.1% octinidine dohydrochloride (OCT), 2% chlorhexidine gluconate (CHX), and 5% sodium hypochlorite (NaOCl) heated and nonheated before and after preparation.

          Materials and Methods:

          Eighty extracted single-rooted teeth were selected for the study and decoronated. Teeth were mounted in an alginate model. Actual working length (AL) was measured using a stereomicroscope under ×4 magnification. Electronic working length measurements were recorded using Root ZX Mini and Propex II apex locators in the presence of 0.1% OCT, 2% CHX, and 5% NaOCl (nonheated and heated to 60°C) before and after preparation. Mean and standard deviation differences before and after preparation were calculated and statistically analyzed using analysis of variance and paired t-test.

          Results:

          The accuracy of Root ZX Mini before and after preparation within ±0.5 mm of AL was consistently high in the presence of irrigants than Propex II. 5% NaOCl (heated and nonheated) showed more variation than the other irrigants, in the working length determination in both the apex locators.

          Conclusion:

          Electronic length measurements were shorter with heated and nonheated 5% NaOCl and longer with 0.1% OCT and 2% CHX for both the electronic apex locators.

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          Most cited references18

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          The effects of temperature on sodium hypochlorite short-term stability, pulp dissolution capacity, and antimicrobial efficacy.

          The purpose of this study was to test some effects of preheating NaOCl solutions using a commercially available syringe heating device. Irrigating solution temperatures in 10-ml syringes were measured. Stability of 5.25, 2.62, and 1% NaOCl solutions for 60 min at 20, 45, and 60 degrees C was assessed using iodine/thiosulfate titration. Human pulp tissue dissolution capacity of a 1% NaOCl solution was gauged at the latter temperatures, and compared to corresponding values with a 5.25% solution at 20 degrees C. Killing efficacy of diluted NaOCl solutions against 48-h incubations of Enterococcus feacalis ATCC 29212 was compared at 45 degrees C and 20 degrees C. Using the heating device, a 20 degrees C solution reached 45 degrees C and 60 degrees C in 7 and 20 min, respectively. Solutions remained stable during the observation period. The 1% NaOCl solution at 45 degrees C dissolved pulp tissues as effectively as the 5.25% solution at 20 degrees C, while the 60 degrees C/1% solution was significantly more effective (p < 0.05). A 100-fold increase in killing efficacy was observed between corresponding NaOCl solutions at 20 degrees C and 45 degrees C.
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            Octenidine dihydrochloride: chemical characteristics and antimicrobial properties.

            The empiric use of antibiotics is being restricted due to the spread of antimicrobial resistance. However, topical antiseptics are less likely to induce resistance, owing to their unspecific mode of action and the high concentrations in which they can be used. One such antiseptic, octenidine dihydrochloride (OCT), can be used either prophylactically or therapeutically on the skin, mucosa and wounds. Evidence to support its use comes from in-vitro, animal and clinical studies on its safety, tolerability and efficacy. This article summarises the physical, chemical and antimicrobial properties of OCT in the context of wound care.
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              In vivo evaluation of ProPex electronic apex locator.

              The aim of this in vivo study was to evaluate the performance of ProPex apex locator after extirpation and in presence of different irrigation solutions: 2.5% NaOCl, 0.9% NaCl, and 0.2% chlorhexidine gluconate solutions. Twenty-seven single-rooted human teeth scheduled for extraction with mature apices were selected for this study. Measurements were performed by using ProPex after extirpation and in presence of the irrigation solutions. After extraction of the teeth, a stereomicroscope was used to confirm visually the relationship of the tip of the endodontic file to the apical foramen, and actual lengths (ALs) were determined by reducing 0.5 mm from these lengths. The data were statistically analyzed with cluster analysis. The results of this study showed that measurements after extirpation had the smallest distance to the ALs. Among the irrigation solution groups, chlorhexidine gluconate group had the smallest distance to the ALs, whereas saline group had the greatest. Most accurate measurements were obtained after extirpation.
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                Author and article information

                Journal
                J Int Soc Prev Community Dent
                J Int Soc Prev Community Dent
                JISPCD
                Journal of International Society of Preventive & Community Dentistry
                Medknow Publications & Media Pvt Ltd (India )
                2231-0762
                2250-1002
                Jul-Aug 2018
                18 July 2018
                : 8
                : 4
                : 349-353
                Affiliations
                [1 ]Department of Conservative Dentistry and Endodontics, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India
                [2 ]Department of Conservative Dentistry and Endodontics, Jodhpur Dental College General Hospital, Jodhpur, Rajasthan, India
                [3 ]Department of Prosthodontics, Jodhpur Dental College General Hospital, Jodhpur, Rajasthan, India
                [4 ]Department of Oral Pathology, CKS Theja Institute of Dental Sciences, Tirupati, Andhra Pradesh, India
                Author notes
                Address for correspondence: Dr. Nidhi Sinha, Preksha Dental Care and Implant Center, Preksha Hospital, Pal Road, Jodhpur - 342 001, Rajasthan, India. E-mail: dr.nidhi.sinha@ 123456gmail.com
                Article
                JISPCD-8-349
                10.4103/jispcd.JISPCD_50_18
                6071355
                30123769
                7aa6c538-4e9e-4dda-b170-1701f78c9423
                Copyright: © 2018 Journal of International Society of Preventive and Community Dentistry

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 01 February 2018
                : 25 March 2018
                Categories
                Original Article

                heated 5% sodium hypochlorite,octinidine dohydrochloride,propex ii,root canal length measurements,root zx mini

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