دورية أكاديمية
أعرض في EDS

Efficacy of electronic apex locators in comparison with intraoral radiographs in working length determination- a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Efficacy of electronic apex locators in comparison with intraoral radiographs in working length determination- a systematic review and meta-analysis.
المؤلفون: Kaur G; Dept of Conservative Dentistry and Endodontics, National Dental College, Baba Farid University of HEALth Sciences, Faridkot, India., Thomas AR; Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Manipal University College Malaysia, Jalan Batu Hampar, Bukit Baru, Melaka, Malaysia. anchurachel@gmail.com., Samson RS; Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Manipal University College Malaysia, Jalan Batu Hampar, Bukit Baru, Melaka, Malaysia., Varghese E; Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Manipal University College Malaysia, Jalan Batu Hampar, Bukit Baru, Melaka, Malaysia., Ponraj RR; Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Manipal University College Malaysia, Jalan Batu Hampar, Bukit Baru, Melaka, Malaysia., Nagraj SK; Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Manipal University College Malaysia, Jalan Batu Hampar, Bukit Baru, Melaka, Malaysia., Shrivastava D; Department of Preventive Dentistry, College of Dentistry, Jouf University, 72345, Sakaka, Saudi Arabia. sdeepti20@gmail.com., Algarni HA; Department of Restorative Dental Sciences, College of Dentistry, Jouf University, 72345, Sakaka, Saudi Arabia., Siddiqui AY; Department of Endodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia., Alothmani OS; Department of Endodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia., Srivastava KC; Oral Medicine & Radiology, Department of Oral & Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, 72345, Sakaka, Saudi Arabia. drkcs.omr@gmail.com.; Department of Oral Medicine & Radiology, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, 602105, India. drkcs.omr@gmail.com.
المصدر: BMC oral health [BMC Oral Health] 2024 May 04; Vol. 24 (1), pp. 532. Date of Electronic Publication: 2024 May 04.
نوع المنشور: Journal Article; Meta-Analysis; Systematic Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088684 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6831 (Electronic) Linking ISSN: 14726831 NLM ISO Abbreviation: BMC Oral Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Radiography, Dental*/methods , Tooth Apex*/diagnostic imaging , Tooth Apex*/anatomy & histology, Humans ; Dental Pulp Cavity/diagnostic imaging ; Dental Pulp Cavity/anatomy & histology ; Odontometry/methods
مستخلص: Background: Successful endodontic treatment needs accurate determination of working length (WL). Electronic apex locators (EALs) were presented as an alternative to radiographic methods; and since then, they have evolved and gained popularity in the determination of WL. However, there is insufficient evidence on the post-operative pain, adequacy, and accuracy of EALs in determining WL.
Objective: The systematic review and meta-analysis aims to gather evidence regarding the effectiveness of EALs for WL determination when compared to different imaging techniques along with postoperative pain associated with WL determination, the number of radiographs taken during the procedure, the time taken, and the adverse effects.
Methods: For the review, clinical studies with cross-over and parallel-arm randomized controlled trials (RCTs) were searched in seven electronic databases, followed by cross-referencing of the selected studies and related research synthesis. Risk of bias (RoB) assessment was carried out with Cochrane's RoB tool and a random-effects model was used. The meta-analysis was performed with the RevMan software 5.4.1.
Results: Eleven eligible RCTs were incorporated into the review and eight RCTs into the meta-analysis, of which five had high RoB and the remaining six had unclear RoB. Following meta-analysis, no significant difference in postoperative pain was found among the EAL and radiograph groups (SMD 0.00, CI .29 to .28, 354 participants; P value = 0.98). Radiograph group showed better WL accuracy (SMD 0.55, CI .11 to .99, 254 participants; P value = 0.02), while the EAL group had 10% better WL adequacy (RR 1.10, CI 1.03-1.18, 573 participants; P value = 0.006).
Conclusion: We found very low-certainty evidence to support the efficacy of different types of EAL compared to radiography for the outcomes tested. We were unable to reach any conclusions about the superiority of any type of EAL. Well-planned RCTs need to be conducted by standardizing the outcomes and outcome measurement methods.
(© 2024. The Author(s).)
References: Oral Surg Oral Med Oral Pathol. 1969 Nov;28(5):724-38. (PMID: 4981194)
Int J Environ Res Public Health. 2022 Jun 03;19(11):. (PMID: 35682452)
J Endod. 2000 Jun;26(6):364-7. (PMID: 11199756)
BMC Oral Health. 2023 Nov 11;23(1):849. (PMID: 37951871)
Int Endod J. 2020 Oct;53(10):1327-1338. (PMID: 32619274)
BMC Oral Health. 2006 Feb 11;6:4. (PMID: 16472401)
BMJ. 2010 Mar 23;340:c869. (PMID: 20332511)
Polymers (Basel). 2021 Dec 22;14(1):. (PMID: 35012047)
BMC Oral Health. 2022 May 10;22(1):171. (PMID: 35538514)
J Endod. 2003 Oct;29(10):662-3. (PMID: 14606791)
J Endod. 2014 Jun;40(6):759-77. (PMID: 24862702)
Compendium. 1993 Jan;14(1):34, 36-8. (PMID: 8477424)
Evid Based Complement Alternat Med. 2021 Nov 25;2021:8967219. (PMID: 34868334)
Rev Belge Med Dent (1984). 1999;54(4):259-81. (PMID: 12723167)
J Contemp Dent Pract. 2019 Sep 1;20(9):1118-1123. (PMID: 31797839)
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 Jul;96(1):81-90. (PMID: 12847449)
Int Endod J. 2006 Dec;39(12):921-30. (PMID: 17180780)
BMJ. 2009 Jul 21;339:b2700. (PMID: 19622552)
Biology (Basel). 2020 Oct 13;9(10):. (PMID: 33066032)
J Endod. 2009 Feb;35(2):179-81. (PMID: 19166768)
J Endod. 1990 Sep;16(9):446-9. (PMID: 2098464)
J Am Dent Assoc. 1955 May;50(5):544-52. (PMID: 14366934)
Materials (Basel). 2022 Sep 06;15(18):. (PMID: 36143496)
Int Endod J. 2022 Apr;55 Suppl 2:281-294. (PMID: 35347726)
J Endod. 2014 Jan;40(1):38-41. (PMID: 24331988)
Int Endod J. 1993 Jan;26(1):13-4. (PMID: 8473026)
Br Dent J. 2011 Dec 23;211(12):595-8. (PMID: 22193485)
J Indian Soc Pedod Prev Dent. 2015 Jul-Sep;33(3):208-12. (PMID: 26156274)
ZWR. 1991 May;100(5):313-4, 316, 318-9. (PMID: 1882577)
J Endod. 1991 Jun;17(6):271-4. (PMID: 1940752)
J Endod. 2006 Jul;32(7):624-7. (PMID: 16793467)
J Conserv Dent. 2013 May;16(3):229-32. (PMID: 23833456)
Odontostomatol Trop. 2003 Sep;26(103):15-8. (PMID: 14705373)
Braz Dent J. 2012;23(1):54-8. (PMID: 22460316)
Shanghai Kou Qiang Yi Xue. 2017 Oct;26(5):535-538. (PMID: 29308517)
J Endod. 1993 May;19(5):242-6. (PMID: 8360602)
Quintessence Int. 1993 Nov;24(11):803-6. (PMID: 20830894)
J Conserv Dent. 2017 Jul-Aug;20(4):264-268. (PMID: 29259365)
Int Endod J. 1998 Nov;31(6):394-409. (PMID: 15551607)
Folia Med (Plovdiv). 2001;43(1-2):42-5. (PMID: 15354466)
Syst Rev. 2016 Dec 5;5(1):210. (PMID: 27919275)
BMJ. 2011 Oct 18;343:d5928. (PMID: 22008217)
Trials. 2017 Jun 20;18(Suppl 3):280. (PMID: 28681707)
Dent Clin North Am. 1967 Nov;:723-44. (PMID: 5262492)
J Appl Oral Sci. 2012 Sep-Oct;20(5):522-5. (PMID: 23138737)
Int Endod J. 2020 Apr;53(4):573-584. (PMID: 31749154)
Int Endod J. 2011 Jul;44(7):583-609. (PMID: 21366626)
J Endod. 2002 Jul;28(7):524-6. (PMID: 12126381)
Endod Dent Traumatol. 1997 Aug;13(4):180-2. (PMID: 9550044)
J Investig Clin Dent. 2019 Aug;10(3):e12408. (PMID: 30838781)
Int Endod J. 1984 Oct;17(4):192-8. (PMID: 6593303)
Int J Clin Pediatr Dent. 2020 May-Jun;13(3):235-239. (PMID: 32904087)
J Endod. 2010 Nov;36(11):1753-6. (PMID: 20951282)
Alpha Omegan. 1991;84(4):45-8. (PMID: 1819963)
Int Endod J. 2004 Jul;37(7):425-37. (PMID: 15189431)
فهرسة مساهمة: Keywords: Apex locator; Endodontic; Radiographs; Root canal treatment; Working lengt
تواريخ الأحداث: Date Created: 20240504 Date Completed: 20240504 Latest Revision: 20240520
رمز التحديث: 20240521
مُعرف محوري في PubMed: PMC11069301
DOI: 10.1186/s12903-024-04259-w
PMID: 38704529
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6831
DOI:10.1186/s12903-024-04259-w