不同根管环境对Root ZX和ProPex准确性的影响研究  

Effect research of different root canal environments on the accuracy of Root ZX and ProPex

作　　者：黄林 牛卫东[2] 

机构地区：[1]深圳龙华人民医院口腔医学中心,广东深圳518109 [2]大连医科大学口腔医学院口腔内科学教研室,辽宁大连116044

出　　处：《国际口腔医学杂志》2010年第1期23-25,29,共4页International Journal of Stomatology

摘　　要：目的评价不同根管环境时,Root ZX和ProPex2种根管长度测量仪的测量准确性。方法选取新鲜拔除的30颗下颌单根管前磨牙,测量根管实际长度(L)后,在4种测量环境(3%H2O2溶液、0.9%NaCl溶液、2.5%NaClO溶液、根管干燥状态)下,用根管长度测量仪Root ZX和ProPex测量根管长度,得到工作长度L(R使用Root ZX测量值)和L(P使用ProPex测量值),再将上述样本沿牙根纵轴方向,用金刚砂车针磨出剖面,测量根尖剖面最狭窄点至解剖根尖孔的距离(D),计算L与D的差值得到根管实际工作长度。结果使用不同冲洗液(3%H2O2溶液、0.9%NaCl溶液、2.5%NaClO溶液)冲洗根管及根管干燥状态时,Root ZX和ProPex测定的工作长度与根管实际工作长度的差异无统计学意义(P>0.05);相同根管环境时,Root ZX和ProPex测量偏差有统计学意义(P<0.05),但在±0.5mm范围内,Root ZX和ProPex的测量准确率的差异无统计学意义(P>0.05)。结论Root ZX和ProPex测量准确性不受根管环境影响,与根管干燥和湿润无关,且两者的测量准确性无明显差异。Objective To study the influence of different endodontic situations on the measurement accuracy of Root ZX and ProPex.Methods 30 extracted teeth were selected,after measurement of the actual working length（L）,the working length of root canal were measured using Root ZX（LR） and ProPex（LP） in 3% H2O2 solution,0.9% NaCl solution,2.5% NaClO solution or dry root canal,which was compared with the actual working length of root canal.The actual working length of root canal was obtained by the micro-observation of root apex（D） and means of software calculation.Results In four different environments,there was no statistically significant difference between the measuring length using Root ZX or ProPex and the real length of root cana（lP0.05）.But the measuring deviation between Root ZX and ProPex had statistical significance（P0.05） when the same endodontic situation was used.If the measurement error was ±0.5 mm,the differences between the measurement accurate ratio of Root ZX and ProPex had no statistical significance（P0.05）.Conclusion The accuracy of measurement of Root ZX or ProPex was not influenced by root canal media and had no relation to the dry or moist root canal.There was no statistically significant difference between the accuracy of the two electronic apex locators.

关 键 词：ROOT ZX PROPEX 根管工作长度 根管冲洗液 

分 类 号：R781.05[医药卫生—口腔医学]