[Clinical evaluation of the voltage gradient method for root canal measurement]. 1989

M Nakamura, and Y Nakamura

The voltage gradient method for root canal measurement was evaluated in vivo and in vitro. For the evaluation in vivo, 25 single root teeth, were employed. The working length was measured by bipolor or monopolor electrode. After measurement, the electrode was fixed on the tooth, and the tooth was extracted. Radiograph was taken from 12 directions perpendicular to longer axis of tooth, and the relation between anatomical foramen, physiological foramen and the attained position of electrode tip was assessed. In the evaluation in vitro, 7 extracted teeth were used, for which the positions of anatomical foramen and physiological foramen had been determined in advance from radiograph, in order to determine the influence of the root canal irrigants and medicaments. The electrode was fixed on electronic calipers and direct reading of the movement. Root canal irrigants and medicaments were injected into root canal, and the measurements were evaluated. The results were as follows: (1) In the cases of 22 teeth measured by monopolar electrode in vivo, the electrode tip was within 0.5mm from physiological foramen except one tooth. (2) In the cases of 3 teeth measured by monopolar electrode in vivo, the electrode tip was within 0.4mm from anatomical foramen. (3) In the cases, where electrolyte solution was filled in root canal and measurement was made by bipolar in the evaluation in vitro, the results of measurement were stable, and the electrode tip tended to be slightly closer to coronal direction from physiological foramen. (4) In the cases where non-electrolyte solution was filled in root canal and measurement was made by bipolar electrode in the evaluation in vitro, the results of measurement were not stable, and the electrode tip tended to be closer to the apex from physiological foramen. (5) In the case of the evaluation in vitro, where electrolyte solution was filled in root canal and measurement was made by monopolar electrode, the electrode tip tended to be a little closer to the front than the anatomical foramen. (6) In the evaluation in vitro, where non-electrolyte solution was filled in root canal and measurement was made by monopolar, the measurement was not achievable. (7) 10% NaOCl solution was found to be very useful as electrolyte solution filled in root canal to search physiological foramen by this measurement method. The above results suggest that the voltage gradient method for root canal measurement is highly reliable because root canal morphology at the apex can be directly in identified.

UI MeSH Term Description Entries
D009811 Odontometry Measurement of tooth characteristics.
D003786 Dental Pulp Cavity The space in a tooth bounded by the dentin and containing the dental pulp. The portion of the cavity within the crown of the tooth is the pulp chamber; the portion within the root is the pulp canal or root canal. Pulp Canal,Pulp Chamber,Root Canal,Cavities, Dental Pulp,Cavity, Dental Pulp,Dental Pulp Cavities,Pulp Cavities, Dental,Pulp Cavity, Dental,Canal, Pulp,Canal, Root,Canals, Pulp,Canals, Root,Chamber, Pulp,Chambers, Pulp,Pulp Canals,Pulp Chambers,Root Canals
D003791 Dental Pulp Test A diagnostic aid used in evaluating the physical health of teeth. It involves using a tool that transmits hot or cold temperatures, or electric currents to a tooth's surface. The sensitivity to hot or cold or to the currents on a tooth can determine if there are problems with that tooth. Dental Pulp Sensibility Test,Dental Pulp Vitality Test,Electric Pulp Test,Endo-Ice Test,Thermal Pulp Test,Dental Pulp Tests,Pulp Test, Dental,Pulp Tests, Dental,Test, Dental Pulp,Tests, Dental Pulp,Electric Pulp Tests,Endo Ice Test,Endo-Ice Tests,Pulp Test, Electric,Pulp Test, Thermal,Pulp Tests, Electric,Pulp Tests, Thermal,Test, Electric Pulp,Test, Endo-Ice,Test, Thermal Pulp,Tests, Electric Pulp,Tests, Endo-Ice,Tests, Thermal Pulp,Thermal Pulp Tests
D004553 Electric Conductivity The ability of a substrate to allow the passage of ELECTRONS. Electrical Conductivity,Conductivity, Electric,Conductivity, Electrical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014092 Tooth Root The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690) Root, Tooth,Roots, Tooth,Tooth Roots

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