PubMed · 5281089
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1970. Handpieces.. https://pubmed.ncbi.nlm.nih.gov/5281089/
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The Root ZX has been introduced recently as a device capable of performing accurately in the presence of sodium hypochlorite, blood, water, local anesthetic, and pulpal tissues. The Root ZX was used to locate the apical foramen in 26 root canals of vital teeth. 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. The Root ZX located exactly the apical foramen in 17 canals (65.4%), was short in 1 canal (3.8%), and was overextended in 8 canals (30.8%). When a potential error of +/-0.5 mm from the foramen is accepted as a tolerable range for the clinical application of an electronic apex locator, the Root ZX was able to locate the foramen within this range in 25 teeth for a clinical accuracy rate of 96.2%.
Twenty-four resin blocks with simulated curved canals of approximately 38 degrees were divided into two groups of 12 each. One group was instrumented with stainless steel K-files and the other group with nickel-titanium Lightspeed Rotary instruments. The efficiency of canal preparation was evaluated at 1, 3, 5, and 7 mm from the apex using magnified images (x4) of the radiographed blocks. The results showed that K-files caused more widening at the apical end, with a higher incidence of transportation, zipping, and elbow formation. The Lightspeed instrument stayed centered in the canals maintaining the central axis, with minimal incidence of transportation, elbow formation, and zipping. Thus, the Lightspeed instrument may be considered more suitable for efficient preparation of curved canals than the K-type file.
A new ultrasonic root canal preparation system has been developed that electronically monitors the location of the file tip during all instrumentation procedures. The Root ZX has been adapted for this purpose, and its filter circuit effectively cuts out the large spike noise of the ultrasonic unit. During enlargement of the canal, the ultrasonic vibration of the file can be stopped at any desired position on the meter. Extracted human tooth models with electronically measurable canals were used to test the device. Pre- and postoperative shapes of the root canals were evaluated using contact microradiography. The autostop mechanism worked correctly. Using a weak power and fine files, straightening, ledge formation, and file breakage were minimal. It seems that this system minimized the danger of overinstrumentation and could be safely applied in clinical practice.