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Updated: May 25, 2026

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Published on: August 22, 2022
Clinical evaluation of Root ZX II electronic apex locator in primary teeth
S Saritha1, K S Uloopi, C Vinay
1Dept Paediatric Dentistry, Vishnu Dental College, Bhimavaram - 534202, Andhra Pradesh, India.
Summary
The Root ZX II electronic apex locator (EAL) accurately determined root canal working length in 70% of primary teeth. This device offers a reliable method for endodontic procedures in primary dentition.
Area of Science:
- Pediatric Dentistry
- Endodontics
- Dental Technology
Background:
- Accurate root canal working length determination is crucial in pediatric endodontics.
- Traditional methods can be challenging in primary teeth due to anatomical variations.
Purpose of the Study:
- To assess the accuracy of the Root ZX II electronic apex locator (EAL) for determining root canal working length in primary maxillary incisors.
Main Methods:
- The Root ZX II EAL was used to measure working length in 40 primary maxillary incisors.
- Digital radiography was employed to verify the EAL measurements.
- Teeth were categorized based on file tip proximity to the radiographic apex.
Main Results:
- The Root ZX II EAL demonstrated 70% accuracy (28/40 teeth) within 1mm of the radiographic apex.
- Inaccurate measurements occurred in 25% (short) and 5% (long) of cases.
- A high positive correlation (r = +0.82) was found between EAL and radiographic measurements.
Conclusions:
- The Root ZX II EAL is a reliable device for root canal length determination in primary maxillary incisor teeth.
- Its use can enhance the precision of endodontic treatment in pediatric patients.
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