Evidence map›Paper›PMID 42299175›Full record

ArticleCureus2026

Comparative Evaluation of the Accuracy of an Electronic Apex Locator Using Two Different Canal Conditions: An In Vitro Study.

Mohd Zeeshan Ahmad, Divyangana Thakur, Megha Ghosh, Ritika Chaudhary, Anuradha Reddy, Twinkle Gupta

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mohd Zeeshan AhmadDepartment of Conservative Dentistry and Endodontics, Rama Dental College Hospital and Research Center, Kanpur, IND.
Divyangana ThakurDepartment of Conservative Dentistry and Endodontics, Swami Devi Dyal Hospital and Dental College, Panchkula, IND.
Megha GhoshDepartment of Conservative Dentistry and Endodontics, College of Dental Science and Hospital, Indore, IND.
Ritika ChaudharyDepartment of Conservative Dentistry and Endodontics, Uttaranchal Dental and Medical Research Institute, Dehradun, IND.
Anuradha ReddyDepartment of Conservative Dentistry and Endodontics, Smiline Dental Hospital, Hyderabad, IND.
Twinkle GuptaDepartment of Conservative Dentistry and Endodontics, Kanti Devi Dental College and Hospital, Mathura, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAccurate determination of the working length is critical for the success of root canal treatment, as it ensures effective cleaning, shaping, and obturation of the root canal system. Electronic apex locators are widely used for this purpose; however, their accuracy may be influenced by intracanal conditions, particularly the presence or absence of irrigation solutions. This study aimed to evaluate and compare the accuracy of a third-generation apex locator under dry, normal saline, and 3% sodium hypochlorite canal conditions. MATERIALS AND

methodsThis in vitro study was conducted on 45 extracted human single-rooted teeth randomly divided into three groups (n = 15 each) based on canal conditions: dry, normal saline, and 3% sodium hypochlorite. The actual working length (AWL) was determined visually and was used as the gold standard. The electronic working length (EWL) was measured using a Root ZX Mini. The difference between the EWL and AWL was calculated. Data were analyzed using one-way analysis of variance (ANOVA) followed by Tukey's post-hoc test, and categorical accuracy was assessed using the chi-square test, with significance set at p < 0.05.

resultsThe normal saline group demonstrated the lowest mean deviation (0.21 ± 0.14 mm; 95% CI: 0.13-0.29), followed by the sodium hypochlorite group (0.34 ± 0.19 mm; 95% CI: 0.23-0.45), while the dry canal group showed the highest deviation (0.58 ± 0.22 mm; 95% CI: 0.46-0.70). A one-way ANOVA revealed a statistically significant difference between the groups (F = 18.74, p < 0.001). Post hoc analysis revealed significant differences between all groups (p < 0.05). The proportion of accurate measurements (±0.5 mm) was highest in the normal saline group, followed by the sodium hypochlorite and dry canal groups, although the chi-square test was not statistically significant (p = 0.071).

conclusionsIntracanal conditions significantly influenced the apex locator accuracy. Normal saline provided the most accurate measurements, whereas the dry conditions showed greater variability. Maintaining a moist canal environment may enhance clinical reliability.

Indexed as

electronic apex locatornormal salineroot canal irrigantsodium hypochloriteworking length

Identifiers

PMID42299175
PMCPMC13264902

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.