Accuracy of electronic apical functions of a new integrated motor compared to the visual control of the working length—an ex vivo study

Abstract

Objectives To evaluate ex vivo the efficacy of the integrated motor Tri Auto ZX2 in controlling the apical extent of preparation compared to conventional visual control (CVC) of the working length (WL). Materials and methods Eighty standardized mandibular premolars were divided into five groups (n = 16). In the CVC group, instruments were used in continuous rotation (CR) and visual control performed by means of rubber stoppers. For each of the remaining groups, it was assigned a combination of a motion (CR or optimal torque reverse (OTR)), and an apical function (Auto Apical Reverse (AAR) or Optimum Apical Stop (OAS)). Root canals were prepared using the apical functions at 0.5 mark using an alginate model. Difference between the final WL and the actual length post-instrumentation was calculated. Data were analyzed statistically with the significance set at 5% (ANOVA, Tukey HSD). Results There was no difference in the mean WL among the groups, except between the CR combined to OAS compared to CVC (P > 0.05). Although CVC resulted in two cases beyond the foramen, no significant difference was found among the groups when comparing the distributions of measurements (P > 0.05). Conclusions All combinations of motion and apical control functions of Tri Auto ZX2 provided an adequate apical limit ex vivo, similar to the visual control using rubber stoppers. Clinical relevance TriAuto ZX2 was efficient to control the apical extent of preparation dispensing the need for calibrating the files, regardless of the different settings. This motor might potentially prevent over-instrumentation by continuously monitoring the apical limit.