Accuracy of electronic apex locators in primary teeth: a meta-analysis
, . Accuracy of electronic apex locators in primary teeth: a meta-analysis. International Endodontic Journal. 
Abstract
Aim
To
 conduct a meta-analysis on the accuracy of electronic apex locators 
(EALs) in determining working length in human primary teeth.
Methodology
An
 electronic literature search was conducted using a combination of the 
terms ‘primary teeth’, ‘root canal length’ and ‘electronic apex 
locators’. Additional eligible articles were identified using a manual 
search. The full texts of identified articles were screened according to
 inclusion criteria.
Results
Overall,
 19 studies met the inclusion criteria and were subjected to further 
data extraction. Meta-analysis of studies that reported mean lengths and
 difference in mean lengths between EAL and actual root canal length 
(ARCL) revealed a significant difference (P = 0.015) between 
the two readings whilst those studies that evaluated intraclass 
correlation (ICC) suggested a high correlation (P < 0.0001) 
between the EAL and ARCL readings. A subgroup analysis revealed that the
 presence of root resorption did not affect the accuracy of EALs (P = 0.567).
Conclusion
Electronic apex locators offer an acceptable level of accuracy in the measurement of root canal length in primary teeth.
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