3. Anatomic consideration and terminology:-
Working length: -
the distance from a coronal reference point to the point of which canal preparation and obturation should
terminate, the ideal apical reference point in the canal, the "apical stop",
4. Anatomic apex: - is the tip or the end of the root determined morphologically,
radiographic apex is the tip or end of the root determined radiographically.
Anatomic consideration and terminology:-
5.
6.
7. Apical foramen: - is the main apical opening of the root canal.
Dentino-cemental junction (DCJ).
It is the junction between the cementum and dentin in the apical constriction of the tooth. It is the most apical point
of the working length. The root canal preparation should be limited to this junction and form a constriction to
prevent over instrumentation and over obturation.
8. Objective of the working lengthObjective of the working length
To establish the length of the tooth at which the canal preparation and
subsequent obturation are to be completed.
To establish the length of the tooth at which the canal preparation and
subsequent obturation are to be completed.
The apical end of the root canal is the CDJ, which is usually 0.5-1mm short of the
radiographic apex.
The apical end of the root canal is the CDJ, which is usually 0.5-1mm short of the
radiographic apex.
Sometimes the apical foramen is laterally positioned so it would be more than 1 mm from the radiographic
apex.
Sometimes the apical foramen is laterally positioned so it would be more than 1 mm from the radiographic
apex.
9. Reference point: It is the site on the incisal edge or occlusal surface from which
measurements are made. Usually it’s the highest point on the incisal edge in anterior teeth & the
tip of the cusp in posterior teeth.
It should be:
1) stable,
2) easily visualized during preparation
3) will not change during or between appointment.
10. Ideal method:-
o To achieve the highest degree of accuracy in working length
determination, combination of several methods should be used.
o The most common methods are radiographic methods,
digital tactile sense, and electronic methods.
11. Methods of determining working length:-
1) Good, undistorted, preoperative radiographs showing the total
length and all roots of the involved tooth.
2) Adequate coronal access to all canals.
3) An endodontic millimeter ruler.
4) Working knowledge of the average length of all teeth.
5) A definite, repeatable plane of reference to an anatomic landmark
on the tooth, a fact that should be noted on the patient's record.
23. Digital Tactile Sense:-
An experienced clinician may detect an increase in resistance as the file
approaches the apical 2 to 3mm. This detection is by tactile sense. In this
region, the canal frequently constricts before exiting the root.
An experienced clinician may detect an increase in resistance as the file
approaches the apical 2 to 3mm. This detection is by tactile sense. In this
region, the canal frequently constricts before exiting the root.
24. Determination of Working Length by Electronics:-Determination of Working Length by Electronics:-
"Apex Locator" is commonly used and
has become accepted terminology,
"Apex Locator" is commonly used and
has become accepted terminology,
These devices all attempt to locate the apical
constriction, the cementodentinal junction or the apical
foramen.
These devices all attempt to locate the apical
constriction, the cementodentinal junction or the apical
foramen.
25. All apex locators function by using the human body to complete an electrical circuit.All apex locators function by using the human body to complete an electrical circuit.