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endodontic

Working lenght determination

Tammar nabeel
Mustafa ali
01 Working lenght definition

Topics 02 terminology and anatomy

03 Methods of Working lenght


determination
Introduction
The cleaning, shaping, and obturation of the root canal system cannot
be accomplished accurately unless the working length is determined
precisely .

Working length is defined as


the distance from a coronal
reference point to the point at
which canal preparation and
obturation should terminate .
Anatomic apex : Is the tip
or the end of the root
determined morphologically

Apical foramen
( major apical diameter )
Radiographic apex : is the tip or end of the root determined
radiographically
Apical Constriction (minor apical diameter): It is the apical portion of the
root canal having the narrowest diameter. This position may vary but is
usually O,5 to 1.0 mm short of the center of the apical foramen.
The reference point

is the site on the


occlusal or incisal
surface from which
measurements are
made. This point is
used throughout
canal preparation
and obturation .
Methods
Radiographicmethod :
ingl method
1- Measure the tooth on the preoperative radiograph
2- Subtract at least 1.0mm "safety allowance" for possible
image distortion
3- Set the endodontic ruler at this tentative working length and
adjust the stop on the instrument at that level
4- Place the instrument in the canal until the stop is at the
plane of reference
5- On the radiograph, measure the difference between the end
of the instrument and the end of the root and add this amount
to the original measured length the instrument extended into
the tooth
Apical periodontal sensitivity
Paper point measurement
Electronic apex locator
Tips for Accurate Apex Locator Reading :

1- Canal should be not too wet , not too dry


2- Use file with slight resistance
3- Bulid the tooth prior
4- be aware of metal crown
Any question?
Thank you

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