Apical Limit and Working Length in Endodontics

From Volume 36, Issue 3, April 2009 | Pages 146-153

Authors

Stephane Simon

FDS, MSc

Clinical Lecturer in Endodontics, Honorary Associate Specialist, University of Birmingham School of Dentistry (UK) and University of Paris 7 (France)

Articles by Stephane Simon

Pierre Machtou

FDS, PhD

Professor of Endodontology, University of Paris 7 (France)

Articles by Pierre Machtou

Nick Adams

BDS, MSc, MRD RCS(Eng)

Specialist in Endodontics, Clinical Lecturer and Honorary Associate Specialist, University of Birmingham School of Dentistry

Articles by Nick Adams

Phillip Tomson

BDS, MFDS RCSEd, MFDS RCS(Eng)

Clinical Lecturer in Restorative Dentistry, University of Birmingham School of Dentistry

Articles by Phillip Tomson

Philip Lumley

BDS, MDentSci, PhD, FDS RCPS

Professor of Endodontology and Honorary Consultant in Restorative Dentistry, University of Birmingham School of Dentistry, (France)

Articles by Philip Lumley

Abstract

Establishing the working length is an important step in endodontic treatment as inaccurate length determination may lead to failure. There is an ongoing debate regarding the extent of the apical limit of root canal preparation. This controversy is based upon different clinical opinions concerning the distance between the end point of the root canal preparation and the periodontal tissues. In this paper, we review the different schools of thought for working length determination, and how apex locators work and how they must be used for optimal accuracy. The reliability of these devices has been proven; the price is moderate and apex locators are now part of the basic armamentarium in the achievement of quality and predictable endodontic treatment.

Article

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