Determination of Working Length Lec. 7: Al-Mustansiriya University College of Dentistry Endodontics Lectures 4 Year
Determination of Working Length Lec. 7: Al-Mustansiriya University College of Dentistry Endodontics Lectures 4 Year
Determination of Working Length Lec. 7: Al-Mustansiriya University College of Dentistry Endodontics Lectures 4 Year
College of Dentistry
Endodontics lectures
4th year
Before the canals can be entered, their orifices must be found. In older
patients, finding a canal orifice may be the most difficult and time
consuming operation. The endodontic explorer is the greatest aid in finding
a minute canal entrance, feeling along the walls and into the floor of the
chamber in the area where the orifices are expected to be. Extension of the
walls toward these points forms the basic perimeter of the preparation.
When we find the orifices, we start to negotiate with small size instrument
ex: size 15 to be sure that the canal is patent till the apex. Start extirpation
with barbed broach, using the proper size according to the size of the canal.
The barbed broach should be loose (no engagement of dentin during
rotation).
1-Penetrate the barbed broach along the canal wall towards the apex.
2-As it reaches to the apical constriction, move it into the center of mass of
pulp tissue
3-Rotate the broach several times in a watch winding manner to entrap the
pulp which is then withdrawn from the canal.
In case of posterior teeth, ex: mesial canal, it's so difficult to use barbed
broach, so we use a file instead of barbed broach.
The determination of an accurate working length is one of the most critical
steps of Endodontic therapy. The cleaning, shaping and obturation of the
root canal system cannot be accomplished accurately unless the working
length is determined precisely.
Apical foramen: - is the main apical opening of the root canal. It's
frequently eccentrically located away from the anatomic or
radiographic apex.
2 Prof. Iman M.
Determination of Working Length
1-Radiographic methods:-
Radiographic method known as the Ingle method has been compared
with three other methods of determining working length. The Ingle method
proved to be superior to others in the study. It showed a high percentage of
success with a smaller variability. This method, first proposed more than 40
years ago, has withstood the test of time and has become the standard as the
most commonly used method of radiographic working length estimation.
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Determination of Working Length
Method:-
1- Measure the tooth on the preoperative radiograph (initial
measurement).
2- Subtract at least 1.0 mm "safety allowance" for possible image
distortion or magnification.
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 unless pain is felt, in which case, the instrument is
felt at level and the rubber stop readjusted to this new point of
reference.
5- Expose, develop, and clear the radiograph.
6- 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
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Determination of Working Length
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Determination of Working Length
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Determination of Working Length
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