Digital technology has become highly prevalent and crucial in Endodontics as a result of the rapid growth of Digitalization in Dentistry. One of the fastest and broad technological evolutions in Dentistry has occurred in the last few decades. Endodontic Technology has advanced dramatically throughout this time period.



Working Length Determination is one of the most critical aspects of Root Canal Therapy (RCT). Canal preparation, which involves removing all Soft Tissues & Germs from the root canal and can be performed by correctly determining the working length. This is where the Electronic Apex Locators come into play, and their effective application decreases the number of radiographs necessary before or even during the failure of traditional handling techniques or radiographic techniques. They also aid in diagnosing the perforations or fractures in the root.


Why Electronic Apex Locators are Needed?

    

The working length determination sets the apical limit of biomechanical preparation as well as obturation that ensures minimal injury to the periapical tissues. The Use of Apex Locator in Root Canal Therapy (RCT) helps in

  • Prevention of Over-instrumentation / Over-filling
  • Prevention of Under-instrumentation/ Under-filling
  • Helps detect perforation/ fractures/resorption
  • Improved Accuracy and efficiency
  • Less time consuming
  • Eliminates traditional methods

Tips & Tricks for accurate Working Length Determination:


Endodontic Therapy has been modified thanks to the Electronic Apex Locator (EAL). While it hasn't replaced imaging approaches for estimating working length, it does provide a fairly accurate alternative for determining where the canal ends.


Many clinicians have been upset by the flawless readings in one minute but increased fluctuations the next minute, from the first resistance-based devices to today's most contemporary Multi-Frequency & Impedance-Based equipment.

Here are a few pointers on how to make the greatest and most efficient use of your EAL.

1. Drying the canal for more accuracy


The Apex Locator performs admirably in a dry oral environment.  Irrigating and broaching the Canal should come first. Suction is used to remove the majority of the NaOCl, saliva, and water from the oral cavity. Proper isolation of the operated tooth is required with a Rubber Dam Kit or placing cotton rolls on the buccal and lingual sides. Most issues with initial readings are caused by the electrolytic impact of NaOCl contacting metals and restorations of teeth. The file must have a clear path to the dentin with no restoration or metal contact.

2. Right File Selection