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Apex Location
Apex location is a method of determining the length of the root canal of a tooth - manually or with a mechanical canal instrument that passes a low intensity electric current through the tooth. The electrical characteristics of the tooth structure are measured and the exact position of the instrument in the tooth is determined. When the tool tip touches the top of the tooth, the instrument signals that the apical foramen is reached. Whenever the channel instrument is pulled out its length can be measured to determine the depth of the root canal and all other dental tools can be adjusted to this length. Methods of measurement Method of Sonada The method of Sonada measures the canal's impedance using one or more electric frequencies. The method tracks the penetration of the instrument in the canal. It is unreliable though in the presence of fluid in the canal which requires additional drying. Method of Kobayashi The method of Kobayashi performs a calculation of the ratio of th ...
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Root Canal
A root canal is the naturally occurring anatomic space within the root of a tooth. It consists of the pulp chamber (within the coronal part of the tooth), the main canal(s), and more intricate anatomical branches that may connect the root canals to each other or to the surface of the root. Structure At the center of every tooth is a hollow area that houses soft tissues, such as the nerve, blood vessels, and connective tissue. This hollow area contains a relatively wide space in the coronal portion of the tooth called the pulp chamber. These canals run through the center of the roots, similar to the way graphite runs through a pencil. The pulp receives nutrition through the blood vessels, and sensory nerves carry signals back to the brain. A tooth can be relieved from pain if there is irreversible damage to the pulp, via root canal treatment. Root canal anatomy consists of the pulp chamber and root canals. Both contain the dental pulp. The smaller branches, referred to as ...
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Tooth
A tooth ( : teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, also use teeth to help with capturing or wounding prey, tearing food, for defensive purposes, to intimidate other animals often including their own, or to carry prey or their young. The roots of teeth are covered by gums. Teeth are not made of bone, but rather of multiple tissues of varying density and hardness that originate from the embryonic germ layer, the ectoderm. The general structure of teeth is similar across the vertebrates, although there is considerable variation in their form and position. The teeth of mammals have deep roots, and this pattern is also found in some fish, and in crocodilians. In most teleost fish, however, the teeth are attached to the outer surface of the bone, while in lizards they are attached to the inner surface of the jaw by one side. In cartilaginous fi ...
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Apical Foramen
In dental anatomy, the apical foramen, literally translated "small opening of the apex," is the tooth's natural opening, found at the root's very tip—that is, the root's apex—whereby an artery, vein, and nerve enter the tooth and commingle with the tooth's internal soft tissue, called pulp. Additionally, the apical foramen is the point where the pulp meets the periodontal tissues, the connective tissues that surround and support the tooth. Characteristics The average size of the orifice is 0.3 to 0.4 mm in diameter. There can be two or more foramina separated by a portion of dentin and cementum or by cementum only. If more than one foramen is present on each root, the largest one is designated as the apical foramen and the rest are considered accessory foramina. Apical delta Apical delta refers to the branching pattern of small accessory canals and minor foramina seen at the tip or apex of some tooth roots. The pattern is said to be reminiscent of a river delta when ...
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Electrical Impedance
In electrical engineering, impedance is the opposition to alternating current presented by the combined effect of resistance and reactance in a circuit. Quantitatively, the impedance of a two-terminal circuit element is the ratio of the complex representation of the sinusoidal voltage between its terminals, to the complex representation of the current flowing through it. In general, it depends upon the frequency of the sinusoidal voltage. Impedance extends the concept of resistance to alternating current (AC) circuits, and possesses both magnitude and phase, unlike resistance, which has only magnitude. Impedance can be represented as a complex number, with the same units as resistance, for which the SI unit is the ohm (). Its symbol is usually , and it may be represented by writing its magnitude and phase in the polar form . However, Cartesian complex number representation is often more powerful for circuit analysis purposes. The notion of impedance is useful for ...
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Electronic Apex Locator
An electronic apex locator is an electronic device used in endodontics to determine the position of the apical constriction and thus determine the length of the root canal space. The apex of the root has a specific resistance to electrical current, and this is measured using a pair of electrodes typically hooked into the lip and attached to an endodontic file. The electronic principle is relatively simple and is based on electrical resistance; when a circuit is complete (tissue is contacted by the tip of the file), resistance decreases markedly and current suddenly begins to flow. Various devices signal this event by a beep, a buzz, a flashing light, digital readouts, or a pointer on a dial. History and uses The original electronic apex locators operated on the direct current principle. A problem with these devices was that conductive fluids such as hemorrhage, exudate, or irrigant in the canal would permit current flow and therefore a false reading. Newer devices are impedance-ba ...
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