Posted by
junwei on Thursday, July 30, 2009 3:48:02 AM
An
apex
locator is an electronic device used in endodontics to determine
the length of the root canal space. 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. According to the device, this event is signaled by a
beep, a buzz, a flashing light, digital readouts, or a pointer on a dial. 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-based, using alternating current of two
frequencies;these measure and compare two electrical impedances that change as
the file moves apically. The benefit is that these devices are much less
affected by fluid conductive media in the canal. The impedancetype
apex
locators have been demonstrated to be 80 to 95% accurate in
identifying the apical foramen. Therefore after obtaining a reading, 1 to 2 mm
is subtracted as the corrected working length. Although there are some
variations with newer devices, most operate similarly. One electrode is attached
to the patient (commonly a lip clip); the other electrode is clipped to the
file. The patient therefore forms part of the circuit. When current flows, the
operator is notified by one of the aforementioned signals. After the length
adjustment is made, a confirmatory radiograph is made (angled when indicated)
with an appropriate size file at this length.