Working Length Determination with Apex Locator

Working Length Determination with Apex Locator device used here is propex pixi from Dentsply .

[@sudhaa5674]

Thankyou sir.Nicely explained

[@dr.sameerthakur8296]

Nicely explained 👍

[@moderndentalclinic1144]

Very nice presentation 👌

[@deepakraj-mw2bm]

Very good Sir

[@moviemazaandmymaza1663]

Is he lenght pe obturation kar k xray dekha dety tu perfect video banti .

[@atultrivedi13]

Ok

[@gladwinkhanapur8296]

thank you very much.

[@failmania9241]

Thanku sir...it was excellent demonstration ..much apprication from my side...can u pls make a video of rct from complete start to complete end

[@dr.shambhukrsharma8019]

Nice video sir

[@gauravrana3561]

Veery good sir

[@wasimghaniwala3699]

Nice demo sir....

[@kusumagarwal4799]

Plz tel about access opening ,chair position for both upper n lower tooth

[@shak1230]

very good video. . I think jab khud hand on karre to better Samjh ayaaga. I have an e connect s endomotor with apex locator since a month . Abhi tak use nahi ki dar se nahi reading error na aai.

[@mozammalhaque4882]

Nice sir

[@saddamsheikh3307]

Bahut achcha laga sir sir ye apex lucetar kiya kiya praise h sir

[@atultrivedi13]

Dentsply propex pixi mini 35000

[@DrShahid-Shafi]

Very well explained. Loved the demonstration. Thank you Sir for sharing. Sir one question, when we introduce the rotary files into the root canal system. How many seconds are we supposed to work the rotary file into the canal and take it out. Many videos are available regarding the rotary endodontics but very few explain such little and important things. I've seen my fellow dentists, they keep rotating the file in the canal for 30-40 seconds and then take it out and recapitulate and then again introduce the file and keep it rotating and sometimes they turn the endomotor off with the file still in the canal and then on it again. Sir, I just want to get my confusions clear. How many seconds should we keep the rotary file into the canal, recapitulate and then take it our and then again introduce it till we reach our desired length? Thank you Sir

[@atultrivedi13]

Hi Shahid I had once attended a lecture by Dr PD Joshi Sir back in 2013 and he mentioned this query as per his explanation we only wanted our rotary instrument to reach 0.5 mm short of W/L if asked for how many seconds I would want you to count 1001 and 1002 in mind and then take the instrument out of the system Also I personally want to do apical gauging with hand files corresponding to my apical prep to achieve better tug back

[@DrShahid-Shafi]

@@atultrivedi13 Thank you Sir for your response. This clears my confusion. Thank you again Sir for explaining..

[@shobhitgoyal6447]

thnx sir for video....

[@HemantPohnerkar]

Too nice....

[@waelelsebaey]

Hello Dr Is that .5 from apical constriction Or should it be 00 reading Please answer And thank you so very much

[@atultrivedi13]

wael elsebaey canal preparation is to be till 0.5 mm short of apical constriction

[@atultrivedi13]

wael elsebaey yes many dentist recommend the reading till 0.0 But it needs a lot of apical control suppose u loose control for a fraction then their are chances of over instrumentation thus 0.5 considered more safe .

[@sudarshanmandlecha5977]

00 is best

[@anikkhan1605]

Thanks sir

[@rahuldandapat6271]

Canal dry karne ke baad apex locator use hota hai ya wet canal main use karna padta hai sir??

[@atultrivedi13]

It is like electrical connection it would definitely need some sort of moisture to work . If the canal is absolutely it would not work.

[@sanjayve101]

Isnt it recommended to go beyond apex reading and come back with the file to get results?it is due to presence of multiple constrictions tat may be present in the tooth...we want the apical most one...

[@mohontop]

yea for sure , u are totally right

[@GI_Lebong]

Hello sir, I think this is a very good video. I want to ask a question, how to choose between single cone technique and continous wave technique for obturation? When do we use the single cone and when do we use the other one? Thank you doc.

[@atultrivedi13]

Hello I am sorry i haven't seen your question earlier else I would have responded before. So single come technique is not recommended mostly so try go for cwc or clc( cold lateral condensation ). However single come you can do with bioceramic sealers. Regards Atul

[@sandeepsachchade3188]

Nice video dr But ajki generation me konsa apex locator lena chiye

[@atultrivedi13]

Bhai mere pass propex pixi hai ig is working Excellent

[@sanjayve101]

Jmorita root zx is considered by many as gold standard...its 3rd generation

[@vdcvapidentalclinic3935]

Sir please can u tell me the exact steps First access opening Removing coronal pulp Negotiating canals with k file #15 no Then drying the cavity the canals should be dried or moist sir

[@atultrivedi13]

Navin Yadav acess opening ,pre Endo build up,refinement of access, check for patency of canals with 10 k , coronal flaring of canals, now use 25mm k file for length determination,there should be no saliva in chamber use glyde for better readings . Keep charging your device every week this is one of the finest apex locators of all times .

[@vdcvapidentalclinic3935]

@@atultrivedi13 sir if pulp is still present in the canal does it works the canals should be dry or moist woth Sodium hypoc 3% irrigation which provides good conduction

[@atultrivedi13]

Navin Yadav even if pulp is present in the canal system it works perfect

[@atultrivedi13]

Navin Yadav there is no need for canals to be dry. Presence of sodium hypo doesn't affect readings

[@vdcvapidentalclinic3935]

@@atultrivedi13 it should be moist right sir

[@kavitashetty8069]

Sir what does the reading in Apex locator 1.2 suggest I usually get tht

[@drsanjeev1000]

Thats not significant. One mis conception about apex locator is that people tHink that it tells how much short you are. But ita not like that.. apex locator tells minor constriction only. No apex locator can tell that how much short you are from apex. When apex locator shows and beeps APEX then only it is significant. 1 , 1.5, 1.2 are not significant

[@vdcvapidentalclinic3935]

Sir I m using propex pixi from last 1 year I don't get proper reading now I have assume that it is not working

[@priyankagupta1472]

How to check functionality of apex locator?

[@nikhilhole2285]

During obutration ..we can do vertical condensation in all cases or we need any specific case to do it ?

[@atultrivedi13]

Continuous wave obturation and warm vertical condensation are considered gold standards for obturation.

[@jumbogirlmishti6645]

Acces opening k baare m btayiye

[@alexkapelinski4195]

Felicidades

[@raman9p]

What scale did you use in video to measure lengths

[@atultrivedi13]

Its an endoblock very easily available

[@moderndentalclinic1144]

Canal dry rakhna hai ya wet?? Chamber bhi wet rakhna hai kya?

[@atultrivedi13]

Bhai 3 way syringe se air Dey kar lo chamber ko canal wet hona

[@dr.souravgoyal5228]

Sir i want to buy new apex locator...what u suggest which one i should buy as a beginner

[@atultrivedi13]

Hi sourav , in my personal opinion biy a device which last long be it Nsk , Dentsply or coltene , If you can shell out more please buy morita bcoz it is considered as gold standard. Mine is propex pixi mini but if i need to buy new one I would prefer canalpro from coltene . God bless you stay in touch

[@Dentrodeldiente]

what can you use for better conduction???

[@atultrivedi13]

Hi fabian i prefer hypo into the canal system for conduction , If in case of constricted canals i would use carbamide peroxide gel .

[@drruby.40]

Sir how much can v rely on it...can v ignore the iopa to big extend.coz i take lot of x rays .

[@atultrivedi13]

Rubi Sandhu it requires 3 Iopa 1 pre-op . 2-master cone 3-final And no you can not ignore mastercone radiograph

[@gauravpal8946]

Hello sir BMP apex locator ke Zero point tak karne chaheye ya 0.5 tak karne chaheye .

[@atultrivedi13]

0.5 is safer

[@sensible52]

Hello sir i bought ipex II and it claims reading under moisture..... Do i need to calibrate it or any procedure needed before the 1st time use....

[@atultrivedi13]

OK ipex ii is a wonderful device you just keep the pulp chamber dry and nothing else go ahead with protocol suggested . I have elaborated about the same in one of the comments plz do take a working length radiograph in the beginning but with time you would need only pre-op and master cone . All the best

[@dranuragaryan1597]

Sir plz make video on rotary endodontics?

[@atultrivedi13]

Dr Anurag Aryan Hello Sir i have already made plz go through my chanel you will find

[@thakurthakur7650]

Sir can be check master cone with apex locator or not???...pls pls rply

[@atultrivedi13]

Master one fir is must

[@atultrivedi13]

Fit*

[@waveofsmile1724]

Sir which is better , dentsply pixi or Coltene ?

[@atultrivedi13]

This is what we are making a video on. Please wait for a week you will definitely get your answer

[@athulbosek]

Can u say it now?

[@anikkhan1605]

Sir pls make a video root canal in endomotor🙏🙏🙏🙏🙏

[@vdcvapidentalclinic3935]

If we attach a connection hook to the file outside the canal does the blinking bar stops outside

[@atultrivedi13]

Navin Yadav That will blink till the lowest point .

[@vdcvapidentalclinic3935]

@@atultrivedi13the reason when I connect to file inside the canals at start it doesn't stop blinking

[@atultrivedi13]

Navin Yadav you mean it blinks only in the blue region ??

[@vdcvapidentalclinic3935]

@@atultrivedi13 sir it's like when I connect the connection hook to the file in the canal the blinking does not stop it remains stable and when it stops sometimes it doesn't show any reading

[@vdcvapidentalclinic3935]

@@atultrivedi13 when I attach the connection hook to the file in the canal it stills blinks in the first bar and if sometimes it woks it's doesn't show readings it's does not go up the yellow bar

[@atultrivedi13]

[@thawfeekmohamed]

Hi Dr. Should it be used after removing pulp or before? and how do you remove pulp? With broaches or with rotary files itself?

[@atultrivedi13]

mohamed thawfeek pulp chamber should be clean you can use either spoon excavator for coronal pulp removal or you can use ultrasonic scaler for the same. Also coronal flaring removes a lot of pulpal debris .

[@thawfeekmohamed]

@@atultrivedi13 ok sir can apex locator be used without removing radicular pulp?

[@atultrivedi13]

mohamed thawfeek yes

[@thawfeekmohamed]

@@atultrivedi13 thank you sir i have 1 more intriguing question.. After bmp, on second visit there is no pain but when i insert gp at the apical third there is severe pain. What could be the problem sir? 5 out of 10 patients have this problem sir. Any solutions?

[@poloproductions9005]

Sir woodpecker ka apex locator kaisa hai

[@atultrivedi13]

amit agrawal bhai maine nahi use kiya hai

[@sanjayve101]

@@atultrivedi13 its 3 percent less accurate than jmorita still 93 percent accurate...its good...

[@gauravpal8946]

Length of your 10 number hand file

[@atultrivedi13]

Gaurav Pal it is 25mm always

[@gauravpal8946]

@@atultrivedi13 thanks sir

[@gauravpal8946]

@@atultrivedi13 hello sir plese make one video on pain management after endodontic treatment .

[@musaraza199]

U did gud but u need a clean work shuld improve or clean ur working area

[@umeshpatil.123]

Third class product..