Accurate measurement of the root canal length in essential for successful endodontic treatment. In the ideal case, endodontic treatment should be performed without causing damage to the apical tissue to clean and shape the root canal. It should be remembered that the steric felling of the root canal must terminate at the location of the physiological apical foramen (that is, 0.5~0.7mm anteriorly of the apical foramen). To achieve this, it is thus essential to determine the exact location of the apical foramen.
In the past, a variety of methods have been tried by using X-ray photography. The shortcoming of the X-ray methods is their inability to provide accurate results. Since the anatomical root apex and apical foramen are not necessarily identical, it follows that the real length of the root canal cannot be measure with accuracy by X-ray techniques, even though it may be possible to measure the actual length of the tooth. In recent years, attention has therefore been focused on electrical measuring techniques to determine the root canal length. The electrical measurement technique was developed by Suzuki and Sunada et al. as a result of their revolutionary research work. It has gradually come into use over the last twenty years because of its greater simplicity as compared with the X-ray techniques and its superiority in terms of providing accruate measurement results even when the root apex and the apical foramen are not identical. In 1978, the electrical measurement technique also became available under the National Health Insurance Scheme, thereby opening the way to the general use of this method. The technique does, however, present some problems in connection with the accuracy of the measurement results, so that basic research is being continued to shed light on the problems.
As a completely separate approach to the problem, the authors developed from a clinical viewpoint a root canal length measuring device in 1971. This method uses sound generated by low-frequency oscillation. So far, clinical experiments with this method have been conducted, in an extensive scale, principally in Europe and the United States.
The clinical results have been utilized to improve and perfect the device to achieve a very satisfactory level of precision that meets present-day clinical requirements. The authors intend to develop this method for the accurate measurement of the root canal length further by taking into consideration the procedure and the difference between the two techniques.
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