Dismiss Notice
Hey Texans—join us for a DFW meetup! Click here to learn more.

Thoughts on apex locators

Discussion in 'Dental' started by Dental916, Dec 15, 2008.

  1. Dental916

    Dental916 Senior Member
    7+ Year Member

    Joined:
    Mar 5, 2005
    Messages:
    286
    Likes Received:
    0
    I have the opportunity to purchase one at a reduced rate. What are your thoughts?
     
  2. Note: SDN Members do not see this ad.

  3. HuyetKiem

    HuyetKiem Senior Member
    7+ Year Member

    Joined:
    Apr 16, 2004
    Messages:
    811
    Likes Received:
    0
    Status:
    Dentist
    Love it. Apex locator, rotary, 5.5x loupe, head light are parts of my everyday endo. Buy one while you're in school. It's expensive out here. :D:D
     
  4. aphistis

    Moderator Emeritus 10+ Year Member

    Joined:
    Feb 15, 2003
    Messages:
    8,392
    Likes Received:
    29
    Status:
    Attending Physician, Dentist
    +1. A good apex locator will save you tons of time and make you scads of money.
     
  5. PERFECT3435

    7+ Year Member

    Joined:
    Oct 22, 2003
    Messages:
    1,416
    Likes Received:
    0
    Status:
    Dentist
    i love it when i see others use it, but i am still trying to learn how to use the damn thing. i am always getting a false reading for some reason.
     
  6. OceanDMD

    OceanDMD Rather be fishing
    7+ Year Member

    Joined:
    Oct 25, 2006
    Messages:
    798
    Likes Received:
    7
    Status:
    Dentist
    Just out of curiosity, who did you purchase your 5.5 loupes from, what type of rotary instrumentation due you use?
     
    #5 OceanDMD, Dec 15, 2008
    Last edited: Dec 16, 2008
  7. crazy_sherm

    crazy_sherm å♪▼æ╬‼▄·
    Dentist 10+ Year Member

    Joined:
    Jul 18, 2004
    Messages:
    1,182
    Likes Received:
    6
    Status:
    Dentist
    Here are a couple tips you can try to see if you get a better reading:

    1) Make sure the pulpal floor is dry, the canals don't have to be dry.

    2) Don't use too small of a file, use the largest one you can fit that doesn't bind. That way, it won't slip around and you can watchwind it to length.

    3) Make sure you are patent, the apex locator won't work if you're blocked out. Put the file in and make sure the reading goes past the apex, then watchwind out until you get to your desired length.

    4) If you're going through a crown or amalgam, make sure the file isn't touching any of the metal. A small cotton pellet can help a lot.

    Good luck.
     
  8. Daurang

    10+ Year Member

    Joined:
    Dec 6, 2006
    Messages:
    1,354
    Likes Received:
    222
    Status:
    Dentist
    Parkell sells an excellent and well-reviewed apex locator for $495, which are frequently found on ebay for $200 new. It uses regular 9V battery so you don't have to buy an expensive proprietary battery down the road. It saves me a lot of time in most instances.

    I hate my d*mn dental school for not showing me how to use one and getting one for my student kit during school. I suffered unnecessarily for years in private practice before getting one because I didn't know. In the meanwhile, I still have thousands of dollars of unnecessary 'junks' in my student kit that have been never been touched or maybe used twice.
     
    #7 Daurang, Dec 15, 2008
    Last edited: Dec 15, 2008
  9. HuyetKiem

    HuyetKiem Senior Member
    7+ Year Member

    Joined:
    Apr 16, 2004
    Messages:
    811
    Likes Received:
    0
    Status:
    Dentist
    loupe and SunBurst LED head light from Orascoptic. Safesider from EDS for my rotary instrument. I'm using RootZX II as my apex locator.
     
  10. OceanDMD

    OceanDMD Rather be fishing
    7+ Year Member

    Joined:
    Oct 25, 2006
    Messages:
    798
    Likes Received:
    7
    Status:
    Dentist


    I didnt think orascoptic made 5.5 loupes. Didnt you just graduate? Safesiders are NOT ROTARY. They are reciprocating instrumentation. I posted something before that I edited out because I was a bit presumptuous. I think I will bring it back up based on your questionable response. I dont find many of your posts believable. Just an opinion. You have graduated in 2008, bought a practice where suddenly you have associates working for you as a new graduate, and claim to produce 40-45 k every 2 weeks. Math says that that production is 1 million/ year as a first year graduate. Apparently texas is not in a recession. You also claim to treat comprehensive ortho, endo, and pedo, once again as a first year graduate with no residency training. What am I missing?
     
  11. Daurang

    10+ Year Member

    Joined:
    Dec 6, 2006
    Messages:
    1,354
    Likes Received:
    222
    Status:
    Dentist
    OceanDMD you should just ignore HuyetKiem. It's a cultural thing that I come across all the time with family and stranger alike, which you won't understand. It's like you trying to understand why there's such a pos place called Camden, NJ in this great country of ours. There's just no point trying to rationalize it my friend.
     
  12. anamod

    anamod Senior Member
    10+ Year Member

    Joined:
    Aug 24, 2000
    Messages:
    265
    Likes Received:
    0
    Easliy possible my wife a 2007 graduate no residency training bought a practice in May and has an associate (me) working for her and is averaging about 85k a month in production with really low overhead. It can be done, now does this person do that I don't know, but speaking from experience it can easily be done.
     
    #11 anamod, Dec 16, 2008
    Last edited: Dec 16, 2008
  13. DrJeff

    DrJeff Senior Member
    Moderator Emeritus 10+ Year Member

    Joined:
    Nov 30, 2000
    Messages:
    2,805
    Likes Received:
    340
    Status:
    Dentist
    Apex locator - RootZXII Pretty much the standard out there. Nowadays I wouldn't think about doing endo without mine:love: Blood, puss, hypochlorite, really doesn't matter. The only "trick" I've found with it, is for best result, you want to be using a size 25 or larger file for your readings.

    Other than that is the learning curve where you find out that you CAN trust the RootZX without having to take a working length film:nod: Basically nowadays, if I'm doing an endo, and I feel comfortable with the appearance of the tooth on the pre-op film and don't find anything out of the ordinary while instrumenting the canal(s), the only films I'll have of a tooth I'm doing an endo are are the pre-op and final fill.
     
  14. HuyetKiem

    HuyetKiem Senior Member
    7+ Year Member

    Joined:
    Apr 16, 2004
    Messages:
    811
    Likes Received:
    0
    Status:
    Dentist
    5.5 or 5.4x loupe. does it really matter ? The sale rep told me the mag specification and let me test drive for about a week in my last month of dental school. Loved them and bought a whole sytem for $2300 (with student discount). Regarding the Safesiders, I went twice to CE class in New York and Dallas. So whatever its name is, I've used it for my entire Endo treatment and worked out fine for me. Oh yeah, completed RCT on #19 and 12 on 2 different patients today. :love::love:
     
  15. HuyetKiem

    HuyetKiem Senior Member
    7+ Year Member

    Joined:
    Apr 16, 2004
    Messages:
    811
    Likes Received:
    0
    Status:
    Dentist
    Thanks bro! I'm just stating the facts. No pissing contest.:D:D By the way, I bought 3 Solarcams on Ebay. darn.. they work wonderfully in my office. One of my associate loves them so much, helps his patient in treatment acceptance :thumbup::thumbup:
     
  16. HuyetKiem

    HuyetKiem Senior Member
    7+ Year Member

    Joined:
    Apr 16, 2004
    Messages:
    811
    Likes Received:
    0
    Status:
    Dentist
    No working length film for me. Preop, final (master) cone and final fill. I'm still chicken of getting rid final cone film ... :D:D
     
  17. OceanDMD

    OceanDMD Rather be fishing
    7+ Year Member

    Joined:
    Oct 25, 2006
    Messages:
    798
    Likes Received:
    7
    Status:
    Dentist


    So now it has been established that as a new graduate, buying a practice, producing 85k/month on average immediately can be "EASILY DONE".

    I guess I need to get back to the original thread content before I rip anymore of my hair out.

    Most Apex locators are the same with different bells and whistles. We have a 1980's looking thing called a foramatron(parkell), and a root zx. Both have the same accuracy. It has been established that these are more accurate in determining working length then radiographs. If amalgam is anywhere in the access, or if you are going through a crown they do not work. My first radiograph is generally a cone fit. I think it is very questionable and cavalier not to take this radigraph before obturation.

    I will work the apices to .15 or .20 files .5mm long (this usually guarantees patency) and then switch to protapers. SX to open the orifice, and then S1, S2, F1, etc. to length. If my cone doesn't have good tug back or a nice stop, I'll finish the apices with K3 files.
     
  18. Daurang

    10+ Year Member

    Joined:
    Dec 6, 2006
    Messages:
    1,354
    Likes Received:
    222
    Status:
    Dentist
    Everyone student kit should have a $59 Solarcam from ebay, too. I wonder why the faculty at the dental schools are so dumb not to think of it as a teaching tool.
     
  19. anamod

    anamod Senior Member
    10+ Year Member

    Joined:
    Aug 24, 2000
    Messages:
    265
    Likes Received:
    0
    Sorry to get it off topic but you seemed to not trust what the other poster said about his practice. While not the norm it can be done.

    As far as apex locators go I have stopped taking length radiographs, most of the time. I have the Root ZX2 I think if you could find a RootZX 1 used it would be a better deal. I have never used all the new bells and whistles on the new one. As far as files go I just started using the Twisted Files, they are awesome. I usually end up finishing with a EndoSequence file sine the only tip size is 25 as of right now. Now my new favorite toy is my ultrasonic unit, makes searching for canals so much easier.
     
    #18 anamod, Dec 18, 2008
    Last edited: Dec 19, 2008
  20. DrJeff

    DrJeff Senior Member
    Moderator Emeritus 10+ Year Member

    Joined:
    Nov 30, 2000
    Messages:
    2,805
    Likes Received:
    340
    Status:
    Dentist
    +1 for Brassler's Endo Sequence files and ultra sonic tips for me too. :love:

    There are so many GOOD endo systems out on the market nowadays, you just need to find the system that predictably works for you.
     
  21. anamod

    anamod Senior Member
    10+ Year Member

    Joined:
    Aug 24, 2000
    Messages:
    265
    Likes Received:
    0
    You should try the Twisted Files they are awesome for getting around curves. They are extremely flexible, my only complaint is the one tip size. But my Sybron Endo rep says they are coming out with more tip sizes soon.
     

Share This Page