Endodontics · single question

All of the following can help determine how many roots or canals a tooth has EXCEPT:

  1. Cone-beam computed tomography
  2. An electronic apex locator
  3. Radiographs taken at different horizontal angulations
  4. Inspection of the pulp chamber floor under magnification
Show answer and explanation

Correct answer: B. An electronic apex locator

  • A. CBCT is the most accurate method available for canal anatomy and is specifically indicated for suspected extra canals in retreatment cases.
  • B. CORRECT — this is the EXCEPT. An apex locator measures the WORKING LENGTH of a canal you have already found and instrumented. It gives you no information about how many canals exist, and it cannot find a canal you have missed.
  • C. Shifting the horizontal angle (the SLOB rule) separates superimposed roots and is the classic chairside method for identifying a second canal.
  • D. The pulp chamber floor map — the developmental grooves and the darker dentin lines connecting orifices — reliably indicates canal number under the microscope.

Note: Chamber floor law: canal orifices always lie at the junction of the walls and the floor, and the floor is always darker than the walls. If you cannot find a canal, look at the colour change, not the middle of the floor.

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