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Access cavity preparation, working length determination

Conservative Dentistry and Endodontics · Dental (BDS)

Study notes

Why must root canal instruments stop at the apical constriction, not push beyond the root tip? The apical constriction — the canal's narrowest point just short of the tip — is the natural barrier. Stopping here cleans the entire infected canal while preserving the periapical tissues. Pushing beyond injures bone and ligament, extrudes debris and filling material, causing pain and delayed healing. Students learn: respect the constriction; the X-ray plus apex locator pinpoints it.

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