If you are trying to get match your database to Live, the only option atm is to use PEQ or AX. For further updates past what those databases have, your only real option is to break down packets from live to fill your database with, but that would be insanely time consuming.
You can follow this thread, which shows our only other option (to get the collectors working again):
http://www.eqemulator.net/forums/showthread.php?t=20278
Until those are working, we are pretty-much out of luck other than doing a ton of manual work. This is probably a large part of why PEQ has slowed development since those tools stopped working. Though, I am sure a lot of the reasons are because the newer content requires a good amount of scripting and that all has to be done manually no matter what and can be fairly time consuming.
If we could get those collectors working properly again, it would be pretty quick and easy to get a ton of zones populated with spawns, objects, doors, etc.