#14707
DrsumitraDrsumitra
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Registered On: 06/10/2011
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ENDOVAC TECHNOLOGY
Few devices come along that can truly be considered game changing advances to a field of specialty. The EndoVac system (Discus Dental) can be considered such a device for the irrigation and disinfection of endodontic procedures. This system utilizes vacuum forces to produce negative pressure irrigation. Although the concept of negative pressure irrigation has been around for some time, this innovative device now allows for its widespread use. views of the various components of this system. Negative pressure irrigation harnesses vacuum forces for the safe delivery of irrigants to the apical region of root canal systems.9 In addition to safely avoiding traditional complications related to positive pressure delivery of irrigants, this technological advancement has had an overwhelming impact on the efficacy of irrigation.10 Furthermore, the EndoVac system’s inherent ability to directly remove pulpal tissue, debris, and bacteria increases levels of debridement.11,12 Like shape, debridement sets the stage for higher levels of disinfectionThe EndoVac technique has shown particular aptitude in delivering irrigant to the critically important apical region.9 The EndoVac system delivers the disinfecting solution to the coronal aspect of the pulpal system and draws the solution to the apical region by way of evacuation. This technology overcomes the limitations of solution surface tensions and possible complications related to air bubbles inhibiting delivery of irrigants to deep, difficult to reach areas of pulpal systems.13 This complication of traditional irrigation has the potential to occur in the closed system of a root canal when sodium hypochlorite (NaOCl) interacts with tissue or debris. When this occurs, an accumulation of vapor (termed apical vapor locks) may be produced which can inhibit further progression of NaOCl to apical zones of the root canal system The ability of the EndoVac to successfully deliver irrigant to the critically important apical region has emboldened clinicians to aggressively yet safely disinfect at or near the terminus. Clinical experience has also shown efficacy in establishing drainage from periradicular tissues in cases of acute swelling. EndoVac’s ability to remove intracanal debris, as it was instrumental in retrieving this separated instrument from around the curve of this mandibular second molar. In addition to facilitating the delivery of solution to all levels of the root canal system, it has been shown that the continuous movement of the solution increases microbial hydrolysis