10/01/2012
EndoVac(EndoVac true apical negative pressure irrigation system)
The EndoVac true apical negative pressure irrigation system presents a unique and safe new way to irrigate during root canal treatments. Unlike positive pressure systems which use cannulas or side-port needles to deliver irrigants in the canal, the EndoVac is a true apical negative pressure system that draws fluid apically by way of evacuation. Because the system utilizes negative pressure at the apical termination, irrigation solutions are sucked away from the apical foramen, virtually eliminating the risk of an irrigation accident. This patented system is comprised of three parts: The Master Delivery Tip, which allows for abundant and simultaneous irrigation and evacuation without leaks and spills into the patient's mouth; The MacroCannula, which removes coarse debris left in the canal from instrumentation; and the MicroCannula, which removes microscopic debris at the apical 1mm via 12 microscopic, laser-drilled holes.
Endodontic irrigation should begin upon or***ce expansion and proceed until the apical termination is devoid of any organic and inorganic debris. Begin by assembling the EndoVac system chairside according to the packaging assembly instructions.
ALWAYS DOUBLE BIB / NAPKIN YOUR PATIENTS WHEN USING ENDOVAC
TO AVOID ANY DAMAGE TO CLOTHING.
Step 1: Gross Debris Evacuation with the Master Delivery Tip
The Master Delivery Tip (MD T) overcomes several clinical problems. First, it avoids excess sodium hypochlorite from spilling into the patient's mouth regardless of arch. Second, it provides frequent and abundant flow of irrigant while maintaining the desired effect of a constant "brim full" level of irrigant. Position the MDT such that the metal cannula within the MDT is placed just inside the access opening of the tooth. Deliver irrigant via syringe and excess fluids will be instantly evacuated simultaneously. The MDT is used during coronal flaring and after each instrument change to remove gross debris arising from instrumentation.
Step 2: Coarse Debris Evacuation with the MacroCannula
After all instrumentation is completed, use the MacroCannula in the Titanium Handpiece to remove coarse debris while using the MDT to ensure an abundant supply of irrigant. In this step, the MacroCannula and the MDT are used at the same time. It is helpful to have a dental assistant deliver the irrigant with the MDT while the clinician works the MacroCannula up and down each canal to within a few millimeters of the apical termination.
Step 3: MicroCannula Microscopic Debris Evacuat ion
Finally, using the MicroCannula on the small Titanium Fingerpiece, the MicroCannula is placed to Working Length. The MDT delivers sufficient irrigant as the MicroCannula draws the solution the full length of the root canal evacuating microscopic debris less than 100 microns in size.
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