EndoVac : An Evolution in Endodontic Irrigation Technology?
Dr. R. asks:
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I have been seeing advertisements for the EndoVac irrigation and suction system from Discus Dental. This is supposed to operate on the negative pressure principle where the system suctions up fluid, creates sort of a vacuum which is automatically filled with irrigation solution. This system has several advantages. First of all, fluid does not have to be forced into the canal with a syringe using a positive pressure. Secondly, this system suctions out fluid and debris from as far as the actual apical terminus using this tiny little canula. Sounds like a great idea and a system. Is anybody using this? What has been your experience?
More on the EndoVac system from Discus Dental:
“The EndoVac system presents the most important evolution in endodontic irrigation technology. This patent pending system enables safe irrigation to the apical termination with an abundance of fresh and continuous irrigation solutions. Unlike positive pressure systems which use cannulas to deliver irrigants in the canal, the EndoVac system is a true apical negative pressure system that draws fluid apically by way of evacuation. Its cleaning, disinfecting and smear layer removal abilities are unparalleled, leading to Maximum Microbial Control.”
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3 Responses to “EndoVac : An Evolution in Endodontic Irrigation Technology?”
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I can see distinct disadvantages of the system…it averages out to around $14 per patient IF the micro canulas don’t become clogged with necrotic debris. If they do, then it could be as much as $14 per canal!!! Secondly…it’s a 3-4 step process, increasing chair time for the patient and time for the Dr. Lastly, because of all vaccum hose changes…4 handed dentistry is not optional but mandatory. I think the Endo Activator from Dentsply/Cliff Ruddle is a much better option.
I have used the Endo Vac system for the last 3 years. Yes it is cumbersome with tubing and hoses, but in my opinion, there is no way other to accomplish such thorough canal debridement so safely. As far as the cost, the most important step is to use the system properly by flushing the chamber with the syringe/vac and hypochorite, then using the macro cannula thoroughly with lots of solution before going to the micro cannula. If you can find the video of Dr Schoeffel’s demonstration of the effects of the system in the canal, especially the “airlock” that occurs in that vital last 2-3 mm of the canal, I think you’ll wonder how you can not give your treatment the benefits of this therapy. As far as the cost, add it to your fee. If it were endo on me and I understood it’s effect, there is no way I would let the dentist skip it rather than paying another 20-30 dollars!
First, when was the EndoVac introduced to the market?
Second, what is the gauge of the EndoVac micro canula?