EndoVac : An Evolution in Endodontic Irrigation Technology?

Dr. R. asks:

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.”

16 thoughts on “EndoVac : An Evolution in Endodontic Irrigation Technology?

  1. 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.

  2. 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!

  3. First, when was the EndoVac introduced to the market?
    Second, what is the gauge of the EndoVac micro canula?

  4. Just checked. The start kit is $289.99 and has stuff for 6 cases. The refill kit has the stuff for 24 cases at $274.99. With shipping should run about $13 to $14 per case after initial equipment purchase (assuming no clogged needles during use)
    They say just add $14 per case to your fee, no big deal. You could as easily add the #14 without buying the kit. Any way you look at it that is thousands of dollars per year Discus dental takes home rather than you. Why do they charge so much???

  5. Endovac working on apical negative pressure is boon to endodontic irrigation if properly used. With Endovac voluminous irrigant can be used without any danger of extrusion into periapical tissues.

  6. The Endovac’s micro cannula can be unclogged by placing into a lur-lok irrigation syringe and expressing water or saline back through the tip as if it was a max-i-probe. Then reattach it back onto the micro-cannula adapter and continue suctioning.

    The micro-cannula is ~32 MAF ( it is somewhere between 28 and 30 ga.). If you open your canals to a size 35 file then the micro-cannula should reach the WL.

    If it cleans as well it is claimed and found to do (and I have found it to be effective) then I believe in a matter a time it will become a standard of care.

    Do you use single use rotary files? They cost ~ $60 per pt. What is an extra $12-14 per patient. If you buy in bulk then you will get a discount on the refill boxes.

  7. can u please send me the video to my mail, so that i can explain this system better to my college and get it soon for academic purpose.

  8. As a chairside assistant, I have found that the tubing and changing of hoses is extremely awkward. We have been using this system for about 3 months now and it clogs nearly every time. Having to fumble to unclog the micro and macro cannula is time consuming and frustrating. So far, the doc and I have are just irritated with this system. I will definitely try the tips for unclogging that all have posted.

  9. Sou assistente de um grande nome da endodontia no Brasil,Dr.Mario Roberto Leonardo,e gostaria de saber como posso fazer para testar o Endovac? Obrigada

  10. respected sir,
    im a post graduate student n want to do a study on efficacy of ur instrument in comparision wit other instruments.. so kindly can i know the cost of ur equipment– Endovac..
    thanking you,
    yours faithfully,
    Dr Arun J

  11. dear sir,
    i wonder this system..
    and want to use in my clinic..
    can you write me the cost and advantages of this system please????

    yours sincerely

  12. The 2 main disadvantages of the EndoVac is cost and clogging of the tubes. However, as any dentist who does a lot of root canals can tell you, it is much safer for the patient as it avoids sodium hypochlorite from going into the sinus as well as decreased post op pain.

  13. por favor quisiera saber mas del endovac para poder exponerlo en mi universidad si es posible precio ventajas desventajas y modo de utilizacion y un video demostrativo a mi correo electronico muchas gracias

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