There’s been a variety of method international endodontic journal, indian journals of chemistrys that our profession has utilized to better appreciate root canal system anatomy but what we all agree. Upon is that well shaped canals have the potential to be clean canals regardless of the method international endodontic journal, indian journals of chemistry utilized in the night disinfection is comprised of removing all the pulp the byproduct of our instrumentation the smear layer and finally communities of bacteria biofilms many clinicians relate to a block canal is the inability to pass a ten file to the full working length but in reality especially with the advent of nickel titanium instruments and with particular emphasis on the cross section of the file many blocked canals are in turned blocked. Laterally rotary nickel titanium instruments especially the radial landed variety tend to burnish more debris into the lateral canals eccentricities off the rounder canals and dentinal tubules than cutting instruments. These blocked anatomical spaces need to be cleansed so we can encourage and promote our arrogance to move laterally into the deep anatomy there has been tremendous interest in the endodontic marketplace on how to improve clinical disinfection. There’s a variety of method international endodontic journal, indian journals of chemistrys that are either to market or are emerging rapidly for clinical practice. Let’s quickly take a look at some of the more popular method international endodontic journal, indian journals of chemistrys. The endo vac is nothing more than placing a suction device in a well shaped canal to the full working length. This method international endodontic journal, indian journals of chemistry is quite interesting sucking out debris or livering it through vacua ssin procedures is useful and helps us have less flare-ups and potentially allows us to pack better the Reince endo is a german device that is made by the Durr company and in this method international endodontic journal, indian journals of chemistry they use pulsating positive irrigation and suction to better enhance disinfecting yet another method international endodontic journal, indian journals of chemistry that has proven to be quite interesting as based on the evidence presented in the Journal of endodontics is ultrasonic fluid delivery in this method international endodontic journal, indian journals of chemistry a cannula is attached to a ultrasonic handpiece the power setting is going to move the tip between 25 and 40 thousand Hertz and dispense the reagent of your choice into a well shaped canal as per usual with ultrasonic activation one has to be concerned about internal ledges transportations and broken instruments photo.
Activating disinfection is a very interesting method international endodontic journal, indian journals of chemistry. That it was born primarily in Western Europe in this method international endodontic journal, indian journals of chemistry of disinfection. A low diode. Laser is used. The preferable wavelength is 980 nanometers of light in this method international endodontic journal, indian journals of chemistry a solution such as tellurium chloride can be flushed liberally into a well shaped canal and presumably the solution will move out and enter the cell wall of a microorganism. This is called tagging the bacteria when the diode laser is placed in the canal and activated the light seeks out the tagged bacteria it implodes the microorganism rendering it non virulent plastic end. O file is nothing more than a plastic instrument. That’s impregnated with a diamond coating as this instrument turns clockwise in a canal. The diamond grit tends to sand and continue to prepare and already optimally shaped canal. This instrument is actually producing its own smear layer. Although some evidence has been produced to show its efficacy the. Erie safe file is a non cutting instrument that attaches to an ultrasonic handpiece and I’ve already given the cautionary remarks about vibrating. Metallic instruments below the orifice. The vibrance is one of the newer devices that has recently come to market and it’s basically like a handheld anesthetic syringe. Except in this case the operator is dispensing reagent as the cannula again. Being metal is vibrated. We’ve seen some movement towards endo brushes not as quickly as I would have anticipated but we now see some brushes on the market. The problem with the current market version brushes is the d0. Diameters are quite large on the order of about 50 or 60 which means they don’t often get all the way to length on smaller diameter canals. Stay tuned though. We don’t know the final verdict on brushes because technology always drives new innovations.
The one that you’re probably familiar that I’ve been involved with and our group and team built is the endoactivator in this method international endodontic journal, indian journals of chemistry of activation. We use a polymer which is highly flexible and strong and it goes into a fluid-filled chamber is introduced into a canal and through activation. We use sonic energy to kindly activate the tip. The polymer tips are not subject to a diminishing return on their vibration. They can write on the walls of prepared. Dentin and still activate a solution to length and around multiplanar curvatures there is plenty of emerging evidence on the endoactivator and. I’ll show you just three images that were produced at Paris 7 by a postgraduate residence named korone and you can see in that low magnification 500x a bifida T. Both branches have been cleaned one presumably with the instrument and with reagents and the other one. The lateral canal is where the instruments never went in a higher magnification. You can begin to see the potential for the reagent to move as much as three to four hundred microns back through the dentinal tubules to enhance deep lateral cleaning and finally a 2000. X you can see open. Paton dentinal tubules in the apical. One third of this specimen and this was around the curvature if we’re ever going to bond obturation materials against Denton we must divide remove the smear layer and finally all the bacteria when present my final remark would be when you look at this. Rather lengthy list of devices one must assess the cost to get into the technology to the ease of use and finally. Is there evidence or science behind it to show that it actually disinfects a root canal system.
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