TTP-10 - To The Point Lecture: All-in-one iVacâ„¢ Irrigation System. Mastering the Synergistic Effect of Ultrasonic Activation, Apical Negative Pressure, and Constant Irrigation.
Professor Roseman University of Health Sciences. College of Dental Medicine South Jordan, Utah
Disclosure(s): PacDent: Consultant/Advisory Board (Ongoing), Other Financial or Material Support (Ongoing)
With the arrival of NiTi engine-driven files and mechanized instrumentation systems, root canal instrumentation became exponentially faster and somehow more predictable compared to manual instrumentation techniques. However, with the popularization of those files in recent decades, a breach between speedy preparation and infection control becomes evident, especially regarding the time and volume of irrigating fluid during the operation. Nevertheless, it is undeniable that the technical advance arising from NiTi engine-driven files has benefited the endodontic technique. But the question is: What's more important, speed or infection control? This lecture reviews the evidence-based aspects of utmost importance for the irrigation-disinfection phase, discussing positive and negative pressure irrigation techniques and intracanal activation using a three-in-one ultrasonic activation and apical negative pressure system.
No CE is awarded for To the Point Lectures
Learning Objectives:
Explain the importance of proper shaping, aiming for a better cleaning
Evaluate the multiple choices for irrigation
Assess the case selection for the different irrigation/activation methods