I would like to thank both doctors for providing high quality and pertinent education through new mediums such as youtube. Keep up the good work! Dr Dan Munteanu, generalist from Montreal
dr nasseh which one is more effective- intermittent or continous irrigation? which one to buy? or both are equally effective and it is just for convenience sake?
Thank for the lecture. I started using the irrisafe by acteon on my Adec chair. What power setting should I use? Do I need to turnoff the water spray when I use the irrisafe tip?
Dr Nasseh any thoughts on the novel Gentalwave system for cleaning the RC system? No dentin removal ultra conservative .. in theory anyway. Also any advice for the management of a tooth diagnosed with acute irreversible pulpitis? Mandibular molar aka a "hot tooth" Thanks, Keep the great vids coming!
Thank you Dr. Shirin. The GentleWave makes some bold claims and promotes itself as a ground breaking and disruptive technology. My experience in this area can be summarized by what the great Carl Sagan said: "Extraordinary claims require extraordinary evidence!" And at the present time, there's no reason to believe that GenetleWave is anything more than fancy irrigation! Whether it can replace instrumentation requires much more rigorous testing by independent sources that the SonEndo company is are able to provide at this time. We'll see with time. Cheers! :)
Just place some NaClO in the tooth and apply the Ulrax for about 30sec per canal. Then use EDTA and do the same. Then you're good to dry and fill. Good luck!
Every tip has its own setting and you should be changing the power setting throughout the procedure based on the specific tip you're using for a given purpose but for the thin tips used for PUI you would e using the lowest setting in general as you don't want dentin removal but only activation of the irrigant. Cheers.
Antibacterial Efficacy of a New Sonic Irrigation Device for Root Canal Disinfection Klaus W. Neuhaus, DMD, MMA, MAScorrespondencePress enter key for correspondence informationemailPress enter key to Email the author, Melanie Liebi, DMD, Simone Stauffacher, DMD, Sigrun Eick, DMD, Adrian Lussi, DMD Abstract Introduction Passive ultrasonic irrigation (PUI) is the most widespread method used to activate irrigation solutions. Concerns have been raised that PUI is less effective in curved root canals and is not passive at all. Our aim was to compare a novel passive sonic irrigation (PSI) device (6000 Hz) with PUI and manual irrigation (MI) with respect to their efficiency in removing different endodontic microorganisms from curved and straight root canals. Methods We performed 2 experiments as follows. In a 3-day infection model, we included 8 groups of single or dual microbial species that were rinsed with 0.9% sodium chloride using PSI, PUI, or MI. Colony-forming units (CFUs) were counted after incubation, and log10 transformations were performed for statistical comparisons. In a 21-d infection model, we tested the same irrigation protocols on 4 groups of microorganisms and used 1.5% sodium hypochlorite as an irrigant. Infection control samples were taken at day 0, 3, 5, and 7 after treatment and were subsequently reincubated. Results Using sodium chloride as an irrigant, the amount of reduction in CFUs compared with the negative control was approximately 3 log10 units for PSI at 6000 Hz, 2 log10 units for PUI, and 1 log10 unit for MI. PSI reduced the microorganism CFUs significantly better than PUI. Using sodium hypochlorite led to a significant reduction in microorganism CFUs even with MI. After 3 days, compared with MI, microorganism regrowth significantly reduced after PSI and PUI treatment, but in these groups, in at least half of the samples, microorganisms were detectable after 7 days. Conclusions PSI at 6000 Hz might be at least equal to PUI with respect to reduction of the microbial load in curved and straight root canals.
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I would like to thank both doctors for providing high quality and pertinent education through new mediums such as youtube. Keep up the good work! Dr Dan Munteanu, generalist from Montreal
very helpful thank you so much.
dr nasseh which one is more effective- intermittent or continous irrigation? which one to buy? or both are equally effective and it is just for convenience sake?
Thx for video.Which is better sonic or ultrasonic activation. Which to prefer
Thank for the lecture. I started using the irrisafe by acteon on my Adec chair. What power setting should I use? Do I need to turnoff the water spray when I use the irrisafe tip?
Dr Nasseh any thoughts on the novel Gentalwave system for cleaning the RC system? No dentin removal ultra conservative .. in theory anyway. Also any advice for the management of a tooth diagnosed with acute irreversible pulpitis? Mandibular molar aka a "hot tooth"
Thanks, Keep the great vids coming!
Thank you Dr. Shirin. The GentleWave makes some bold claims and promotes itself as a ground breaking and disruptive technology. My experience in this area can be summarized by what the great Carl Sagan said: "Extraordinary claims require extraordinary evidence!" And at the present time, there's no reason to believe that GenetleWave is anything more than fancy irrigation! Whether it can replace instrumentation requires much more rigorous testing by independent sources that the SonEndo company is are able to provide at this time. We'll see with time. Cheers! :)
CAN YOU PLEASE TALK ABOUT ULTRASONIC TIPS USED FOR IRRIGATION IN PUI AND SONIC ACTIVATION?
Hi sir,
Recently i brought my ultra x ,can you suggest any particular final irrigation protocol.
Thank you in advance 😊
Just place some NaClO in the tooth and apply the Ulrax for about 30sec per canal. Then use EDTA and do the same. Then you're good to dry and fill. Good luck!
@@AANasseh Thank you so much sir🙏 for your reply , never expected such a quick reply,this will kickstart my day.
Hello, dear, do you heating the hypochlorite?
If yes, how many degrees?
May I ask what power setting of Ultrasonic you used in PUI?
Every tip has its own setting and you should be changing the power setting throughout the procedure based on the specific tip you're using for a given purpose but for the thin tips used for PUI you would e using the lowest setting in general as you don't want dentin removal but only activation of the irrigant. Cheers.
Do a video with the EDDY by VDW, that is mindblowing...
Let's not have our minds blown by such low level technology. There's nothing special about EDDY. Can you enlighten us why it's such a big deal?
Antibacterial Efficacy of a New Sonic Irrigation Device for Root Canal Disinfection
Klaus
W. Neuhaus, DMD, MMA, MAScorrespondencePress enter key for
correspondence informationemailPress enter key to Email the author,
Melanie Liebi, DMD, Simone Stauffacher, DMD, Sigrun Eick, DMD, Adrian
Lussi, DMD
Abstract
Introduction
Passive ultrasonic
irrigation (PUI) is the most widespread method used to activate
irrigation solutions. Concerns have been raised that PUI is less
effective in curved root canals and is not passive at all. Our aim was
to compare a novel passive sonic irrigation (PSI) device (6000 Hz) with
PUI and manual irrigation (MI) with respect to their efficiency in
removing different endodontic microorganisms from curved and straight
root canals.
Methods
We performed 2 experiments as follows. In
a 3-day infection model, we included 8 groups of single or dual
microbial species that were rinsed with 0.9% sodium chloride using PSI,
PUI, or MI. Colony-forming units (CFUs) were counted after incubation,
and log10 transformations were performed for statistical comparisons. In
a 21-d infection model, we tested the same irrigation protocols on 4
groups of microorganisms and used 1.5% sodium hypochlorite as an
irrigant. Infection control samples were taken at day 0, 3, 5, and 7
after treatment and were subsequently reincubated.
Results
Using
sodium chloride as an irrigant, the amount of reduction in CFUs
compared with the negative control was approximately 3 log10 units for
PSI at 6000 Hz, 2 log10 units for PUI, and 1 log10 unit for MI. PSI
reduced the microorganism CFUs significantly better than PUI. Using
sodium hypochlorite led to a significant reduction in microorganism CFUs
even with MI. After 3 days, compared with MI, microorganism regrowth
significantly reduced after PSI and PUI treatment, but in these groups,
in at least half of the samples, microorganisms were detectable after 7
days.
Conclusions
PSI at 6000 Hz might be at least equal to
PUI with respect to reduction of the microbial load in curved and
straight root canals.
7 times less microbes, that's enough to convert anyone...
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