Endodontic therapy has reached limitations in its ability to fully disinfect and debride the entire root canal system, with all of its complexity. The challenges of intricate anatomy and the unavoidable smear layer generated by conventional methods of endodontic therapy have left us falling short of maximum efficacy in cleaning root canal systems, while forcing us to sacrifice valuable anatomic material in the process of shaping and debriding.
New techniques and technologies have brought us to the threshold of an approach to endodontic therapy that seeks to improve and extend the efficacy of root canal system treatment. The application of multisonic technology to traditional irrigants to create a negative pressure at the apex allows for therapeutic access to micro-anatomy previously unreachable through conventional therapy.
This presentation will deliver an overview of this new technology and technique, explore its implications for access, instrumentation, disinfection and obturation; provide an overview of both literature/academic study of this new technique and present current clinical cases; and explore the impact of this new approach on patients, clinicians and assistants.