CARLOS
Dr. Spironelli Ramos has been teaching, researching, and developing products in endodontics for over 25 years. He has a PhD in endodontics and was head of the endodontics department at Londrina State University in Brazil for 18 years; he moved to the United States in 2012. Dr. Ramos's passion is education, and he has written books, book chapters, and numerous articles and research papers on different platforms. Also, he developed and published international patents related to devices and techniques in the endodontic arena, such as apex locators, reciprocation movement, and ultrasonic irrigation. |
iVac System
Unique irrigation and activation system combines the 3 foundations of irrigation into a single device for enhanced safety and efficacy
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Find out why Carlos Alberto Spironelli Ramos, DDS, MS, PhD, believes that Pac-Dent’s iVac: • Bridges the gap between advanced endodontic instrumentation and proper infection control
Endodontic irrigation has become a hot topic lately, as the focus of the procedure shifts from types of irrigants available to delivery methods and ways to enhance their effectiveness within the intricate root canal system. One reason for this is the arrival of NiTi engine-driven files and mechanized instrumentation systems, which have allowed canal instrumentation to become exponentially faster and more predictable compared with manual techniques. That said, this file evolution has created a gap between speedy preparation and infection control.
The iVac system has been designed to compensate for the time the disinfection solutions should remain in the canal—filling the gap left behind by instrumentation development. Offering more effective delivery, the iVac safely hands over a high volume of irrigant in the apical third of the canal, while also activating the liquid with ultrasonic vibration.
The Power of 3Ultrasonic activation, negative pressure, and concomitant irrigation are the 3 most significant concepts established by endodontic science for root canal disinfection. The iVac system unites these 3 concepts in a single device, while avoiding the risk of liquid extrusion into the periapical tissue and activating the renewed fluid inside the canal.
iVac is a helpful option in periapical lesions where there is resorption of the apical foramen, apexification, and apexogenesis, and when there is a close position between the root apex and the maxillary sinus or the mandibular canal. In other words, any situation where you need to ensure that extrusion of the irrigation liquid is avoided is an excellent indication of the iVac. Recently, iVac was successfully used to remove gutta-percha fragments located apically in retreatment, showing another versatile use of this unique device.
Designed with the Doctor in MindWhile there are contemporary alternatives for endodontic irrigation, most are based on the positive pressure of the liquid in the canal or rely on expensive equipment with a high cost per treatment and an even higher complexity of use. iVac was developed with the doctor and dental team in mind, as it offers a streamlined setup and easily connects to most existing piezoelectric ultrasonic devices.
Designed to be highly intuitive, iVac is a safe tool for delivering and activating intracanal irrigation. The inherent advantage of iVac is the high volume of irrigant provided safely—avoiding extrusion and consequent postoperative pain—with the welcome addition of ultrasonic fluid activation. |
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iVac™ Apical Negative Pressure Irrigation and Activation System
The iVac™ System is designed to be used during the root canal treatment irrigation phase, preferably connected to a piezo ultrasonic handpiece. The system was created using the three most important concepts established by the endodontic research and science for root canal irrigation and disinfection.
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Pac-Dent, Inc.

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