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6/27/2023

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.

The first concept adopted is ultrasonic vibration, which acts as a chemical catalyst of the irrigating solutions in conjunction with the transient cavitation and microstreaming effects, determining a chemical-mechanical cleaning action in areas of difficult access in the root canal.

The second concept is the negative pressure, by which the irrigation fluid moves from the pulp chamber to the apical limit without extruding beyond the foramen.

And finally, concomitant irrigation, a principle whereby the volume of irrigating liquid is renewed continuously. Constant fluid replacement provokes ideal chemical activity by repositioning the solution for a new one.

The iVac™ system united the three irrigation fundaments in a single device, acting safely against the risk of liquid extrusion into the periapical tissue and activating the renewed fluid inside the canal. The system comprises an aspiration/activation cannula with two options of outside diameters, .35mm and .50mm.

The iVac™ ultrasonic connector is designed to easily hold the cannula and deliver the irrigating liquid properly while transmitting the vibration from the piezo ultrasonic handpiece. In addition, tubes and connections allow the ordinary vacuum outlet to be coupled, adding negative pressure to the system.

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iVac System

 

A true all-in-one irrigation system, iVac combines the synergistic effect of negative pressure, continuous irrigation, and ultrasonic activation in one easy-to-use device

 

Complete disinfection of the canal system is an absolute must for a successful root canal procedure. While several methods can be used to disinfect canals, Dr. Jason Wetmore found Pac-Dent’s iVac Apical Negative Pressure Irrigation and Activation System to be a “simple and affordable solution that is easy to use with my current piezo and simple to install and operate.” Best of all, he added, it requires no significant equipment investment. 

 

Designed to be used during root canal irrigation, preferably connected to a piezo ultrasonic handpiece, the iVac System combines the synergistic effect of negative pressure, continuous irrigation, and ultrasonic activation into one easy-to-use device. After reviewing the iVac System for DPS, Dr. Wetmore decided, “It is excellent for cleaning necrotic molars with complex canal systems, C-shaped canals, or lateral canals that cannot easily be instrumented,” and Dr. Alan Sedell called it a “simple method to achieve desired irrigation protocols safely and efficiently.” 

 

Ease of Setup & Technique

 

As he was “looking for an economical but effective irrigation system that would perform to the level of other very expensive options,” Dr. Jeffrey Briney tried the iVac System and discovered, “It is easy to set up and use immediately, a true plug-and-play system, and an easy transition from my previous method.” Dr. Bruce Schulman praised its small footprint and said, “There was a bit of a learning curve with the setup, but then it was very easy to use.”

 

Because iVac is compatible with a dentist’s existing equipment, “it requires minimal additional equipment or cost,” shared Dr. Sedell. Pleased to be able to use it with existing equipment, Dr. Gary Berman said, “I felt very comfortable that the final irrigation enhanced my debridement procedures.” 

 

The iVac System is designed to continuously exchange ultrasonically activated irrigants with constant refreshment into the root canal system, according to Pac-Dent. “I love the all-in-one, easy-to-use system that allows for consistent irrigation while providing ultrasonic activation via our piezo scalers and simply replacing the tip with the Pac-Dent endo tip,” explained Dr. Briney, who said his patients never experienced sensitivity or discomfort. 

 

Calling iVac “easy to use, practical, and flexible,” Dr. Amir Esfandiari liked that he could choose from an ultrasonic unit reservoir or prefilled syringes, while Dr. Sedell suggested an “easier method of administering the irrigating solutions rather than via syringe.”

 

 Negative Pressure & Irrigation

 

As described by Pac-Dent, the iVac System uses apical negative pressure with concomitant irrigation, which avoids the risk of extruding the irrigant while allowing the fluid to clean and disinfect the entire root canal. “With negative pressure, there is no chance for a hypochlorite incident during the procedure,” explained Dr. Jonathan Dubin, who appreciated “the ability to change irrigants rapidly” and believed that irrigation should be more effective because of the sonic activation provided by the piezo-electric function.

Although she “was able to effectively irrigate the apical portion of the root,” Dr. Grace Chu had to adjust the tips to work properly with her handpiece. “The canal systems were irrigated and dried with ease,” said Dr. Brad Barker, and Dr. Todd Sarubin “was easily able to get down to the apex of even curved canals to thoroughly clean and disinfect them.” For Dr. Briney, “having the ability to irrigate with ultrasonic agitation, while producing a consistent apical negative pressure evacuation, allowed me to confidently produce a cleansed canal that could be obturated successfully.”

 

Final Canal Cleaning Results

 

Continuous ultrasonic irrigation helps effectively clean and disinfect irregularities of the root canal system, according to Pac-Dent. “I could see debris coming out of the canal during cleaning,” said Dr. Sarubin, who was confident that the iVac System was “cleaning and disinfecting even the toughest canals to prevent reinfection.” Dr. Esfandiari agreed and said, “I have increased confidence that the canals are irrigated sufficiently to the appropriate length, especially for the complex internal anatomy at the apex.” 

 

While Dr. Dubin felt the cannulas were a bit too wide to go far down the canals, Dr. Berman said, “During molar endodontic procedures in curved small-diameter canals, I was getting better results in my preparation of the canals for obturation.” Because “the seamless step-by-step irrigation system allowed for constant flow of the cleansing process,” Dr. Briney noted, “The impact that iVac had on my chairside experience was profound.”

 

Overall Satisfaction

 

The iVac System “is an easy-to-use final step that enhances my results,” shared Dr. Berman. Dr. Briney concluded, “The iVac System is one of the best I have used and is a lot cheaper than others. It fulfilled every one of my expectations for a true and complete irrigation, activation, and evacuation system. I can finally say that I have found my go-to system for all my endo treatments.”

 

FOR MORE INFORMATION:

 

909.839.0888

 

www.pac-dent.com

 

 

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iVac™ Apical Negative Pressure Irrigation and Activation System

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Products are evaluated by dental professionals who use the products in their practices for about 4 weeks. The final score is calculated by combining an individual criteria average with an overall satisfaction average. All products are rated on a 5 to 1 scale.
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