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The Endocator® detects cellular debris by measuring the amount of Adenosine Triphosphate (ATP) and other biomarkers present in the endodontic sample. ATP is present in all living cells and can be used to determine the amount of cellular debris within the canal. When the sample is added and mixed in the Endocator® Test Swab, the reaction to ATP creates bioluminescence that is detected by the Endocator®. High Endocators means that there are still high levels of debris (e.g. remanent bacteria and/or pulp tissue) in the sample and that additional cleaning is suggested to better debride the canal system.