Apparatus for evacuation of root canal
View Patent ↗In an endodontic procedure, after the working of a root canal by instruments to remove material and shape the walls of the canal, irrigant is supplied via a microcannula. A vacuum is applied via a tube which is inserted partway down the root canal. The tube and microcannula pass through a material created by a standard dental filling material of a composite nature which provides a seal at a position near the top of the coronal opening. The irrigant is supplied in a manner sufficient to ensure delivery to a side vent of the microcannula. The vacuum at the end of tube draws the irrigant and debris up from the apex of the root canal into the tube. The side vent may have a plurality of more round holes, a diagonal slit, or a U shaped slit, or any other shape. The vent opening should not extend more than approximately 0.75 mm from the closed spherical tip of the microcannula, it must be burr free and the opening must be smaller than the internal diameter of the microcannula.
1. A method for evacuating a root canal of a tooth, said tooth having a coronal end with an open access cavity and an apex end, comprising:
placing a master delivery tip over said open access cavity, said master delivery tip being configured to deliver a fluid to and to evacuate said fluid from said coronal end of said tooth;
delivering said fluid to said open access cavity at said coronal end using said master delivery tip;
inserting a cannula through said open access cavity;
evacuating said fluid from said root canal through said cannula;
removing said cannula from said open access cavity;
inserting a microcannula through said open access cavity such that a tip of said microcannula is positioned near the apex end of said root canal; and
evacuating said fluid near the apex end through said microcannula such that said fluid flushes said root canal before being evacuated through said microcannula, wherein after delivering said fluid to said open access cavity and before evacuating said fluid through said microcannula, the method further comprises evacuating a coronal portion of the root canal through said master delivery tip to maintain a constant level of fluid in the root canal access cavity.
2. The method of claim 1 wherein said master delivery tip is comprised of a fixture;
said fixture is coupled to a body; and
said fixture has at least two tubes extending towards said open access cavity, one of said tubes comprising a fluid delivery tube for delivering said fluid to said coronal end of said open access cavity, and the other of said tubes comprising a vacuum tube for connecting to a device for evacuation for evacuating said fluid from said coronal end of said open access cavity.
3. The method of claim 2 wherein said fluid delivery tube comprises a polymeric tube or a metal tube.
4. The method of claim 2 wherein said body and said vacuum tube comprise a polymeric material or a metal material.
5. The method of claim 2 wherein said fixture is made of a non-reactive plastic.
6. The method of claim 2 wherein said vacuum tube coupled to said fixture surrounds at least a portion of said fluid delivery tube.
7. The method of claim 1 further comprising the additional step of coupling said cannula to a handle, wherein said handle is coupled to a device for evacuation.
8. The method of claim 1 further comprising the additional step of coupling said microcannula to a handle, wherein said handle is coupled to a device for evacuation.
9. The method of claim 1 wherein said tip of said microcannula is substantially closed.
10. The method of claim 9 wherein said microcannula includes one or more openings disposed adjacent said tip, wherein said one or more openings comprise one or more round holes, a generally diagonal slit, or a U shaped slit.
11. The method of claim 10 wherein evacuating said fluid through said microcannula includes evacuating said fluid through said one or more round holes that are positioned around the circumference of said microcannula, through said generally diagonal slit that extends around the circumference of said microcannula, or through said U shaped slit that extends around the circumference of said microcannula.
12. The method of claim 9 wherein said microcannula includes a side vent that is about 0.75 mm in length and begins about 0.22 mm from said tip.
13. The method of claim 10 wherein evacuating said fluid through said microcannula includes evacuating said fluid through said one or more openings that are each smaller than the internal diameter of said microcannula.
14. The method of claim 1 wherein the method further comprises:
prior to evacuating said fluid from said root canal through said cannula, coupling said cannula to a handle that is configured to be coupled to a device for evacuation;
decoupling said cannula from said handle following said evacuating of said fluid from said root canal through said cannula; and
coupling said microcannula to said handle prior to evacuating said fluid through said microcannula.
15. The method of claim 1 further comprising:
evacuating said fluid from said coronal end of said tooth during evacuating said fluid from said root canal through said cannula and/or during evacuating said fluid from said root canal through said microcannula.
16. The method of claim 1 wherein inserting said microcannula includes inserting said tip of said microcannula through an apical foramen of said root canal and then withdrawing said tip of said microcannula to a position in said root canal at which evacuating said fluid from said root canal through said microcannula starts.
17. The method of claim 1 wherein evacuating said fluid through said second cannula includes evacuating said fluid through one or more openings that are positioned around the circumference of said microcannula.
18. The method of claim 17 wherein said one or more openings are each smaller than the internal diameter of said microcannula.