Confirm Root Canal Disinfection For……
one visit endo
Endocator is a rapid 10 second test for ATP. When low levels of ATP are detected the canal, the canal will culture negative to bacteria and is ready to be filled. With our device you know what canals are cleaned and ready to be filled and what canals need to soak in NaOCl for a couple more minutes in order to be properly disinfected before obturation.
Retreatments
Endocator can determine the level of infection on retreatment cases as well. Simply remove the old gutta percha, clean the canal up to your final file size, irrigate, then check infection levels. Higher infection levels means that the canal will require a longer soak in NaOCl and more activation. After final rinse check tooth with Endocator to confirm canals are disinfected prior to obturation.
Oral cavity contamination
Unfortunately crowns and fillings can break leaving what was a perfect root canal exposed to the oral environment. With Endocator you can determine if a root canal exposed to the oral environment is infected and needs to be redone, or if the root canal is still sterile. Clean the coronal portion of tooth, remove 2-3mm of the surface of the root canal and test for contamination. If the old root canal registers even trace amounts of bacteria is considered infected and the test should be repeated 2-3mm apically. If infection is present more then 6mm below surface of root canal the root is considered infected from oral environment and should be redone.
Necrotic Teeth
Higher readings from Endocator means higher levels of bacteria in the tooth. Check your final file size with Endocator to determine if you need to go up a file size. After your final irrigation protocol use Endocator to confirm the canal is free of bacteria before finishing your root canal.
Final FIle Size
Endocator tells you how infected the canals are so that you can tailor the size of your root canal to the level of infection present in the tooth. Simply work up the root canal, to a smallest rotary file that binds (ex 30x04), irrigate, then test with Endocator. Higher readings mean more infection and a larger root canal is warranted. Smaller readings mean that you are ready to fill the canal.
missed anatomy
Are you missing an MB2 canal, or maybe a second distal canal on that lower molar? With endocator you can compare the readings of different canals to help determine if there is a missed canal. By comparing your MB1 readings with your distal buccal canal, or your MB readings with your distal canal you can determine if there is missed anatomy in the canal.
Vital teeth
Endocator can also be used with vital cases to confirm that all nerve tissue has been removed. This is especially important in molars, C-shaped canals, and oval canals where your file is not able to touch all the walls of the root canal. Simply sample the tooth prior to filling your canals to confirm that all of the nerve tissue is removed before filling.
Leaking restorations
What good is a great root canal under a failing crown? With Endocator you can determine if the crown is leaking by placing a cotton pellet over your root canal and closing your root canal with a temporary restoration. Bring the patient back in one week and test the cotton pellet with the Endocator. Low/undetectable levels on the Endocator means that the crown is acceptable and final buildup can be placed. High levels of contamination means that the crown is leaking and should be replaced.
cracked teeth
Cracks are perfect places for bacteria to hide and thrive. With Endocator larger cracks correlate to larger readings and give the dentist valuable insight into the prognosis of the cracked teeth. Cracked teeth register higher levels of contamination and can be used with probing depths and radiographic findings to give the patient an accurate prognosis on the tooth.