Apexum
Few comments about the system...
1. The two report mentioned by the same authors in the JOE are still preliminary.
2. We have no direct evidence that the kinetics of healing is really postively affected as the theory of the device suggests.
3. There are important issues that are not addressed until now...for example does it increase the incidence of post op flare up? what is the seperatioin rate? what type of procedurals errors will be encountered with using it?
4. What will be the position of this method in our treatment modality? How will it affect our management of failing treatments?
5. Will there be association with spreading extra radicular bacteria by its mechanical actions.
6. will the extruded portion of the device really spin the same way as the imagination of the authors is?
Lots of Unanswered questions for now.....Let's keep an eye at it while we continue to improve our day to day strategy in managing endodontic infections.
What do you all think?
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Khaled Balto B.D.S; D.M.Sc
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