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Historical perspectives on the roots of the apical negative pressure irrigation technique in endodontics


Gutmann, James L; Zehnder, Matthias; Levermann, Vivian Manjarres (2014). Historical perspectives on the roots of the apical negative pressure irrigation technique in endodontics. Journal of the History of Dentistry, 62(1):32-40.

Abstract

The removal of the infectious process caused by an abscess in the periapical tissues was a challenge to dentists in the early part of the 20th century. While they recognized the need to debride the periapical tissues, the process was slow, tedious, and often fraught with failure that resulted in tooth extraction. However, with some creative ingenuity, an irrigation-suction apparatus was developed in the 1930s that enabled rapid and thorough debridement. This appliance went through multiple developmental permutations and was successful in achieving the desired goal. Interestingly, while the purpose of this device was a controlled periapical debridement through the root canal, and not necessarily a focus on a cleaning of the intricacies of the root canal system, the basic concept purported was similar to contemporary approaches used in root canal debridement today.

Abstract

The removal of the infectious process caused by an abscess in the periapical tissues was a challenge to dentists in the early part of the 20th century. While they recognized the need to debride the periapical tissues, the process was slow, tedious, and often fraught with failure that resulted in tooth extraction. However, with some creative ingenuity, an irrigation-suction apparatus was developed in the 1930s that enabled rapid and thorough debridement. This appliance went through multiple developmental permutations and was successful in achieving the desired goal. Interestingly, while the purpose of this device was a controlled periapical debridement through the root canal, and not necessarily a focus on a cleaning of the intricacies of the root canal system, the basic concept purported was similar to contemporary approaches used in root canal debridement today.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Preventive Dentistry, Periodontology and Cariology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2014
Deposited On:29 Oct 2014 14:12
Last Modified:05 Apr 2016 18:26
Publisher:American Academy of the History of Dentistry
ISSN:1089-6287
Free access at:Publisher DOI. An embargo period may apply.
PubMed ID:25137828

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