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15Endo TribuneApril 1-7, 2013United Kingdom Edition Forgetaboutbuyingascanneror referringtoanotherpractice... Registeronlinetodayat - Lowest radiation and smallest field of view - Scans are taken by trained and registered radiographers - Highlighted ID canal for every Mandible case - Full support for all third party software - Full Support for Apple MAC users OPG/CEPH from £39.99 CBCT scans from £99.99 Radiologist reports from £45 London 2 Devonshire Place, London W1G 6HJ Manchester Mansion House, 3 Bridgewater Embankment, WA14 4RW Birmingham 2nd Floor, Varsity Medical Centre, 1a Alton Road, B29 7DU Manchester Birmingham London and aggravate the damage. The patient was informed of my opinion and recommended to see her otorhinolaryngolo- gist, who took over the case, since it was already beyond the specialty of the dental pro- fession and so she did. Conclusion As we have seen, what seems to be a normal root canal treat- ment can hold serious impli- cations for human health. Although it is very true that we need irrigation to clean the root canal system, those chemicals need to be limited to the root canal system only, as even a few drops of NaOCl approaching the periodontal ligament may create an in- flammatory region and area of tissue damage as a result of an aggressive chemical reaction. Sometimes this process is limited and may only cause minor discomfort for a couple of days, but when the amount of chemical is larger more severe problems may occur, for which the use of steroids and antibiotics is recom- mended. A major accident can still happen at any time when an amount of chemical travels outside the oral cavity and causes a more serious complication. One of the safest options that we currently have at our disposal is the EndoVac sys- tem (SybronEndo), which is designed specifically to deliv- er fresh irrigant all along the root canal system and, most importantly, to clean the last 3mm of the root canal system using the MicroCannula. It al- lows us to be certain that no chemicals can go beyond the limits of the root canal space, nor cause any serious or even minor damage. I would like to thank Yulia Vorobyeva, interpreter and translator, for her help with this article. DT About the author Dr Philippe Sleiman Dubai Sky Clinic Level 21 Burjuman Business Tower Trade Center St. Bur Dubai Dubai UAE phil2sleiman@hotmailFig 2 Fig 3 Fig 4 Fig 5 Fig 6