Application of apical negative pressure irrigation in the nonsurgical treatment of radicular cysts:A case report

BACKGROUND Radicular cysts are one of the most common odontogenic cystic lesions found in the jaw.Nonsurgical treatment of large radicular cysts is a topic of ongoing debate,and there is still no clear consensus on the most effective therapies.The apical negative pressure irrigation system aspirates the cystic fluid and releases the static pressure in the radicular cyst,representing a minimally invasive approach for decompression.In this case,the radicular cyst was in close proximity to the mandibular nerve canal.We used nonsurgical endodontic treatment with a homemade apical negative pressure irrigation system and the prognosis was good.CASE SUMMARY A 27-year-old male presented to our Department of General Dentistry with complaints of pain in the mandibular right molar when chewing.The patient had no history of drug allergies or systemic disease.A multidisciplinary management approach was designed and included root canal retreatment with a homemade apical negative pressure irrigation system,deep margin elevation and prosthodontic treatment.According to a 1-year follow-up period,the patient showed a favorable outcome.CONCLUSION This report reveals that nonsurgical treatment with an apical negative pressure irrigation system may provide new insights into the treatment of radicular cysts.

Water and salt movement in different soil textures under various negative irrigating pressures

supported by the National High-Tech R＆D Program of China （2013AA102901）

Technologies for Efficient Use of Irrigation Water and Energy in China

While the shortage of water and energy is a well-recognized worldwide natural resources issue, little attention has been given to irrigation energy efficiency. In this paper, we examine the potential energy savings that can be achieved by implementing improved irrigation technologies in China. The use of improved irrigation management measures such as a flow meter, irrigation scheduling, and/or regular maintenance and upgrades, typically reduces the amount of water pumped over the course of a growing season. The total energy saved by applying these improved measures could reach 20%, as compared with traditional irrigation methods. Two methods of irrigation water conveyance by traditional earth canal and low pressure pipeline irrigation （LPPI） were also evaluated. Our study indicated that LPPI could save 6.48x 109 kWh yr1 when applied to 11 Chinese provinces. Also, the COz emission was reduced by 6.72 metric tons per year. Among these 11 surveyed provinces, the energy saving potential for two provinces, Hebei and Shandong, could reach 1.45 x 109 kWh yr^-1. Using LPPI, potential energy saved and CO2 emissions reduced in the other 20 Chinese provinces were estimated at about 2.97×109 kWh yr-1 and 2.69 metric tons per year, respectively. The energy saving potential for Heilongjiang, a major agriculture province, could reach 1.77× 109 kWh yr-1, which is the largest in all provinces. If LPPI is applied to the entire country, average annual energy saving of more than 9 billion kWh and average annual CO2 emission reduction of more than 9.0 metric tons could be realized. Rice is one of the largest users of the world＇s fresh water resources. Compared with continuous flooding irrigation, intermittent irrigation （ITI） can improve yield and water-use efficiency in paddy fields. The total increments of net output energy and yield by ITI in paddy fields across China could reach 2.5× 1016 calories and l07 tons, respectively. So far only a small part of agricultural land in China has adopted water and energy saving technologies. Therefore, potential water and energy savings in China by adapting improved irrigation technology could be significant and should be carefully studied and applied.