Abstract:
An electrical discharge irrigation device includes a power source to produce power of a first voltage, a circuit coupled to the power source to convert the power of the first voltage to power of a second voltage where the second voltage is higher than the first voltage, a trigger to activate the circuit, an igniter coupled to the circuit to produce a spike, an electrical charge storage component coupled to the igniter the electrical charge storage component becoming conductive and storing an electrical charge after receiving the spike, and an output tip. The output tip includes an electrode and insulating material as an outer layer.

Description:
CROSS-REFERENCE TO RELATED APPLICATION 
       [0001]    This application claims the benefit of U.S. Provisional Application No. 61/699,568, filed Sep. 11, 2012. The above application is incorporated herein by reference in its entirety. 
     
    
     FIELD OF INVENTION 
       [0002]    The present invention relates to an apparatus and method of utilizing acoustic waves created by an electrical discharge for irrigation and disinfection. 
       BACKGROUND OF INVENTION 
       [0003]    Foreign bodies, such as bacteria and microbes pose a risk to dental health. These foreign bodies can invade canals and other hard to reach areas in dental structures and compromise dental health. It is the infections that are caused by the persistence of these foreign bodies that pose one of the greatest risks to the endodontic health of a patient. 
         [0004]    Treatments to eliminate canal contents, and therefore reduce the risk of infections, range from invasive treatments, such as extraction, to the far less invasive, yet not always effective, irrigation. Irrigation involves the use of an anti-bacterial solution to flush the canals. To irrigate the canals, the solution is oscillated for irrigation at a reduced pressure. Studies have demonstrated that mechanical instruments alone cannot disinfect root canals. This is because large areas of canal walls, including apical, ribbon-shaped, and oval canals, cannot be cleaned mechanically, so microorganisms in these areas can survive. Irrigation solutions are generally required to eradicate these microorganisms and various chemicals have been used for this purpose. 
         [0005]    Ideally, an irrigant kills bacteria, dissolves necrotic tissue, lubricates the canal, removes the smear layer, and does not irritate healthy tissue. Presently, solutions that include sodium hypochlorite (NaOCl) and ethylenemide tetra-acetic acid (EDTA) are favored by dentists. The NaOCl solution, usually at a concentration between 1%-3% is used to dissolve tissue and disinfect (remove bacteria), while EDTA removes the smear layer. During an irrigation procedure, NaOCl is used initially to dissolve tissue and disinfect and EDTA is introduced at the end of the procedure to remove the smear layer. The EDTA application is followed by another flush of NaOCl or another inert solution. 
         [0006]    Although certainly less invasive than extraction, irrigation has its shortcomings. First, NaOCl, EDTA, and other solutions found effective in irrigation are caustic solutions, including bleaches, which when applied can badly irritate the mouth and surrounding structures. During an application, there is a risk that these solutions will perforate the apex of the canal, the end of the canal where the nerve meets the bone. If this happens, the results are so painful for a patient that the patient will end up on significant pain management, i.e., prescription pain killers, for at least two days, but sometimes, as long as two months. Second, current irrigation techniques carry a failure rate of up to 5% because often, the procedure fails to remove all the nerve tissue that is infected in the root canal system, so residual bacteria remains. Third, irrigation solutions are only effective at the time that they are applied. After a patient is treated with NaOCl and/or EDTA, the solutions are flushed out and there is no positive residual effect after the treatment is complete. Thus, any bacteria remaining in hard to reach canals will remain indefinitely and can lead to infection. 
         [0007]    A need exists for a method and apparatus for effectively irrigating even hard to reach dental canals in a manner that produces residual benefits without causing damage and/or pain in the mouth and surrounding structures. 
       SUMMARY OF INVENTION 
       [0008]    An object of the present invention is to kill foreign agents, including toxins, bacteria, and microbes, dissolve necrotic tissue, lubricate the canal, and remove the smear layer without causing damage and/or pain in the mouth and surrounding structures. 
         [0009]    A further object of the present invention is to utilize a liquid in irrigation without the undesired side effects of bleach, or other chemical agents, while still achieving the desired anti-bacterial and other oral health benefits. 
         [0010]    A further object of the present invention is to provide a method and apparatus for irrigation that when utilized, provides a patient with a residual antimicrobial effect after the irrigation procedure is complete. 
         [0011]    A further object of the present invention is to provide cleaning, irrigation of the tooth canals for proper Root Canal Procedures per American Dental Association (ADA) guidelines. 
         [0012]    A further object of the present invention is to irrigate the periodontal pocket in procedures related to both periodontal disease and peri-implantitis. 
         [0013]    An embodiment of the present invention is a hand held irrigation device that generates a spark discharge, creating acoustical shock waves and UV radiation that irrigate dental canals and other structures, including killing foreign agents, during an irrigation treatment, and also introduce one or more of the following: UV light, hydrated electrons, OH radicals, H 2 O 2 , ozone, nanoparticles, and/or positive ions, which act to combat foreign agents even after use of the device has ceased. 
         [0014]    An embodiment of the present invention comprises a housing, a low voltage power source, a means to convert the low voltage to a high current voltage, including but not limited to a timing circuit, means to produce a high voltage spike, including but not limited to a high voltage igniter switch, and an air gap switch, to allow the energy to discharge completely through one or more electrodes embedded in and/or external to the tip of the embodiment. An embodiment of the present invention employs capacitors to store the energy before discharge. In an embodiment of the present invention that does not utilize a spark gap, a transformer at a high impedance state delivers a high voltage spike and current to cause an acoustical shock wave. 
         [0015]    The tip of an embodiment of the present method and apparatus utilizes electrodes comprised of biologically inert materials, including but not limited to, silver, copper, stainless steel, and/or iron, which have a toxicity to bacteria and act as anti-pathogens. The nanoparticles created by the electrodes combat the bacteria and foreign particles in the canals. 
         [0016]    An embodiment of the present apparatus and method utilizes a spark discharge from an electrode in an embodiment of the apparatus in order to irrigate dental structures, i.e., kill foreign agents, including toxins, bacteria, viruses, and microbes, dissolve necrotic tissue, lubricate the canal, and remove the smear layer without causing damage and/or pain in the mouth and surrounding structures while providing residual resistance to these foreign agents. The utilization of the spark discharge from the electrode in an embodiment of the present apparatus creates “shock waves” in the irrigation fluid, which have a high gradient at their front, so the difference in pressure created in the irrigation fluid damages bacterial membranes and often destroys or weakens them. Because these waves needn&#39;t hit bacterial targets directly to be effective, the effects of the waves can penetrate canals and dental structures that are difficult to reach. The discharge column created utilizing an embodiment of the present method and apparatus is a source of ultra-violet (UV) radiation, which when absorbed by water molecules in the irrigating fluid produces H 2 O 2  ozone, and OH radicals, which destroy microbes and also some organic compounds. The spark discharge of an embodiment of the invention additionally disseminates hydrated electrons, nanoparticles, and positive ions (from metal electrodes utilized in various embodiments) which continue anti-microbial and anti-bacterial action against foreign agents after the irrigation procedure has terminated. 
         [0017]    In an embodiment of the present invention, results of utilizing a spark discharge from an electrode in an embodiment of the apparatus to eradicate pollutants, such as bacteria, can include but are not limited to, mechanically destroying bacteria and microbial cells, chemically and permanently changing the cells so they cease regular biochemical activity, irreversibly changing the genetic system of the cells. Cellular damage sustained by the pollutants includes, but is not limited to, cracking the cell walls without releasing the contents of the cells, and dispersing the cell wall and contents of the cells, damage to the DNA structure of the cells. 
         [0018]    An embodiment of the present method utilizes a non-abrasive irrigant, including but not limited to, saline solution and/or water. Irrigants that can be used include, but are not limited to glutaraldehyde, and/or any antibiotic and/or anti-microbial solution. 
         [0019]    An embodiment of the present invention is utilized in conjunction with the current NaOCl and EDTA protocol discussed in the Background section. 
         [0020]    An embodiment of the present invention utilizes an ultrasonic tip that disrupts biofilm (bacteria colonies) by using ultrasonic energy to remove the biofilm, and disrupt the bacteria. In an embodiment of this invention, the ultrasonic pulse is provided in a target area at a rate of about 25-30 KHz per second to mechanically remove the biofilm, and disrupt the bacteria. Tips utilized in this application comprise an exterior and/or interior water line system that delivers water to cool the tips and to flush the periodontic pocket with water. The flushing action cleanses the area of the bacteria that the mechanical action of the tip has disrupted in the biofilm and calculus from the tooth structure. 
         [0021]    Embodiments of the present invention are utilized in ultrasonic treatments in Piezoelectric/Magnetostrictive scalars, and/or water piks. In these embodiments, a reservoir external to the hand piece and/or in the hand piece includes electrodes that generate the spark discharge. In an embodiment of the present invention, electrodes are embedded in the tip of the device. Water and/or fluid is treated by the electrodes and is dispensed into the mouth of a patient after it is shocked. 
         [0022]    Embodiments of the present invention are utilized in the irrigation of the periodontal pocket in connection with treatments for periodontal disease as well as peri-implantitis. 
     
    
     
       BRIEF DESCRIPTION OF DRAWINGS 
         [0023]      FIG. 1  depicts an aspect of embodiment of the present invention. 
           [0024]      FIG. 2  depicts an aspect of an embodiment of the present invention. 
           [0025]      FIG. 3  depicts a workflow of an embodiment of the present invention. 
           [0026]      FIG. 4  depicts an aspect of an embodiment of the present invention. 
           [0027]      FIG. 5  depicts an aspect of an embodiment of the present invention. 
           [0028]      FIG. 5A  depicts an aspect of an embodiment of the present invention. 
           [0029]      FIG. 6  depicts an aspect of an embodiment of the present invention. 
           [0030]      FIG. 6A  depicts an aspect of an embodiment of the present invention. 
           [0031]      FIG. 7  depicts an aspect of an embodiment of the present invention. 
           [0032]      FIG. 8  depicts an aspect of an embodiment of the present invention. 
           [0033]      FIG. 9  depicts an aspect of an embodiment of the present invention. 
           [0034]      FIG. 10  depicts an aspect of an embodiment of the present invention. 
           [0035]      FIG. 11  depicts an aspect of an embodiment of the present invention. 
           [0036]      FIG. 12  depicts an aspect of an embodiment of the present invention. 
           [0037]      FIG. 13  depicts an aspect of an embodiment of the present invention. 
           [0038]      FIG. 14  depicts an aspect of an embodiment of the present invention. 
           [0039]      FIG. 15  depicts an aspect of an embodiment of the present invention. 
           [0040]      FIG. 16  depicts an aspect of an embodiment of the present invention. 
           [0041]      FIG. 17  depicts an aspect of an embodiment of the present invention. 
       
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
       [0042]    The apparatus and method of the present invention utilize an electric spark discharge to pulse a liquid to eradicate unwanted microbes from the liquid, such as bacteria. Embodiments of the present invention are used as irrigation systems in endodontic procedures as well as in periodontal procedures, including treatments for periodontal disease and peri-implantitis. These dental irrigation systems include, but are not limited to, an irrigation system for Piezoelectric/Magnetostrictive scalars, irrigation system for cleaning the teeth pockets and removing biofilm, a water pick irrigation system for cleaning the teeth, an irrigation system for flushing the periodontal pocket, and/or an irrigation system for surgery for disinfecting wounds. While some embodiments of the present invention pulse liquid that is external to the device directly, for example, in dental canals in endodontic uses, some embodiments of the present invention contain one or more internal reservoir(s) where the liquid and/or water used is pre-treated (pre-pulsed) before it is released into the treatment area, for example, in Piezoelectric/Magnetostrictive scalars and/or water piks. 
         [0043]    An embodiment of the present invention utilized for endodontic procedures comprises a tube with electrodes to deliver a spark which creates the desired acoustical waves, in many of these procedures, the embodiment utilized emit electrical pulses through a tip of an embodiment of the apparatus as spark discharges. The electrical pulses agitate the liquid into which the tip is immersed and create acoustic waves, shock waves, and additional discharges that kill foreign agents, including toxins, bacteria, and microbes, dissolve necrotic tissue, lubricate the canal, and remove the smear layer while providing anti-bacterial and anti-microbial benefits both during and after treatment. Thus, an embodiment of the present invention can be utilized to irradiate bacteria and other infectious agents while providing cleaning and irrigation of the tooth canals for proper Root Canal Procedures in accordance with ADA guidelines. 
         [0044]    An embodiment of the apparatus is used as a Piezoelectric/Magnetostrictive scalar. As discussed later in greater detail, an embodiment of the present invention utilized for as a Piezoelectric/Magnetostrictive scalar utilizes an ultrasonic tip that disrupts biofilm (bacteria colonies) by using ultrasonic energy to remove the biofilm, and disrupt the bacteria. In an embodiment of this invention, the ultrasonic pulse is provided in a target area at a rate of about 25-30 KHz per second to mechanically remove the biofilm, and disrupt the bacteria. Tips utilized in this application comprise an exterior and/or interior water line system that delivers water to cool the tips and to flush the periodontic pocket with water. The flushing action cleanses the area of the bacteria that the mechanical action of the tip has disrupted in and/or fractured off the tooth structure. 
         [0045]    In an aspect of a Piezoelectric/Magnetostrictive embodiment, the water and/or fluid that is pulsed is essentially pre-treated in one or more “holding chambers” internal to the apparatus before it passes into the water lines feeding the tips. Then, as the tip is, used it is this treated water that flushes the pockets and provides better pathogen kill, and long term protection in contrast to current methods of just using water, or a mild chemical agent and water. This current treatment has an anti microbial effect, but only while it is actually flushing the pocket. Liquids utilized in this application include, but are not limited to, a 2% glutaraldehyde solution. Pre-treating the water/liquid in internal reservoirs is also utilized in embodiments used to clean periodontic wound sites. This type of application is discussed in greater details in  FIG. 10 . 
         [0046]    Returning to endodontic uses, an embodiment of the present invention is a hand held irrigation device that generates a spark discharge, creating acoustical shock waves in an irrigant and UV radiation that irrigate dental canals and other structures during an irrigation treatment, and also introduce one or more of the following: hydrated electrons, OH radicals, H 2 O 2 , ozone, nanoparticles, and/or positive ions, which act to combat foreign agents after use of the device has ceased. Further embodiments of the present invention are mounted or table top models, as opposed to hand held. 
         [0047]    An embodiment of the hand-held version of the present apparatus, which is utilized, for example, for endodontic treatments, is comprised of a handle, which is used to grip and manipulate the apparatus, a body, where various electrical components are housed, and a tip, which contains one or more electrodes, which is inserted into liquid in the mouth of a patient in order to irrigate a selected area using acoustic waves generated by one or more circuits in the apparatus. An embodiment of the tip of the apparatus is comprised of flexible material such that it can be positioned deep within dental canals. 
         [0048]    An embodiment of the apparatus contains a low voltage power source and the internal circuitry of the apparatus, discussed later in greater detail, converts the initial low voltage power, to high voltage power, which pulses the liquid into which the tip is immersed. The tip of an embodiment of the present method and apparatus utilizes electrodes comprised of biologically inert materials, including but not limited to, silver, copper, stainless steel, and/or iron which have a toxicity to bacteria and act as an anti-pathogen. The nanoparticles created by the electrodes combat the bacteria and other foreign particles in the canals. 
         [0049]    In an embodiment of the present invention, because the spark discharge itself destroys foreign agents both during and after an irrigation treatment, the irrigant utilized needn&#39;t possess antiseptic or anti-bacterial qualities on its own. For example, although NaOCl and EDTA can be used in conjunction with this method, saline and water solutions are also effectively used with this method. In general, any anti-bacterial and/or anti-microbial fluids utilized in irrigation protocols are compatible with this apparatus and method In fact, the conductivity of the liquid assists in the transmission of the acoustic pulse and additional particles that irradiate the foreign agents. Thus, because water is conductive, it works well with the present method and apparatus. 
         [0050]    In the embodiments of  FIGS. 1-2  and  4 - 5 , the power source of the apparatus is located in the handle of the apparatus and the circuitry is in the body, however, one of skill in the art will recognize that this arrangement can be altered as desired to manipulate or improve the ergonomics of the apparatus. Further embodiments of the present invention may utilize a streaming power source. 
         [0051]    The utilization of the spark discharge from one or more electrodes in the tip of an embodiment of the present apparatus create(s) “shock waves” in the irrigation fluid which have a high gradient at their front, so the difference in pressure created in the irrigation fluid damages bacterial membranes and/or destroys them. The waves are effective in a given radius and therefore penetrate canals and dental structures that are difficult to reach and thus effectively irrigating them. 
         [0052]    The pulsed shock waves, referred to as pulsed electrical discharges and pulsed shock discharges, damage pollutants on a cellular level. The pulses may mechanically destroy bacteria and microbial cells, chemically and permanently change the cells so they cease regular biochemical activity, and/or irreversibly change the genetic system of the cells. Cellular damage sustained by the pollutants includes, but is not limited to, cracking the cell walls without releasing the contents of the cells, and dispersing the cell wall and contents of the cells, DNA disruption. 
         [0053]    The embodiment of the tip additionally discharges UV radiation, which when absorbed by water molecules in the irrigating fluid produces ozone, H 2 O 2  and OH radicals, which destroy microbes and also some organic compounds. The spark discharge of an embodiment of the invention additionally disseminates hydrated electrons, nanoparticles, and positive ions (from metal electrodes utilized in various embodiments) which continue anti-microbial and anti-bacterial action against foreign agents after the irrigation procedure has terminated. 
         [0054]    One advantage of embodiments of the present invention is that they are effective against pollutants yet are able to utilize relatively low power settings over relatively short periods of time and achieve high levels of efficiency. For example, an embodiment of the present invention eradicates foreign agents from a selected medium in 1-5 minutes at between 20 Hz, the energy in 3-20 joules. These settings are exemplary as dependent upon the use of the apparatus and the embodiment of the apparatus, the power settings and the duration of a treatment will vary. 
         [0055]      FIG. 1  depicts an embodiment of the present apparatus  100 . For clarity, the elements of this embodiment are depicted as black boxes. One of skill in the art will recognize the components from their descriptions. Also, later figures, such as  FIG. 2 , provide more detail regarding the visual appearance of the individual components. 
         [0056]    In the embodiment of  FIG. 1 , the power source, the batteries  101 , are contained in a hand piece housing (not pictured). The center electrode  115 , the ground return electrode  116 , and the lower electrodes assembly  117  are located in or on the tip, which makes contact with liquid into which a portion of the tip is submerged to create the acoustic waves therein. The remainder of the labeled elements in  FIG. 1  is internal to a body portion of the apparatus. As explained later in reference to  FIGS. 6-6A , the tip contains both positive and negative electrodes, however, the positions of these electrodes is interchangeable across embodiments of the present apparatus. 
         [0057]    Referring to  FIG. 1 , a housing (not pictured) encompasses the electronic circuits and other fragile and electro-charged items. In some embodiments of the present invention, the housing is made of a material that does not conduct electricity as the apparatus is held in the bare or minimally protected hand of the operator. Materials used to form the housing include, but are not limited to, plastic, wood, fiberglass, metal, and/or a composite material. The utilization of a plastic housing in an embodiment of the present invention represents a savings in manufacturing costs. In further embodiments of the present invention, the housing is conductive and serves as a ground return. The housing includes an opening for easy replacement of the batteries  101  in a battery compartment (not pictured) inside the housing  101 . The housing is also molded in a manner that allows for easy cleaning and easy replacement of the battery or batteries  101  and is ergonomically designed to be held and manipulated by an operator. 
         [0058]    One of skill in the art will recognize that a battery or batteries  101  is only one of many power source options for this device. For example, further embodiments of the present invention utilize solar cells as power sources. In  FIG. 1 , the battery or batteries  101  serve as a low voltage power source that is later converted to a higher voltage by later components of this embodiment. Batteries  101  utilized in embodiments of the apparatus include but are not limited to lithium batteries, such as ion lithium batteries. In some embodiments of the present invention, lithium batteries are utilized because they have a high current and rapid charging times. Additionally, lithium ion batteries have high energy storage density for their size, which is advantageous in embodiments of the present invention because the smaller the apparatus, the easier it is for an operator to use. Additionally, lithium Ion batteries have a high energy density for their sizes, have no memory problems, can be charged quickly, and have an efficient discharge of current. One of skill in the art will recognize that lithium and lithium ion batteries although compatible with some embodiments of the present invention are only one example of a power source utilized by embodiments of the present apparatus. 
         [0059]    A non-battery low voltage power source is used in conjunction with a further embodiment. For example, another embodiment of the present invention in a table top model that utilizes an electrical wire to connect the hand piece to the power source, and box. This embodiment utilizes a standard power cord to provide the power, including but not limited to, a 110V to 220 ac 50/60 Hz. 
         [0060]    The battery compartment and the housing allow for the easy replacement of the battery or batteries  101 . Thus, maintenance of the power source is simplified. The battery and/or batteries  101  housed in the battery compartment to power the apparatus include, but are not limited to, 0.8 vdc-30 vdc batteries. 
         [0061]    Coupled to the housing with the internal battery compartment is a DC low voltage regulator  102  that regulates the function of at the electronic components and integrated circuits in the embodiment of the apparatus. Coupled to the low voltage regulator  102  is a DC voltage switching integrated circuit (IC) driver  103  that drives power metal-oxide-semiconductor field-effect transistor (MOSFET)  110  and high voltage switching transformer  104  to convert the 0.8 vdc-30 vdc battery input to a bus voltage of 300 vdc. High voltage switching transformer  104  includes, but is not limited to, a high frequency ferrite core transformer. 
         [0062]    In this embodiment, a ferrite core transformer is utilized because it has a high frequency, is small, is very efficient, and it can handle a high current. The small size is ergonomically advantageous in hand-held embodiments of the device. The high current tolerance allows a ferrite core transformer to rapidly charge a high voltage discharge storage capacitor filter  107 , such as a photo flash storage capacitor. The acoustic pulses generated in the apparatus are fast and repetitive, so the rapid charging is desirable in its operation. Further embodiments of the present invention utilize various transformers with one or more of the advantages enumerated regarding the ferrite core transformer. Further embodiments of the present invention utilize various capacitors with similar electrical properties. 
         [0063]    In this embodiment, the converted 300 vdc voltage drives the acoustical shock wave in the liquid solution that creates the desired acoustic effect used for irrigation, which includes irrigation in endodontic procedures. Further embodiments of the present invention convert lower voltage from a power source, such as a battery, to higher voltage power ranging, for example, from 250 vdc to 500 vdc. The measure of the voltage differs in accordance with the application of the associated embodiment. 
         [0064]    A bridge rectifier  105  is coupled to the high voltage switching transformer  104  and converts the AC output of high voltage switching transformer  104 . Then, a high voltage filter inductor  106  filters out the AC ripple current for proper operation of the high voltage discharge storage capacitor filter. 
         [0065]    In an embodiment of the present invention, a photo flash storage capacitor is used as the high voltage discharge storage capacitor filter  107  because a photo flash storage capacitor has low impedance and is capable of withstanding multiple and repetitive discharges without overheating or breaking down, i.e., incurring damage to its electrical properties. Further embodiments utilize varied high voltage energy storage capacitors and/or capacitor banks with low impedance. One of skill in the art will recognize additional capacitors beyond photo flash storage capacitors that possess these enumerated properties. Embodiments of the present invention may utilize one or more capacitors with these properties. When multiple capacitors are utilized, they may be of the same or of different types. 
         [0066]    The high voltage discharge storage capacitor filter  107  is coupled to a high discharge load inductor  108  so that the high discharge load inductor  108  saturates under high discharge current from a low impedance to a high impedance, thus isolating the switching power portion of the circuit. 
         [0067]    After this isolation is achieved, a high voltage discharge igniter capacitor  9  discharges all the energy into a high voltage discharge igniter transformer  114 , causing a very a high voltage pulse, which is utilized to agitate liquid and create the acoustical waves utilized for irrigation and disinfecting. In this embodiment, a MOSFET  110  discharges voltage discharge igniter capacitor  109  into the high voltage discharge igniter transformer  114 . Further embodiments of the present apparatus utilize additional transistors, including but not limited to, a silicon-controlled rectifier (SCR) transistor. 
         [0068]    The activity of the MOSFET  110  is controlled by a micro controller device  118 . In addition to the activity of the MOSFET  110 , the micro controller  118  controls functions within this embodiment of the apparatus, including but not limited to, the period time and the cycle time (Hz) and the current of the power portion of the circuit. The pulse time is a function of the stored energy, which in this embodiment is denoted in micro seconds. By utilizing the micro controller device  118  to set the current, battery power can be conserved within this embodiment. 
         [0069]    Once the energy is discharged by the high voltage discharge igniter capacitor  9 , the high voltage discharge igniter transformer  114  creates a high voltage pulse. The high voltage pulse breaks down the air spark gap and liquid solution so that the high voltage discharge igniter capacitor  9  can discharge all its energy. The high voltage discharge igniter transformer  14  is isolated using a high voltage blocking capacitor  113 . As aforementioned, the high voltage discharge igniter transformer  114  is a low impedance device and would be damaged by the high current that is discharged and stored in the high voltage discharge storage filter  7 . 
         [0070]    In this embodiment, a spark gap  112  serves as a high voltage switch. The spark gap  112  isolates the high voltage power supply and the energy stored in the high voltage discharge storage filter  107 . Because the liquid solution into which the tip of the apparatus is immersed is somewhat conductive, without the spark gap  112 , the charge conducted in the liquid would load the power portion of the circuit. The spark gap  112  allows the high voltage power portion to completely charge to obtain a high current discharge. The high voltage pulses created by the high voltage discharge igniter transformer  114  break down the air spark gap and liquid solution, allowing the high voltage discharge igniter capacitor  109  to discharge all it energy, making this spark gap  112  into a high voltage switch. 
         [0071]    The tip of the apparatus, which is optionally replaceable, is discussed in greater detail in reference to  FIG. 6A . However, components of this tip are depicted in  FIG. 1 . 
         [0072]    Referring to  FIG. 1 , the tip includes center electrode  115 , which in an embodiment of the present invention is a high voltage discharge positive electrode, a ground return electrode  116 , which in an embodiment of the present invention is a high voltage discharge negative electrode, and a lower electrode assembly  117 , which comprises the firing chamber (not pictured). The center electrode  115 , so-called due to its location in some embodiments of the tip, is embedded in the tip and the ground return electrode  116  is located on the outside of the tip. At the lower portion of the tip, holes in both a conductive housing (not pictured) that surrounds electrodes in the tip and in the insulation (not pictured) within the tip, allow liquid solutions to enter into the firing chamber (not pictured). The chamber includes the lower electrode assembly  117 . This is where the discharge takes place. The lower electrode assembly  117  in the tip is placed in liquid in order to agitate the liquid and create the acoustic waves utilized in the irrigation of targeted areas. 
         [0073]    In one embodiment of the present invention, the center electrode  115  is a negative electrode and the ground return electrode  116  is a positive electrode. The charges of the electrodes vary provided that there is a center electrode and a return electrode with different charges to create pulses. The apparatus creates the electrical discharge utilizing a center electrode  115 , and a ground return electrode  116 , which will be discussed in more detail in reference to  FIG. 6 . 
         [0074]    Coupled to the aforementioned micro controller device  118  is a liquid crystal display (LCD)  119  to aid the user in accurately utilizing the apparatus. As this embodiment is programmable, the LCD  119  displays the selected settings to the user. 
         [0075]    Further embodiments of the present invention utilize varying displays and some do not utilize a display, as the display, although user-friendly, can affect the cost of the apparatus. A start/stop switch  120  coupled to the micro controller  118  initiates and deactivates the apparatus. A second switch, a period cycle pulse time select switch  121 , allows the user to select the period time and cycle time. In another embodiment of the present invention, the LCD display  119 , or an alternative display, is integrated with a touchscreen with start/stop and/or selection controls which include the same functionality as the start/stop switch  120  and the period cycle pulse time select switch  121 . Also coupled to the micro controller device  118  is a programmable current control trimpot  122 , which is used to interface with the micro controller device  118  and the DC voltage switching IC driver  104 . 
         [0076]      FIG. 2  is another embodiment of the apparatus  200 .  FIG. 2  is designed to reflect the shape and ergonomic design of the apparatus. This embodiment is hand-held and therefore, the hand piece housing  201  is easily gripped and the embodiment of the apparatus easily manipulated by a user. On the end of the apparatus  200  is a replaceable tip  210 , an embodiment of which is discussed further in reference to  FIG. 6 . 
         [0077]    Like the embodiment of  FIG. 1 , the hand piece housing  201  of  FIG. 2  is molded of a non-conductive material, such as plastic, and the hand piece housing  201  is also molded as such that allows for easy cleaning and easy replacement of the batteries  202  within. In another embodiment of the present invention, the housing is conductive and serves as a ground return. Embodiments that utilize plastic, non-conductive housings may reduce manufacturing costs. 
         [0078]    The two compartments for the batteries  202  in this embodiment are shown as a non-limiting example. Depending upon the batteries selected, the number used to achieve the acoustical pulse generated by the apparatus varies. Batteries  202  utilized in this embodiment include but are not limited to 0.8 vdc-30 vdc batteries. The low voltage of the batteries  202  is later magnified by additional components in the embodiment, as in the embodiment of  FIG. 1 , to drive the acoustical shock wave in the liquid solution that creates the acoustic effect used, for example, in endodontic irrigation. 
         [0079]    The batteries  202  charge a low voltage DC power supply  205  with a power ground  204 . A timing circuit  6  takes input from the low voltage DC power supply  205  while also taking input from a start/stop switch  208 . The operation of the start/stop switch  208  by a user controls whether the apparatus is operational. This timing circuit  206  powers a high voltage igniter switch circuit  209 . In this embodiment of the apparatus  200 , the start/stop switch  208  controls the operation of the embodiment. 
         [0080]    In this embodiment  200 , the high voltage igniter switch circuit  209  is coupled to spark gap switch  208 . Also coupled to the spark gap switch  8  is a high voltage DC power supply  207 . The low voltage DC power supply  205 , inputs to the timing circuit  6 , which inputs to a high voltage DC power supply  207 . 
         [0081]      FIG. 3  is a general workflow  300  of an aspect of the present invention. Throughout  FIG. 3 , references are made to the elements of  FIG. 2  for clarity. However,  FIG. 2  is only one embodiment of the apparatus. The workflow  300  is applicable across further embodiments of the apparatus. 
         [0082]    Referring to  FIG. 3 , the battery or batteries  202  deliver the voltage and current to operate the circuit (S 310 ). The low voltage dc power supply  205 , which in  FIG. 2  is small enough to fit in a hand held device, and the timing circuit  420 , convert the low voltage to a high current/voltage (S 320 ). The high voltage igniter switch circuit  209  produces a very sharp high voltage spike that is low in current (S 330 ). The high voltage spike breaks down the air gap switch  208  (S 340 ). When the spark bridges the air gap, the gap becomes conductive and it allows all the stored energy to discharge completely (S 350 ). In various embodiments of the present apparatus, this energy is stored in capacitors, like the high voltage capacitor  109  in  FIG. 1 . Returning to  FIGS. 2 and 3 , when the stored energy discharges, the tip of the apparatus  210  tip is in the liquid solution and the energy travelling through the tip  210  creates an acoustical shock wave in the liquid (S 360 ). Once a wave is created, the process repeats as the batteries  202  continue to deliver voltage to the circuit (S 310 ). 
         [0083]    In an embodiment of the present invention, the spark discharge achieved in  FIG. 3  delivers more than just an acoustical wave to combat foreign agents, such as bacteria. The spark discharge at (S 350 ) delivers the aforementioned acoustical shock waves, UV radiation, hydrated electrons, OH radicals, H 2 O 2 , nanoparticles, and positive ions (of embodiments of the present invention that utilize metal electrodes in the tip, discussed later in  FIG. 6 ). 
         [0084]    The positive electrical discharges created by the electrodes in the tip of an embodiment of the present apparatus create shock waves that are high pressure and therefore, damage the bacterial membranes due to the difference in pressure. The destroying effect on bacteria due to this pressure difference is realized more intensely with faster discharges and/or for acoustic waves on destroyed cells. 
         [0085]    In an embodiment of the present invention, shock wave forces the irrigant through the small lateral canals at a pressure that achieves absolute irrigation of main canals coupled with irrigation of small and tiny lateral canals, including those that are oddly shaped. By utilizing an embodiment of the present invention, If a lateral comes off of a tooth, the tip can be positioned such that the discharge that is next to the tooth and will drive the irrigant directly into the lateral. In an embodiment of the present invention, the electrode in the tip, discussed further in  FIG. 6 , is small so that it can go down the canal and/or be placed in close proximity. 
         [0086]    Depending upon the positioning of the tip, the method can result in the discharge of the tip partially into the air. This discharge additionally assists in the destruction of foreign agents as it serves to energize electrons, which initiate plasma chemical reactions that produce free radicals and ions which ultimately destroy foreign agents. 
         [0087]    In addition to OH and H 2 O 2 , other products of this electrical discharge include, but are not limited to, H*, O*, and O 3  (ozone), which together with OH and H 2 O 2  act as oxidizing agents. The electric fields of these discharges are lethal to several kinds of microorganisms. Additionally, H 2 O 2  and O 3  dissociate into free radicals and these free radicals oxidize organic components. OH* also oxidizes organic components. These particles oxidize organic components both above and below the surface of the irrigant. 
         [0088]    The UV radiation also oxidizes organic compounds in the irrigant. Thus, combining the shock wave with these oxidizing agents serves to sterilize the irrigant. 
         [0089]    After the OH radicals, the H 2 O 2 , and the hydrated electrons have dissipated, i.e., after no more than several days, the nanoparticles and positive ions of metal, which are produced by the erosion of the electrodes, continue to provide anti-bacterial benefits. One manner in which the nanoparticles destroy bacteria is by penetrating the bacteria and emitting toxic ions. When nanoparticles are in close proximity to bacteria, directed streams of toxic ions appears, which produce a bactericidal effect. Thus, this cooperative residual bactericidal effect is accomplished at least in part by the actions of nanoparticles and positive ions emitting by them. The residual effects of the nanoparticles and positive ions of metal are realized for a duration including but not limited to several months. 
         [0090]    Embodiments of the present invention can be used both in concert with and without the NaOCl and EDTA protocol to remove all of the nerve and infected materials, clean the smear layer, and kill bacteria or pathogens. When used in conjunction with the NaOCl and EDTA protocol, this apparatus and method would kill remaining bacteria and pathogens that remain after the protocol and provide residual effects that the protocol does not provide. When used without the protocol, the apparatus and method could provide the listed functionality without introducing a toxic substance into the body. Irrigants that can be used include, but are not limited to saline solution, glutaraldehyde, and/or any antibiotic and/or anti-microbial solution. 
         [0091]      FIG. 4  depicts an embodiment of the circuitry utilized in an embodiment of the present apparatus. This apparatus practices the workflow  300  of  FIG. 3 . The electrical elements of  FIG. 4  are enclosed in a non-conductive housing (not pictured). The circuit details provided in  FIG. 4  are an example of a possible configuration of circuit components utilized to practice the method disclosed. One of skill in the art will recognize that certain components can be substituted and still create an irrigating acoustic wave. For example,  FIG. 4  features seventeen capacitors C 1 -C 17 , which is only one example of how capacitors can be configured in the circuitry of the present apparatus. 
         [0092]    The functions of the apparatus in  FIG. 4  are programmable by utilizing a micro chip controller U 1 . The micro chip controller U 1  controls all timing functions, including but not limited to period time and cycle time (Hz). The pulse time is a function of the stored energy, which is measured in micro seconds. 
         [0093]    The embodiment of  FIG. 4  is powered by a lithium battery V 1 . The lithium battery V 1  is a low voltage battery with a voltage range of 0.8 vdc-30 vdc. Further embodiments of the present apparatus employ additional power sources with voltages within this range. As discussed in reference to  FIG. 1-2 , in this embodiment, this low voltage power source is later converted to a high voltage in order to create the acoustical waves that agitate liquid through the tip (not pictured) of the apparatus and irrigate dental structures in the mouth of a patient. A safety fuse F 1  is additionally incorporated in this embodiment. A filter capacitor C 4  is used to eliminate any electrical noise that may be generated by the switching power supply or other IC&#39;s in the embodiment. The switching power supply U 2  converts the low battery voltage to a high bus voltage, which includes but is not limited to a range of 250 vdc to 500 vdc. 
         [0094]    As seen in  FIG. 4 , this switching power supply U 2  utilizes supporting passive and active components to set up all the levels and references. Included in these components are the 5 volts references, resistors R 13 , R 21 , which are tied to the switching power supply U 2 . Meanwhile, resistors R 15  and R 16  form a voltage divider feedback loop and are tied to the high voltage bus output. Additional resistors R 19  and R 20  limit the current to the gates of the MOSFETs Q 1 , Q 3  and the IC maximum current drive output. The MOSFETs switch the high frequency transformer together with switching power supply U 2  and drive them to switch on and off at a predefined frequency. Resistor R 18  works as a current sensing resistor and implements electrical resistance in the circuit. Meanwhile, resistor R 22  and capacitor C 8  act as a buffer filter to eliminate spikes caused by switching the inductive load. 
         [0095]      FIG. 4  utilizes a high frequency ferrite transformer T 1 , including but not limited to a ferrite core transformer. The high frequency transformer T 1  includes MOSFET pins  1  and  3 , so-called because they are tied to the MOSFETs Q 1 , Q 3 . MOSFET pin  2  is tied to the power supply, in this embodiment, a 0.8 vdc-30 vdc battery supply. The AC output pins  4 ,  5 , of the high frequency transformer T 1  feed diodes D 1 ,D 4 ,D 7  and D 8 , which are set up as a full wave bridge rectifier, converting the rectified AC to DC. Resistor R 23  and capacitor C 13  acts as an RC snubber as does resistor R 24  and capacitor C 1 ; RC snubbers work like filters and keep spikes and radio frequency interference (RFI) noise to a minimum. 
         [0096]    In the present embodiment, Inductor L 1 , together with capacitors C 1 , C 16 , C 14 , and C 11  filter and store the energy that will be discharged at a high current rate. Specifically, Inductor L 1  saturates when capacitors C 1 , C 16 , C 14  and C 11  are discharged. 
         [0097]    The high voltage igniter portion of the circuit is comprised of inductor L 5 , MOSFET Q 4 , capacitor C 6 , and transformer T 2 . Capacitor C 9  acts as a blocking capacitor and prevents the high discharge capacitor stored current from damaging transformer T 2 . As in the embodiment in  FIGS. 1 and 2 , an air gap SP_Gap 1 -SP_GAP 2  is used as a switch, which loads as the capacitors C 1 , C 16 , C 14 , C 11  are charged. The bus voltage is sufficient to cause break down of the liquid solution which is somewhat conductive. Therefore, the capacitor C 9  protects the transformer T 2  from being loaded down. 
         [0098]      FIG. 5  depicts the circuitry utilized in an embodiment of the present apparatus. The circuitry is similar to  FIG. 4 , but the apparatus utilizes a different control for user input. Both the embodiment of  FIG. 4  and the embodiment of  FIG. 5  are programmable by utilizing a micro chip controller U 1 . In  FIG. 5 , the user adjusts settings by utilizing user BCD switches BCD 1 -BCD 6  to set the period time and cycle time. These settings are obtained by micro chip controller U 1 . Light-emitting diode (LED) displays DIS 1 -DIS 6  display the countdown timer, displays DIS 5 -DIS 6 , the cycle time, displays DIS 3 -DIS 4 , and the pulse time, displays DIS 1 -DIS 2 , to a user. 
         [0099]      FIG. 4  utilizes an LCD display LCD 1  to display the countdown timer, cycle time, and pulse time to a user. 
         [0100]      FIG. 5A  also depicts circuitry utilized by an aspect of an embodiment of the apparatus. In the embodiment of the apparatus that utilizes the circuitry of  FIG. 5A , power is delivered to the tip (not pictured) differently. This embodiment does not utilize a spark gap to create an acoustic wave. 
         [0101]    Referring to  FIG. 5A , voltage/current travels to inductor L 5  and to one or more capacitors C 7 , C 11 , C 14 , C 16 , including but not limited to, one or more photo discharge capacitors. The four capacitors utilized in  FIG. 5A  are depicted as an example as additional embodiments utilize different numbers of capacitors as needed depending upon the use, among other factors. Once charged, capacitors C 7 , C 11 , C 14 , C 16  discharge at the primary of transformer T 2 . 
         [0102]    In this embodiment, transformer T 2  delivers a high voltage spike and current to cause an acoustical shock wave. Transformer T 2  is robust as it delivers both a high voltage spike and enough current to cause the acoustical shock wave. Transformer T 2  is rendered robust by a thick wire and its configuration. Not only is the wire thick, the secondary of transformer T 2  is isolated from the circuit and connected directly to electrodes in the tip (not pictured). 
         [0103]    Before the voltage/current flows through inductor L 5  and charges capacitors C 7 , C 16 , C 11  and C 14 , MOSFET Q 4  gets an instruction micro chip controller U 1 . The micro chip controller U 1  applies voltage, including but not limited to, 5 volts, to the gate of the MOSFET Q 4 , so that it conducts the voltage/current. The MOSFET Q 4  then turns and it discharges all the stored energy from capacitors C 7 , C 16 , C 11  and C 14  into transformer T 2 , which causes inductor L 5  to momentary saturate. Transformer T 2 , now at a high impedance state, delivers a high voltage spike and current to cause an acoustical shock wave. 
         [0104]    An embodiment of the tip  600  of an embodiment of the apparatus is shown in  FIG. 6 . The tip  600  appears as an integrated unit, but is separated into components to understand its functionality. During use, the end of the tip  600  is inserted in the mouth of a patient and in some applications, such as cleaning fissures, it may be embedded in a specific tooth that is being irrigated. The tip  600  connects to the body of the apparatus with a connector  602  that is integrated into the tip design. In the embodiment of  FIG. 6 , the connector  602  is a screw-type connector with threading. The receptors of the threading are located on the body of the apparatus (not pictured). 
         [0105]    Like the hand held portion discussed in earlier figures, the tip  600  is comprised of a housing  601 . This housing  601  on the tip  600  is comprised of a conductive material, including but not limited to, metal, such as stainless steel. This housing  601  is conductive because it doubles as a ground return electrode. The housing  601  is shaped with a bend that is utilized to manipulate the tip into the mouth of a patient and into the dental structure, such as the tooth, that the user of the apparatus desires to irrigate. 
         [0106]    Although a continuous housing  601 , the upper portion of the housing  609 , and the lower portion of the housing  610  have differing characteristics. To protect the internal elements, in an embodiment of the present invention, the upper portion of the housing  9  is thick and rigid. The lower portion of the housing  610  is comprised of a material that is both conductive and flexible, such as a flexible stainless steel tube. The lower portion of the housing  610  is comprised of a first portion  611  and a second portion  612 . The first portion  611  is solid while the second lower portion  612  is porous. The porous second lower portion  612  allows an electrical discharge to occur in the lower part of the tip  600  and permeate the tip into the liquid. 
         [0107]    Internal to the housing  601 , is a center electrode conductor  603 , which conducts the charge through the tip  600 . This center electrode conductor  603  is insulated using a layer of insulation  606  throughout the length of the tip  600  and the center electrode conductor  603 . A porous portion of insulation  608  surrounds the lower center firing electrode  604 . 
         [0108]    In an embodiment of the present invention, the lower center firing electrode  604  is the center electrode  115  referenced in  FIG. 1 . In an embodiment of the invention, the lower perforated return electrode  605  is the ground return electrode  116  referenced in  FIG. 1 , and the insulation  606  and the perforated return electrode  605  comprise the a lower electrode assembly  117  and firing chamber referenced in  FIG. 1 . 
         [0109]    In embodiments of the present invention, the center firing electrode  604  is either a positive or a negative electrode, and the lower perforated return electrode  605  is either a positive or a negative electrode. In each embodiment, the center firing electrode  4  has a charge that opposes that of the lower perforated return electrode  605 . One of skill in the art will recognize that a center electrode and a ground electrode, regardless of charge, may be adapted to create the desirable electrical events within the tip of embodiments of the present invention. 
         [0110]    Returning to  FIG. 6 , the lower center firing electrode  604  is embedded in the tip  600 , while the lower perforated return electrode  605  is located in the outside of the tip  600 . The porous second lower portion  612  of the tip  600 , the porous portion of insulation  608  surrounding the lower center firing electrode  604 , and the perforated return electrode  605  allow liquid solution to make contact with the lower center firing electrode  604 . The conductive liquid bridges the connection between the lower perforated return electrode  605  and the lower center firing electrode  604  so that the tip can deliver acoustic waves into the area targeted by the tip. The lower center firing electrode  604  transfers the energy into the liquid solution that causes the acoustical shock wave, while the holes in the lower perforated outside return electrode  605  allow the acoustical shock wave to penetrate into the liquid solution. Flexible outside and inside lower electrodes  607  assist in positioning the tip  600  to deliver the acoustic waves to a targeted area. Specifically, the flexible outside and inside lower electrodes  607  allow the tip  600  to be worked into the tooth or the root canal for performing the irrigation of the root canal and laterals. 
         [0111]    In an embodiment of the present invention, the electrodes utilized include silver. Water treated with silver electrodes has the highest bactericidal activity because ions of silver have the highest toxicity to bacteria; it is an anti-pathogen. Thus, the nanoparticles created by the silver electrodes also combat the bacteria and foreign particles in the canals. Further embodiments of the present invention utilize electrodes comprised from additional materials that are biologically inert ones. Materials used to comprise the electrodes include but are not limited to silver, copper, stainless steel, and/or iron. 
         [0112]    As aforementioned, the tip of an embodiment of the apparatus may be removable and may be switched out with different tips that are more suited for different applications. In embodiments where the tips are not removable, the tip design may vary to maximize efficacy across varying uses.  FIG. 6A  shows an embodiment of a tip that is designed to fire at the surface. The tip  601  has a larger opening at the bottom  613  to fire onto a greater surface. 
         [0113]    An in the embodiment of  FIG. 6  the tip  601  in  FIG. 6A  In the embodiment of  FIG. 6A , utilizes a connector  602 , including but not limited to a screw-type connector with threading. Further embodiments of this tip  601  and the tip  600  of  FIG. 6  may utilize additional fasteners. Returning to  FIG. 6A , when threading serves as the connector  602 , the receptors of the threading are located on the body of the apparatus (not pictured). 
         [0114]    Tip  601  is comprised of a housing  601 , which is comprised of a conductive material, including but not limited to, metal, such as stainless steel which doubles as a ground return electrode and is shaped with a bend that is utilized to manipulate the tip into the mouth of a patient. The upper portion of the housing  609  is thick and rigid. The lower portion of the housing  610  is comprised of a material that is both conductive and flexible, such as a flexible stainless steel tube. The lower portion of the housing  610  is comprised of a first portion  611  and a second portion  612 . The first portion  611  is solid while the second lower portion  612  is porous. The porous second lower portion  612  allows an electrical discharge to occur in the lower part of the tip  601  and permeate the tip into the liquid. 
         [0115]    The tip  601  features at least two electrodes, a center electrode and a ground electrode. The electrodes may be comprised of a metal and/or other conductive materials with anti-bacterial properties, including but not limited to, silver. 
         [0116]    Internal to the housing  601 , is a center electrode conductor  603 , which conducts the charge through the tip  601  and is insulated using a layer of insulation  606  throughout the length of the tip  601  and the center electrode conductor  603 . A porous portion of insulation  608  surrounds the lower center firing electrode  604 . The lower center firing electrode  604  is embedded in the tip  601 , while the lower perforated return electrode  605  is located in the outside of the tip  601 . The porous second lower portion  612  of the tip  601 , the porous portion of insulation  608  surrounding the lower center firing electrode  604 , and the perforated return electrode  605  allow liquid solution to make contact with the lower center firing electrode  604 . The conductive liquid bridges the connection between the lower perforated return electrode  605  and the lower center firing electrode  604  so that the tip can deliver acoustic waves into the area targeted by the tip. The lower center firing electrode  604  transfers the energy into the liquid solution that causes the acoustical shock wave, while the holes in the lower perforated outside return electrode  605  allow the acoustical shock wave to penetrate into the liquid solution. Flexible outside and inside lower electrodes  607  assist in positioning the tip  601  to deliver the acoustic waves to a targeted area. Specifically, the flexible outside and inside lower electrodes  607  allow the tip  601  to be worked into the tooth or the root canal for performing the irrigation of the root canal and laterals. 
         [0117]    The end  614  of the tip  601  is fitted with a screen  613 . The screen  613  has a slight angle with a bigger opening at the bottom. Tip  601  is utilized in one aspect to fire at the surface. Thus, the greater surface area allows greater and more concentrated dispersion of firing discharges, including but not limited to UV, ozone, shock wave, radicals, and ions pulse at the surface. The screen  613  is part of the ground return and prevents an electrical charge from passing the end of the tip and having an adverse effect on a patient being treated. 
         [0118]    As aforementioned, an embodiment of the present invention can be used to create an irrigation system for Piezoelectric/Magnetostrictive scalars, like a water pik-type device with additional bactericidal benefits. In this application, water is pretreated before being expelled into the mouth of a patient. 
         [0119]      FIGS. 7-9  illustrate the use of an embodiment of the present invention in irrigating canals and dental structures. These figures are merely meant to illustrate some possible positioning of one or more embodiments of the present apparatus during irrigation and are not meant to be exhaustive. One of skill in the art will recognize that the flexibility of the tip presents many possibilities for positioning which would be beneficial for the oral health of a patient. 
         [0120]    Referring to  FIG. 7 , the tip  700  in an embodiment of the apparatus is positioned to fire a discharge at the surface, above the surface, or below the surface of the irrigant&#39;s fluid level  730 . As discussed earlier, the spark discharge from the tip  700  has an anti-microbial effect even when discharges above the fluid level  730 . To position the tip  700 , the main coronal chamber  720  of the tooth  710  has been opened surgically. With the main canals and lateral canals. In this figure, both the main canals  740   a - 740   b  and lateral canals  750   a - 750   b  are visible. 
         [0121]    Referring to  FIG. 8 , the firing tip  800  of an embodiment of the apparatus in placed below the fluid line  830 , in fact, the tip  800  is submerged. The tip  800  is being fired in a main canal  840   a , but given its flexibility, the tip  700  can also be fired in the vicinity of and/or in the lateral canal  850   a.    
         [0122]    Referring to  FIG. 9 , the progression of a tip  900  of an embodiment of the present invention through a main canal  940   b  wherein it discharges at three different discharge sites  960   a - 930   c , which are adjacent to three lateral canals  950   b - 950   d  is shown. The firing tip  900  and probe (not pictured) are moved down the main canal  940   b  to three lateral canals  990   b - 950   d . As the tip  900  moves up and down the main canal  940   b , firing discharges  960   a - 960   c  along the laterals  950   b - 950   d , the UV, ozone, shock wave, radicals, and ions pulse directly into the lateral openings for full force and effect. A saline solution is useful in this embodiment because it conducts these particles to their destinations. However, as aforementioned, irrigants that can be used include, but are not limited to saline solution, glutaraldehyde, and/or any antibiotic and/or anti-microbial solution. 
         [0123]    For certain applications of the present invention, pre-treating the water and/or liquid by collecting it in an internal or external reservoir is advantageous. Such applications include, but are not limited to, ultrasonic scalars such as Piezoelectric and/or Magnetostrictive scalars, sonic scalers, and water piks. Meanwhile, for some applications, locating electrodes in the tip is sufficient to treat the water and/or liquid. In embodiments of the present invention utilized as Water Piks, Piezo/Magneto ultrasonic devices, and/or irrigation, including irrigation of periodontic wound sites, the locations of the electrodes utilized to pulse the water and/or liquid include, but are not limited to a reservoir internal or external to the handle of the embodiment of the device, and/or in the tip of the embodiment of the device. 
         [0124]    Such applications include, but are not limited to, ultrasonic scalars such as Piezoelectric and/or Magnetostrictive scalars, sonic scalers, and water piks.  FIGS. 10-16  are embodiments of the present invention that utilize electrodes in an external reservoir, in an internal reservoir, and/or in the tip of an embodiment of the device to treat the water and/or liquid to be utilized in the intended procedure. 
         [0125]      FIG. 10  is an example of a standalone unit embodiment of the present invention that can be utilized as a Piezoelectric and/or Magnetostrictive scalars. Water is moved through the device and while inside, the water is treated through the dispersion of firing discharges, including but not limited to, UV, ozone, shock wave, radicals, and ions pulse. Thus, the water that exits the device carries with it bactericidal benefits. In the embodiment of  FIG. 10 , water and/or another liquid to be treated with spark discharges is moved through the device from the inlet  2 , and out through the outlet  7 , after being treated with electrical pulses. 
         [0126]    In the embodiment of  FIG. 10 , water is channeled through the inlet  1002 , where it progresses into a first firing chamber  1003 , which is not storing liquid at this time. Firing points  1004  are positioned throughout this first firing chamber  1003  as well as the second firing chamber  1006 . The multiple firing points  1004  save energy consumption because the area within the embodiment can be large. Thus, utilizing multiple firing points  1004  can translate to a cost savings because less energy is required to create the pulse. 
         [0127]    The water and/or liquid progresses from the first treatment chamber  1003 , into a second firing chamber  1006 , which contains a reservoir where the water and/or liquid is stored. The second firing chamber  1006  also contains a group of firing points  1008 , distributed within the reservoir. The water and/or liquid is treated by pulsed discharges in this second firing chamber  1006  before it moves through the outlet  1007 , which can be understood as a “feed tube” to an used in the irrigation. The firing points  1008  provide the water and/or liquid with exposure to the pulse discharges in an attempt to achieve an 100% pathogen kill before the water and/or liquid leaves the second firing chamber  1006  and into the outlet  1007  to the end of the irrigation device. 
         [0128]    In an embodiment of the present invention, the reservoir in the second firing chamber  1006  can be removed from the device and sterilized separately for further bactericidal benefit. 
         [0129]    Given that this tip and/or electrode is utilized to treat a reservoir of water and/or liquid, it is also useful for water purification for non-dental health purposes. For example, it can be used to inject bactericidal properties into drinking water as a type of high efficiency filter. 
         [0130]    In embodiments of the present invention utilized as Water Piks, Piezo/Magneto ultrasonic devices, and/or irrigation, including irrigation of periodontic wound sites, the locations of the electrodes utilized to pulse the water and/or liquid include, but are not limited to, the first firing chamber  1003 , the second firing chamber  1006 , and/or a reservoir in the handle of the embodiment of the device. When utilized for ultrasonic uses, an embodiment of the present invention utilizes a reservoir in the handle, rather than in the tip. The description of  FIG. 10  can be applied to understand the functionality of the aspects of the embodiments described in  FIGS. 11-16 . 
         [0131]    Referring to  FIG. 11 , an embodiment of the present device  1100  that can be utilized as a water pik, and/or a Piezo/Magneto ultrasonic device. Batteries  1110  serve as the power source in this device  1100 . This embodiment of the device  1100  utilizes a single reservoir  1120  for holding and liquid and/or water that will be treated before moves from the tip to the patient&#39;s mouth. One set of electrodes  1130  in the tip  1140  of the device  1100  provide the electrical discharge to treat the water and/or liquid before it leaves the tip. The device  1100  is additionally powered by one or more PC boards (not pictured). The water pump  1150  is driven by one or more microcontrollers (not pictured). 
         [0132]    In a subset of embodiments of the present invention, such as device  1100 , a ceramic conductive substrate can be utilized for the electrodes. This type of electrodes is particularly effective when the water and/or liquid cannot be treated over a period of time in the apparatus, for example, within a reservoir before being released into an area that is being treated. The ceramic conductive electrodes can create a pulse that creates the desired anti-pathogenic effects over a short period of time and when a large volume of water is flowing through an area where the spark discharge is created in a short period of time. In the device  1100 , the water and/or liquid is pumped through the tip  1140  and only treated by electrodes in that tip  1140 . Thus, there is a short window for the spark discharge. 
         [0133]    In another example, in a scalar application, water and/or liquid is pumped through the tip rapidly and under pressure. In an embodiment of the scalar application, a reservoir of water and/or liquid is pumped to different rooms in a dental office. The high volume and pressure flow does not allow for much time to release the spark discharge into the liquid and/or water before it is directed into a treatment area. By using one or more ceramic conductive substrates, the desire pathogen kill rate is achieved within the shortened period of time for a large volume of water and/or liquid with a high pressure. 
         [0134]    Unlike in the device  1100  of  FIG. 11 , in  FIG. 12 , the water and/or liquid to be applied is treated in a reservoir, which allows for a longer treatment time. Similar to  FIG. 11 ,  FIG. 12  is an embodiment of the present device  1200  that can be utilized as a water pik, and/or a Piezo/Magneto ultrasonic device, operates on batteries  1210 , has a single water reservoir  1220 , PC boards (not pictured), a water pump  1250 , and is driven by at least one microcontroller (not pictured). However, in this device  1200 , the electrodes that provide the spark discharge to treat the water and/or liquid, actually reside in the reservoir  1220 . Thus, the amount of time that the electrodes can treat the water and/or liquid is increased. 
         [0135]      FIG. 13  is another embodiment of a device  1300  that can be utilized as a water pik, and/or a Piezo/Magneto ultrasonic device in accordance with at least one aspect of the present invention. In this embodiment, electrodes discharging the spark pulse to treat water and/or liquid are placed in both the tip  1340  and the reservoir  1320 . A first set of electrodes  1330   b  treats the water and/or liquid while it is in the reservoir  1320 , which a second set of electrodes  1330   a  treats the water and/or liquid as it exists the device  1300 . 
         [0136]      FIGS. 14-16  are embodiments of the present invention that can be utilized as water piks, and/or a Piezo/Magneto ultrasonic devices. However, the devices in  FIGS. 14-16  utilize an AC line as a power source and have no batteries. The functionality of these embodiments is discussed in reference to  FIGS. 4-5  and  FIG. 10 .  FIG. 14  is an embodiment of the present invention  1400  with one reservoir  1420  in the unit housing  1460  and a set of electrodes in that reservoir  1430 . The embodiment  1500  in  FIG. 15  has two reservoirs, a first reservoir  1530   a  in the housing  1560 , and a second reservoir  1530   b  in the hand piece  1570 . Thus, the water and/or liquid is treated in the unit housing  1560  and again in the hand piece  1570 . The embodiment  1600  in  FIG. 16  treats the water and/or liquid twice as well, but rather than utilize a second reservoir in the hand piece  1670 , in this embodiment, there is a second set of electrodes  1630   b  in the tip  1640 . This embodiment of the device  1600  also utilizes a first reservoir  1620  with a first set of electrodes  1630   a  in the unit housing  1660 . 
         [0137]      FIGS. 11-16  are offered as examples of placements of electrodes with and without reservoirs in embodiments of the present invention and are not meant to be exhaustive. One of skill in the art will recognize that the placement of electrodes and/or reservoirs can vary in accordance with the principles of the present invention. 
         [0138]      FIG. 17  demonstrates the use of an embodiment of the present application in an ultrasonic procedure. Referring to  FIG. 17 , a piezo/magneto tip  1703  is being utilized in accordance with the present method to treat the biofilm  1702  on a tooth  1701 . Water progresses through the tip  1703  in the internal water line  1704  (which can be seen in  FIGS. 11-16 ). Through the tip  1703 , the treated water sprays  1705  from out of the device  1706  (partially pictured). In this embodiment, the water is not treated in the tip  1703 , but rather in the hand piece and/or in a reservoir elsewhere in or connected to the device  1706  before in enters the tip  1703  and is utilized on the tooth  1701  and biofilm  1702 . 
         [0139]    An embodiment of the present invention is utilized in treating all water used in a dental office during various dental procedures. During dental procedures, water is often sprayed into the mouth while simultaneously being suctioned out. It is not desirable to allow a patient to swallow this water because the procedures expose pollutants in the mouth, which can be harmful to the health of the patient, if ingested. However, it is impossible to prevent all the water from being ingested and there may be pathogens in the water because the water system in the area where the dental office is located is not of a high quality. When an individual is being treated whose health is compromised, for example, an elderly patient, the pathogens from the water entering the now-exposed dental structures and/or being ingested by the patient, can harm the general health of this patient. Thus, an embodiment of the present invention can be utilized as part of the delivery system for any water dispensed into the mouth of a patient by a health professional. Embodiments used for this purpose utilize one to many reservoirs so that any dispensed water is treated with a spark discharge before dispensed, even when it is immediately and almost simultaneously suctioned. 
         [0140]    An embodiment of the present invention can be used to create a treated water vapor that can be used to mist surfaces in a sanitary environment, such as an operating room. Rather than dispense the treated water/liquid, as fluid, an embodiment of the present invention dispenses the water as a mist, which is applied to surfaces. Because the bactericidal properties of the water and/or liquid that is pulsed with the electric discharge extends beyond the time that it is pulsed, the water/liquid can be used as a cleaning agent in a medical or other setting. 
         [0141]    Depending upon the use of the apparatus and the type of pollutant that a user desires to eradicate from a given environment, from a dental canal to a reservoir, the pulse energy and frequency applied will play a role in the kill rate of the embodiment of the apparatus. For example, a pulse rate of up to 1 kJ/pulse with a pulse frequency of 0.01 Hz achieved a total destruction of an  E. Coli  colony in water. However, reducing the pulse rate to 0.03 J/pulse had no effect on these microbes. When working to eradicate a population of  Staphylococci , frequencies of 30 Hz and energy inputs between 12.6 and 25 J/cm 3  have been found effective to eradicate an entire colony in water. 
         [0142]    Although the present invention has been described in relation to particular embodiments thereof, specifically embodiments that relate to dentistry, many other variations and modifications will become apparent to those skilled in the art. As such, it will be readily evident to one of skill in the art based on the detailed description of the presently preferred embodiment of the apparatus, system and method explained herein, that different embodiments can be realized. For example, an embodiment of the present invention is utilized to purify water, such as water located in the wilderness. This embodiment utilizes a battery or batteries and/or one or more solar cells as a power source. A further embodiment of the present invention is used in place of chlorine to eradicate microbes from a swimming pool. This embodiment is integrated into the swimming pool&#39;s existing cleaning system. Because there is no voltage leakage, the water can be enjoyed without fear of electrolysis. This embodiment can also utilize a battery or batteries and/or one or more solar cells as a power source. 
         [0143]    Further contemplated integrations for embodiments of the present invention include, but are not limited to, cleaning and sterilizing other dental equipment, integrating an embodiment into a dishwasher for cleaning and disinfecting dishes, integrating an embodiment of the present invention into a home system for safe drinking water, integrating an embodiment into a tool to treat athlete&#39;s foot, integrating an embodiment into a disinfecting mop, and/or integrating an embodiment into a shower system that kills staff infections, funguses and other unwanted organic matter. 
         [0144]    The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the singular forms “a”, “an” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms “comprise” (and any form of comprise, such as “comprises” and “comprising”), “have” (and any form of have, such as “has” and “having”), “include” (and any form of include, such as “includes” and “including”), and “contain” (and any form contain, such as “contains” and “containing”) are open-ended linking verbs. As a result, a method or device that “comprises”, “has”, “includes” or “contains” one or more steps or elements possesses those one or more steps or elements, but is not limited to possessing only those one or more steps or elements. Likewise, a step of a method or an element of a device that “comprises”, “has”, “includes” or “contains” one or more features possesses those one or more features, but is not limited to possessing only those one or more features. Furthermore, a device or structure that is configured in a certain way is configured in at least that way, but may also be configured in ways that are not listed.