The GentleWave® Difference isn’t just in the patient experience—it is proven in post-procedure radiographic examination. The far-reaching capabilities of the GentleWave Procedure can be visualized in the following case study gallery, evidencing its ability to locate and efficiently clean the deepest, most complex portions of the root canal system2,3 that are frequently left untouched by standard root canal therapy.4
4 Paqué F et al. (2010) J Endod. 36:703-7
Upon post-operative radiographic examination, multiple lateral canals within the apical third of the palatal and distobuccal canals as well as an isthmus between the mesiobuccal canals were visualized. Upon contact with the patient three days post-operative, the patient reported no discomfort.
Six months post-op, the periradicular bone appeared to have completely healed. The patient resumed active orthodontic treatment. This case illustrates the power of a single-visit GentleWave® Procedure in effectively cleaning and disinfecting the root canal system and promoting rapid healing.
Upon clinical examination, the mandibular left second premolar (#20) revealed an asymptomatic tooth with no sensitivity to percussion or palpation and Class I mobility. Post GentleWave® Procedure, at nine-month recall, clinical evaluation showed the tooth was asymptomatic. Radiographic evaluation showed complete bone regrowth and periradicular healing.
The GentleWave Procedure successfully treated acute apical periodontitis associated with silver points, which led to rapid osseous recovery and periradicular healing.
A female patient presented with tooth sensitivity and pain on biting on tooth #31. In 2003, the patient had two apicoectomies completed on tooth #30 and #31. Tooth #30 had a retrograde prep and fill placed that was still intact. Tooth #31 did not receive a retrograde fill; the mesiobuccal root was resected with a high bevel, and the mesiolingual was never fully resected through. Tooth #31 was diagnosed with symptomatic apical periodontitis. In a single visit, the GentleWave® Procedure cleaned and disinfected the tooth. At the six-month recall, radiographs revealed healing of the bone. The patient reported experiencing no post-op pain immediately following the procedure or in the six months since.
"If I could go back in time, I would elect to have the GentleWave® Procedure completed on my first root canal procedure. For 21 years, I continued to experience discomfort while professionals justified my discomfort through bite adjustments and new crowns, saying that another tooth was to blame. I truly felt this would be a never-ending problem I’d have to deal with. For the first time in 21 years, I feel whole and am no longer experiencing discomfort."
A 31-year-old female patient presented to our clinic with a chief complaint of pain in the lower right jaw. Tooth #30 was diagnosed with pulp necrosis/symptomatic apical periodontitis.
By the end of canal instrumentation, four canals had been located: two in the mesial and two in the distal roots. Following the GentleWave® Procedure, two tiny orifices became noticeable between MB and ML canals; they turned out to be two mid-mesial canals. Pre-op CBCT had not hinted at the presence of mid-mesial canals.
The immediate post-op radiograph shows the filling of six canals with gutta-percha and BC Sealer™. The two mid-mesial canals join each other at the apical half, and all four canals in the mesial root join at the apical 3 mm level.
“Without the cleaning ability of the GentleWave Procedure, I would have missed the additional two middle canals, which could have resulted in a persistent infection.”