A History of Proven Efficacy

This patient’s first molar, diagnosed with necrotic pulp with symptomatic apical periodontitis, was cleaned and disinfected with the GentleWave® Procedure in a single visit. Post-GentleWave Procedure, intricate apical anatomy with at least eight visible portals of exit was revealed.

In a single visit, four canals were prepared to an apical diameter of #20. The GentleWave® Procedure was used to clean and disinfect the canals. Following obturation, a previously undetected fifth canal orifice in the apical third of the palatal root was revealed. The patient’s symptoms completely resolved, and healing was complete three months post-procedure.

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.

The exceptional cleaning capability of the GentleWave^® System is evident in this case where a separated instrument, left from a previous treatment in the apical one-third, was successfully removed during the GentleWave Procedure. Inaccessible through standard RCT, the remnant instrument was removed with the Multisonic Ultracleaning® technology of the GentleWave System. The patient, my staff and I were markedly excited at the instrument’s removal and the overall case outcome, all accomplished during a single-visit procedure.

An apical delta containing multiple exits was discovered in the palatal canal. The GentleWave^® Procedure cleaned a deep split isthmus between the mesiobuccal canal and palatal canal, which otherwise may have been left uncleaned and unfilled.