A History of Proven Efficacy

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.”

A tooth’s survivability is greatly reduced when there’s a crack at or near the level of its roots. In this case, tooth #31 was cracked with a diagnosis of pulpal necrosis and symptomatic apical periodontitis. Initial recommendation was tooth extraction, but the patient’s preference was to save the tooth. The GentleWave® Procedure was our best approach to preserve as much of the remaining structural integrity of the root. In a single visit and with minimal instrumentation, the GentleWave Procedure thoroughly cleaned and disinfected the root canal system to promote tooth healing.

"With minimal instrumentation, I was able to depend on the GentleWave® Procedure to thoroughly disinfect the root canal system. And for healing to occur in the presence of a crack is even more impressive."

At 6-month recall, the results are impressive. The patient is asymptomatic and showing excellent healing.

In a single visit, the GentleWave^® Procedure was able to effectively clean and disinfect this upper-right first molar. The tooth was diagnosed with pulp necrosis and symptomatic apical periodontitis. The mesiobuccal and distobuccal canals were shaped to a 20/.04. I was unable to reach the apical third of the palatal canal with files. Post GentleWave Procedure and obturation, this unreachable anatomy was revealed.

"In my experience, without the cleaning ability of the GentleWave^® Procedure, standard RCT wouldn’t have allowed me to obtain the same result, particularly in the palatal canal."

Seeing is believing with the GentleWave® System. Within the first week, I have already seen great results highlighted by finding undetected anatomy and receiving reports of minimal post-op pain. This particular patient was diagnosed with apical periodontitis, and three distinct canals were instrumented to a 20/.04 on tooth #19. The GentleWave Procedure revealed mid-mesial anatomy within two minutes of procedure start. The following day, the patient reported alleviation of all symptoms and the absence of post-operative pain. 

The GentleWave Procedure, at least in my practice, seems to be producing significantly less post-op pain compared to traditional measures, even with retreatments.

A 65-year-old female with no clinical symptoms was referred by her dentist, who noticed radiographic signs of bone loss surrounding the roots of her molar. In a single visit, the canals were cleaned and disinfected with the GentleWave Procedure. Eight weeks later, the periodontal reading at the distobuccal root surface measured 2 mm, and periapical imaging revealed extensive bone regeneration. Continued bone regeneration was evident at 3-month, 5-month and 13-month recalls.

After obturation of a mandibular left second molar, a complex apical anatomy was visible between the mesial and distal canals. This anatomy was not known prior to the GentleWave Procedure.