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
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.
A 40-year-old male presented with severe intermittent pain on the lower left side of the mouth for two months. His diagnosis was pulpal necrosis and symptomatic apical periodontitis. The old filling material and underlying carious lesion were removed and missing tooth structure was restored. The tooth was prepared with conservative straight-line access, and the canals were instrumented to size 20/.07. The GentleWave® Procedure was employed to clean and disinfect the root canal system, followed by obturation with warm vertical technique. Post-procedure, an isthmus was visualized between the two mesial canals, and a lateral canal and an apical delta were seen on the distal canal. Evaluation at 6, 9 and 18 months showed the tooth was asymptomatic. Significant bone regrowth with complete periradicular healing were evident at 18-month recall.
A 58-year-old patient presented with symptoms on tooth #19. The tooth was diagnosed with pulp necrosis and symptomatic apical periodontitis. In a single visit, the GentleWave® Procedure was able to effectively clean and disinfect a double, curved root in this conservatively shaped anatomy.
"At the two-month recall, rapid healing was evident. In my experience, I wouldn’t have obtained the same result if treated with standard RCT."
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.
A mandibular right second molar with a large carious lesion invading the pulpal space was treated with the GentleWave® System. The entire root canal system including the lateral canal was cleaned and obturated.
This case is a beautiful example of the power of the GentleWave® Procedure with conservative instrumentation. Using VTaper 2H files to retain as much cervical root structure as possible, the Multisonic Ultracleaning® energy of the GentleWave Procedure allowed us to accomplish our goals for maximum cleaning and disinfection. Notice the secondary anatomy — areas clearly cleaned by the GentleWave® System — where I never introduced a file.