A History of Proven Efficacy

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.

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.

A mandibular right first molar with a large carious lesion on the disto-occlusal surface was treated with the GentleWave® System. Signs of healing were observed within three months after the initial root canal treatment.

The patient presented with biting and palpation tenderness localized to tooth #19 with a draining sinus tract. Probing 12+ mm to the distal apex posed a prognosis challenge. The endo-perio lesion is a condition characterized by the association of periodontal and pulpal disease in the same dental element. Diagnosis, prognosis and treatment planning are complicated due to the influence of pulp pathology, which may cause periodontal involvement and vice versa.

Pulpal diagnosis was necrotic pulp with an apical diagnosis of chronic apical abscess. The GentleWave^® Procedure gave me the confidence to complete disinfection and finish treatment in a single visit. Re-evaluation in four weeks demonstrated resolution of the sinus tract and probing depths. At three months, this case demonstrated nearly complete osseous regeneration of previous low-density areas.

“The resolution of symptoms is one factor. However, the ‘early healing’ I am seeing in my practice with the GentleWave^® Procedure is extraordinary.”

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.

In a single visit, the cleaning ability of the GentleWave® Procedure revealed crazy anatomy on tooth #19. Patient presented with soreness and pressure around the gum tissue. The tooth was diagnosed with pulpal necrosis and symptomatic apical periodontitis. Following the GentleWave Procedure, the canals were obturated using gutta-percha points and ThermaSeal® Plus Ribbon® Sealer using a warm vertical method.

"In my experience, with standard RCT this case would have been completed with calcium hydroxide in a two-visit protocol. I was expecting to see anatomy but nothing like this."