A History of Proven Efficacy

In a single visit, canals were prepared using two rotary files to a final apical diameter of #20, then followed by the Gentlewave^® Procedure. After obturation, radiographic examination revealed at least two uninstrumented inter-canal isthmi and a lateral canal. At the 6-month recall, radiographs revealed that the GentleWave^® Procedure resulted in complete healing of apical periodontitis.

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 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.

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.

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."