A History of Proven Efficacy

In a single visit, three canals were prepared to an apical diameter of 20/04, followed by the GentleWave^® Procedure to clean and disinfect the canals. Following obturation, an isthmus communication between the fused mesiobuccal and palatal roots was noted. The unusual PAX findings were evaluated by CBCT. 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.

"Obturation revealed the GentleWave^® Procedure debrided a mid-root and apical isthmus as well as multiple exits in the palatal canal, in the apical third of the mesiobuccal-palatal root formation and connections."

The patient reported no pain two days postoperatively (after reporting a preoperative pain level of 8 on an 11-point verbal pain scale). This case highlights the clinical significance of utilizing the GentleWave Procedure for cleaning complex apical anatomy during endodontic therapy.

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 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.

In my experience thus far with the GentleWave® Procedure, in a single visit, often, eye-catching accessory anatomy and lateral canals are revealed. This case reveals a striking lateral canal near the furcation and apical deltas with multiple portals of exit in the distal. The patient presented with tenderness to chew and hypersensitivity to cold. There was thickening of the PDL, and the pulp tested vital. A new crown had been placed six months prior. The day following the GentleWave Procedure, the patient was doing great and asymptomatic.

“Without the cleaning and disinfection of the GentleWave^® Procedure, the anatomy on this tooth might have remained hidden.”

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.