Thomas V. McClammy, DMD, MS

A 66-year-old male patient was referred by his restorative dentist for evaluation and potential treatment of tooth #31. The patient presented with an existing all-porcelain crown placed two weeks prior. Examination and findings were consistent with a pulpal diagnosis of irreversible pulpitis. Projection radiographs as well as limited FOV CBCT were acquired. Conservative orifice-directed access exposed vital pulp tissue in the root canal system. In a single visit, endodontic treatment was initiated and the root canal system was prepared for the GentleWave^® Procedure using 14/.03 and 17/.04 V-Taper™ 2H files. Obturation consisted of single non-standardized gutta-percha cones in each canal and sealer.

"With the cleaning ability of the GentleWave^® System, I was able to treat this vital pulp in a single visit, something that I may not have been able to do predictably with traditional endodontics. Postoperative radiographs showcased significant accessory root canal system anatomy, especially in the apical one third."