12-month Healing Rates after Endodontic Therapy Using the Novel GentleWave System: A Prospective Multicenter Clinical Study

Sigurdsson, Asgeir; Garland, Randy W.; Le, Khang T.; Woo, Stacey M.

doi:10.1016/j.joen.2016.04.017

Cited by 47 publications

(56 citation statements)

References 35 publications

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“…A histological study of 45 endodontically treated molars compared root canal debridement efficacy of standard rotary instrumentation with needle irrigation versus minimal instrumentation with the GentleWave Procedure. Results revealed 97.2% cleaning and debridement capabilities for the GentleWave System as compared to 67.8% for standard root canal therapy [46].A multicenter, prospective study of 75 molars treated with the GentleWave Procedure showed a 97% success rate at 12 months with 96.2% of patients being free from severe and moderate posttreatment pain in the first two postoperative days and no incidence of pain reported by day 14 [32].…”

Section: Discussionmentioning

confidence: 97%

“…In addition, the GentleWave System has been reported to be effective in removing separated hand files from the apical and middle thirds of molar root canal systems without the need for increased canal enlargement. Clinical studies evaluating the GentleWave Procedure have demonstrated high success rates of 97% at 6 and 12-months after the GentleWave Procedure [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32].…”

Section: Introductionmentioning

confidence: 99%

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Complex Apical Anatomy Revealed Following Endodontic Treatment of a Maxillary Molar Using the GentleWave System: A Case Report

Ford¹

2017

Dentistry

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Introduction: Primary root canal treatment success depends on a number of variables, including debridement and disinfection of the root canal system to remove all bacteria and diseased pulpal and dentinal tissues. Complex root canal anatomy, such as concealed isthmuses, apical deltas and lateral canals, hinder this objective, making instrumentation of these regions nearly impossible. Recent advancements within the endodontic space have focused on improved cleaning and disinfection techniques that will enhance cleaning and debridement, even in difficult to navigate anatomy within the apical third.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Complex Apical Anatomy Revealed Following Endodontic Treatment of a Maxillary Molar Using the GentleWave System: A Case Report

Ford¹

2017

Dentistry

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“…A multicenter, prospective clinical study in 89 molar teeth treated with the GentleWave Procedure demonstrated that patients had no severe or moderate post-treatment pain in the first two postoperative days and had no incidence of pain reported by day 14. 20 In this study, 92.1% of patients were treated in a single visit with the GentleWave Procedure. The study showed a 92.9% healing rate for patients whom had a necrotic lesion preoperatively, and the overall healing rate was 97.4% after 12 months.…”

Section: Jcdpmentioning

confidence: 96%

“…Longterm healing rates following endodontic therapy with the GentleWave Procedure demonstrate 97.4 and 97.3% respectively, success at 6 and 12 months, respectively. 19,20 This case report describes endodontic therapy of a maxillary molar first molar with complex canal anatomy within the apical third of the root canal system that was undetected until post-obturation radiographic review after utilizing the GentleWave Procedure for cleaning and debridement. The postobturation radiograph demonstrates the presence of multiple exits for a palatal apical delta; the mesiobuccal root exhibited a distinct lateral canal, neither of which was visible during the preoperative radiographic examination nor throughout the instrumentation process.…”

Section: 5005/jp-journals-10024-2264mentioning

confidence: 99%

“…The study showed a 92.9% healing rate for patients whom had a necrotic lesion preoperatively, and the overall healing rate was 97.4% after 12 months. 20 Irrigation fluids have limited access to the apical 3 mm of the root canal system during endodontic treatment. 24 However, Vandrangi 36 reported that NaOCl penetration in the apical third was four times more effective with the GentleWave Procedure than active ultrasonic activation.…”

Section: Jcdpmentioning

confidence: 99%

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Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

Ford¹

2018

The Journal of Contemporary Dental Practice

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Aim and background: Debriding and disinfecting complex anatomies within the root canal system pose a major challenge during root canal therapy. Even with current chemomechanical techniques, debris and bacterial remnants are commonly left behind, which are generally believed to increase the risk of endodontic failure. This case details the use of a new technique to debride complex apical anatomy in a maxillary molar. Case report:A 48-year-old female presented to the clinic with a chief complaint of increasing pain in her tooth. Clinical examination of the right first maxillary molar (#3) revealed moderate sensitivity to percussion and mild sensitivity to palpation. A pulpal diagnosis of symptomatic irreversible pulpitis and a periapical diagnosis of symptomatic apical periodontitis were made. Mechanical instrumentation was performed using rotary file size #25/.04 for the mesiobuccal and distobuccal canals and size #25/.06 for the palatal canal to create a fluid path and enable obturation of the root canal system following the GentleWave ® Procedure. The GentleWave Procedure was completed using Multisonic Ultracleaning™ for complete debridement and disinfection of the root canal system. The tooth was obturated using a warm vertical continuous wave obturation technique. Postoperative radiographs revealed complex anatomy within the apical third that was undetected both during pre-operative radiography and mechanical instrumentation. The palatal canal exhibited a complex apical delta with multiple points of exit, and the mesiobuccal canal revealed an undetected lateral canal within the apical third that had a separate and distinct egress. Conclusion and clinical significance:It is important for the clinician to debride and disinfect complex anatomy within the root canal system to reduce the risk of endodontic failure. This case report highlights the clinical significance of utilizing the GentleWave Procedure for detecting complex apical anatomy during endodontic therapy.

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Vital Pulp Extirpation

Whitworth¹

2019

Essential Endodontology

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12-month Healing Rates after Endodontic Therapy Using the Novel GentleWave System: A Prospective Multicenter Clinical Study

Cited by 47 publications

References 35 publications

Complex Apical Anatomy Revealed Following Endodontic Treatment of a Maxillary Molar Using the GentleWave System: A Case Report

Complex Apical Anatomy Revealed Following Endodontic Treatment of a Maxillary Molar Using the GentleWave System: A Case Report

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

Vital Pulp Extirpation

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