Apical pressure created during irrigation with the GentleWave™ system compared to conventional syringe irrigation

Haapasalo, Markus; Shen, Ya; Wang, Zhejun; Park, Ellen; Curtis, Allison; Patel, Payal; Vandrangi, Prashanthi

doi:10.1007/s00784-015-1632-z

Cited by 31 publications

(36 citation statements)

References 42 publications

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“…GentleWave (Sonendo, Laguna Hills, CA, USA) is used for irrigation of the canal and generates different physiochemical mechanisms, including a broad spectrum of sound waves to clean the root canal space ( 125 ). It has superior tissue dissolution ability through the generated mechanisms ( 126 ). It has a greater ability to remove residual debris than conventional methods ( 127 ), which can enhance the speed and rate of healing of apical periodontitis ( 128 ).…”

Section: Introductionmentioning

confidence: 99%

Endodontic Periapical Lesion: An Overview on Etiology, Diagnosis and Current Treatment Modalities

2020

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Nonsurgical and surgical endodontic treatments have a high success rate in the treatment and prevention of apical periodontitis when carried out according to standard and accepted clinical principles. Nevertheless, endodontic periapical lesions remain in some cases, and further treatment should be considered when apical periodontitis persists. Although several treatment modalities have been proposed for endodontically treated teeth with persistent apical periodontitis, there is a need for less invasive methods with more predictable outcomes. The advantages and shortcomings of existing approaches for the diagnosis and treatment of endodontic periradicular lesions are discussed in this review.

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Section: Introductionmentioning

confidence: 99%

Endodontic Periapical Lesion: An Overview on Etiology, Diagnosis and Current Treatment Modalities

2020

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“…Ex vivo and clinical studies have indicated that intact areas remain on root canal walls during mechanical preparation, and therefore, it is important to perform irrigation in addition to mechanical preparation 15 , 23 . For this purpose, several different irrigation solutions, medicaments and techniques have been used 10 , 11 , 14 .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of various irrigation protocols for the removal of calcium hydroxide from artificial standardized grooves

et al. 2017

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Objective The aim of this study was to investigate the ability of laser-activated irrigation (LAI), XP-endo Finisher, CanalBrush, Vibringe, passive ultrasonic irrigation (PUI), and conventional syringe irrigation systems on the removal of calcium hydroxide (CH) from simulated root canal irregularities.Material and Methods The root canals of one hundred and five extracted single-rooted teeth were instrumented using Reciproc rotary files up to size R40. The teeth were split longitudinally. Two of the three standard grooves were created in the coronal and apical section of one segment, and another in the middle part of the second segment. The standardized grooves were filled with CH and the root halves were reassembled. After 14 days, the specimens were randomly divided into 7 experimental groups (n=15/group). CH was removed as follows: Group 1: beveled needle irrigation; Group 2: double side-vented needle irrigation; Group 3: CanalBrush; Group 4: XP-endo Finisher; Group 5: Vibringe; Group 6: PUI; Group 7: LAI. The amount of remaining CH in the grooves was scored under a stereomicroscope at 20× magnification. Statistical evaluation was performed using Kruskal–Wallis and Bonferroni-Correction Mann–Whitney U tests.Results Groups 1 and 2 were the least efficient in eliminating CH from the grooves. Groups 6 and 7 eliminated more CH than the other protocols; however, no significant differences were found between these two groups (P>.05).Conclusions Nevertheless, none of the investigated protocols were able to completely remove all CH from all three root regions. LAI and PUI showed less residual CH than the other protocols from artificial grooves.

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“…Haapasalo, et al [30], reported the GentleWave Procedure provides seven times faster tissue dissolution than standard root canal therapy devices, including ultrasonic based irrigation devices. Clinical study results on apical pressure testing, as published by Haapasalo et al [45], show negative pressure being generated at the apex when utilizing the GentleWave Procedure as compared to positive apical pressures being generated when using syringe irrigation devices. 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.…”

Section: Discussionmentioning

confidence: 96%

“…After endodontic instrumentation, anatomical variations typically contain tissue remnants, bacteria, and dentin shavings that inhibit the ability of irrigation fluids to reach areas of the root canal system [41,42]. Additionally, over-enlargement or excess dentin removal from instrumentation can result in perforation, root fractures or other endodontic mishaps [12,43,45]. Therefore, the need for newer, more innovative technology to enhance cleaning and irrigation for endodontic therapy has only grown as the understanding of the true complexity of the naturally occurring root canal system is understood.…”

Section: Discussionmentioning

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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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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Apical pressure created during irrigation with the GentleWave™ system compared to conventional syringe irrigation

Abstract: Negative pressure during irrigation contributes to improved safety as compared to high-positive pressure.

Cited by 31 publications

References 42 publications

Endodontic Periapical Lesion: An Overview on Etiology, Diagnosis and Current Treatment Modalities

Endodontic Periapical Lesion: An Overview on Etiology, Diagnosis and Current Treatment Modalities

Effectiveness of various irrigation protocols for the removal of calcium hydroxide from artificial standardized grooves

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

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