Assessment of Apical Extrusion during Root Canal Irrigation with the Novel GentleWave System in a Simulated Apical Environment

Irrigation effectiveness of continuous ultrasonic irrigation system: An <i>ex vivo</i> study

“…This can be attributed to the use of positive pressure during irrigant delivery 15,28,30,36) . However, the use of negative pressure-controlled irrigation prevented extrusion beyond the apex as reported in previous studies 16,31,37,38) . Mitchell et al 28) , by using complete mature roots in a similar set-up, consistently found a lower occurrence of extrusion for EV compared to the SI.…”

Retreatment of a Mandibular Molar with Chronic Apical Abscess and Internal Root Resorption with the GentleWave® Procedure: A 16-Month Clinical Case Report

“…Internal root resorption, while being a progressive loss of dentin in teeth with inflamed and possibly partially necrotic pulp tissue, may not necessarily be treated successfully via standard endodontic methods [14]. While endodontic treatment is the preferred treatment modality for internal root resorption, there are other treatment options for internal root resorption which may depend on a variety of factors such as etiology, progression of disease, and location of the defect [2,15].…”

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

“…The GentleWave® Procedure is completed utilizing Multisonic Ultracleaning™ where cavitation propagates multisonic acoustic waves throughout the root canal system and enhances root canal cleaning and disinfection through advanced fluid dynamics, acoustics, and tissue dissolution chemistry [27][28][29]. Haapasalo et al [30], reported seven times faster tissue dissolution with the GentleWave System than standard root canal techniques, including the use of sonic and ultrasonic devices.…”

“…Haapasalo et al [30], reported seven times faster tissue dissolution with the GentleWave System than standard root canal techniques, including the use of sonic and ultrasonic devices. Sodium hypochlorite penetration in the apical third was approximately four times greater with the GentleWave System than active ultrasonic activation, yet the system has been shown to cause minimal dentin erosion [27][28][29]. 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.…”

“…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].…”