Effectiveness of the GentleWave System in Removing Separated Instruments

Wohlgemuth, Pierre; Cuocolo, Davide; Vandrangi, Prashanthi; Sigurdsson, Asgeir

doi:10.1016/j.joen.2015.08.015

Cited by 26 publications

(25 citation statements)

References 32 publications

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“…Endodontic failure, associated with lack of healing, is typically due to a bacterial infection which remains behind when a root canal system is unaffected by poorly instrumented or irrigated root canals . With increased complexities of the root canal systems such as isthmi, lateral canals, fins and apical deltas, additional challenges to cleaning and shaping are introduced . It has been reported that a major cause for endodontic failure is the inability to find and treat all root canal anatomy and canals .…”

Section: Discussionmentioning

confidence: 99%

“…In this case, the GentleWave System was employed as it required only minimal instrumentation to provide a fluid and obturation path. The GentleWave System has shown evidence of superior cleaning as compared to standard root canal treatments, including sonic and ultrasonic devices, and has shown long-term success of 97% in a recent clinical study [14][15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

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Maxillary molar healing after treatment of an uninstrumented canal with a novel root canal procedure: a case report

DiVito

Le²

2017

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Maxillary molar healing after treatment of an uninstrumented canal with a novel root canal procedure: a case report

DiVito

Le²

2017

Clinical Case Reports

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“…Gentle Wave is a new approach for removal of separated instruments [ 49 ]. It has promoted in vitro the removal of 42% to 91% of the fragments, depending on the curvature and location.…”

Section: Instrument Removalmentioning

confidence: 99%

Separation of Nickel-Titanium Rotary and Reciprocating Instruments: A Mini-Review of Clinical Studies

Coelho

Rios

Bueno

2018

TODENTJ

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Objective:This review aimed to evaluate clinical studies that assessed separated NiTi rotary and reciprocating instruments.Design and Methods:This review assessed clinical studies involving treatments performed by undergraduate students, graduate students, and endodontic specialists. This review evaluated studies using rotary instruments, reciprocating instruments, and hybrid techniques. The number of uses of the different NiTi rotary and reciprocating systems was also assessed.Results:The incidence of separation for rotary instruments ranged from 0% to 23%. Rotary instruments were used from 1 to 50 times depending on the instrument and tooth type. The lowest rate of incidence separation for rotary instruments was obtained by undergraduate students, using a hybrid technique. The separation incidence for reciprocating instruments ranged from 0% to 1.71%. Reciprocating instruments were mostly single-used; one study reported their use up to 3 times. Separation rate in reciprocating instruments was similar in single-use or in multiple uses 0.2%.Conclusions:Separation of instruments has dropped recently and seems to be a minor problem in current Endodontics. Multiple uses of NiTi rotary instruments are a possibility without significantly increasing the risk of instrument separation. Single and multiple uses of NiTi reciprocating instruments are also associated with low incidence of separation. Attempting to remove separated instruments should be carefully evaluated.

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“…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%

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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Effectiveness of the GentleWave System in Removing Separated Instruments

Cited by 26 publications

References 32 publications

Maxillary molar healing after treatment of an uninstrumented canal with a novel root canal procedure: a case report

Maxillary molar healing after treatment of an uninstrumented canal with a novel root canal procedure: a case report

Separation of Nickel-Titanium Rotary and Reciprocating Instruments: A Mini-Review of Clinical Studies

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

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