Evaluation of Root Canal Debridement of Human Molars Using the GentleWave System

Molina, Brandi; Glickman, Gerald N.; Vandrangi, Prashanthi; Khakpour, Mehrzad

doi:10.1016/j.joen.2015.06.018

Cited by 76 publications

(89 citation statements)

References 32 publications

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“…3 Research demonstrates that bacteria remaining after endodontic therapy typically resides in complex anatomical regions, such as the lateral canals and isthmi. 18,24,25 New endodontic technologies have emerged in the last few decades, which aimed at addressing current limitations. Although many endodontic therapies have been introduced, including negative-pressure irrigation, ultrasonic irrigation, sonic irrigation, laser, and photoinduced photo-acoustic streaming (PIPS), none have provided sufficient evidence of adequate debridement and disinfection within the root canal system to prevent the onset and exacerbation of apical periodontitis.…”

Section: Resultsmentioning

confidence: 99%

“…In apical pressure testing, when teeth were filed from size 15/.04 to perforating the apical foramen with file size #40, the GentleWave Procedure created negative apical pressure compared with standard needle irrigation which created positive apical pressures. 17 Molina et al 18 revealed debridement capabilities of 97.2% for the GentleWave Procedure and 67.8% for standard root canal therapy in a histology study on mesiolingual and mesiobuccal roots of endodontically treated molar teeth. Longterm healing rates following endodontic therapy with the GentleWave Procedure demonstrate 97.4 and 97.3% respectively, success at 6 and 12 months, respectively.…”

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

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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Section: Resultsmentioning

confidence: 99%

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

confidence: 99%

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

Ford¹

2018

The Journal of Contemporary Dental Practice

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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: 96%

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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“…Final apical enlargement was completed to full working length with a file size of #20.07. Cleaning and disinfection were performed using the GentleWave® Procedure (Sonendo, Laguna Hills, CA) ( Figure 2) [11][12][13]. Canals were subsequently dried with absorbent paper points.…”

Section: Methodsmentioning

confidence: 99%

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

Garl¹

2017

Dentistry

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Introduction: Internal root resorption is a progressive loss of dentin in teeth with inflamed and possibly partially necrotic pulp tissue. If diagnosed at early stages, the process is halted by endodontic treatment. While endodontic treatment is the preferred treatment modality for internal root resorption, current standard endodontic techniques pose a challenge for cleaning, disinfection and obturation of these irregular and inaccessible areas, especially within the apical third.

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Evaluation of Root Canal Debridement of Human Molars Using the GentleWave System

Cited by 76 publications

References 32 publications

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

Utilizing the GentleWave® System for Debridement of Undetected Apical Anatomy

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

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

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