Evaluation of Root Canal Dentin Erosion after Different Irrigation Methods Using Energy-dispersive X-ray Spectroscopy

Wang, Zhejun; Maezono, Hazuki; Shen, Ya; Haapasalo, Markus

doi:10.1016/j.joen.2016.07.024

Cited by 47 publications

(59 citation statements)

References 28 publications

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“…The GentleWave Procedure however, shows promise for cleaning this region. Vandrangi, et al [27], reported that sodium hypochlorite penetration in the apical third was four times more effective with the GentleWave Procedure than active ultrasonic activation, yet the GentleWave Procedure was shown to cause minimal dentin erosion [29].When complex anatomies are successfully obturated after utilizing a minimally invasive endodontic protocol with the GentleWave Procedure, as in this case report, it implies that cleaning has occurred in the area of the root canal system untouched by the endodontic files during the procedure.…”

Section: Discussionmentioning

confidence: 69%

“…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.…”

Section: Introductionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

“…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: 69%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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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“…The GentleWave Procedure has also shown minimal dentin erosion. 37 This present case report features a maxillary molar with undetected complex apical root canal anatomy before utilizing the GentleWave Procedure. The complex anatomies include the palatal canal with an apical delta containing multiple exits and the mesiobuccal canal with a distinct lateral canal.…”

Section: Jcdpmentioning

confidence: 91%

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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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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Evaluation of Root Canal Dentin Erosion after Different Irrigation Methods Using Energy-dispersive X-ray Spectroscopy

Cited by 47 publications

References 28 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

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

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