Integrative Endodontics uses the most advanced technology and science available to treat infected teeth – including multisonic irrigation, via the GentleWave® for root canal treatments.
With the GentleWave® Procedure, the multisonic technology thoroughly cleans the infected root canal. The system’s multiple acoustic frequencies reach the deepest crevices and most elusive intricacies of the root canal space. This advanced method surpasses and replaces the traditional files and irrigation techniques used in standard root canal treatments.
Thanks to multisonic irrigation, our patients experience less pain and discomfort, spend less time in the dental chair, and enjoy the best possible outcome for their overall health. Learn about GentleWave® →
With the power of light & sound.
To ensure harmful bacteria are eradicated, our doctors harness the power of light and sound (through the Fotona LightWalker® and GentleWave®).
On this page, you learned about our use of multisonic technology. Now, learn how we use light.
About the Advanced Procedure
See how GentleWave® reaches the traditionally hard-to-clean pockets of the root canal system. Watch the video above, then learn more in our FAQs below.
The GentleWave® Procedure is an alternative to traditional root canal treatment. This groundbreaking procedure uses a combination of broad-spectrum acoustic energy and advanced fluid dynamics, flushing debris and infected tissue from the root canal system.
More traditional root canal treatment involves an attempt to manually flush the root canal system with liquid from a syringe and suction. However, this method does not always reach the smallest parts of the canal, often leaving irritants and toxins behind, which can result in the tooth becoming reinfected, eventually requiring retreatment (See this PDF from the AAE for more information).
Despite the complexity of the root canal system’s curves, which is a challenge for traditional root canal therapy (RCT) using files, the GentleWave®’s vortex of cleansing fluids make their way into the deepest pockets of the canals.
Yes. In fact, using GentleWave® for root canal treatments is more effective than traditional methods. Studies have shown that the GentleWave® device dissolves tissue faster than conventional techniques, and it allows endodontists to clean microscopic spaces that are not reached with other methods. This means procedures have a higher likelihood of success, avoiding the need for a repeat treatment.
Although the details of the procedure are different for each patient, depending on their individual needs, you usually will experience the GentleWave® Procedure toward the end of your endodontic procedure. After a conservative shaping of the root canal system, created with minimal instrumentation, a seal is placed around the tooth. This seal allows the endodontist to place the GentleWave® instrument on the tooth.
As a final step in the cleaning process, this usually takes under 10 minutes. Even though the root canal system is known to be complex, with many curves, the GentleWave®’s Multisonic Ultracleaning® technology lets the cleaning fluids reach even the hardest-to-access nooks and crevices.
Once the procedure is complete, we follow up with our EndOzLase™ protocol, which involves another round of laser therapy, ozone disinfection, and placement of a bioceramic filling (made of mineral-based material). This material flows three-dimensionally to fill all the intricacies inside the tooth.
Root canals performed with the GentleWave® technology are typically faster than conventional ones. While the procedure adds a few minutes to the cleaning process during your visit, traditional root canal treatment often requires two visits – or extensive instrumentation in an attempt to remove all the tissues and bacteria from inside the root.
Usually, the GentleWave® system allows the endodontist to clean and fill the root canal in just one visit, decreasing the overall time a patient spends in the dental chair.
Typically, a root canal using GentleWave® does not require a second appointment, and our patients’ recovery time often is quicker than traditional RCT (root canal therapy). You may feel minor tenderness in the area or soreness in the jaw for a few days, but pain and swelling are very rare events after this advanced process of cleaning the tooth.
During a root canal treatment, the soft tissue within the tooth (called the pulp) that is infected or inflamed is removed. This prevents a worse or recurring infection. To promote healing and avoid reinfection, all the necrotic tissue and pathogenic material must be properly and thoroughly removed – and the tooth must be completely cleaned.
Inadequate cleaning of the root canal could impact whole-body health, as well as the tooth. Scientific literature suggests that root canal infections, which are often due to incomplete cleaning of an infected tooth, can increase inflammation in the body (see resources below). Conventional root canal treatment failure (apical periodontitis) has been linked with broader health issues, such as diabetes, heart attacks, and gut problems.
With this knowledge in mind, our doctors use multisonic irrigation, advanced lasers, and other ultramodern equipment and techniques to provide an integrative and “wholistic” approach to endodontics.
- Costa TH, de Figueiredo Neto JA, de Oliveira AE, Lopes e Maia Mde F, de Almeida AL. Association between chronic apical periodontitis and coronary artery disease. J Endod. 2014 Feb;40(2):164-7. doi: 10.1016/j.joen.2013.10.026. Epub 2013 Nov 25. PMID: 24461397.
- Garrido M, Cárdenas AM, Astorga J, Quinlan F, Valdés M, Chaparro A, Carvajal P, Pussinen P, Huamán-Chipana P, Jalil JE, Hernández M. Elevated Systemic Inflammatory Burden and Cardiovascular Risk in Young Adults with Endodontic Apical Lesions. J Endod. 2019 Feb;45(2):111-115. doi: 10.1016/j.joen.2018.11.014. PMID: 30711165.
- Gomes MS, Blattner TC, Sant’Ana Filho M, Grecca FS, Hugo FN, Fouad AF, Reynolds MA. Can apical periodontitis modify systemic levels of inflammatory markers? A systematic review and meta-analysis. J Endod. 2013 Oct;39(10):1205-17. doi: 10.1016/j.joen.2013.06.014. Epub 2013 Aug 16. PMID: 24041380.
- Gomes MS, Hugo FN, Hilgert JB, Sant’Ana Filho M, Padilha DM, Simonsick EM, Ferrucci L, Reynolds MA. Apical periodontitis and incident cardiovascular events in the Baltimore Longitudinal Study of Ageing. Int Endod J. 2016 Apr;49(4):334-42. doi: 10.1111/iej.12468. Epub 2015 Jun 11. PMID: 26011008; PMCID: PMC5134837.
- Khalighinejad N, Aminoshariae MR, Aminoshariae A, Kulild JC, Mickel A, Fouad AF. Association between Systemic Diseases and Apical Periodontitis. J Endod. 2016 Oct;42(10):1427-34. doi: 10.1016/j.joen.2016.07.007. Epub 2016 Aug 31. PMID: 27592295.
- Zhang J, Huang X, Lu B, Zhang C, Cai Z. Can apical periodontitis affect serum levels of CRP, IL-2, and IL-6 as well as induce pathological changes in remote organs? Clin Oral Investig. 2016 Sep;20(7):1617-24. doi: 10.1007/s00784-015-1646-6. Epub 2015 Nov 10. PMID: 26556576.