Postoperative Pain after Treatment Using the GentleWave System: A Randomized Controlled Trial

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Description: Cleaning and shaping are necessary to allow for the delivery of irrigants and medicaments to the apical third of the canal. Standard treatment irrigation generally uses a conventional needle and some frequency of sonic activation. The GentleWave System (GWS; Sonendo, Inc, Laguna Hills, CA) combines irrigant delivery with multisonic activation. This randomized clinical trial aimed to determine if the GWS significantly decreases the incidence and intensity of postoperative pain.

At the conclusion, participants should be able to:

  • Discuss the Gentle wave delivery system mechanics.
  • Describe the occurrence of post- operative pain with the Gentle wave system vs conventional irrigation.
  • Discuss irrigant extrusion using the Gentle Wave System


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Daryl Grigsby, Jr., DMD, MS,

Ronald Ordinola-Zapata, DDS, MS, PhD

Dr. Ronald Ordinola Zapata is an Associate Professor at the Endodontic Division University of Minnesota School of Dentistry. Dr. Zapata completed his Endodontic residency program at the IB Bender Endodontic Division, Albert Einstein Medical Center in Philadelphia, (2018), and a Certificate in Clinical Research at the School of Public Health, University of Minnesota. In 2021 Dr. Zapata achieved the Diplomate status of the American Board of Endodontics. Dr. Zapata enjoys teaching, writing scientific papers, and documenting challenging cases. In his academic career, Dr. Zapata has published more than 100 scientific papers in peer-reviewed journals and lectured internationally in more than 10 countries. Dr. Zapata also serves as Associate Editor of the International Endodontic Journal (UK) and is a member of the Scientific Advisory Board of the Journal of Endodontics (USA).

Speaker Disclosure 

I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.

Scott B. McClanahan, D.D.S., M.S.

Dr. Scott B. McClanahan received his D.D.S. from the University of North Carolina at Chapel Hill in 1981 and entered the U.S. Navy. As an out service resident, he completed his certificate of residency in endodontics at Northwestern University Dental School and received a M.S. from Northwestern University in 1989. After three tours of duty as a clinical endodontist, Dr. McClanahan was assigned to the faculty of the Endodontics Department at the Naval Postgraduate Dental School (NPDS), Bethesda, MD in 1998 and in 2001, assumed the responsibilities of Chairman of the Endodontics Department and Director of the Advanced Specialty Education Program in Endodontics. He retired from active duty in September 2005 and in November, joined the faculty at the University of Minnesota, School of Dentistry where he is holds the academic rank of Professor and is the Director of the Division of Endodontics and Director of Graduate Endodontics. He is a Diplomate of the American Board of Endodontics and a director of the board 2013-9 as well as the current board president. Dr. McClanahan is a Fellow of the International College of Dentists.

Alex Fok, PhD, MScâ€