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Postoperative Pain after Treatment Using the GentleWave System: A Randomized Controlled Trial
Daryl Grigsby1, Ronald Ordinola-Zapata1, Scott B McClanahan1
1Division of Endodontics, School of Dentistry, University of Minnesota, Minneapolis, Minnesota.
Journal of Endodontics
|June 20, 2020
Summary
The GentleWave System (GWS) and standard endodontic treatment showed no significant difference in postoperative pain incidence or intensity. Both methods resulted in a significant decrease in pain over time following the procedure.
Area of Science:
- Endodontics
- Dental Technology
- Pain Management
Background:
- Root canal cleaning and shaping are crucial for effective irrigant delivery.
- Conventional endodontic irrigation uses needles and sonic activation.
- The GentleWave System (GWS) integrates irrigant delivery with multisonic activation.
Purpose of the Study:
- To compare the incidence and intensity of postoperative pain between the GentleWave System and standard endodontic treatment.
- To evaluate the efficacy of GWS in reducing endodontic pain.
Main Methods:
- A randomized clinical trial was conducted with two groups: standard treatment and GWS.
- Patients recorded pain levels using a numeric rating scale at baseline and 6, 24, 72, and 168 hours post-treatment.
- Blinding of participants to their assigned treatment group was maintained.
Main Results:
- Postoperative pain occurred in 72.2% of the standard group and 83.3% of the GWS group.
- Peak pain intensity was observed at 6 hours post-treatment for both groups.
- A statistically significant decrease in pain over time was noted in both treatment groups (P < 1.237e-7).
Conclusions:
- No significant difference in postoperative pain incidence or intensity was found between GWS and standard endodontic treatment.
- Both treatment modalities demonstrated a significant reduction in pain over the observation period.
- Further research may explore long-term pain outcomes and patient-reported satisfaction.

