In a standard root canal treatment, a series of files are used to reach inside the tooth and mechanically remove the infected tissue. For decades, it has been the prevailing method of cleaning root canal systems.
Root canal systems, however, are highly complex, with twists and turns that make it difficult for files to reach everywhere. In addition, there are microscopic places along the canal walls where bacteria can hide.
The bacteria left behind will continue to multiply, which can cause the infection to return. As a result, you may find that you require another root canal treatment down the road.
GentleWave technology presents a breakthrough alternative to standard root canal treatment. In the GentleWave Procedure, a sterilized instrument delivers a vortex of procedure fluids through your tooth, cleaning debris from canal walls and thoroughly disinfecting in the places where bacteria live.
Cone Beam Computed Tomography (CBCT) is an innovative medical imaging technique that provides endodontists with three-dimensional views of the patient. In certain cases, CBCT greatly enhances the endodontist’s ability to diagnose, evaluate, treat and care for patients.
During a CBCT scan, the machine rotates around the patient, capturing images using a cone-shaped X-ray beam. These images are then used to construct a 3-D representation of the patient’s teeth, oral and maxillofacial region.
Watch the video below to learn more about how CBCT helps endodontists diagnosis and treat dental disease.
In 2015, the AAE and the American Academy of Oral and Maxillofacial Radiology issued a revised joint position statement on the use of CBCT in endodontics. The joint statement, an update from 2010, takes into account scientific literature from the past five years as well as research that indicates the effectiveness of 3-D imaging for endodontic diagnosis and treatment. The statement provides 11 specific recommendations and supporting evidence for when CBCT should be considered, and emphasizes that CBCT should not be used routinely for endodontic diagnosis or screening in the absence of clinical symptoms. Consistent with the principles of ALARA – keeping patient radiation doses “as low as reasonably achievable” – the statement notes that the patient’s history and clinical examination must justify the use of CBCT.