Sonendo GentleWave™ System for Treatment in Molar Teeth Requiring Root Canal Therapy
SUPREME
A Prospective, Multicenter Study Comparing Healing After Treatment With the Sonendo GentleWave™ System as Compared to a Traditional Root Canal Therapy Literature Control
1 other identifier
interventional
69
1 country
3
Brief Summary
A prospective, literature controlled, clinical study evaluating healing rates for the Sonendo GentleWave System in the treatment of 1st and 2nd molars indicated for root canal therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2014
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2014
CompletedFirst Submitted
Initial submission to the registry
November 3, 2014
CompletedFirst Posted
Study publicly available on registry
November 7, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 22, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2018
CompletedResults Posted
Study results publicly available
January 31, 2023
CompletedJanuary 31, 2023
January 1, 2023
3 years
November 3, 2014
November 3, 2022
January 5, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
Number of Participants With a PAI Score of < 3, = 3, or = 4 or 5
The periapical index: A scoring system for radiographic assessment of apical periodontitis. Score of 1: Normal. Score of 2: Small changes in bone structure. Score of 3: Changes in bone structure with some mineral loss (bone loss). Score of 4: Periodontitis with well-defined radiolucent area (apical periodontitis). Score of 5: Severe Periodontitis with exacerbating features (apical periodontitis). Healed is defined by absence of a radiographic indication of apical periodontitis (PAI \<3) and absence of clinical signs and symptoms other than tenderness to percussion. Healing is defined by a reduction of radiolucency (if radiolucency is present at Baseline) combined with the absence of clinical signs and symptoms other than tenderness to percussion.
12 months
Periradicular Diagnosis
Symptomatic Apical Periodontitis: Inflammation, with clinical symptoms. Asymptomatic Apical Periodontitis: Inflammation with apical radiolucent area, does not produce clinical symptoms. Acute Apical Abscess: Inflammation characterized by rapid onset of clinical symptoms and swelling. Chronic Apical Abscess: Inflammation characterized by gradual onset, little or no discomfort, presence of a sinus tract. Condensing Osteitis: Diffuse radiopaque lesion representing a localized bony reaction to inflammation. Healed is defined by absence of a radiographic indication of apical periodontitis (PAI \<3) and absence of clinical signs and symptoms other than tenderness to percussion. Healing is defined by a reduction of radiolucency (if radiolucency is present at Baseline) combined with the absence of clinical signs and symptoms other than tenderness to percussion.
12 months
Study Arms (1)
Sonendo GentleWave™ System
OTHERThe Sonendo GentleWave System is intended to prepare, clean, and irrigate 1st and 2nd molar teeth indicated for root canal therapy.
Interventions
Eligibility Criteria
You may qualify if:
- to 75 years of age
- Indicated for root canal therapy
- First or second molar
- Signed informed consent form
You may not qualify if:
- Poor oral hygiene
- Class II or III mobility
- Open or incompletely formed root apices
- Vertical fracture, horizontal fracture, or perforation below the Cemento-Enamel Junction (CEJ)
- Previous pulpectomy or root canal therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sonendo, Inc.lead
Study Sites (3)
Shahriar Rassoulian, DMD
Aliso Viejo, California, 92656, United States
Khang Le, DDS
Santa Ana, California, 92704, United States
Stacey Woo, DDS
Whittier, California, 90602, United States
Related Publications (68)
Peters OA, Schonenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J. 2001 Apr;34(3):221-30. doi: 10.1046/j.1365-2591.2001.00373.x.
PMID: 12193268BACKGROUNDPeters OA, Peters CI, Schonenberger K, Barbakow F. ProTaper rotary root canal preparation: effects of canal anatomy on final shape analysed by micro CT. Int Endod J. 2003 Feb;36(2):86-92. doi: 10.1046/j.1365-2591.2003.00626.x.
PMID: 12657151BACKGROUNDShuping GB, Orstavik D, Sigurdsson A, Trope M. Reduction of intracanal bacteria using nickel-titanium rotary instrumentation and various medications. J Endod. 2000 Dec;26(12):751-5. doi: 10.1097/00004770-200012000-00022.
PMID: 11471648BACKGROUNDMcGurkin-Smith R, Trope M, Caplan D, Sigurdsson A. Reduction of intracanal bacteria using GT rotary instrumentation, 5.25% NaOCl, EDTA, and Ca(OH)2. J Endod. 2005 May;31(5):359-63. doi: 10.1097/01.don.0000145035.85272.7c.
PMID: 15851929BACKGROUNDHulsmann M, Schade M, Schafers F. A comparative study of root canal preparation with HERO 642 and Quantec SC rotary Ni-Ti instruments. Int Endod J. 2001 Oct;34(7):538-46. doi: 10.1046/j.1365-2591.2001.00431.x.
PMID: 11601772BACKGROUNDVaudt J, Bitter K, Neumann K, Kielbassa AM. Ex vivo study on root canal instrumentation of two rotary nickel-titanium systems in comparison to stainless steel hand instruments. Int Endod J. 2009 Jan;42(1):22-33. doi: 10.1111/j.1365-2591.2008.01489.x.
PMID: 19125977BACKGROUNDWilcox LR, Roskelley C, Sutton T. The relationship of root canal enlargement to finger-spreader induced vertical root fracture. J Endod. 1997 Aug;23(8):533-4. doi: 10.1016/S0099-2399(97)80316-0.
PMID: 9587326BACKGROUNDWu MK, R'oris A, Barkis D, Wesselink PR. Prevalence and extent of long oval canals in the apical third. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Jun;89(6):739-43. doi: 10.1067/moe.2000.106344.
PMID: 10846130BACKGROUNDJafarzadeh H, Abbott PV. Ledge formation: review of a great challenge in endodontics. J Endod. 2007 Oct;33(10):1155-62. doi: 10.1016/j.joen.2007.07.015. Epub 2007 Sep 4.
PMID: 17889681BACKGROUNDCohen S., Burns R. C. Pathways of the pulp. 8th ed. St Louis: Mosby, 2002.
BACKGROUNDKapalas A, Lambrianidis T. Factors associated with root canal ledging during instrumentation. Endod Dent Traumatol. 2000 Oct;16(5):229-31. doi: 10.1034/j.1600-9657.2000.016005229.x.
PMID: 11202887BACKGROUNDHarty FJ, Parkins BJ, Wengraf AM. Success rate in root canal therapy. A retrospective study of conventional cases. Br Dent J. 1970 Jan 20;128(2):65-70. doi: 10.1038/sj.bdj.4802429. No abstract available.
PMID: 5270224BACKGROUNDNamazikhah MS, Mokhlis HR, Alasmakh K. Comparison between a hand stainless-steel K file and a rotary NiTi 0.04 taper. J Calif Dent Assoc. 2000 Jun;28(6):421-6.
PMID: 11324127BACKGROUNDGreene KJ, Krell KV. Clinical factors associated with ledged canals in maxillary and mandibular molars. Oral Surg Oral Med Oral Pathol. 1990 Oct;70(4):490-7. doi: 10.1016/0030-4220(90)90217-g.
PMID: 2216387BACKGROUNDGutmann J. L., Dumsha T. C., Lovdahl P. E., Hovland E. J. Problem Solving in Endodontics (3rd ed.). St. Louis: Mosby, 1997.
BACKGROUNDBergenholtz G, Lekholm U, Milthon R, Heden G, Odesjo B, Engstrom B. Retreatment of endodontic fillings. Scand J Dent Res. 1979 Jun;87(3):217-24. doi: 10.1111/j.1600-0722.1979.tb00675.x.
PMID: 293884BACKGROUNDStadler LE, Wennberg A, Olgart L. Instrumentation of the curved root canal using filing or reaming technique--a clinical study of technical complications. Swed Dent J. 1986;10(1-2):37-43.
PMID: 3458317BACKGROUNDEleftheriadis GI, Lambrianidis TP. Technical quality of root canal treatment and detection of iatrogenic errors in an undergraduate dental clinic. Int Endod J. 2005 Oct;38(10):725-34. doi: 10.1111/j.1365-2591.2005.01008.x.
PMID: 16164687BACKGROUNDSeltzer S, Bender IB, Smith J, Freedman I, Nazimov H. Endodontic failures--an analysis based on clinical, roentgenographic, and histologic findings. I. Oral Surg Oral Med Oral Pathol. 1967 Apr;23(4):500-16. doi: 10.1016/0030-4220(67)90546-4. No abstract available.
PMID: 5227403BACKGROUNDAlhadainy HA. Root perforations. A review of literature. Oral Surg Oral Med Oral Pathol. 1994 Sep;78(3):368-74. doi: 10.1016/0030-4220(94)90070-1.
PMID: 7970600BACKGROUNDJew RC, Weine FS, Keene JJ Jr, Smulson MH. A histologic evaluation of periodontal tissues adjacent to root perforations filled with Cavit. Oral Surg Oral Med Oral Pathol. 1982 Jul;54(1):124-35. doi: 10.1016/0030-4220(82)90427-3.
PMID: 6956820BACKGROUNDIngle J. I., Bakland L. K. Endodontics. 5th ed. London: BC Decker Inc., 2002.
BACKGROUNDSwartz DB, Skidmore AE, Griffin JA Jr. Twenty years of endodontic success and failure. J Endod. 1983 May;9(5):198-202. doi: 10.1016/S0099-2399(83)80092-2. No abstract available.
PMID: 6574207BACKGROUNDSjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990 Oct;16(10):498-504. doi: 10.1016/S0099-2399(07)80180-4.
PMID: 2084204BACKGROUNDSmith CS, Setchell DJ, Harty FJ. Factors influencing the success of conventional root canal therapy--a five-year retrospective study. Int Endod J. 1993 Nov;26(6):321-33. doi: 10.1111/j.1365-2591.1993.tb00765.x.
PMID: 8144241BACKGROUNDFriedman S, Lost C, Zarrabian M, Trope M. Evaluation of success and failure after endodontic therapy using a glass ionomer cement sealer. J Endod. 1995 Jul;21(7):384-90. doi: 10.1016/S0099-2399(06)80976-3.
PMID: 7499981BACKGROUNDElAyouti A, Weiger R, Lost C. Frequency of overinstrumentation with an acceptable radiographic working length. J Endod. 2001 Jan;27(1):49-52. doi: 10.1097/00004770-200101000-00018.
PMID: 11487165BACKGROUNDElAyouti A, Dima E, Ohmer J, Sperl K, von Ohle C, Lost C. Consistency of apex locator function: a clinical study. J Endod. 2009 Feb;35(2):179-81. doi: 10.1016/j.joen.2008.10.017. Epub 2008 Dec 12.
PMID: 19166768BACKGROUNDWilliams CB, Joyce AP, Roberts S. A comparison between in vivo radiographic working length determination and measurement after extraction. J Endod. 2006 Jul;32(7):624-7. doi: 10.1016/j.joen.2005.10.044.
PMID: 16793467BACKGROUNDParashos P, Gordon I, Messer HH. Factors influencing defects of rotary nickel-titanium endodontic instruments after clinical use. J Endod. 2004 Oct;30(10):722-5. doi: 10.1097/01.don.0000129963.42882.c9.
PMID: 15448468BACKGROUNDParashos P, Messer HH. Rotary NiTi instrument fracture and its consequences. J Endod. 2006 Nov;32(11):1031-43. doi: 10.1016/j.joen.2006.06.008.
PMID: 17055902BACKGROUNDSuter B, Lussi A, Sequeira P. Probability of removing fractured instruments from root canals. Int Endod J. 2005 Feb;38(2):112-23. doi: 10.1111/j.1365-2591.2004.00916.x.
PMID: 15667633BACKGROUNDSeltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod. 1985 Nov;11(11):472-8. doi: 10.1016/S0099-2399(85)80220-X. No abstract available.
PMID: 3868692BACKGROUNDNaidorf IJ. Endodontic flare-ups: bacteriological and immunological mechanisms. J Endod. 1985 Nov;11(11):462-4. doi: 10.1016/S0099-2399(85)80218-1. No abstract available.
PMID: 3868690BACKGROUNDVande Visse JE, Brilliant JD. Effect of irrigation on the production of extruded material at the root apex during instrumentation. J Endod. 1975 Jul;1(7):243-6. doi: 10.1016/s0099-2399(75)80227-5. No abstract available.
PMID: 1061800BACKGROUNDMartin H, Cunningham WT. The effect of endosonic and hand manipulation on the amount of root canal material extruded. Oral Surg Oral Med Oral Pathol. 1982 Jun;53(6):611-3. doi: 10.1016/0030-4220(82)90350-4. No abstract available.
PMID: 6954443BACKGROUNDal-Omari MA, Dummer PM. Canal blockage and debris extrusion with eight preparation techniques. J Endod. 1995 Mar;21(3):154-8. doi: 10.1016/s0099-2399(06)80443-7.
PMID: 7561660BACKGROUNDReddy SA, Hicks ML. Apical extrusion of debris using two hand and two rotary instrumentation techniques. J Endod. 1998 Mar;24(3):180-3. doi: 10.1016/S0099-2399(98)80179-9.
PMID: 9558583BACKGROUNDFerraz CC, Gomes NV, Gomes BP, Zaia AA, Teixeira FB, Souza-Filho FJ. Apical extrusion of debris and irrigants using two hand and three engine-driven instrumentation techniques. Int Endod J. 2001 Jul;34(5):354-8. doi: 10.1046/j.1365-2591.2001.00394.x.
PMID: 11482718BACKGROUNDAzar NG, Ebrahimi G. Apically-extruded debris using the ProTaper system. Aust Endod J. 2005 Apr;31(1):21-3. doi: 10.1111/j.1747-4477.2005.tb00202.x.
PMID: 15881729BACKGROUNDTinaz AC, Alacam T, Uzun O, Maden M, Kayaoglu G. The effect of disruption of apical constriction on periapical extrusion. J Endod. 2005 Jul;31(7):533-5. doi: 10.1097/01.don.0000152294.35507.35.
PMID: 15980716BACKGROUNDTanalp J, Kaptan F, Sert S, Kayahan B, Bayirl G. Quantitative evaluation of the amount of apically extruded debris using 3 different rotary instrumentation systems. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Feb;101(2):250-7. doi: 10.1016/j.tripleo.2005.03.002. Epub 2005 Oct 14.
PMID: 16448929BACKGROUNDKustarci A, Akpinar KE, Er K. Apical extrusion of intracanal debris and irrigant following use of various instrumentation techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Feb;105(2):257-62. doi: 10.1016/j.tripleo.2007.06.028.
PMID: 18230395BACKGROUNDLogani A, Shah N. Apically extruded debris with three contemporary Ni-Ti instrumentation systems: an ex vivo comparative study. Indian J Dent Res. 2008 Jul-Sep;19(3):182-5. doi: 10.4103/0970-9290.42947.
PMID: 18797091BACKGROUNDSalzgeber RM, Brilliant JD. An in vivo evaluation of the penetration of an irrigating solution in root canals. J Endod. 1977 Oct;3(10):394-8. doi: 10.1016/S0099-2399(77)80172-6. No abstract available.
PMID: 270543BACKGROUNDBalto H., Al-Nazhan S. s.l, Accidental injection of sodium hypochlorite beyond the root apex: Saudi Dent. J., 2002, Vol. 14.
BACKGROUNDBecker GL, Cohen S, Borer R. The sequelae of accidentally injecting sodium hypochlorite beyond the root apex. Report of a case. Oral Surg Oral Med Oral Pathol. 1974 Oct;38(4):633-8. doi: 10.1016/0030-4220(74)90097-8. No abstract available.
PMID: 4547330BACKGROUNDBecking AG. Complications in the use of sodium hypochlorite during endodontic treatment. Report of three cases. Oral Surg Oral Med Oral Pathol. 1991 Mar;71(3):346-8. doi: 10.1016/0030-4220(91)90313-2.
PMID: 2011360BACKGROUNDBowden JR, Ethunandan M, Brennan PA. Life-threatening airway obstruction secondary to hypochlorite extrusion during root canal treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Mar;101(3):402-4. doi: 10.1016/j.tripleo.2005.06.021. Epub 2005 Oct 5. No abstract available.
PMID: 16504876BACKGROUNDCymbler DM, Ardakani P. Sodium hypochlorite injection into periapical tissues. Dent Update. 1994 Oct;21(8):345-6.
PMID: 7641958BACKGROUNDEhrich DG, Brian JD Jr, Walker WA. Sodium hypochlorite accident: inadvertent injection into the maxillary sinus. J Endod. 1993 Apr;19(4):180-2. doi: 10.1016/S0099-2399(06)80684-9.
PMID: 8326264BACKGROUNDGatot A, Arbelle J, Leiberman A, Yanai-Inbar I. Effects of sodium hypochlorite on soft tissues after its inadvertent injection beyond the root apex. J Endod. 1991 Nov;17(11):573-4. doi: 10.1016/S0099-2399(06)81725-5.
PMID: 1812208BACKGROUNDHerrmann JW, Heicht RC. Complications in therapeutic use of sodium hypochlorite. J Endod. 1979 May;5(5):160. doi: 10.1016/S0099-2399(79)80039-4. No abstract available.
PMID: 296258BACKGROUNDHulsmann M, Hahn W. Complications during root canal irrigation--literature review and case reports. Int Endod J. 2000 May;33(3):186-93. doi: 10.1046/j.1365-2591.2000.00303.x.
PMID: 11307434BACKGROUNDJoffe E. Complication during root canal therapy following accidental extrusion of sodium hypochlorite through the apical foramen. Gen Dent. 1991 Nov-Dec;39(6):460-1. No abstract available.
PMID: 1813356BACKGROUNDKavanagh CP, Taylor J. Inadvertent injection of sodium hypochlorite into the maxillary sinus. Br Dent J. 1998 Oct 10;185(7):336-7. doi: 10.1038/sj.bdj.4809809.
PMID: 9807916BACKGROUNDMelzack R. The short-form McGill Pain Questionnaire. Pain. 1987 Aug;30(2):191-197. doi: 10.1016/0304-3959(87)91074-8.
PMID: 3670870BACKGROUNDGracely RH, Kwilosz DM. The Descriptor Differential Scale: applying psychophysical principles to clinical pain assessment. Pain. 1988 Dec;35(3):279-288. doi: 10.1016/0304-3959(88)90138-8.
PMID: 3226757BACKGROUNDOrstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986 Feb;2(1):20-34. doi: 10.1111/j.1600-9657.1986.tb00119.x. No abstract available.
PMID: 3457698BACKGROUNDLouis H. Berman and Gary R. Hartwell. "Diagnosis", in pathways of the Pulp, K. Hargreaves, S. Cohen, 10th ed. St. Louis: Mosby, 2011.
BACKGROUNDBerman L. H., Hartwell, G. R. "Diagnosis", in Pathways of the Pulp, ed. S. Cohen, K. Hargreaves, 9th ed. St. Louis: Mosby, 2006.
BACKGROUNDHarpenau, L. A. "Furcation Involvement", in Hall's Critical Decisions in Periodontology, ed. Harpenau, L. A. Shelton, CT: People's Medical Publishing House, 2013.
BACKGROUNDGlickman GN. AAE Consensus Conference on Diagnostic Terminology: background and perspectives. J Endod. 2009 Dec;35(12):1619-20. doi: 10.1016/j.joen.2009.09.029. No abstract available.
PMID: 19932336BACKGROUNDTani-Ishii N, Teranaka T. Clinical and radiographic evaluation of root-canal obturation with obtura II. J Endod. 2003 Nov;29(11):739-42. doi: 10.1097/00004770-200311000-00013.
PMID: 14651281BACKGROUNDde Sermeno RF, da Silva LA, Herrera H, Herrera H, Silva RA, Leonardo MR. Tissue damage after sodium hypochlorite extrusion during root canal treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jul;108(1):e46-9. doi: 10.1016/j.tripleo.2008.12.024. Epub 2009 May 13.
PMID: 19442541BACKGROUNDKoseoglu BG, Tanrikulu S, Subay RK, Sencer S. Anesthesia following overfilling of a root canal sealer into the mandibular canal: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Jun;101(6):803-6. doi: 10.1016/j.tripleo.2005.07.015. Epub 2006 Jan 4.
PMID: 16731404BACKGROUNDSari S, Duruturk L. Radiographic evaluation of periapical healing of permanent teeth with periapical lesions after extrusion of AH Plus sealer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Sep;104(3):e54-9. doi: 10.1016/j.tripleo.2007.03.024.
PMID: 17709070BACKGROUNDWorld Medical Association.. World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull World Health Organ. 2001;79(4):373-4. Epub 2003 Jul 2. No abstract available.
PMID: 11357217BACKGROUND
Results Point of Contact
- Title
- Director of Clinical Research
- Organization
- Sonendo, Inc.
Study Officials
- STUDY DIRECTOR
Dan Miller
Sonendo, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 3, 2014
First Posted
November 7, 2014
Study Start
July 1, 2014
Primary Completion
June 22, 2017
Study Completion
December 31, 2018
Last Updated
January 31, 2023
Results First Posted
January 31, 2023
Record last verified: 2023-01
Data Sharing
- IPD Sharing
- Will not share