WaveOne Gold Conquers Labyrinthine Canals

The Case


A patient came to me complaining of sleepless nights due to spontaneous pain in the left maxillary posterior area.


Through percussion, I identified the source of pain as tooth #27 FDI (#15 Universal). Radiographic observations revealed a large amalgam restoration and a secondary caries lesion below the restoration. I surmised that food impaction could have caused this lesion. Ultimately, my diagnosis was moderate irreversible pulpitis.


From the radiograph, I could see highly curved canals in the mesial roots. I predicted this would be a challenging case.



Locating mesiobuccal 2 was challenging during access. Post-access, I located four separate canals.


Establishing apical patency in mesiobuccal 2 looked like it would be tricky, and in the distal canal? Downright diabolical. Luckily, I was able to depend on the WaveOne Gold Primary files in all canals.


I followed precise irrigation protocol. During shaping, I used nearly 10 ml of 5.25% NaOCl for each canal. After shaping, I used 3 ml of 5.25% NaOCl for 2 min and the EndoActivator for 30 seconds of sonic activation, then 3 ml of 5% EDTA for 1 min, and sonic activation for 30 sec. Then, I used 5.25% NaOCl for 1 min and, finally, I used serum/distilled water to remove the rest of the NaOCl or EDTA.


I opted for the cold lateral compaction technique, using sealer and gutta-percha.


I finished the restoration with a composite resin restoration, but advised an onlay/inlay/endodontic crown or crown restoration.


I was happy to rely on WaveOne Gold for this case. This system really helps me navigate canals with ease, and I value their flexibility and cutting efficiency. For this reason, WaveOne Gold is my go-to system. I also like ProTaper Next, but WaveOne Gold is my favorite.




About the Author


Dr CicekBorn in 1984, Dr. Ersan Çiçek completed dentistry school in 2008 and earned his Ph.D. in 2013. Since then, Dr. Çiçek has worked as an assistant professor for nearly 4 and a half years. He has operated his own clinic since 2017.

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