North Texas Dentistry Volume 8 Issue 4 2018 ISSUE 4 DE | Page 17

Case 3
This is a case of a 71-year-old male who presented with a history of hot,
cold, and chewing sensitivity. Tooth #18 was sensitive to the bite,
percussion and cold tests. The pre-operative radiograph revealed severe
dilaceration of the mesial root. The GentleWave procedure was completed
in one visit with minimal shaping of the canal system.
Pre-GentleWave Procedure
A 71-year-old female presented with multiple large radiolucent lesions
associated with the root end of teeth #12-14. There is significant abfraction
of teeth #12-14. Tooth #13 was previously endodontically treated two years
ago and is currently asymptomatic. Tooth #15 had recurrent decay on the
lingual crown margin and it was symptomatic when the patient was first
seen at our office, therefore this tooth was treated first. The diagnosis for
tooth #15 was pulp necrosis with symptomatic apical periodontitis.
Treatment was then followed by tooth #12 and then #14. Treatment of tooth
#13 is being considered next. All treatments were a single visit with the
GentleWave Procedure. At five-month recall, the patient is asymptomatic
and teeth #12 and 14 showed radiographic healing.
Post-GentleWave Procedure
Case 4
This is a case of a 64-year-old male who presented with a history of chew-
ing sensitivity and a toothache that kept him up all night. The diagnosis was
pulp necrosis with symptomatic apical periodontitis. The treatment was a
single visit GentleWave. Note the microfine anatomy in the apical one-
third, midroot lateral canal of the mesial root and slight internal resorption
that had occurred, as seen by the balloon-shaped fill of the coronal third of
the mesial root.
Pre-GentleWave Procedure
Case 5
Post-GentleWave Procedure
Pre-GentleWave Procedure
Post-GentleWave Recall
#12: 4-month recall
#14: 3-month recall
#15: 5-month recall
Dr. Le O’Leary is a board certified
Endodontist who has her private
Endodontic practice in Plano, Texas.
She was born in Vietnam, and at the age
of eight, her family immigrated to Canada,
where she later relocated to the U.S. for her
college studies. She earned a Bachelor of
Science in Microbiology from the University of
Texas at Arlington and she went on to earn her
dental degree at Baylor College of Dentistry in
1992. Dr O’Leary completed her residency in
Endodontics in 1996 at the University of
Michigan and is an active member of the American Association of
Endodontists, the American Dental Association and the Dallas County
Dental Society. She has assumed active leadership roles in numerous
local and state organizations. She has published several articles in the
field of endodontics. She has also authored a chapter on Cone Beam
Computed Tomography in the book “Endodontic Radiology” published in
2012. In her spare time, Dr O’Leary loves to cook, exercise, garden, and
travel, and enjoys her family and new grandson.
Le O'Leary DDS
Advanced Microendodontics, PC
Post-GentleWave Procedure (Magnified View)
6217 Chapel Hill Blvd, Plano, TX 75093
[phone]
www.amedds.com
Follow us on Instagram @endoame
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