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Endodontics with a Microscope

The field of dentistry is developing dynamically, inventing techniques to preserve natural teeth. Also, the patients more and more opt to keep their own teeth rather than have them extracted and replaced by a prosthetic restoration. This makes the endodontic treatment, or root canal treatment, a very important part of the everyday dental practice. Most patients who visit the dental office with a painful tooth require root canal treatment. In the past, if a tooth was damaged or diseased, it was usually extracted. But today, the chances of saving such a tooth are increasing.
Root canal treatment consists of the careful removal of the inflamed, dead or gangrenous pulp from the root canal and consequently filling the roots with a biocompatible material. To ensure a maximum accuracy of root canal treatment, our clinic offers modern endodontic equipment, including the GLOBAL U.S microscope of the Global Surgical Corporation, X-ray, Propex II Apex Locator (a precise device for measuring the length of the endodontic tools used in root canal treatment), X-smart – a professional endodontic micromotor launched by Maillefer DENTSPLY, and an intraoral camera. All endodontic equipment used in our clinic is supplied by the established Swiss Maillefer – DENTSPLY company.
Global standards in diagnosis and treatment of oral cavity diseases require special professional instruments – an operating microscope (OM). This special device allows our dentist to see into the root with up to 16 fold magnification. Skilled and experienced root canal professionals are able to locate and diagnose the slightest teeth damages and their types, and the use of a high-quality digital camera installed in the OM allows to register the damage.

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Precision Enhanced With A Microscope

The endodontic operating microscope is an invaluable device in root canal treatment. Visualization inside the tooth is enhanced with increased magnification and illumination, allowing the dentist to operate very precisely in an area the size of a square millimetre. In terms of root canal treatment, this precision allows to:

  • Localize and treat the main and secondary root canals of the tooth, including branches often not visible in a standard treatment.


    • Localize and remove broken endodontic instruments, restorative crown fragments, calcified canals.


    • Treating very narrow or obliterated (closed) root canals.


    • Successfully treating difficult and complicated canals with rare root anatomy.


    • Root resorption treatment.


    • Microsurgical apicoectomy and root-end filling with special materials.
Tooth pulling or tooth treating?

Many patients face the dilemma during their lives whether or not opt for saving a tooth with severe pulpitis or even saving its tooth with an endodontic treatment or deciding on the irreversible tooth extraction. It is a well-known fact that professional endodontic treatment entails significant costs compared to tooth extraction, however, the gap left after the extraction needs a prosthetic replacement, and this can in turn significantly exceed the cost of the endodontic treatment. Failure in replacing the gap leads to posterior teeth tilting, adjacent teeth rotation, bone shifting, which in turn may lead to further teeth loss. In light of increasing costs and complications after too rash extractions, the opportunities in modern endodontic treatment of saving a decayed tooth is dentistry’s great advancement.
Today, many teeth “sentenced” to be pulled can be cured. However, it must be remembered that endodontic treatment is a treatment performed on a living tissue like any other medical treatment, and therefore may fail. Even such professional endodontic equipment like a microscope, apex locator, modern endodontic instruments, endodontic micromotors, and biocompatible filling materials do not guarantee a 100% success.

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