Endodontics

Treatments:

Primary Root Canal Treatment

This is an effective method for treating teeth with advanced inflammation and is performed when irreversible pulpitis has occurred. The procedure involves removing the diseased tissue from inside the tooth and root canals. After thorough cleaning, widening, and disinfecting, the canals are tightly sealed with a specialised filling material. Depending on the extent of tooth damage, the crown may be restored with a composite filling or reinforced with a post and core, followed by a prosthetic crown.

To assess the severity of inflammation, an X-ray is taken before the procedure. During treatment, additional X-rays are performed to ensure the canals have been properly cleaned and filled.

Secondary Root Canal Treatment (Re-Endodontics)

This treatment is necessary when inflammation develops or persists in a tooth that has previously undergone endodontic therapy. This condition, often referred to as periapical disease, involves infection and inflammation of the bone tissue surrounding the tooth root. Over time, this infection may progress and form a cyst.

This treatment is necessary when inflammation develops or persists in a tooth that has previously undergone endodontic therapy. This condition, often referred to as periapical disease, involves infection and inflammation of the bone tissue surrounding the tooth root. Over time, this infection may progress and form a cyst.

Common causes of complications after a root canal treatment include:

• Bacteria remaining inside the canal or periapical area
• Undetected additional canals during the initial treatment
• Canals that were not completely treated due to limited access or technological limitations (in our clinic, we use a specialised Stomatol microscope, which enables effective treatment of even the most challenging root canals)
• A broken endodontic instrument remaining in the root canal
• New deep tooth decay
• Infection spreading from neighbouring roots
• Fractured or cracked tooth crown

Complex Root Canal Treatments:

• Removal of Broken Endodontic Instruments – During the cleaning of root canals, particularly curved or obstructed ones, a fragment of an instrument may break and become lodged inside the canal. The presence of a broken instrument prevents proper cleaning, disinfecting, and sealing of the canal, allowing bacteria to remain and potentially leading to treatment failure. Removing such fragments requires advanced skills and specialised equipment, including a surgical microscope and an ultrasonic device with dedicated tips. Our clinic is equipped with state-of-the-art technology, including a Swiss Kaps microscope, which allows for highly magnified procedures, and an EMS ultrasonic device for effective instrument retrieval.
• Clearing Blocked (Obliterated) Root Canals – Successful endodontic treatment requires access to the full length of the root canals. However, obliterated (blocked) canals pose a significant challenge and often require microscopic assistance. The most common causes of canal blockage are age-related pulp degeneration or calcification associated with disease. Chronic inflammation can lead to calcium deposition forming inside the canal, gradually narrowing it and making treatment more difficult.
• Sealing Canal Perforations with MTA – Perforation of a root canal can occur due to tooth decay, resorption, or accidental damage during endodontic treatment. It is most common in curved or obstructed canals. Successful perforation repair depends on the size and location of the perforation. When the canal wall is damaged, a dedicated MTA (Mineral Trioxide Aggregate) material is used to seal the area before the final root filling. Owing to the precision required, this procedure is performed under high magnification using a dental microscope.

Treatment Under a Microscope – When Precision Matters!

Advanced Dental Treatment Under High Magnification!

Root canal treatment under a microscope is a highly effective and safe method offered by modern dentistry. Using a microscope, the dentist can perform complex procedures with extreme precision, viewing the treatment area under high magnification. This allows for accurate localisation, thorough cleaning, and precise sealing of root canals. Additionally, it enables the closure of root perforations and the repair of the tooth chamber floor.
Microscopic endodontics is particularly beneficial in cases involving narrow root canals and root apex resections, helping to avoid tooth extraction and preserve the natural tooth.

Microscopic Root Canal Treatment – What You Should Know?

Advantages of Root Canal Treatment Under a Microscope.

This technique offers many important benefits:

• Enhanced visibility of tooth structures under high magnification,
• Maximum precision and accuracy, preventing discomfort and the need for extractions,
• Modern diagnostic and treatment capabilities, especially for teeth with complex anatomy.

Molar teeth often have multiple root canals (four or even five), which of which are difficult to detect with the naked eye. A microscope allows for the precise identification of all canals, which is crucial because undetected canals increase the risk of treatment failure and can prolong pain caused by persistent infection.

Thanks to high magnification, a microscope enables:

• Access to extremely narrow or blocked root canals,
• Removal of broken endodontic instruments from within the canal,
• Removal of old root canal fillings and post-core restorations (retreatment),
• Closure of root perforations.

Microscopic endodontics is a far less invasive and more cost-effective alternative compared to tooth extraction followed by replacement with an implant or bridge.