Microscopic Endodontics and Re-endodontic Treatment

The aim of endodontic treatment is to preserve a natural tooth that might otherwise be lost.

The root canal system is often highly complex, and its anatomy may not be fully visible to the naked eye or on a conventional X-ray. For this reason, our approach to root canal treatment focuses on precise diagnostics, treatment under magnification, thorough disinfection and subsequent high-quality reconstruction of the tooth.

• Treatment under a dental microscope – endodontic and re-endodontic procedures are performed using a Leica dental microscope with the option of a LIVE feed. Magnification and high-quality illumination allow us to work with fine structures inside the tooth and identify even difficult-to-access root canal anatomy.
• 2D and 3D diagnostics – digital X-ray imaging is an integral part of treatment planning. In complex cases where conventional 2D imaging does not provide sufficient information, we can use 3D CBCT imaging with the Planmeca ProMax 3D for a more detailed assessment of root canal anatomy and the surrounding structures.
• Ultrasonic preparation – ultrasonic technology is used to access the root canal system, locate canal entrances and perform other precise procedures during endodontic treatment.
• Mechanical root canal preparation – the root canal system is prepared using modern rotary and reciprocating instruments, with respect to its individual anatomy.
• Thorough disinfection – mechanical preparation is complemented by chemical disinfection and activation of irrigation solutions; in selected cases, we also use a diode laser.
• Re-endodontic treatment – we also perform retreatment of previously root-filled teeth when the original endodontic treatment needs to be revised.
• Definitive tooth reconstruction – endodontic treatment does not end with root canal filling. Depending on the extent of tooth damage, we subsequently restore the tooth with a composite build-up or a CAD/CAM onlay, overlay or crown, with the aim of restoring its function and providing long-term protection.

DIAGNOSTICS → MICROSCOPE → PREPARATION → DISINFECTION → ROOT CANAL FILLING → DEFINITIVE RESTORATION

 

For us, microscopic endodontics is not an isolated procedure. It is part of a comprehensive treatment process aimed at preserving the natural tooth and restoring its function.