Root Canal Treatment / Dental Microscope
One of the areas in which our office specializes is the treatment of root canals. In the past, root canal procedures were often unsuccessful, since a comprehensive treatment and cleaning were not possible using the instruments available.
What is a Root Canal Treatment?
If a tooth decays, for example, due to advanced-stage cavities, or if the tooth’s nerve needs to be removed from the root canal, the root canal must then be treated, cleaned, disinfected, and finally filled.
Why should a Root Canal Treatment be performed with a Dental Microscope?
A root canal rarely runs straight and often has more than one main canal. The tiny canal entry points and branches cannot be perceived with the naked eye or with magnifying eyeglass lenses. As a result, undetected hollow areas and canals are left untreated and offer the remaining bacteria the opportunity to cause inflammation that in most cases leads to a loss of the tooth. We work with the most state-of-the-art dental microscope so that we are able to identify and treat even the most subtle structures.
What's involved in a Root Canal Treatment?
In treating the canals we use special hand instruments and machine-run equipment that allow for an optimal root canal treatment. To avoid breakages, the machines’ operation is controlled by microprocessors and shuts off automatically if the instrument becomes stuck. At the same time, the correct lengths of the individual root canals are determined by impedance measurements so that fewer x-rays are needed for monitoring. The instruments that we use are highly flexible and allow us to even reach roots that are very crooked.
In addition to treating all of the existing root canals, what is also highly important for a successful treatment of the tooth is the cleaning and disinfecting of the canals. This is done using a special ultrasonic device. The medication that must be inserted into the root canal undergoes strong ultrasonic activation and disinfects even the hard-to-reach areas in the canal. The success of the treatment is checked under the microscope and after the treatment, throrough disinfecting and rinsing are complete, the canal is sealed up tightly. A number of varying alternatives are available here, and one is selected based on the indication. Generally, a so-called warm filling technique is used, which involves filing the canal system incrementally with a fluid material. Here, it is particularly important that the root canals be filled up entirely. Otherwise, inflammation may develop and the tooth cannot be kept. There is evidence showing that when a dental microscope is used here, the success rate for the procedure reaches almost 95%, while one out of every three procedures with standard treatment methods lead to a re-occurrence of an inflammation and, as a result, to the loss of the tooth.
To prevent new bacteria from entering the tooth through the mouth during treatment, the tooth is isolated using a dental dam. Since the tooth is numbed, there is no pain involved in the treatment. A thorough root canal treatment takes time, and at our office, you have the option of wearing a head-mounted display for viewing films and relaxing images during the procedure to keep you busy and help you relax.