Microscopic endodontics
Microscopic endodontics is an advanced method of root canal treatment that uses a surgical microscope to precisely remove infected tissue in the root canals of the teeth. Thanks to this, it is possible to preserve natural teeth and avoid the need to remove them, which is especially important for people who care about the aesthetics of their smile.
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If the tooth damage is deep and causes inflammation, we perform endodontic treatment . It consists in removing the infected or dead tooth pulp from the tooth chamber and root canals. Then, after precise mechanical and chemical preparation, the canals are filled with a biocompatible resin material. Very often, this allows you to save teeth that would once have been suitable for removal.
The entire treatment is performed in a cofferdam cover that protects the treatment area from saliva and the patient from swallowing liquids used for irrigation of the tooth canals.
Endodontic treatment in a few steps:
- Patient examination and X-ray diagnostics
Thanks to the use of X-ray diagnostics, we can diagnose inflammatory changes in the tooth. This makes it much easier to plan the procedure and makes the treatment more accurate. - Root canal preparation
This is one of the most important stages in endodontic treatment . Appropriate preparation of the canals enables their subsequent, precise filling with resin material. - Root canal filling
After precise mechanical and chemical preparation, the canals are filled with a biocompatible resin material. Its task is to seal them so as to prevent the growth of bacteria. - Radiological control of the correctness of the treatment
With the help of X-ray images, we can verify the quality and effectiveness of the treatment. This allows us to verify that no channels have been missed and that all channels have been properly populated.
Treatment of complications
Endodontic treatment often come to our offices. These include: inflammatory changes resulting from underfilled root canals, perforations of the roots and the bottom of the tooth chamber or broken tools in the root canals. We have a wide range of treatments, tools and materials dedicated specifically to this group of postoperative complications .
Re-root canal treatment leading to the healing of inflammatory changes in the bone is often supported by microsurgical resection of the tooth root apex performed under the control of a surgical microscope and (in selected cases) with the use of surgical navigation.
When closing perforations of tooth roots and the bottom of the chamber, we use biocompatible materials, Bioceramics and materials from the MTA group.
Treatment microscope
During endodontic treatment , the doctor’s basic tool is a surgical microscope. Thanks to this, we can see every detail, find additional canals invisible to the naked eye in the tooth.
Cone beam computed tomography
During the diagnostic process, we use Cone Beam Computed Tomography (CBCT) tests with a small imaging field dedicated to this type of treatment. This allows to precisely determine the number and shape of root canals with the use of a minimum dose of X-ray radiation.
Root canal preparation systems
Modern endodontic treatment enables the preparation of tooth canals individually, depending on their shape and the type of ongoing infection. During the procedure, the doctor has a full range of rotational and ultrasonic shaping of tooth canals.
Liquid gutta-percha system
A tight filling of the root canal system of the tooth is crucial for the long-term success of the treatment. The use of liquid gutta-percha systems improves the obturation process and ensures tight filling of canals in places where their geometry is not regular.
Surgical templates/ 3D printing
Surgical procedures accompanying endodontic treatment , such as tooth root tip resections, are performed using navigation templates. The technology, which simultaneously uses computed tomography, scans of the patient’s teeth and 3D printing, allows the procedure to be performed as gently as possible. This minimizes postoperative swelling and does not leave extensive, visible scars. Often, teeth qualified for endodontic treatment are characterized by significant damage to the tooth crown. If it is necessary to perform supportive surgical procedures, the patient receives a temporary, printed in place, prosthetic crown made of certified resins for the duration of healing.
Photoactive disinfection with a diode laser
In the case of a severe infection, the canals are additionally cleaned with a diode laser in the process of photoactive disinfection. Excited Toluidine Blue releases Ozone, which significantly improves the disinfection process of root canals.
Copper iontophoresis
It is a method of treating a complicated root canal system using highly negatively charged copper (II) hydroxide ions and hydroxocuprate anions in an electric field, which is usually performed during two or three patient visits.
of hydroxocuprat applied to the canals covers the walls, maintaining the permanent sterility of the canal system. The electric field induces the migration of ions towards the apical openings, where the hydroxocuprate decomposes to copper hydroxide, which has a long-term bactericidal effect and prevents reinfection of the canals.
Copper ions remaining in the apical area do not induce sensitization or drug resistance while promoting physiological reossification and apical foramen closure.
We use this method when traditional root canal treatment does not bring the desired effect.
Using copper iontophoresis, we treat teeth that would probably have been removed without this method.
If you want to keep your own teeth – it’s worth it. Each untreated dead tooth is the cause of exacerbation of systemic diseases by seeding bacteria into the bloodstream. An alternative to tooth extraction is root canal treatment that eliminates the inflammatory focus.
If there is a possibility to perform root canal treatment and tight reconstruction of the tooth crown, then, both for biological and economic reasons, root canal treatment will be a better solution. We follow the maxim “the best implant is your own tooth” because, regardless of the advancement of modern dental implants, they are almost rigid in the bone. On the other hand, the own tooth is connected to the bone by a network of periodontal ligaments , which participate in the cushioning of the chewing process.
