iStomatolog > Dental Treatment > Treatment of root canals under a microscope

Treatment of root canals under a microscope in Kyiv

What is the purpose of root canal treatment in a tooth?

Ideally treated root canals are 80% of the success in treating teeth. Root canals are located in the root of the tooth and essentially serve as gateways for infection and bone tissue contamination of the jaw (a common cause of tooth cyst formation). Properly sealed canals provide a reliable foundation for further restoration or crown placement of the tooth.

Treatment of root canals under a microscope

Treatment of root canals under a microscope is the latest technique in dentistry, allowing the dentist to have complete control over their actions. One of the most common causes of tooth decay is poor filling of the canals, which serve as the "gateway" for the penetration of pathogenic agents.

The unpredictability of the anatomical structure of the pulp and dental canals leads to numerous defects in the treatment of complex teeth. About 30-40% of patients have additional canals that cannot be seen and, therefore, cannot be filled without high-precision optics.

Infectious damage that develops in 90% of cases due to incomplete filling is accompanied by an inflammatory process in the jawbone and the formation of cysts, which, in turn, leads to the need for tooth extraction. Perfectly treated root canals are a reliable foundation for future restorations and high-tech prosthetics.

Dentists who apply innovative techniques claim that only what you see can be reliably treated. Examining the tooth canals in detail and performing "jewelry" filling under a microscope is a real possibility today.

When is root canal treatment under a microscope necessary?

  • Removal of previous poor-quality fillings, in case of inflammation in the bone (tooth cysts)
  • Retrieval of a broken instrument from the canal
  • Treatment of severely narrowed canals
  • Planned preparation of teeth for subsequent prosthetics with large bridge structures
  • Presence of an implant nearby (if an inflammatory process occurs in a tooth with poorly treated canals, it may involve the bone tissue and cause implant rejection)

Benefits of using a microscope for root canal treatment

  • The ability to see the entrance to additional canals, which is particularly relevant for lateral teeth (unnoticed canals are a common cause of cyst formation)
  • High-quality canal treatment with disinfectant solutions and obtaining a sterile surface
  • Minimal risk of perforation, and therefore re-infection
  • The ability to treat and seal lateral branches
  • Removal of broken instruments under visual control

Photos of root canal treatment under a microscope

Обломок инструмента находится возле верхушки корня

Длина обломка инструмента, извлеченного с помощью микроскопа, около 4 мм

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    What is a dental microscope?

    A dental microscope is a complex optical device that magnifies the image of the examined object by 30 or more times. The magnification adjustment can be smooth or stepwise. The main working units of the dental device are:

    • objective lens;
    • eyepiece (a system of lenses in one frame);
    • tube (connecting element);
    • image reproduction and data recording system.

    With the help of innovative equipment, a dentist can examine the tooth cavity and surrounding tissues in detail, detecting pathological processes at an early stage. The entire process of root canal treatment under a microscope, as well as other medical manipulations, is performed under visual control, including in hard-to-reach areas of the oral cavity.

    A modern optical microscope is connected to a miniature video camera, which displays the image on a screen. Patients can receive detailed and visual information about the stages and results of dental treatment.

    When is a dental microscope used?

    The use of a dental microscope for treating teeth is advisable in all cases where high precision of medical actions is required, including:

    • in cases of re-treatment due to previously poorly filled canals;
    • in case of suspected inflammation in the bone tissue;
    • when removing cysts or granulomas;
    • when closing perforations;
    • when working with an open apex;
    • for safe extraction of fragments of medical instruments from the canal;
    • when filling narrow and sclerosed canals;
    • when performing direct artistic restorations;
    • preparing teeth for veneers and lumineers.

    The dental optical device is also used in the planned preparation of teeth for prosthetics, before installing crowns and bridgework.

    Advantages of using a microscope in canal filling

    During canal filling under a microscope, the dentist can see the entire cavity of the tooth, not just partially as in traditional treatment. This minimizes the risk of creating a perforation and filling it with filling material.

    The dentist obtains an objective view of the tooth's canal system and carefully examines the difficult-to-reach, additional, and narrow canals (including those with branches), which is the basis for proper treatment.

    The use of a microscope enables gentle and non-invasive filling, avoiding damage to healthy tissues. This helps prevent thinning of the walls of the tooth's canals during dental procedures.

    Other benefits of using a microscope for root canal treatment and tooth restoration include:

    • The ability to magnify the image of the examined object in a narrow space (the width of the root canal is 0.5-1 mm);
    • Obtaining an accurate clinical picture (the dentist sees the foci of damage, boundaries of pathological areas, cracks in the tooth, cysts, foreign bodies, etc.);
    • Detection of areas where the filling does not fit tightly against the tooth tissue;
    • Accurate diagnosis of the nature of pathologies, including at early stages;
    • The dentist has full control over the quality of filling the root canals.

    An important advantage of the optical instrument is a significant improvement in treatment conditions. The dentist performs necessary actions without violating the zone of psychological comfort when the faces of the dentist and patient are excessively close to each other.

    The use of a dental microscope for canal filling creates additional benefits for the dentist. This is primarily due to the reduction of fatigue and tension associated with incomplete visual control over the course of treatment. The specialist examines the treated tooth under a targeting light beam, adjusting its direction and intensity of radiation (modern electronic devices use halogen, xenon or LED lighting).

    Features of dental treatment with the use of a microscope

    Dental treatment using an electronic dental microscope has several features that need to be taken into account in dental practice:

    • Dentists and assistants need to undergo special training to work with the optical instrument.
    • It will take the doctor several months to acquire strong practical skills and adapt to the microscope.
    • Medical manipulations are performed with special instruments of reduced size that do not obstruct the field of view (a standard set of dental instruments for treating teeth is not suitable).
    • The patient must remain as still as possible in the chair.

    As electronic dental microscope belongs to the category of expensive medical equipment, the cost of canal filling and other dental services will be higher compared to standard treatment. Despite this fact, an increasing number of patients are seeking clinics that use advanced technologies in dental treatment and prosthetics.

    Firstly, the quality of services when using innovative techniques is significantly higher, and secondly, the investments are almost always recouped due to the reliability of treatment - teeth and crowns will last as long as possible after filling canals under a dental microscope.

    Advantages of dental treatment under a microscope at iStomatolog clinic

    iStomatolog clinic in Kyiv offers fundamentally new possibilities in the field of dental treatment, restoration, and prosthetics. Working with state-of-the-art equipment is based on the application of fundamentally new approaches in dental practice and the training of specialists to different standards. Many techniques that were considered progressive just a few years ago are now obsolete and imperfect.

    From the very first days of our clinic's operation, we have been using the latest scientific developments and achievements in dentistry. A lot of attention was paid to the training of doctors, who must master the technique of endoscopic treatment perfectly, be able to use medical equipment correctly, quickly and accurately diagnose and work with high-tech filling materials.

    This approach has fully justified itself, so our client base is expanding every month. Treatment of teeth and root canal filling under a microscope has become a common practice in our dentistry, as well as the use of other innovations.

    Important advantages of undergoing treatment at the iStomatolog clinic in Kyiv include:

    • Effective pain relief (we use gentle anesthesia)
    • High level of comfort (minimal discomfort for the patient)
    • Attentive and sensitive approach to patients
    • Ability to find solutions for complex cases
    • High level of organization in patient care (no queues or bureaucracy)
    • Fair prices
    • Preservation of information about completed treatment (restoration, implantation) in the clinic's computer database (facilitating the dentist's work in planning further restorations).

    To schedule a consultation with a specialist at the iStomatolog clinic in Kyiv, fill out the online form on the website or call one of the contact numbers:

    +38067 502 8 999, +38093 502 8 999.

    and we will answer all your questions and choose a convenient time for you to come in.

    Full Price list of dental clinic services is available at the following link 

    FAQ

    The duration of canal treatment with a microscope depends on several factors: whether the canal is being treated for the first time or being retreated, whether there is a broken instrument in the canal that needs to be removed, the presence of root curvatures and canal branches. Therefore, the time for treatment and filling of canals with a microscope varies from 1 hour to several visits of 2-3 hours each.
    In most cases, treatment and retreatment of canals with a microscope is possible. Examples when retreatment or treatment with a microscope is not advisable include an upper eighth tooth turned towards the cheek, a strong root curvature, the presence of a broken instrument behind such a curvature closer to the apex of the root, and other factors.
    It is possible, but not advisable. Firstly, the same criteria cannot be applied to the quality of treatment of milk teeth as to permanent teeth, as these teeth are replaced by permanent teeth (exception: if there is no permanent successor and there is an opportunity to preserve the milk tooth and avoid implantation in the future). Secondly, the duration of treatment is quite high, and a child cannot sit still for such a long time in a chair (sedation is possible, but the harm from sedation outweighs the benefits of treatment under a microscope).
    Treatment of root canals under a microscope

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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    Стоматология супер! Обслуживаемся всей семьёй уже 13 лет. В основном у Ирины и Елены на м. Дарница. Качеством очень довольны! Персонал опытный и приятный) Однозначно рекомендую !!! Спасибо вам за ваш труд!
    Досвід лікування моїх зубів і приведення у задовільний стан мою посмішку має чималу історію (для інформації, мені за 50). Це пломби у більшості зубів, брекет системи і навіть спроби змінити форму зубів. Щось виходило, але не з першого разу, щось не виходило і намагання повернутись до цієї проблеми не сприймалися схвально. У додаток до всього цього сам процес лікування затягувався на довгі місяці.
    Що мене очікувало в центрі iStomatolog.
    1. Відсутність очікування біля кабінету.
    2. Відсутність зайвого. Персонал і лікарі тебе не обтяжують. Їх стільки, скільки має бути.
    3. Без сумніву професіоналізм. Тебе вислухать, і обов'язково запропонують варіанти лікування. Що безцінно, це те, що тобі в першу чергу будуть пропонувати максимально зберегти свої зуби.
    4. Відсутність бажання затягнути процес лікування на рік (якщо у тебе проблема не одного чи двох зубів). Головне, щоб дозволяли працювати ясна (їх стан).
    5. Матеріали з якими працюють лікарі. Це виключно японський виробник.
    І нарешті результат, який я навіть вже і не очікувала.
    Лена, дякую тобі ВЕЛИЧЕЗНЕ за твою роботу. Тобі і твоїй команді.
    Nice clinic. Very attentive doctors, very nice people. Competent in their job. All procedures, implantation, crown installation in 1 day, filling - everything is absolutely performed according to the protocols. The clinic is clean, tea and coffee will be offered. Protection against covid is carried out - everyone is wearing masks, shoe covers, the temperature is measured. Thank you very much to Maxim Valerievich, Elena Dainetskaya, Lidia Vladimirovna. We wish you prosperity!
    Якби мені раніше хтось сказав що я полюблю ходити до стоматолога, то я б не повірила)
    Але тут працюють дуже відповідальні, приємні і турботливі професіонали! Дякую всій команді цієї стоматології, і окремо дякую моєму стоматологу Пекарському Віталію за прекрасну роботу. Тепер я і солодке їм без болі, і більше посміхаюсь ☺️
    Я із задоволенням буду ходити тільки до вас 😊
    I would like to express my deep gratitude to Elena Sergeevna Dainetskaya. We have been treating teeth with the whole family for more than 10 years and we thank God that we have fallen into these wonderful hands! A very professional and competent doctor, kind, sensitive and always worried about his patient. There would be more such doctors in our medicine!I wish you health, success and prosperity in your work.I RECOMMEND iStomatolog clinic and Dr. Elena Sergeevna to everyone.
    С 2007 года iStomatolog наша семейная стоматология. Почему? Потому что кто лучше делает своё дело, если оно семейное и уже в третьем поколении. Я пришёл по рекомендации моего друга Антона на приём к Ларисе Викторовне. Она сказала мне сразу: «я не вырву не одного зуба если за него можно бороться» Пол года лечения и сейчас у меня только раз в 6 месяцев профилактика. Супруга, дочь, моя мама (83 года) все доверили свои зубки iStomatolog. Правда уже Елена Сергеевна (старшая дочь Ларисы Викторовны) руководит клиникой. Строгая, но наверно так и надо, а то мы всегда пытаемся отсрочить, откладываем на потом профилактику, а потом выкладываем огромные деньги что бы спасти уже гнилой зуб. В этой стоматологии принцип очень простой: делай качественно, относись к людям по человечески, предупреди заранее (ну ведь забываем и «забиваем» на это). Многие подумают заказная статейка. Нет, просто мне повезло, я нашёл тех кому не безразлично мое здоровье и посчитал своим долгом перед Вами, рекомендовать стоматологию iStomatolog.
    Так случилось, что в "iStomtolog", я попал по настоятельной рекомендации побратима. Имея, без преувеличения, огромные проблемы с зубами, могу вас уверить, это место где вам реально помогут! Теперь по выполненным работам: поснимали камни и налет, пролечили каналы, поставили 8 коронок и 1 винир, 3 импланта. Объем работ просто огромный. Хочу поблагодарить Елену Дайнецкую и всю ее команду за профессионализм, позитив и замечательную домашнюю атмосферу в клинике.
    Все мы знаем, как сложно выбрать хорошего врача, но могу с уверенностью сказать, приходите в клинику “IStomatolog”- здесь Вы найдете лучшего доктора Виталия . Очень хороший доктор-внимательный, доброжелательный, настоящий профессионал своего дела. Спасибо за Ваш труд, желаю Вам благополучия и успехов! А еще в кабинете чистота, комфорт, свежий воздух и приятная музыка. Рекомендую☝️
    Отличная стоматология. Быстро и качественно оказывают услуги, ничего лишнего не навязывают. Вежливый и обходительный администратор. Очень рекомендую. Теперь по всем зубным вопросам только туда.
    Я доглядаю зуби в цій клініці майже 15 років, і це про щось та говорить. Свого молодшого сина також привела сюди ще з першими зубками.

    Всі лікарі уважні, професійні, з щирою турботою про пацієнта. Запам'яталось, як мені років п'ять тому довго і терпляче спасали майже безнадійний зуб, зіпсований в іншій клініці — спасли, стоїть свій зуб, а міг би вже бути імплант.

    Дуже рекомендую.

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