Endodontics

Microscopic Root Canal – good cards for bad teeth

Endodontics deals with the treatment of the inside of the tooth. If bacteria come into contact with the soft tissue inside the tooth due to caries or after accidents, this can lead to inflammation and severe pain in the tooth or jawbone. In these cases, endodontic treatment is indicated.

Types of microscopic endodontic treatment

  • Treatment of acute, chronic and recurring inflammation
  • Removal of broken root canal instruments and root canal posts
  • Repair of defects on the tooth root (perforations/resorptions)
  • Aftercare following dental accidents
  • Measures to preserve the nerve tissue or its regeneration
  • Revision treatments (root canal treatment of teeth that have already been treated unsuccessfully)

Why a root canal specialist?

Classic root canal treatment can be carried out by almost any dentist. However, a large-scale study at a German university found that the chances of success are unfortunately less than 50% on average.

The success of root canal treatment increases with the ability to remove the inflammation-causing bacteria from the tiny, inaccessible cavities of the tooth. Special instruments such as surgical microscopes, highly flexible nickel-titanium instruments, endodontic ultrasonic irrigation and electrical length measurement, thermoplastic condensation for root filling and, of course, a great deal of routine are required to adequately address these anatomical difficulties.
If these conditions are met, success rates of 85% to over 90% can be achieved, and our root canal specialist, Dr Sebastian Zorn, is able to successfully perform even complex root canal treatments thanks to years of additional training and the experience of thousands of successful endodontic treatments.

The surgical microscope in root canal treatment

“You can’t treat what you can’t see.” – “You can only treat what you can see.”

With this sentence, the founder of microscope-assisted endodontics, Prof Syngcuk Kim, explained the problem with every root canal treatment.

Perfectly illuminated and maximally enlarged access to the root canal systems of a tooth is the key to the success of endodontic treatment. Only in this way is the dentist able to detect and successfully treat any excess root canals. Furthermore, only with the help of a dental microscope can foreign bodies be reliably removed from deeper areas of the tooth roots or microcracks in the tooth substance be recognised, which have a negative impact on the chances of success.

Um ein optimales Behandlungsergebnis zu erzielen, führen wir Wurzelbehandlungen ausschließlich mit einem hochwertigen Dentalmikroskop von Zeiss durch.

The race against bacteria

Good success in endodontics can only be achieved if you are aware of the importance of bacteria. Therefore, every root canal treatment should be carried out under a rubber dam without compromise. The use of this rubber blanket to isolate the tooth to be treated from the oral cavity may seem mundane at first glance, but it is the beginning of consistently enforced aseptic (germ-free) work. This also includes the use of disposable root canal instruments and reliable, germ-proof sealing of the tooth after root canal treatment with a stable, high-quality, ceramic-reinforced plastic. Numerous studies carried out on this subject have proven the importance of bacteria-proof treatment of the tooth directly after the actual root canal treatment in order to ensure the long-term success of endodontic therapy.

Symptoms

Those affected by inflammation of the dental pulp usually complain of sensitive teeth, which react particularly sensitively to cold, hot, sweet or sour foods and drinks. Severe, pulsating or throbbing pain is usually the result.

Root canal treatment procedure

TO 1

Source: dget.de

To remove the diseased or dead pulp, a small opening is drilled into the crown of the tooth and the nerve cavity (pulp chamber) is cleaned. The root canals are then widened using file-like instruments. This extension enables the entire root canal system to be cleaned and disinfected later.

TO 2

Source: dget.de

Optical magnification aids (magnifying glasses or dental microscope) are very important to achieve an optimal result and to recognise the fine and highly branched root canals. The root canal system with its main and side canals is cleaned, rinsed with a disinfectant liquid and shaped, if possible under visual control.

TO 3

Source: dget.de

After cleaning and disinfection, the cavity is filled with a plastic sealing material. As a final step, the access in the crown of the tooth is closed with a bacteria-proof and stable filling, which can be anchored with a root post. Prepared in this way, the tooth can be rebuilt or, as a rule, restored with a crown

Advantages of root canal treatment

In addition to the great advantage that the natural tooth is preserved (optical plus), no extensive treatment and thus possibly expensive dentures are necessary.
Should a bridge over lost neighbouring teeth become necessary later on, the patient’s own tooth provides excellent support.

Costs

The cost of microscopic root canal treatment or revision treatment exceeds the scope of “economical, appropriate and sufficient” care prescribed by the statutory health insurance fund.
Therefore, such a complex and time-consuming treatment cannot be billed purely via the statutory health insurance funds. The costs incurred by the patient are based on the GOZ 2012 ( scale of fees for dentists 2012 ), depending on the individual work involved.

If you have taken out private supplementary insurance, this may be used to cover the additional fees incurred. For privately insured patients, the health insurance will cover the costs within the scope of the individual insurance contract.

Please remember: Even if the patient pays the full cost, microscopic root canal treatment that saves the patient’s own tooth is usually the most cost-effective treatment.

Conclusion

The long-term success of root canal treatment depends largely on how completely the complicated root canal system can be cleaned of bacteria and inflammatory processes and sealed tightly. The more precise and comprehensive the various treatment steps are, the greater the chance of success in keeping the tooth permanently pain-free and able to bear weight.

Every year that a root canal-treated tooth serves its purpose and does not have to be replaced by a dental prosthesis is a gain for your quality of life. Put your dental health in our hands with confidence.

We at Leipziger14-Ihre Zahnärzte are happy to advise you with our expertise and plan every single step with you. Our credo is…

Your tooth preservation is our top priority!

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Put your trust in Leipziger14, a strong and experienced team, and put your smile in our hands

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