Endodontology

Your specialist for endodontology

Dr. med. dent. Sebastian Zorn

Certified endodontist (root canal specialist)

Dr. Sandra Viktorov, MSc

Master of Science in Endodontics (root canal treatment)

Regular root canal treatments are performed by almost every general 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. In order to adequately address these anatomical difficulties, special instruments are required – surgical microscopes, highly flexible nickel-titanium instruments, endodontic ultrasonic irrigation, electrical length measurement and thermoplastic condensation for root filling – and of course sufficient experience in this field.
If these conditions are met, success rates of 85% to over 90% can be achieved.

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

With this sentence, Prof Syngcuk Kim, the founder of microscope-assisted endodontics, 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 success in endodontic treatment. This is the only way a dentist is 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, as these 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.

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) working. This also includes the use of disposable root canal instruments and a 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.

Over the last few years, our endodontist Dr Sebastian Zorn has exclusively carried out root canal treatments and apicoectomies under a dental microscope with over 20x magnification.
After years of national and European further training, he successfully participated in the International Programme of Endodontics at the University of Pennsylvania/USA from 2011 to 2013 in order to obtain training in this field equivalent to that of a specialist in endodontics.

With great technical effort and the experience of thousands of successfully completed root canal treatments, we are finally able to successfully integrate teeth that were previously considered hopeless into a prosthetic treatment concept in the long term.

In accordance with the guidelines of the ESE (European Society of Endodontology), we carry out all root canal treatments under a rubber dam and dental microscope, with electrical length measurement, highly potent, heated disinfectant liquids and ultrasonic cleaning of the canal systems. The root canal is filled in a warm vertical reaction with gutta-percha or with MTA (mineral trioxide aggregate). Furthermore, the teeth are built up adhesively or restored with glass fibre posts.

We carry out the following treatments:

  • Root canal treatments for teeth with difficult canal anatomy
  • Revisions of root canal treatments
  • Pin removals
  • Perforated fasteners
  • Revisions after previous root tip resections (root tip resections)
  • Removal of fractured instruments
  • Removal of fractured instruments
  • Microsurgical root tip resection to preserve existing dentures
  • Intentional replantations
Dr Sebastian Zorn also offers these special methods for tooth preservation as a collegial referral service for other dental colleagues.
These patients are treated in our practice exclusively within the scope of the referral order and are referred directly back to their dentist after the treatment has been completed.
You will receive a doctor’s letter with an explanation of the treatment received, X-ray images and, if necessary, photographic documentation. A long-term prognosis of the treated tooth is also provided.

With friendly, collegial greetings
Dr Sebastian Zorn

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