Microscopic root canal treatment

Symptoms of diseases originating in the dental cavity

• Severe tooth sensitivity
• Initially sharp pain on cold, hot, sweet or sour, which subsides as the stimulus wears off; the sensitive tooth can be localised
• Later, acute pain lasting up to several hours, often occurring at night; as it radiates out, the painful tooth can no longer be pinpointed
• Sensitive, swollen gums
• Bite sensitivity
• Tooth discoloration
• Headaches, migraines
• Hair loss, skin disease, internal medicine problems

When might root canal treatment become necessary?

Caries up to the pulp

When decay of the tooth penetrates the enamel layer and reaches the dentine, the decay-causing bacteria cause the soft tissue containing blood vessels and nerves to become infected and inflamed. The increase in pressure caused by the inflammation can result in the death of nerves and, as the blood vessels supplying the pulp are blocked, the tissues. If the infection is left untreated by a dentist, the inflammation can spread, attacking the sinus cavity and even the jawbone.

Other reasons

Root canal treatment may be necessary in the event of accidental tooth injury, thermal or chemical stimuli, inflammation caused by regular grinding or stress, or decalcification.

How does the treatment work?

Microscopic root canal treatment takes on average two hours. For more severe inflammation, the treatment may require up to two dental sessions.

1. Making a diagnosis, treatment plan
   The first step is to take an X-ray or CT scan of the tip of the tooth root to assess the problem.
2. The root canal
   During the treatment under local anaesthesia, the cavity and root canal inlets are opened, their contents and infected or dead tissue are removed; at the same time and afterwards, the cavity and root canals are continuously disinfected. After cleaning the chamber and root canals, a medicated filling is placed inside the tooth.
3. Root filling preparation / control
   The next step is the insertion of a final filling to permanently and hermetically seal the root canals. A precise, perfectly sealed root canal seal prevents the re-entry of pathogens. This - a completely pathogen-free environment - is the key to successful root canal treatment! A control x-ray is also taken at this time.
4. Rebuilding the tooth
   In most cases, the crown is restored with a filling, a filling or a crown, depending on the amount of tooth material remaining. The loss of tooth material makes the treated teeth fragile, so we pay special attention to their permanent restoration!

The advantages of root canal treatment with a microscope

• The microscope helps to make an accurate diagnosis and an effective treatment plan.
• It allows for a less invasive procedure, requiring less removal of intact tooth material, thus reducing the chance of tooth fracture after root canal treatment.
• There is less risk of complications and therefore less pain.
• It makes it easier to remove and replace old, imperfect root fillings.
• Under the microscope, previous failed root canal treatments can be corrected with great safety.
• The root canal treatment of molars is more complex than that of anterior teeth and canines, so the use of a microscope can be particularly useful.
• Channels that are not visible to the naked eye can be seen and accessed, and root canals with non-traditional shapes can be perfectly explored, cleaned and precisely plugged.
• With a well-performed microscopic procedure and careful home care, the root canal will last for many years, even a lifetime!

How can you avoid root canal treatment?

We can only repeat ourselves when we talk about the importance of regular check-ups. The treatment of a small cavity is incomparably easier than that of an extensive lesion. Listen to us and don't wait until the caries has reached a size that can only be corrected by root canal treatment! And don't forget proper oral care at home, because oral health starts in your bathroom!

Specialists in the field

Dr. Boglárka Csák

Professional Leader, Specialist in Conservative Dentistry and Prosthodontics

Maintaining the status achieved by the intervention

If surgery is unavoidable, you can do a lot to preserve the results for the long term!
Cooperation during and after treatment is of paramount importance. It is important that you are present at all times during the procedure. A tooth covered with a temporary root canal sealant needs to be spared and not loaded. Rooted teeth are also at risk of decay and tartar formation: thorough oral care at home and regular professional dental hygiene are essential. Make sure you come for a check-up with X-rays at the times prescribed by your doctor (6 months after the root canal for the first time, and less frequently after 3 months).