Endodontics is a branch of dentistry applied to the treatment and diagnostics of dental pulp and peripheral tissues diseases. At times, the treatment is performed with the use of a microscope which allows for better observation of details inside the tooth. Endodontic treatment is often the only solution to saving a tooth which otherwise would have been removed. It comprises the extraction of affected pulp from the interior of a tooth, thorough cleaning and disinfecting of the canal and, finally, filling the canal with special material, the so-called gutta-percha.
Dental treatment under the microscope is a type of root canal therapy performed by means of specialist equipment. It is used in multiple cases, usually when endodontic treatment is applied and the structure of tooth canals or other factors determine the use of a microscope. Although we tend to believe that this piece of equipment is mostly used by scientists, not dentist, a microscope is an important tool in work of an endodontist. Due to the use of microscope in root canal, a 25x enlargement of the affected area is possible, and as a result, the dentist can thoroughly examine the inside of the tooth, find and fill all canals, and notice all fractures that weaken the tooth. The microscope is usually applied in the case of a non-typical structure of canal, repeated endodontic treatment, removal of a piece of endodontic tool from the tooth, or in the case of managing root perforation.
The course of root canal performed under the microscope is, from the point of view of a patient, very similar to traditional endodontic treatment, the only difference being that there is a microscope placed above the patient, and the dentist uses this device. The treated tooth is opened and secured with cofferdam, a specialist type of rubbery material. It prevents the contamination of the operative field. Then, the dentist extracts the pulp from the canals. Thanks to the microscope, it is possible to clean the interior of a tooth and its canals precisely, which is crucial to the effectiveness of the prescribed treatment. Microscope is often used in endodontic re-treatment, when it still serves as the best alternative to tooth extraction. After the pulp is removed, the tooth is treated with medical fluids, and the canals are filled with gutta-percha, filling material.
Endodontic treatment with the use of a microscope is a specialist method which is not offered in every dental clinic. If the dentist prescribes root canal microscope treatment as the only possibility to keep a natural tooth, it is worth to undergo such a therapy, as its appropriate application gives lasting results.
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