Microscopic Dentistry

The next step, after the magnifying glasses used as the standard by dentists at Elite Dental for all procedures, is the microscope with multiple zooming (in our case up to 22 times).   Naturally the treatment with the microscope is used the most for root canal treatment because the root canal system is with its segmentation the minutest and the most complex structure in the tooth overall. It is also possible to connect it, as the benefit, to every procedure, from the first and prevention teeth checkups to the making of photocomposed fillings. We can detect better the leakage between the tooth and extracellular matrix (the band for filling production) with this equipment and avoid possible teeth treatment complications.

The microscope is used during the teeth reshaping in prosthetics jobs (the crowns, bridges) where we can discover the incorrectness on a prepared tooth. There is the advantage if the dental technician also uses the microscope for his/her work for shaping the model. Many of the dental technicians are going this way. The afterward checkup of prosthetic work correctness in the clients mouth before the cementation is an important part of the procedure. Thanks to the perfect illumination of the surgical field by intensive xenon light the dentists have the possibility of better recognition of the tooth structure, from the tooth surface to the deep cavity. It is possible to treat the root system through the current crown that would be impossible without intensive light. Even though, it is possible to check all the root canal up to its very end under certain conditions. The determined rule in modern dental care is – I cannot treat anything what I do not see. All the steps of current dentists lead the way – seeing more = curing better.

Root Canal Treatment

For quite a long time the treatment of the root canals has been “the work with uncertain results” . The dentists could have had seen only the entry of the root canal and the rest has been the question of the touch and experience. If we take into consideration that 80% of the information the person gets visually, this way the treatment has been very ineffective. The blunted teeth have been perceived as a potential source of the infection for a long time, the pillars can fail at any time. We can still find out today when the patients before the joint replacement or graft surgery lose their teeth with the root filling without any discovery, so called “dental follicle” because of the concern of inflammation expansion during the immunosuppressive therapy needed for keeping the transplanted organ. It has been a surely reasonable concern in the past because in the era before the surgical microscopes the dentists could have been solving the complications during the pecking of the root systems only by touching. This way they could have been removing the cranked tool in the crook twists for the miniature canals, conclude the perforations, make a passable closed root canal was basically impossible. That is why the treatment has been unpredictable and there have had been always a lot of doubts. The introduction of the surgical microscope into the dental care and development of the Endodontics (it is the field of the dentistry related to the root canal system and its treatment) significantly increases the success of the root canal treatment. The surgical microscope is not the only self-saving tool that only solves all the problems in the dental office by its presence. Nevertheless, it is an irreplaceable helper in the hands of the dentist who keeps constantly educating theirself and tries to use the quality of the microscope for his/her work. The microscope moved the barriers and the possibilities of the dentistry further. The usage of the microscope, based on the gained data, increases the success of the root canal treatment over 90%.

Extensional advantage during the working flow with the microscopeThe microscope allows detecting and searching the entry of the root canals, their throughput and segmentation. Also, it allows to peck properly all the potential spots where the infected tissue could have remained. The root canals are still not cleared “arms of the large rivers” but a lot of adjuncted “affluents” and “small lagoons” often ending in “wide delta-mouth” at their ends. These romantic parables are slightly describing the reality. A lot of teeth have their anatomic specialty, departing from the learned rules. If we don’t know about them, we don’t see them and we cannot cure them correctly. If we work under vision control, we are able to be more careful and we can keep the healthy tissues we can see and remove only the infected parts. The work in the root with the surgical microscope is also avoiding the risk of root canal tool cranking or the risk of perforation (the perforation of the root canal wall). It is also possible to discover the cracks in the root canal walls which could cause the treatment failure in the future.

For the teeth where the “classic treatment method” has been already used and failed for the root canal system there was the infection ensued around the root portend the swelling and permanent conflict of the body immunity with the focus of the infection. With the help of the microscope it is possible to remove the current infected root filling, the whole root canal system wash properly off because some of the spots is not possible to clean mechanically and we have to use active washing for effective cleaning of the root canal system. We are also able to remove some of the cranked root canal tools with the surgical microscope, eventually to solve the complications as the perforation of the root canal wall. These complications are not possible to solve every time, each case must be considered by the dentist individually and decides if the root canal treatment is possible and it will be helpful for the patient.