Microscope-assisted treatments

With our top-graded Zeiss OPMI ProErgo equipments, we can achieve even a 30 times magnification. This helps to protect your healthy teeth saving by these significant costs on the long run:

• in case of root canal treatment, by using microscope, we can clean much more precisely, millimetre by millimetre your root canals, therefore we can reach an increased longevity as for the result. In fact, there are root canals that are not visible for the eye on the two-dimension x-ray recordings and are hardly more perceivable on a three-dimension CT recording. Using microscope, we can just as well monitor and clean these root canals.
    
• in case of dental decay, to remove the decay-zone, we take away less from the healthy parts, since we have a better vision of its edges
     
• by microscope, we can also adjust the filling, and the final closure of the crown with more accuracy: and if the closure of teeth on the edges is of higher efficiency, this will also increase the longevity of your filling (it doesn’t fall out and is less exposed to decay). Keep in mind, that a new crown or filling means always extra costs, not even mentioning the costs of a repeated dental treatment.

1. On the long run, the costs of the microscope treatments return, since due to the 30 times magnification, we execute the treatments on a level of nanometric accuracy (for example: preparation and closure of crowns, fitting of fillings, soft palate unification)
     
2. Not only the dentist can follow the microscope treatments in such a magnification, but you, as a patient can also see by the monitor the actual development of certain phase of the intervention.
     
3. The microscopic root canal treatment is minimally invasive: the zone of dental excavation is reduced, so the tooth exposed to the root canal treatment looses less of its healthy parts. The danger of an eventual crown damage (in case if it needs to be drilled through) is also decreased.
     
4. If by now you detested the moment when to sit in the dentist chair and have your doctor lean on you to do his/her job, then microscopic treatments are specially recommended to you. During the treatments, you are lying in a relaxed position, and your dentist is under the microscope and not leaned close to your mouth, but directly sitting with his back to you.
     
5. By increasing the longevity of a tooth, tooth loss and the resulting implant can be avoided, just like polishing the healthy teeth surrounding the toothlessness. Moreover, by this we can also save teeth, which by traditional treatment would be impossible to save at all, or if ever, than only temporarily.
     
6. Microscope is a serious help in eliminating the nodular inflammatory foci (the centres of dental inflammation).
     
7. The dentist can also reveal invisible root canals and he can also eliminate remains of a broken needle, previously used for root canal treatment.
     
8. In case of soft palate plastic surgery treatment, the wound edges can be adjusted by nanometric accuracy, in this way the deposit of lasting scar-tissues is exterminable, in a significant measure.
     
9. We can use so thin cords to sew the wound edges together, that would not be possible to apply by simple eye control.

In case of the following interventions, our top graded-dental microscope is of great use:

• root canal treatment (endodontia), warm root canal treatment technic
• implant
• preparation (preparation of teeth for crown)
• decay elimination and filling
• oral surgery
• elimination of wisdom-tooth
• osteoplasty
• resection (elimination of root top)
• retrograde filling in case of resection
• aesthetical treatment

In case of teeth with multiple root canal, it is very unlikely to find the one or two extra roots by a simple eye inspection. The microscope helps us to clean sufficiently the nest of the bacteria and to fill up the shelters.

If you wish to preserve your root canal tooth the longest possible, we recommend our high-tech microscope root canal treatment! The advantages of root canal treatments executed by Zeiss OPMI ProErgo equipment:

• by now, this is the most up-to-date procedure for root canal treatment
• by the light of a 30× magnification, deformations in the dental pulp not visible by a simple eye inspection, not even by x-ray can also be detected. By this equipment, the dentist can inspect into unknown depths.
• because of the magnification, when starting the root canal treatment, the dentist reaches the root canal by a much narrower hole, therefore he touches the healthy parts of the tooth in a reduced extent increasing by that the tooth longevity
• on your demand, we can also show you certain phases of the treatment on the monitor
• to reach the sufficient quality, the side-roots can only be filled by warm root canal filling, which is exclusively possible by microscope

It may occur, that the inflammation of root canal, or the inflammation around the root-top is so complex, that we can not save the tooth by the root canal treatment. In this case we may need to eliminate the root-top or in the worst case, pull out a tooth. The implant treatment following the resection and the tooth extraction can also be done by microscope.

The microscopic root canal treatments in our clinic are executed by Dr. Kristóf Benedek, who is an expert in saving multi-root teeth and providing other micro-surgery treatments.

He has acquired his solid competence from a few Hungarian and foreign doctors (for example: Dr. Judit Jeney, Dr. Glenn Van As, Dr. Domenico Massironi, Dr. Alessandro Conti, Dr. Antonio Chaniotis), whose theoretical and practical hands-on courses he both accomplished.

• the ultramodern microscope of our clinic makes visible the otherwise invisible (15 × thinner than a hair) roots, even if they stay invisible on the CT recording,
   
• the complete root canal treatment can be done within one single occasion,
   
• it is adapted for treating such a tooth, in which, previously a treating tool was broken,
   
• the traditional, unsuccessful root canal treatments can be repaired under the microscope,
   
• can be used even in extremely difficult cases, when the root canal treatment by simple eye inspection is not feasible anymore, thus we give an uttermost chance to save the tooth,
   
• less tooth material is to be sacrificed, therefore the perspectives of the tooth are considerably increased,
   
• the success rate of the treatments raises from the usual 40-60%, to 90%.

By using our special dental microscope, we can accomplish the root canal treatment with an incomparably much higher efficiency and precision in comparison with the former procedures.

In most of the cases, there is no way for the dentist to inspect within the sinus roots of the tooth, therefore he can only count on his experience and anticipation.

The magnification makes it possible to find an easier solution in those cases that turn out to be extremely difficult (curved, invisible, narrowed roots) because of the individual anatomy of teeth. For example, the upper molar teeth contain 4 dental root canals in 94% of the cases, and these can only and exclusively be detected by magnification.

By microscope, the inspection becomes possible even down to the very bottom of the root canal, thus, the canal can be properly cleaned. Cracks, that have a significant impact on the solvability of tooth, also become perceptible by microscope.

Generally, in such a case, instead of root canal treatment, tooth extraction is the right choice, by doing this, un unsuccessful root canal treatment is also evitable. Using our top-graded, high-definition Zeiss microscope, we ended up with the „blind-flight based” treatments, consequently, we could push over 90% the rate of the successful treatments.

Root canal treatment is an intervention aiming to save the tooth. During the root canal treatment executed by the microscope, the dentist, after removing the decay-zone, opens the root canal and by that can reach the infected tissues.

The removal of infected tissues and the cleaning of root canal system goes along with manually used flexible microtools specially developed for microscope treatment and with mechanical tools and disinfection solutions.

Depending on the infection-degree of the root canal system, at the end of the treatment, the dentist provides the tooth with a temporary root filling containing anti-inflammatory substance, that is to be finalised a forthcoming occasion. In case of a weaker inflammation, the dentist prepares the definite root filling.

During the repeated treatment of teeth that were previously exposed to some unsuccessful root canal treatment, the dentist removes the former root filling by applying a chemical solution and mechanically, with the help of an ultra flexible root-treating tool. Following this, he disinfects the root canal by using the procedure described just above, to stop the spread of damaging processes.

When he is done with it, depending on the case, immediately or during the forthcoming visits, the dentist provides the tooth with a new filling, contributing by this to save it.

Nevertheless, the success rate of professionally accomplished root canal treatments is extremely high, in root canal treatments, just as in any other medical intervention a 100% success guarantee can not be given.

Written by: Dr. Kristóf Benedek

What kind of oral surgery interventions can be executed by microscope?

• Complicated tooth extraction (for example: the radix stretches into the root canal)
• Elimination of the wisdom tooth
• Extra tooth (mesiodent) extraction
• Operational elimination of any impacted tooth
• Resection, elimination of the radix-top
• Different soft-palate plastic surgery (we use hardly visible cords)

Just like in case of the root canal treatment, one major advantage of the microscopic oral surgery interventions is the 30× magnification which helps to accomplish the tooth extraction, the resection, and the implants with a maximal accuracy. The other important advantage is that this intervention touches the effectively treatable zone with the highest possible safety and doesn’t damage the healthy parts at all. This can be especially important when for example at the extraction of wisdom tooth, the tooth stretches into the root canal. Without the microscope, we would assume this operation only in clinical circumstances, but when using a microscope, the patient in need of such an intervention doesn’t need to go to the hospital.

Who provides the microscopic oral surgery interventions at Dentha Clinic?
The complicated microscopic tooth extraction, the wisdom-tooth and extra tooth extractions, the operational extraction of impacted tooth and the resection are all executed by Dr. Gábor Benedek and Dr. Kristóf Benedek.

By microscope tooth filling, inlay-onlay-overlay fillings, veneer, crown and bridge can also be done. Regarding the longevity of fillings and crowns, the edge-closing is an important factor, since this decides how easy it would be to clean the surface of the tooth, and how is for bacteria to settle down. In comparison with treatments by simple eye-inspection, when making fillings and crowns by microscope we can reach a much higher level of accuracy in fitting, we can increase their longevity and prevent the occurrence of decay zones as well -providing a sufficient oral hygienic, and a regular dental hygienic control.

The other advantage of the microscopic aesthetic interventions is that the dentist can prepare the tooth for the crown with a significantly less healthy material loss and with an increased accuracy. In case of a tooth burring preceding the filling, the dentist should take away much less from the healthy tooth material and the cementing (sticking) material can be used also with an increased accuracy.

In our dentistry, we work with the most modern filling materials. If necessary, we prepare temporary dentures and fillings so that, if possible, you never have to be toothless.