Apicoectomy with Surgical Micorscope
A surgical root canal using a microscope and ultrasonic tips is done when it is impossible to perform a regular (orthograde) root canal through the coronal access of the tooth. In this type of procedure, we access the root canal through the gums, and perform endodontic treatment to save teeth that would otherwise be extracted.
The surgical approach using a microscope and ultrasonic tips enables a removal of the root-end where most of the infection accumulates. In addition, an adequate seal of the canal endings is performed to prevent continuous leakage of bacteria into the tissue surrounding the root.
An Apicoectomy is done under local anesthesia and is painless. We use an anti-inflammatory agent to prevent or minimize pain or swelling following the procedure. The patients can go back to their daily routine right away.
What to do after an episectomy>>
Read a scientific paper about the 90% healing rate of an episectomy>>
Root Canal Treatment with a microscope
A root canal is a procedure in which we treat the canals within the roots of the teeth. These canals contain nerves, blood vessels, and organic tissue just like anywhere else in the human body. Damage to the tissue inside the root canals does not heal because of the restricted space in the canal. As a result, the inflamed and necrotic tissue must be removed from the root canal, and the space has to be sealed with an effective sealant in order to prevent an infection.
The microscope provides a high degree of precision to the root canal procedure – all the tiny spaces can be located and unnecessary complications during and after the procedure are prevented.
A root canal doesn’t hurt and is done under local anesthesia. You shouldn’t feel any pain after the procedure and you can return to your regular schedule right away.
What to do after a root canal>>
Root Canal Retreatment
The more precise the root canal, the longer the canals stay clean. Sometimes, however, the canals get infected which can lead to an inflammation and/or pain. In these cases, the sealant and the infection have to be removed from the canals, and following disinfection the canals are re-sealed. This procedure is painless and can sometimes be preformed without a local anesthetic. You can return to normal life right away.
Treating Dental Trauma
A traumatized teeth needs to get precision care immediately following the trauma in order to remain functional and aesthetic. It is particularly important to diagnose the type of the injury, determine whether a root canal is required, get a precise root canal done, and follow up on for a long period of time. All dentists are trained to handle dental trauma. An endodontist, however, deepen his knowledge and clinical experience with dental truama during his/her post specialty program.
Click here to read scientific articles written by Dr. Fuss on the topic>>
Perforations
A perforation is an artificial opening that formed along the root canals, which can cause inflammation and pathological processes around the roots of the teeth. Aided by the microscope and using adequate sealants, we can perform a precision seal of these openings and prevent bacteria leakage from the root canals to the periodontal tissue and to the bone surrounding the roots. This procedure is painless and you can get back to your daily schedule right away.
Treating Root Resorption
Teeth can go through root absorption after a bruise caused by an injury, because of intense pressure that occurs during an orthodontic treatment, agitating substances, and more. The process manifests itself as osteoclasts (cells in the bone) that absorb the dentine in the root of the tooth. The stimulus for this process is an infection in the root canals or in the gum tissue, pressure from an orthodontic treatment, an impacted tooth, or a tumor.
You treat root resorption by removing the stimulus. Treating the root canals when there’s an infection there, treating the gums when the infection is in the gums, easing the pressure of an orthodontic treatment, extraction of impacted teeth and tumors if these are the sources of the pressure. The odds of recovery vary based on the source of the stimulus and its character.
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