Root canal treatment with the microscope

Endodontic treatment , also called root canal treatment is considered one of the most delicate dental work. Up to now, it is the only way to save a tooth whose nerve is inflamed or necrotic. Depending on the case, an endodontic treatment can be completed in one visit or more.

After the necrotic nerve of a tooth (the pulp) is removed, the tooth is cleaned internally and hermetically filled with a thermoplastic material, the gutta-percha, so that germs do not penetrate inside the tooth again.

Why is the microscope useful during an endodontic treatment?

Denervation probably has the worst reputation of all dental treatments because so many people associate it with toothache and discomfort. The procedure causes difficulties for the dentist and the reason is the anatomy of the teeth. Tooth nerves are difficult to locate and heal. Most of the time the very small – hidden parts of the nerve remained incurable and so (despite the treatment) the pain continued. But there is good news!

The microscope allows us to do an endodontic treatment (root canal treatment) with great precision – and most importantly: without pain and suffering. The main cause of the discomfort and pain that accompanied a root canal treatment was the fact that we could only heal what we could see with our own eyes.

The american endodontologist Dr. Syngcuk Kim, Professor at the world leading University of Pennsylvania and founder of modern microscopic dentistry, famously said:

“You can only treat what you see”.



In the field of view of our surgical microscope, 25-fold magnified, brightly illuminated with Xenon light, there are hardly any limits to what we can see and treat: be it the finest details of root canal systems or hairline tooth fractures.

Thanks to the microscope we can now see the smallest detail and achieve even more painless, even better results!

The most typical case of the revolution brought by the dental microscope in endodontics is in the treatment of the first molar in the upper jaw.

For years, we thought it had three root canals, and in rare cases 4. Today, thanks to the microscope, we know that there is almost always a 4th root canal, while many times there is a 5th one.

With the microscope we observe each step of the endodontic treatment at 25x magnification starting from the location of the root canals,

the meticulous removal of any trace of moisture from the inside of the teeth

and the sealing of the root canals with gutta-percha points.


It’s attention to detail that makes the difference between average and stunning.

Francis Atterbury

Operating microscope and diagnosis

The 3D magnification allows us to make the diagnosis and treatment of the tooth with absolute accuracy. We no longer have to try to guess at things that are impossible to see with the naked eye.

Many pathological conditions of the teeth are almost impossible to distinguish with the naked eye, let alone on an X-ray.

One of the most common conditions that lead to a denervation is the existence of a crack.A crack can be created abruptly by chewing on a hard object such as an olive stone or a stone in a salad, etc. or as a result of chronic rubbing and clenching of the teeth as is the case with Temporomandibular Joint Disorder.

A crack has strong signs of pain, especially in chewing and in cold and hot, it is not visible to the naked eye and until now we only discovered it when it was too late and a root canal treatment was inevitable.


Thanks to the dental microscope, we can now discover the existence of a crack at the very first signs and then in a conservative way protect the nerve, strengthen the tooth at the point of the crack and avoid a root canal treatment from the very beginning.

Caries is often hidden under old fillings. It creates a big problem because it destroys the teeth and weakens them, especially those that have been treated endodontically.


Thomas P.
"This sensitivity has been bothering me for a long time now ... and no one saw anything. With the microscope we immediately discovered the cause ...a crack in the tooth. I was finally relieved. Modern technology has done its miracle!"

The dental microscope gives us a bright, clear image that can not be compared to anything!

Thanks to the microscope we can now see the smallest detail and achieve even more painless, even better results!

Attention to detail is not about perfection. It’s about excellence, about constant improvement.”
– Chris Denny