Microscopic endodontics

Treatment of tooth root canals under the operating microscope.

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We provide our patients with dental care that meets international standards

Thanks to new knowledge and advanced technology, contemporary dentistry is increasingly tending to specialise in narrower fields. One of them is microscopic endodontics, i.e. the treatment of root canals under an operating microscope. High-quality root canal treatment is the only possible way to preserve a tooth in the oral cavity in the long term if the tooth becomes inflamed (whether as a result of decay, trauma or iatrogenically) or if there is already a "pouch" on the tooth (i.e. inflammation of the bone around the root tip).

Why endontics from H33:


  • If you have an appointment with a doctor to have a tooth treated under a microscope, you are getting to see a specialized doctor. Such a doctor performs this type of procedure on a daily basis and it is routine for him or her.

  • Thanks to the microscope, the doctor is able to treat the microscopic structures of the tooth under visual control. Literally the doctor can see what he is treating in the root canals, without magnifying optics such treatment is done only under tactile control, it is not possible to see inside the tooth.

  • Treatment with a microscope has a higher success rate and the prognosis of the tooth is better than without the use of a microscope.

How it works

  1. First step

    As a patient, you do not need to prepare for the treatment in any special way. The only thing you need to take into account is that the treatment will take approximately 1 - 2.5 hours depending on the type of tooth being treated.

  2. Second step

    You will be given an anaesthetic so that you are not in pain during the procedure. Throughout the treatment, you lie down and the doctor sits behind your head and holds a microscope over you. During the treatment, the office is quiet and pleasantly silent almost all the time, except for the occasional music coming from the speakers. You won't hear much of the drilling itself, only at the beginning and end of the treatment. Otherwise, there is an ultrasound here and there and only very quiet sounds of the endomotor. Many patients therefore nod off or fall asleep during the treatment. You can therefore prepare yourself for relaxation, even though it may seem impossible.

  3. Third step

    Expect x-rays to be taken as standard at the beginning and end of the treatment, but sometimes during the treatment if necessary

  4. Fourth step

    Cofferdam, an insulating membrane that is the absolute standard for endodontics, is used throughout the treatment.

  5. Fifth step

    The root system of the tooth is cleaned both mechanically and chemically. Machine tools are used to process the canals and strong disinfection is applied.

  6. Šetý krok

    The tooth is filled with a filling at the end, so you don't have to worry about leaving the office with a hole in your tooth.

You often ask

  •  Do I get anesthesia?

    YES, we always administer anaesthesia. Even a dead tooth could hurt a lot during treatment.
  • How long will the anesthesia last after the procedure?

    How long will the anesthesia last after the procedure?
  • How long will the treatment take?

    Depending on the type of procedure, how demanding the treatment will be, how many roots and canals the tooth has, etc., the average time for single-rooted teeth is 1 to 1.5 hours, for multirooted teeth 1.5 to 2.5 hours.
  • Is there any limitation after performance?

    Be careful of the anesthesia before it wears off so you don't bite your lip or cheek. Otherwise, there are no restrictions. You can eat, drink and bite now.
  • Will my tooth hurt after treatment?

    It's individual. Some patients say that they did not know about the tooth at all. But for some, there is pain. In this case, the tooth may hurt on the bite, on its own, swelling, redness of the gums may appear, and the pain is even more pronounced, when it is necessary to take an analgesic. For approximately 1-2 weeks, any soreness is normal, and the tooth and surrounding tissues respond to the treatment.
  • Is a crown required on a treated tooth?

    Yes, a laboratory crown is recommended for all endodontically treated teeth. If there is an exception, the doctor will make you aware of it. The fabricated crown protects the tooth from breaking the clinical crown and possibly breaking the tooth.

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Dental Office H33
Hvězdova 33
Praha 4 - Pankrác

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