Dental treatment with a microscope

Modern dental practice is impossible without perfect equipment, high-quality materials and adherence to treatment protocols, which directly depends on financial investments in education and the experience of a dentist, competent organization of work and technical equipment of the clinic.

It is not surprising that the most advanced doctors, those who have mastered modern methods of treatment before others, and have already gained considerable personal experience in applying world technologies in the Russian dental practice, strive to work in clinics equipped with the best diagnostic and therapeutic equipment, in a team of similarly experienced dentists of all specialties.

Dental microscope

Dental microscope is a modern device that allows to reach new heights in the quality of dental treatment.

Leica dental microscopes, which the Confidentiya clinic is equipped with, is the first of its kind system, originally developed for use in dentistry.

Perfect optics, LED lighting, high-resolution imaging technology, ergonomics, aesthetics, hygiene, innovation and flawlessness Leica created an absolutely convenient microscope for the dentist.

Historically, with the advent of the microscope in the world of dentistry, it became clear that the ability to see the smallest details is the ability to accurately diagnose, choose the right method of treatment and, most importantly, flawlessly implement it.

Practice shows that it is at these stages (diagnosis, choice of treatment method, implementation) that most of the errors occur, which leads to patient complaints and the need for re-treatment.

If you encounter a similar problem, do not rush, make sure in the experience and professionalism of the dentist and the availability of the necessary equipment in the clinic, as repeated treatment of the tooth leads, eventually, to its loss.

Benefits of treatment with a microscope

At primary treatment

During the initial treatment, for example, in the case of the appearance of a small caries, working with a microscope provides:

Timely detection of caries, as the initial caries is often hidden
Minimally invasive, that is most gentle for the tooth, treatment with guaranteed removal of carious tissues
Performing a thorough layer-by-layer restoration with the restoration of the anatomical shape (natural appearance) and the function of the tooth

Treatment of primary caries and restoration of the upper second molar

Restorations made with a microscope provide a more accurate match of occlusion (closure of the dentition).

With repeated treatment

If necessary, re-treatment of previously filled teeth, the microscope allows you to:  

To reliably see defects of fillings and critical areas of carious cavities, where secondary caries develops (caries under the filling), even with difficult access: closer to the gum or spreading under the gum, or in the area of tooth contact
To perform high-quality re-treatment with guaranteed removal of carious and weakened by the previous intervention dental tissues, with the formation of the correct cavity shape and careful layer-by-layer restoration, ensuring reliable fit of the seal and its durability

Stages of micro-restoration of a non-carious defect of a previously restorated upper central incisor

The microscope allows the treatment and restoration of small mechanical chipping of hard dental tissues, traumatic or other origin with minimal processing of intact tooth structures. This is especially true in the aesthetically visible area, since restorations become indistinguishable from tooth tissues.

In the treatment of gingival defects

In the treatment and restoration of the gingival defects of carious and non-carious origin, the so-called tooth necks, where the leading symptom is usually the sensitivity of these areas of the tooth at the initial stage, and in cases of gingival recession and root exposure, when the unsightly appearance of the affected tooth surface is disturbed, the microscope allows you to provide:

Gentle retraction of the gingival margin at the time of treatment and removal of subgingival dental plaque (tartar), if present
Visualization of the boundaries of damaged and intact hard tissues of the tooth for the formation of a cavity within the boundaries of healthy tissues (failure to perform this step is critical for this type of defect and leads to preservation of sensitivity after treatment, loss of fillings, recurrence of caries, an increase in non-carious defect)
To perform aesthetic restoration, restoring the lost natural gum topography of the tooth
Treatment of gingival defects is often carried out due to lack of aesthetics or insolvency of previously installed fillings. Using a microscope in this case will allow the restoration to be carried out inconspicuously.

In the treatment of tooth canals

In cases of complications of caries, the occurrence of pain, tooth decay, the establishment of such diagnoses as pulpitis or periodontitis, there is a need for endodontic treatment of the tooth.

The success of endodontic treatment depends entirely on the careful removal of all affected tissues, including the tooth canal system, followed by their qualitative closure and restoration of the coronal part by a method adequate to the degree of destruction. Using a microscope improves the accuracy, and hence the quality of endodontic treatment.

The structure of the canals of the teeth is so diverse that some knowledge of anatomy, topography and even many years of medical experience is not enough to detect and pass all the channels in a particular clinical case, since as a result of various pathological processes, the tooth cavity can be significantly narrowed or completely closed.

The risk of over-processing of the tooth canal is large enough without proper visualization and illumination of the working field. Anatomically, the roots of a tooth can be thin, curved, and quite fragile, which can lead to cracks, rupture of the root and, as a result, loss of a tooth, if over-processed further. The microscope allows for minimally invasive treatment, while maintaining healthy tissue, which will save the tooth.

When retreating tooth canals

When conducting repeated endodontic treatment, the microscope becomes absolutely indispensable when you have to remove old filling material from the tooth both in the coronal part and in the canals. These materials can merge with the tooth tissues and be completely indistinguishable or poorly distinguishable when evaluated without a microscope.

For successful endodontic retreatment, it is necessary to completely free the coronal part and the canal system of the tooth from infected substances (filling materials, necrotic tissues in the parts of the canal not previously passed or in the leaked channels). To create conditions for high-quality irrigation (washing) of channels with antiseptic solutions and their further closure and restoration of the coronal part with a method adequate to the degree of destruction.

Repeated endodontic treatment of the upper first molar, which was required due to the missing channels and the development of caries under the filling, complicated by the communication of the tooth root with the maxillary sinus, restoration of the crown part after endodontic treatment

Diagnosis and treatment control with a microscope

With the help of a microscope, monitoring can be performed at any stage of any therapeutic intervention, including during occupational hygiene, if it is necessary for better diagnostics, assessment of the quality of the implementation of the stage and completion of the procedure.

Reliable detection of tooth conditions incompatible with its preservation (cracks, perforations, extensive carious lesion, etc.) using a microscope allows you to avoid the physical, moral and material costs of its preservation, make timely decisions about removal and choose a replacement method. Often, getting rid of such a tooth leads to an improvement in overall health, as a result, getting rid of a chronic source of infection.

For information about the procedure and indications for treatment with a microscope in each case, you should consult a specialist.

Author: Rakhmanina Ludmila

Dentist therapist, endodontist, the highest qualification category


Rate this material:

Consultation with Chief doctor, highly qualified dentist 1 500  
Treatment of primary dental caries by invasive method with dental microscope 4 900  
Treatment of dental caries with functional crown restoration with dental microscope 5 740  
Endodontic treatment of pulpitis of a single-channel tooth with dental microscope (two visits) 14 200  
Endodontic treatment of pulpitis of a double-channel tooth with dental microscope (two visits) 20 000  
Endodontic treatment of pulpitis of a triple-channel tooth with dental microscope (two visits) 27 200  
Endodontic treatment of pulpitis of a four-channel tooth with dental microscope (two visits) 31 200  
Setting filing after root canal treatment using dental microscopy 6 160  

Our clients results

Clinical case report #17. Non-carious abfraction lesion.
Clinical case report #17. Non-carious abfraction lesion.

Problem: Abfraction lesion along the gingival margin.
Complaints: aesthetic discomfort, hypersensitivity.
Treatment: restoration under the microscope.
Advantages: gentle method of treatment, predictable aesthetic result.

Clinical case report #18. Non-carious abfraction lesion.
Clinical case report #18. Non-carious abfraction lesion.

Problem: Abfraction lesion along the gingival margin.
Complaints: aesthetic discomfort, hypersensitivity.
Treatment: restoration under the microscope.
Advantages: gentle method of treatment, predictable aesthetic result.

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