Treatment under the microscope
We will discuss the treatment under the microscope on the example of a patient who came to our clinic with very severe pain. The pain lasted for over a week. Initially, the patient was diagnosed by a family doctor and an ENT specialist as the first and dominant symptom was left ear pain. An antibiotic was ordered which unfortunately did not bring the expected improvement.
It was only after one week that the patient visited our Perfect Smile Dental Clinic. An additional symptom appeared – pain radiating on all lower teeth on the left side as well as on the temple and ear. In a study conducted at the clinic, the doctors also noted enlarged submandibular nodes on the left side and considerable soreness on tapping the crown of the sixth left lower tooth. Under the old filling and at the border, secondary caries was noticeable. A digital X-ray picture taken after scanning with the Vistascan camera showed the cause of the ailment.
What does the dental treatment look like under a microscope?
The mentioned caries penetrated very deeply down to the dental pulp, which is the weave of vessels and nerves in the tooth. As a consequence, the bacteria led to inflammation called gangrene and also percutaneously inflammation. The patient was immediately referred to the endodontist in our clinic due to the fact that immediate initiation of root canal treatment was required. The patient was adequately anaesthetized. This enabled painless reaming and opening of the tooth enabling access to all canals.
Thanks to the dental microscope, the endodont was able to easily locate all the canals in the molars. A defined sequence of different rinsing solutions allows full asepsis in the canals. The basic issue in root canal treatment is the perfect opening of each canal. A surgical microscope is sometimes the only tool that allows this surgery to be carried out correctly. It also facilitates pulling out broken tools from the ducts. In this case, it was very useful when clearing very narrow and curved canals.
Treatment under the microscope enabled the use of another diagnostic tool used during root canal treatment with an endometer. Used to measure the length of the canals. Informs the endodontist when the canall is cleared to the end. Correct mechanical development of the canal enabled the use of the most modern micromotor for the development of Reciproc canals. This device is equipped with a special reciprocating movement, which prevents fractures of machine tools, and at the same time allows to quickly and effectively expand the infected canals. After thorough mechanical and chemical development of all 4 canals, they were filled with systems for thermal condensation of material – Obtura II + System B. An Rtg picture was also taken showing the correct filling of all 4 canals:
The treatment under the microscope was successfully completed. The patient was informed about the need to make a crown-root contribution and a porcelain crown to strengthen the tooth because the assumption of a normal filling, in this case, involves the risk of fracture and consequent tooth loss.