Root canal treatment — endodontics — is the procedure that saves a tooth when inflammation has reached the pulp (nerve) or has spread beyond the root apex. Rather than extracting the tooth, we clean the canals of infected tissue, seal them hermetically, and restore the tooth with a crown — allowing it to continue serving the patient for another 10–20 years.

Fear of "nerve treatment" is usually rooted in outdated impressions. Modern microscope-guided endodontics is a precise, controlled, and painless procedure. Powerful anaesthesia combined with a dental microscope providing 25x magnification means the clinician sees and controls every millimetre of the canal system.

Indications for root canal treatment

Pulpitis — pulp inflammation causing severe, spontaneous pain
Acute and chronic periodontitis — infection beyond the root apex
Cyst or granuloma visible at the root tip on X-ray
Traumatic pulp exposure following a tooth fracture
Retreatment of previously treated canals with persistent symptoms
Preparation of a severely broken-down tooth for a post and crown

Endodontic treatment at iDent — step by step

1

Diagnosis and imaging

A periapical X-ray or 3D CT scan on the PaX-i3D Smart allows us to determine the number, morphology, and working length of the canals, and to assess the periapical tissues accurately.

2

Anaesthesia and rubber dam isolation

Painless anaesthesia fully numbs the tooth. A rubber dam isolates the field from saliva — an essential condition for asepsis and quality. You feel the movement of instruments but no pain.

3

Mechanical and chemical canal preparation

Under the dental microscope the doctor accesses the pulp chamber, locates all canals, and shapes them with nickel-titanium rotary instruments. Simultaneous sodium hypochlorite irrigation ensures thorough disinfection.

4

Hermetic obturation

Canals are obturated with gutta-percha and a biocompatible sealer using warm vertical compaction. A three-dimensional fill leaves no voids where residual bacteria could survive.

Why trust iDent for endodontics

Dental microscope with 25x magnification — we see what the naked eye simply cannot
Nickel-titanium rotary instruments — less trauma to the tooth, more uniform shaping
PaX-i3D Smart 3D CT for complex and previously treated cases
Electronic apex locator controls working length in real time
Endodontists with 10+ years of experience, continuously certified
Guarantee on endodontic treatment under the terms of the treatment agreement

Microscope endodontics — a different level of care

Root canal treatment under a microscope is not a "premium upgrade" — it is a qualitatively different level of care. The microscope reveals canals that would otherwise be missed (molars can have 3–4 or more), uncovers cracks, allows retrieval of separated instruments left by previous providers, and enables precise control of canal wall preparation. That is why we perform all endodontic treatment exclusively under the microscope — without compromise.

Canal retreatment is a specialised area of endodontics that demands particular expertise. If your tooth aches following previous root canal therapy, or a cyst or sinus tract has appeared on imaging — we will carry out a full diagnostic work-up and present a tooth-saving plan, ranging from retreatment to surgical root-end resection where indicated.

Frequently asked questions about root canal treatment

No. Root canal treatment is performed under powerful local anaesthesia — the tooth is completely numb. In cases of acute active infection, anaesthesia may be somewhat less effective due to the acidic environment of inflammation. In such situations we first reduce the acute episode and complete definitive treatment at the next visit. You are safe at every stage.

In most cases root canal treatment is completed in 1–2 visits. Acute inflammation or a cyst may require 2–3 appointments. Once the canals are obturated the tooth needs to be restored — we usually place a crown 2–4 weeks later.

After root canal treatment a tooth becomes more brittle due to the loss of its blood supply. For posterior teeth a crown is essential to protect against fracture. For anterior teeth a high-quality composite restoration is sometimes sufficient. Your doctor will advise based on the extent of remaining tooth structure.

This is a relatively common situation and it is treatable. Causes vary: an untreated canal, a separated instrument, poor-quality obturation, or a root fracture. After 3D imaging on the PaX-i3D Smart CT and an endodontist consultation we will identify the cause and propose a course of action — from retreatment to surgical apicoectomy where necessary.

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