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Speciality

Endodontics with Microscope

Root canal treatment under the surgical microscope — with up to 20x magnification. This is how we save teeth that others have given up on.

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Dentalmikroskop Zumax Endodontie Trewella Wien

Why Endodontics with a Microscope?

Root canals are tiny. Some thinner than a hair, often branched and hidden. Without magnification, you're essentially working blind. With the surgical microscope, I see what's really going on — and that's exactly what makes the difference between saving and losing a tooth.

Conventional

  • Essentially by feel — the X-ray only shows part of it
  • Hidden side canals? Often not found at all
  • The inflammation returns after months
  • In the end: "Unfortunately, we need to pull it"

With Microscope

  • I see everything — 20x magnified, crystal clear
  • Even the smallest side canal is found and cleaned
  • Every move is precise
  • Over 90% success rate — our experience confirms this

How the Treatment Works

01

Diagnosis & Consultation

First, we take a close look at the tooth. X-ray, findings, all your questions. I'll honestly tell you whether the tooth can still be saved, what I plan to do, and what to expect. No surprises.

02

Anaesthesia & Preparation

The tooth is completely numbed — you won't feel a thing. If you'd like, you can also have nitrous oxide to take away the tension. A rubber dam shields the tooth to keep everything sterile.

03

Treatment Under the Microscope

Under the microscope, I find every canal — even the hidden ones. The inflamed tissue is completely removed with fine instruments and irrigation. It requires time and precision, but that's exactly what matters.

04

Filling & Sealing

Once everything is clean, I fill and seal the canals. I usually recommend a crown afterwards — a root-treated tooth becomes more brittle over time and needs that protection.

05

Follow-up

After a few weeks, we check the tooth again. Is everything healing as expected? Then this tooth will hopefully serve you for many more decades.

Frequently Asked Questions

Is a root canal treatment painful?

No. The tooth is fully anaesthetised — you won't feel anything during treatment. For significant nervousness, we also offer nitrous oxide, which relieves the inner tension. The tooth may be slightly pressure-sensitive for a few days afterwards, but this subsides quickly. A standard painkiller is usually sufficient.

How long does the treatment take?

Plan for 60 to 90 minutes. In most cases, we complete everything in one session. For particularly complex cases — such as severely curved roots or a previous unsuccessful treatment — a second appointment may be necessary.

Why not just pull the tooth?

Because no implant or bridge is as good as your own tooth. A natural tooth has a sense of pressure, keeps the jawbone stable, and integrates perfectly. If I can save the tooth, I will.

What is the success rate?

Studies show the success rate for microscope-assisted root canals is over 90%. That's significantly more than without. In our practice, we're even higher because I take the time each tooth needs. But I'm also honest: if I see a tooth can't be saved, I'll tell you.

Save the tooth instead of pulling it.

Book an appointment — let's take a look together.

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