Dentist Munich, Dr. Kolling Dental Practice

Microscopic root treatment

Microscopic root treatment

In earlier times, teeth had to be extracted if the root was inflamed. That is no longer necessary today! Thanks to root treatment, there is a chance of keeping diseased teeth.

Root treatment is one of the most frequent, but at the same time most demanding treatments for a dentist. Roots are often fine as a hair, twisted and with multiple branches – the canals often have only a minute diameter. A tooth root can have more than only a single canal. Maximum precision is required for the treatment. Treatment will be successful only if all the root canals can be shown, prepared and filled.

With the aid of modern high-tech procedures we have increased the chances of tooth retention:

  • Surgical microscope: Thanks to the surgical microscope, the quality of treatment and with that the prospect of success for the treated tooth have been considerably increased, because due to better vision we can find all the canals and free them completely from bacteria.
  • Electronic root length measurement: It is extremely important to clean the canals completely, that is to say right along their whole length, in order that all bacteria causing the inflammation are eliminated. Thanks to electronic root length measurement, we are able to determine the exact length and the precise end of the root canals.
  • Mechanical root canal preparation: In order to remove diseased tissues and bacteria completely from the canals, we use mechanically operated, flexible titanium files. With these, we can clean the canals most precisely and safely. Mechanical treatment is also much faster than treatment using standard hand-operated instruments.
  • In order to completely free the root canal from remnants of tissue and thus avoid a new process of inflammation due to any remaining bacteria, we rinse it out with a chemical-physical rinse procedure. Here, we follow a precisely laid down rinsing protocol.


In spite of the greatest care, root treatment is not always successful. In this case, however, a repeat (revision) often provides another chance of keeping the tooth. If the inflammation recurs, apicoectomy offers a final chance of keeping the tooth. In this procedure, the inflamed tissue in the area of the root tip is removed and the root shortened by a few millimetres.

Find out more about root treatment in the Dental Adviser.