Digital Radiography (X-Rays)
Dental radiography is essential when diagnosing and performing the Endodontic treatment. It allow us to identify issues we cannot see with our own eyes. We can detect decay, identify bone levels and periodontal disease as well as infection and pathology.
We use Acteon Sopix sensors that Utilise ACE technology. This will not only reduce radiation exposure, but also stop any excessive exposure by stopping the xray beam when there is enough information, rather than just delivering a standard dose.
All the x-rays taken are stored in the patients chart allowing easy and fast communication with the patient and referring dentist.
Cone Beam Computerised Technology (CBCT) is an X-ray based imaging technique that provides fast and accurate visualisation of the bone and teeth in 3D using low radiation level to the patient. This technology allows us to identify potential causes of pain, infection, resorption and trauma that cannot be identified on conventional 2D sensors.
Our practice uses the state-of-the-art ACTEON TRIUM CBCT, a unit for 3D viewing. The minute details available from these 3D scans are usually not viewable from a standard x-rays and allow for extremely accurate diagnoses. This means that occasionally pain can be detected, or tooth fractures etc from a CBCT scan that could not be seen in @D, this allows us to more accurately diagnose and treat a patient. Research has shown that upto 50-60% of diagnosis and treatment is changed subsequent to 3D information being obtained
In endodontics we only ever use a 4×4 cm, this provides minimal radiation exposure.
Background radiation is 2700μSv, this is the amount of radiation our bodies absorb just walking around in a year.
Put into context, a flight from Frankfurt to New York is approximately 88-100μSv
In endodontics we usually take a scan of size 4x4cm.
A 4×4 CBCT is approximately 22μSv (3-4 days of back ground radiation)
Quicksleeper 5 (intraOosseous Anaesthesia)
This computerised injection system can provide virtually painless anaesthesia. The delivery is so slow that the pressure cannot be detected.
QuickSleeper5 is a state-of-the-art electronic pen that efficiently and comfortably performs all dental anaesthesia – including osteocentral anaesthesia – quickly and without failure.
By enabling injections into the cancellous bone close to the apex, QuickSleeper delivers anaesthesia that is instantaneous and without numbness to the surrounding soft tissues. The system also allows for effortless anaesthetising of mandibular molars, even with pulpitis/ severe toothache.
To put this into context, a dental IANB (inferior alveolar nerve block) will provide pulpal anaesthesia in only 15-27% of patients with a severe toothache; Intra-ossoeus injection can achieve between 80-95% pulpal anaesthesia in similar situations. This system almost guarantees patient pain control during root canal treatment compared to conventional methods.
Dental microscopes allow the endodontist to have unparalleled vision . With this equipment we can see the end of the tooth, missed canals and anatomy , as well as aid us with removal of broken instruments or areas of damage and perforation.
Most dentists will not have this level of vision that is essential for the provision specialist endodontics.
Microscopes also allow us to photograph, video and record for clinical and patient information
MOST importantly, if you CANNOT see it, you cannot TREAT it.
We use CJ-Optik Flexion Twin microscopes
Soft Tissue Laser
Soft tissue lasers can be used to cut the gum to expose the tooth to allow for restoration prior to endodontic treatment and incise swellings. Lasers also create quicker healing and haemostasis compared to using a scalpel.