Endodontics under the Microscope.
Save, When It Makes Sense.
"The natural tooth is the best implant there is. Saving it when possible is not conservatism — it is clinical excellence."
When It Makes Sense to Try to Save the Tooth
Endodontics comes into play when the nerve of the tooth is compromised, when an apical infection puts the maintenance of the element at risk or when a previous root canal treatment has left doubts about the prognosis. The point is not to "devitalize", but to understand whether the tooth can still have a stable and long-lasting function.
The Leica operating microscope amplifies the field up to 25 times and allows you to see accessory canals, isthmuses, perforations or fractures that remain invisible to the naked eye. This changes the quality of the decision even before the treatment.
Scientific literature documents a significant increase in success rates when operating under a microscope. It is not a premium option: it is the correct way to approach a treatment in which the detail decides whether a tooth is really saved or not, within an ecosystem of diagnostics and digital vision.
When This Path May Be Indicated
Pulpitis and Infections
Spontaneous pain, sensitivity to heat, swelling. When the nerve of the tooth is irreversibly compromised, root canal treatment removes the infected tissue and preserves the tooth structure.
Retractions
Previous failed or incomplete root canal treatments. The microscope allows you to identify untreated canals, remove fractured instruments and resolve cases that elsewhere would be destined for extraction.
Traumatism
Coronal or radicular fractures due to trauma. Diagnosis under the microscope and CBCT precisely localizes the extent of the damage, determining whether the tooth is recoverable and with which protocol.
Second Opinion Before Extracting
When you have already been told that the tooth must be removed or replaced with an implant, precision endodontics also serves to clarify whether there is still a reasonable possibility of recovery.
How We Evaluate and Treat the Case
Each phase serves first to clarify the prognosis and then to carry out the treatment under microscopic and radiographic control.
Diagnosis with 3D CBCT
When the case requires it, localized Planmeca CBCT provides a three-dimensional view of the roots, canals and surrounding structures. The diagnosis is certain before starting any treatment or before deciding whether an item should be saved or replaced with implantology.
Isolation with Rubber Dam
The tooth is isolated from the rest of the mouth with a rubber dam. This guarantees a sterile operating field, patient protection and optimal conditions for cementation and irrigation.
Shaping under the Microscope
The root canals are identified, explored and shaped with latest generation rotating mechanical instruments, under constant microscopic vision. Irrigation with hypochlorite and ultrasonic activation ensures complete decontamination.
Three-dimensional obturation
The thermoplastic obturation (hot gutta-percha) three-dimensionally seals the entire canal system, including lateral canals and branches. The seal is verified radiographically.
Conservative Restoration
The treated tooth is restored with conservative adhesive techniques that preserve the residual structure and restore biomechanical functionality. In complex cases, a prosthetic crown guarantees protection and durability over time.
CBCT + Microscope: The Winning Synergy
The combination of 3D imaging and microscopic vision is our competitive advantage in endodontics. CBCT reveals hidden anatomy before of the intervention. The microscope handles it during the intervention.
This synergy allows us to safely deal with complex cases: molars with calcified canals, retreatments with fractured instruments, atypical anatomies. Teeth that would be extracted elsewhere find a second chance here.
When It Is Worth Stopping and Asking for an Additional Check
If the doubt is between saving the tooth or replacing it with an implant, the most useful thing is a diagnosis that clarifies the quantity of residual tissue, presence of fractures, quality of previous treatment and real prognosis over time.
The fear of root canal treatment today is often linked to past experiences or treatments performed without an adequate level of control. Modern endodontics, well indicated, is a predictable, painless and conservative procedure.
Useful Readings Before Deciding Whether to Save or Replace
Three insights to understand the role of microscope, CBCT and initial diagnosis in complex endodontic cases.
The Operating Microscope in Dentistry: Invisible Precision
The operating microscope allows magnifications up to 25× and coaxial illumination. Meta-analysis documents 94% successful endodontic microsurgery with microscope vs 88% without.…
CBCT at the Dentist in Turin: When You Really Need It
CBCT (Cone Beam Computed Tomography) is a three-dimensional radiological examination that allows you to visualize the anatomical structures of the oral cavity with…
First Dentist Visit in Turin: What to Expect and Why It's Important
The first dental visit is a complete diagnostic analysis — not a simple “look at the teeth”. In Studio Buniato in Turin it lasts about…
Frequently Asked Questions about Endodontics
Does the operating microscope improve the success of root canal treatment?
Yes. A meta-analysis by Setzer et al. (Journal of Endodontics, 2012; DOI: 10.1016/j.joen.2012.02.026) out of 8 comparative studies has shown that endodontic retreatments performed with an operating microscope achieve success rates of 90-95%, significantly higher than 75-85% without magnification. The Leica M525 microscope from Studio Buniato allows magnifications of up to 25x, making otherwise invisible accessory canals, isthmuses and fractures visible.
Is root canal treatment painful?
No. With current techniques and targeted local anesthesia, endodontic treatment is painless. A study by Pak & White (Journal of Endodontics, 2011; DOI: 10.1016/j.joen.2010.09.002) documents that post-operative pain is mild in 90% of cases and resolves within 48-72 hours with common analgesics. The precision of the microscope reduces trauma to surrounding tissues, contributing to faster recovery.
Is it better to save the tooth with endodontics or extract and place an implant?
Whenever possible, saving the natural tooth is always preferable. A review by Torabinejad et al. (Journal of Endodontics, 2009) comparing endodontics vs implants concluded that both have high 10-year survival rates (92% and 95% respectively), but the natural tooth retains periodontal proprioception and the integrity of the alveolar bone. The decision is made on a case-by-case basis based on the amount of remaining tooth tissue, long-term prognosis and quality of initial diagnosis.
What happens if a previous root canal treatment fails?
Endodontic retreatment under the microscope allows us to address the causes of failure: untreated canals, incomplete fillings, fractured instruments. Kim & Kratchman (JOMI, 2006) documented cure rates of 89% for endodontic microsurgery (apicectomy) under a microscope, superior to traditional surgery. The protocol involves the removal of the previous material with ultrasonic instruments under microscopic vision and the new three-dimensional filling.
Reserve your space
The first step towards your transformation.
Our Patient Care is at your disposal
To start your personalized journey, use our Patient Care, contact us by phone or email. We handle requests with the highest priority and discretion. In case of urgency, we recommend immediate telephone contact.
Opening Hours
Monday - Thursday: 08:30 - 19:00
Friday: 08:30 - 16:00
Saturday - Sunday: Closed
Direct Contacts
Telephone Studio: +39 011 4373857
Email: reception@buniato.it
WhatsApp Patient Care (Info/Appointments): +39 342 5096364
WhatsApp Medical Emergencies: +39 329 4738155
External Audits
If you prefer to check before contacting us, you can read the Google reviews or open the studio's official profile on AlfaDocs.
Address
Dental practice Dr. Buniato Gianluca Maria
Corso Francia 30, 10143 Turin (TO), Italy
In the heart of Turin, easily accessible. Principi d'Acaja Metro stop. A few minutes from Porta Susa, Piazza Statuto, and Cit Turin.