COMPREHENSIVE DIAGNOSTICS

• • Detailed examination with Dr. Lutz
  • dentalXrai AI analysis for the detection of inflammation
  • 3D CBCT imaging for precise visualization of tooth anatomy
  • Detailed explanation of the treatment process and available alternatives

PAIN-FREE ANESTHESIA

• • Local anesthesia for complete pain-free treatment
  • Optional: Nitrous oxide sedation for a relaxed treatment experience
  • Rubber dam isolation for protection against bacteria and contamination
  • If required: Hypnosis techniques to reduce dental anxiety

PRECISION TREATMENT

• • Operating microscope or magnifying loupes depending on treatment complexity
  • Removal of inflamed or necrotic tissue
  • Torque-controlled canal preparation using NiTi instruments
  • Electronic root canal length measurement
  • Laser-assisted disinfection
  • Ultrasonic activation of irrigation solutions

PROFESSIONAL ROOT CANAL FILLING

• • Thermoplastic root canal filling
  • Bacteria-tight sealing of the root canals
  • Temporary filling between appointments
  • Usually completed within 1–2 appointments

LONG-TERM AFTERCARE

• • Follow-up X-ray after 3–6 months
  • If necessary: Placement of a dental crown
  • Regular follow-up examinations
  • Lifelong care and support at our practice

SYMPTOMS OF A TOOTH INFECTION

• Severe tooth pain especially at night or when touching the tooth
• Sensitivity to hot and cold that persists over time
• Pain when biting or chewing due to pressure on the tooth
• Swelling of the gums or cheek
• “Swollen cheek” or abscess formation

CAUSES OF ROOT CANAL INFECTIONS

• Deep tooth decay that has reached the dental nerve
• Accidents and dental trauma resulting in tooth injuries
• Cracks in the tooth caused by hard objects or excessive force
• Leaking fillings that allow bacteria to enter
• Repeated dental procedures on the same tooth

Important: The earlier the treatment begins, the higher the chances of long-term success.

ROOT CANAL TREATMENT COSTS

Modern root canal treatment (patient co-payment beyond statutory insurance coverage):

• 1 canal including temporary filling: from €480
• 4 canals including temporary filling: approx. €1,200
• Retreatment / revision treatment: depending on individual complexity
• Laser-assisted disinfection: depending on individual complexity

The listed amounts represent patient co-payments for advanced treatment methods (microscope, flexible instruments, laser technology) beyond standard statutory insurance coverage. Private patients: billing according to the German Dental Fee Schedule (GOZ).

FINANCING OPTIONS

• Interest-free installment payments for up to 6 months through our financing partner ABZ-ZR

Transparency: Before treatment begins, you will receive a detailed treatment and cost plan with no hidden fees.

STANDARD TREATMENT (Statutory Insurance Coverage)

• Success rate: 40–50%
• Treatment performed with magnifying loupes
• Rigid stainless-steel instruments: Higher risk of instrument fracture in curved canals; significant alteration of the natural canal anatomy
• X-ray length measurement: Less precise due to projection errors and two-dimensional imaging

MODERN TREATMENT (Dr. Lutz)

• Success rate: up to 90%
• Precision magnification as needed: Operating microscope or high-magnification loupes depending on case complexity
• Flexible nickel-titanium instruments: Enhanced flexibility allows safer and more effective treatment of curved canals, preserving the natural canal anatomy and reducing complications
• Electronic length measurement: More precise than conventional radiographic measurement, considered one of the safest methods for determining working length, helping to avoid over- or under-instrumentation
• Laser-assisted disinfection
• Optimal illumination

The difference: Flexible instruments adapt to the natural curvature of the root canals and significantly reduce complications. Electronic length measurement achieves an accuracy of approximately 90% in determining the apical constriction. Case-specific magnification enables the detection of even the smallest root canals.

Sources: ZWP Online – Root Canal Preparation (2024), DocMedicus Dental Encyclopedia – Modern Endodontic Instruments (2024), ZWP Online – Determination of Endodontic Working Length (2024)

Is root canal treatment painful?

No. Thanks to local anesthesia, the treatment is completely pain-free. Nitrous oxide sedation is also available as an optional relaxation method.

How many appointments are required?

In most cases, treatment is completed in 2 appointments spaced 1–2 weeks apart. In uncomplicated cases, completion in a single visit may be possible. More complex cases may require additional appointments.

What is a medicated dressing and why is it important?

A medicated dressing is a special disinfecting medication (usually calcium hydroxide) placed inside the cleaned root canal between treatment sessions. It helps eliminate remaining bacteria, supports healing, and calms the tooth. The dressing remains active for several days and is removed before the final root canal filling. In uncomplicated cases, a medicated dressing may not be necessary.

How long does a root canal treated tooth last?

With successful treatment, a root canal treated tooth can last a lifetime. Regular check-ups are important for long-term success.

Is a dental crown always necessary?

Not always, but it is often recommended. Molars usually require a crown, while front teeth depend on the amount of remaining tooth structure.

What happens without treatment?

The infection can spread, leading to severe pain and abscess formation. In such cases, the tooth may eventually need to be extracted.

Can I return to work immediately after treatment?

Yes. In most cases, you can resume normal daily activities immediately after treatment. Only heavy physical work should be avoided on the day of treatment.

What if the treatment is not successful?

In rare cases (approximately 5–10%), root canal treatment may not be successful. In such situations, retreatment (revision endodontics) or an apicoectomy may be considered. Extraction followed by a dental implant remains the final option if the tooth cannot be preserved.

Will the tooth discolor after treatment?

Root canal treated teeth may darken slightly over time. For front teeth, the original color can often be restored through internal bleaching.