Endodontics · US Dental Care

Root canal treatment under a microscope.Preserve your tooth whenever possible.

Initial root canal treatment and retreatment under magnification. Before treatment, your dentist assesses the roots, remaining tooth structure and options for restoring the tooth.

The decision to preserve a tooth depends on its prognosis.Cone beam CT and other tests are prescribed when clinically indicated.

Book an endodontic consultation Treatment fees

ZEISS microscope

CT imaging when indicated

Initial treatment

Retreatment

Ksenia Matsepuro, endodontist at US Dental Care

US Dental Care · Moscow

Your dentist

Ksenia MatsepuroEndodontist · In practice since 2009Meet your dentist →

Your first visit

Bring existing X-rays and details of previous treatment to help us assess your situation.

When to seek care

When to see an endodontist.

A problem may cause pain, appear on an X-ray or return after previous treatment.

The first step

A symptom is a reason to find the cause.

A single symptom cannot tell you whether you need root canal treatment. Your dentist will examine the tooth, perform the necessary tests and explain your options.

01

Pain when biting

Especially if it persists, worsens or affects a previously treated tooth.

02

A lingering reaction to heat or cold

Discomfort continues after the stimulus has gone.

03

Swelling, inflammation or a draining sinus

An examination is needed to identify the cause and assess the tissues around the tooth.

04

Symptoms return after treatment

We assess the cause of recurring symptoms and whether retreatment is possible.

05

Changes on an X-ray

A consultation may be needed even without significant pain.

06

An extraction has been recommended

We can assess whether there is a clinically sound option for preserving the tooth.

07

Before a complex restoration

Root canals are assessed when indicated. A crown alone does not mean that root canal treatment is needed.

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Please note

Seek dental care promptly if swelling increases or pain is severe.

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Treatment steps

What happens during root canal treatment.

Your plan considers the roots and surrounding tissues, previous treatment and the options for restoring the tooth afterward.

01

Diagnosis

Examination and X-rays

We assess the tooth and its prognosis. Cone beam CT is prescribed if the available information is insufficient.

02

Access

Reaching the canals

Your dentist creates access while preserving as much healthy tooth structure as the clinical situation allows.

03

Cleaning

Cleaning the root canal system

Mechanical preparation and disinfecting solutions aim to eliminate infection.

04

Filling

Filling the canals

After cleaning, the canals are filled and sealed, and the result is checked.

05

Restoration

Restoring function

The restoration is selected according to the amount of remaining tooth structure and the forces on the tooth.

After treatment

The tooth needs a restoration.

Depending on your needs, this may be a filling, inlay, onlay or crown. Root canal treatment and the restorative stage are planned together.

If the prognosis is unfavorable

We discuss an alternative.

When a tooth cannot be preserved with a reasonable prognosis, the team explains the alternatives, including extraction and replacement.

One coordinated plan

Diagnosis, root canal treatment and the final restoration are planned as stages of one course of care.

Magnification and precision

The ZEISS microscope:seeing complex anatomy.

Narrow, curved and additional canals require magnification and careful monitoring during specific treatment stages.

A ZEISS microscope for root canal treatment at US Dental Care

ZEISS · Clinical microscope

Under magnification

Seeing the details of the root canal system.

Especially useful in complex anatomy and retreatment.

The purpose of technology

Supporting the dentist's treatment decisions.

Magnification is complemented by working length measurement, cleaning, filling and checks. Equipment supports diagnosis and clinical judgment.

01

Ultrasonic systems

For working with existing filling material, posts and difficult areas when indicated.

02

Endodontic motors

For controlled mechanical preparation tailored to canal anatomy.

03

Apex locators

For measuring working length and monitoring preparation depth.

04

Warm gutta-percha

For filling the root canal system after cleaning and preparation.

Infection controlSterility throughout treatment.

Instruments undergo multistage cleaning and sterilization under clinic protocols and applicable infection control requirements.

Two clinical situations

Initial root canal treatment and retreatment.

Previous treatment affects access, the work required and the prognosis.

01

Initial treatment

The canals have not been treated before.

Your dentist cleans and fills the root canal system when the condition of the pulp or tissues around the root requires treatment.

Pulp inflammationThe need for treatment is determined after examination.

Changes around the rootAssessed together with X-rays and clinical findings.

The final restorationPlanned according to the condition of the tooth.

A crown alone does not mean that root canal treatment is needed.

02

Retreatment

The canals have been treated before.

We first identify the cause of the recurring problem and assess whether it can be addressed with a reasonable prognosis.

Previously undetected canalsWe assess the anatomy and access to the root canal system.

Existing root filling materialIt may need to be removed to allow the canals to be cleaned again.

Recurring infectionWe assess its cause and the options for resolving it.

Complex anatomyWe consider curves, narrow areas and previous treatment.

Previous root canal treatment does not automatically mean that retreatment is necessary.

Your dentist

Ksenia Matsepuro, endodontist.

Initial root canal treatment and retreatment. Practicing general dentistry and endodontics since 2009.

Endodontics · Since 2009

Ksenia MatsepuroEndodontist

Specialist training

Care for complex root canal systems.

Her training includes A. I. Yevdokimov Moscow State University of Medicine and Dentistry, an internship in general dentistry, postgraduate study and continuing education. Her full professional background is available on her profile.

ExperienceIn practice since 2009

EducationA. I. Yevdokimov Moscow State University of Medicine and Dentistry

FocusGeneral dentistry · Endodontics

Clinical careInitial treatment · Retreatment

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Fees and appointments

Root canal treatment fees.

The fee depends on the tooth, canal anatomy and previous treatment. Diagnosis helps determine the scope of treatment and the plan for the final restoration.

World Class · Per anterior tooth