Our Endodontic Technologies
Laser Assisted Irrigation
Mission Valley Endodontics utilizes the EdgePro® system for enhanced irrigation and disinfection during endodontic treatment. This is termed laser-assisted irrigation (LAI). The EdgePro is a Er,Cr:YSGG laser manufactured by Biolase, a leading developer of laser technology in the medical and dental spaces. The Er,Cr:YSGG laser utilizes a radially-firing tip that is inserted into the canals, and when activated, produces a wavelength of light energy that is well-absorbed in water, endodontic irrigants, and hydroxyapatite (one of the components of tooth structure). The light energy produced forms cavitation bubbles in the liquid that expand and collapse, creating shear forces and shock waves that disrupt and remove diseased tissue, bacteria and bacterial biofilms, inorganic and organic debris, and smear layer. The fluid dynamics produced by the laser also helps irrigants and disinfectants get into complex anatomical areas of the root canal system for improved cleaning where mechanical instruments can’t access. Multiple studies have shown that LAI offers much improved debridement and flushing out of the canal system compared to more traditional irrigation techniques.
Click to learn more about EdgePro
Surgical Operating Microscope
The surgical microscope is an advancement used to allow visualization at up to 20x normal magnification. The use of the surgical microscope has enhanced our ability to locate previously unidentifiable root canals, identify fractures, repair anomalies in the tooth, and aid in the surgical aspects of endodontic therapy. We are excited by the ability to provide our patients with this state-of-the-art technique. The application of the surgical microscope in our office affords our patients the most advanced endodontic treatment available. We also have the ability to take photographs through the microscope so that we can better communicate findings with our referring dentists and patients.
Cone Beam Computed Tomography (CBCT)
In complex situations where diagnosis can be challenging or when conventional dental radiographs don't provide enough information, a CBCT scan can be helpful. This scan is essentially a three dimensional x-ray that allows us to see the problem area from multiple angles for better treatment planning. The scan is taken only of the area of interest and is very low radiation (about equivalent to 2-3 normal xrays).
TDO software
We use The Digital Office (TDO) Software, as it is considered the best endodontic software available. It is used to manage all patient records, imaging, reports, and communication with referring general dentists and other specialists. TDO has comprehensive modules that make our office paperless, which is a great convenience for our patients and referring dentists. The website integration allows our patients to securely access the software to complete the medical history and consent forms online before their appointment. This HIPAA compliant technology enables us to diagnose and treat our patients more efficiently, and to communicate more effectively with both the patient and referring doctor. We also have access to an online forum where endodontists from all over the country post cases, share clinical tips and techniques, and discuss all aspects of the endodontic specialty.
ASI Cart
We utilize ASI carts for advanced specialty-specific treatment delivery. ASI carts have all of the equipment necessary to perform endodontic treatment integrated into one system using one foot pedal. The ASI endodontic cart offers several advantages for endodontic procedures, such as customization, organization, efficiency, and ergonomics. This translates into a better experience for the doctor and patient during treatment.
Armamentarium
Dr. Stalder and Dr. Lewis use a variety of special equipment and tools that complement the high magnification and illumination the microscope provides. Examples are the use of small mirrors that allow us to see even the smallest details of your tooth at precise angels, ultrasonic instruments that gently brush away tooth structure and help remove various filling materials, small tipped burs that help us locate calcified and hidden canals deep within the roots, and flexible rotary files that shape and clean the root canals. The use of these instruments allow us to treat your condition in a conservative manner with maximum preservation of the natural tooth structure.
Digital Radiographs
Digital radiography (digital x-ray) is the latest technology used to take dental x-rays. This technique uses an electronic sensor (instead of x-ray film) that captures and stores the digital image on a computer. This image can be instantly viewed, enlarged, and manipulated, thereby helping the endodontist detect problems easier. Digital x-rays reduce radiation 80-90% compared to the already-low exposure of traditional dental x-rays.
Dental x-rays are essential, preventative, diagnostic tools that provide valuable information not visible during a regular dental exam. Endodontist use this information to safely and accurately detect abnormalities and complete an accurate treatment plan. Without x-rays, problem areas may go undetected.
Dental x-rays may reveal:
- Abscesses or cysts.
- Bone loss.
- Cancerous and non-cancerous tumors.
- Decay between the teeth.
- Developmental abnormalities.
- Poor tooth and root positions.
- Problems inside a tooth or below the gum line.