Substance-preserving dentistry at specialist level, microscope-assisted endodontics, minimally invasive restorations, retreatments. If your tooth can be saved, we save it.
In recent years dentistry has often become faster, and more implant-driven. We take the opposite approach: before we talk about replacement, we examine every option to preserve the natural tooth. That is not romanticism but biology. A natural tooth is suspended elastically via the periodontal ligament, has its own sensory perception, and responds to load differently than an implant fixed in bone. If it can be saved, it is the better solution. Period.
We work under the dental operating microscope with up to 25× magnification. Additional canals, calcified anatomy, cracks, everything invisible to the naked eye becomes visible. This changes the success rate significantly.
More on endodontics & root canalWhen a tooth needs aesthetic correction or a defect needs to be addressed, bonding is often the gentlest option. Direct composite work on the tooth, no grinding, one session, and fully reversible.
More on composite bondingWhen a filling no longer suffices but a crown would be too much: inlays and onlays replace only the damaged part of the chewing surface. Planned digitally, precisely fabricated by our partner lab.
More on inlays & onlaysEven the "classic" filling is part of tooth preservation, when done right. Adhesive bonding, layering technique, tight margins. A good filling lasts decades.
More on dental fillingsUtku Pul, M.Sc. Endodontology (Heinrich-Heine-University Düsseldorf). Curriculum Orthodontics. Curriculum Aesthetic Dentistry. Doctoral candidate with Prof. Dr. Falk Schwendicke, research focus on AI-assisted diagnostics in endodontics, PubMed-indexed co-authorships in Journal of Dentistry and International Endodontic Journal. Treatment languages: German, Turkish, English.
Tooth preservation includes all treatments aimed at keeping a natural tooth, rather than extracting it and replacing it with an implant or bridge. This includes microscope-assisted root canal treatment, substance-preserving restorations such as inlays, onlays, and composite bonding, and periodontal therapy. The goal is always: to preserve as much healthy tooth structure as possible.
A natural tooth is suspended elastically via the periodontal ligament, has its own sensory perception, and responds to load differently than an implant fixed in bone. Implants are a very good solution when the tooth can no longer be saved. As long as the tooth can be preserved, however, it is biologically and functionally superior. That is why we carefully evaluate all preservation options before any extraction.
The dental operating microscope is used in nearly every root canal treatment in our practice, especially for complex anatomy (additional canals, curved roots), calcified or obstructed canals, retreatment of a previous root canal, and apical surgery. 25× magnification significantly improves success rates because more can be seen and the work is more precise.
Composite bonding is the most substance-preserving option, directly on the tooth, without grinding, in one session. Inlays and onlays are fabricated in the lab and cover parts of the chewing surface; they replace only the damaged area. A crown covers the entire tooth and requires more preparation. We choose the smallest possible restoration that durably protects the tooth, that is tooth preservation in practice.
Endodontic retreatment is performed when a previously root-canal-treated tooth becomes inflamed again, recognizable by pain, pressure sensitivity, or radiographic findings. Common causes are missed canals, bacteria behind leaking restorations, or fractures. We remove the old root-filling material under the microscope, thoroughly clean the canals, and refill them. Many teeth previously considered lost can be saved this way.
With careful microscope-assisted endodontics and a tight, high-quality restoration (inlay, onlay, crown), success rates in current studies exceed 90 percent after 5 years. The full chain matters: canal preparation under direct vision, tight root filling, tight coronal restoration. Weak links in this chain are the most common cause of later failure.
Costs depend on the type and extent of treatment and on insurance status. Microscope-assisted endodontics, rubber dam, and electronic length measurement are generally private services, which we transparently document in a treatment and cost plan before starting. On request we offer patient financing via Medipay/z|easy with terms up to 72 months. Insurance-compliant root canal treatment without these premium components is possible but has a significantly lower success rate.
Puls' Zahnmedizin at WiloHealthCube, Wilopark 15, 44263 Dortmund-Hörde (Phoenix-West). Treating dentist: Utku Pul, M.Sc. Endodontology (Heinrich-Heine-University Düsseldorf), doctoral candidate with Prof. Dr. Falk Schwendicke and co-author of PubMed-indexed publications on AI-assisted diagnostics in endodontics. Opening 2027.
For pain, an old root canal finding, or before a planned extraction, a second opinion is often worth it. We check whether the tooth can still be saved under the microscope.
