Middlesex Endodontics is a modern dental practice that utilizes the most recent technology for our specialty.

Operating Microscopes

Every operatory in both locations is equipped with either a Zeiss or Leica microscope. Magnification and fiber optic illumination provide the endodontist with commanding visual control over very detailed procedures. New treatment modalities have been developed which take advantage of the increased magnification and illumination of the microscope.

Rotary Instrumentation

We use a new generation of endodontic instruments that take advantage of the greater flexibility and resistance to fracture of a nickel-titanium alloy. These newer files are utilized in gear reduction engine-driven handpieces that are far superior to the traditional stainless steel hand filing systems.

Dr. Richard Bush,
Dr. Wesley Reed,
Dr. Steven Forgione
Dr. Timothy Gresla and
Dr. Deborah E. Tung are endodontists in the areas of Winchester, MA and Burlington, MA.
They specialize in endodontic treatment, apicoectomy and the treatment of teeth injuries, utilizing the latest in dental technology.

Apex Locators

Apex locators are electronic instruments that aid in determining the precise location of the root end. Their use helps to minimize the number of x-rays required during treatment.

Ultrasonics

The controlled vibrating action of ultrasonic instruments enables the endodontist to remove posts and other obstructions in root canals. These instruments are also used to prepare the apices for filling during endodontic surgery.

Digital Radiography

Digital imaging has only recently become widely used in dentistry. Each of our operatories is equipped with intraoral sensors to utilize this technology. Digital radiography can reduce radiation exposure up to 90% when compared with traditional dental radiographs.

BioPure MTAD root canal cleanser

Our office has a new root canal irrigant called BioPure MTAD. Irrigants are used during root canal therapy to remove debris and kill bacteria in the cleaning and shaping process. New research has shown a type of bacteria, E. faecalis, can be resistant to conventional irrigants like sodium hypochlorite and may survive the cleaning and shaping process. In particular, this bacteria has been linked to cases of root canal therapy failure. MTAD is a new root canal cleanser that combines a surfactant, an acid, and a broad spectrum antibiotic (doxycycline) to remove the smear layer in an instrumented root canal and also kill bacteria by preventing growth and proliferation.

Resilon root canal filling material

During root canal therapy the canals inside each root are cleaned and filled. The filling material provides a seal at the end of the root (the apex) to prevent infection outside the tooth. We have Resilon, marketed under the brand names Epiphany and Realseal, which is a polymer that physically bonds to the dentin structure of the tooth. This bonding can prevent root canal recontamination if the canal system becomes exposed to saliva. Studies have also shown this bonded filling increases the strength of the tooth when compared to conventional filling materials.


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