In our practice, we use state-of-the-art methods to successfully preserve your natural teeth. Root canal treatment plays a central role in this. Our aim is to preserve your own tooth whenever possible. By using the latest technologies, such as highly developed microscopes, we are able to treat you precisely and successfully.
This page serves as a comprehensive guide to help you understand and make an informed decision about root canal treatment. We want to show you how we make the difference for our patients while addressing your concerns and fears about treatment.
Präzision am Mikroskop
Präzision am Mikroskop
Despite the modern possibilities of dentures, our primary goal is to preserve your natural teeth. We use all our skills and many years of experience in our practice to achieve this. The use of state-of-the-art technology, such as working under a microscope, underlines our commitment to preserving your teeth. This combination of technology and professional expertise enables us to provide precise and effective treatment that ensures the best possible result for your dental health.
Präzision am Mikroskop
Despite the modern possibilities of dentures, our primary goal is to preserve your natural teeth. We use all our skills and many years of experience in our practice to achieve this. The use of state-of-the-art technology, such as working under a microscope, underlines our commitment to preserving your teeth. This combination of technology and professional expertise enables us to provide precise and effective treatment that ensures the best possible result for your dental health.
We understand that the thought of root canal treatment raises questions. In order to provide you with transparency and clarity, we are happy to explain the entire process of this important treatment. From the initial diagnosis to the final sealing of the root canal, we use state-of-the-art technology and our many years of experience to ensure the best possible preservation of your natural teeth.
Understand the reasons
Understand the reasons
The cells inside the tooth that are affected during root canal treatment belong to the dental nerve, also known as the pulp. They are responsible for the development and growth of the tooth roots during tooth development and later, above all, for the sensation of pain. If bacteria penetrate through caries, cracks or injuries, an infection can occur which, if left untreated, can lead to abscesses or even tooth loss. Root canal treatment is therefore essential to eliminate the infection and preserve the tooth.
Understand the reasons
The cells inside the tooth that are affected during root canal treatment belong to the dental nerve, also known as the pulp. They are responsible for the development and growth of the tooth roots during tooth development and later, above all, for the sensation of pain. If bacteria penetrate through caries, cracks or injuries, an infection can occur which, if left untreated, can lead to abscesses or even tooth loss. Root canal treatment is therefore essential to eliminate the infection and preserve the tooth.
When is root canal treatment necessary?
When is root canal treatment necessary?
As a patient, you can recognize the need for root canal treatment by various symptoms. Severe toothache, which often radiates to the face, pain when chewing or biting and a persistent sensitivity to cold are common signs. If left untreated, these symptoms can lead to further spread of the infection, which can result in abscesses and the loss of the tooth. Early treatment is therefore crucial.
When is root canal treatment necessary?
As a patient, you can recognize the need for root canal treatment by various symptoms. Severe toothache, which often radiates to the face, pain when chewing or biting and a persistent sensitivity to cold are common signs. If left untreated, these symptoms can lead to further spread of the infection, which can result in abscesses and the loss of the tooth. Early treatment is therefore crucial.
Step by step
Step by step
During root canal treatment, we remove the inflamed tissue and bacteria from the inside of the tooth in several steps: First, we gain access to the inside of the tooth, remove the inflamed tissue, thoroughly disinfect the area and seal the canal tightly to prevent re-infection. In our practice, we use the latest techniques and materials as well as our specialist knowledge to carry out this treatment precisely and efficiently.
Step by step
During root canal treatment, we remove the inflamed tissue and bacteria from the inside of the tooth in several steps: First, we gain access to the inside of the tooth, remove the inflamed tissue, thoroughly disinfect the area and seal the canal tightly to prevent re-infection. In our practice, we use the latest techniques and materials as well as our specialist knowledge to carry out this treatment precisely and efficiently.
Endodontics in detail
Endodontics in detail
The x-ray shows tooth 26, the first molar on the top left, after successful root canal treatment. The patient came to us with severe pain caused by a deep caries in this tooth. In an emergency treatment, we removed the caries and administered a medication into the root canal to relieve the pain. In the next session, we carried out the root canal treatment and also provided the tooth with a partial crown for more stability.
The completed root canal treatment can be seen on the left-hand side of the picture. The tooth has three roots, with two canals in the mesiobuccal root - a peculiarity, as one of the canals is often overlooked. In this case, however, all canals were treated correctly. The root fillings are clearly visible and show that the canals are tightly and compactly sealed. This is the result of thorough cleaning and disinfection of the root canal system before filling.
The image on the right shows the same image with additional graphic elements to emphasize the structure: the roots are marked by a border, the root fillings are shown in red and the access to the root canal system is highlighted in blue. This illustration makes the successful root canal treatment and the correct placement of the filling visually comprehensible.
All cases shown on our website have been treated in full in our practice. The images are protected by copyright. Any use of the images outside the limits of copyright law, in particular copies, is not permitted and is punishable by law.
Endodontics in detail
The x-ray shows tooth 26, the first molar on the top left, after successful root canal treatment. The patient came to us with severe pain caused by a deep caries in this tooth. In an emergency treatment, we removed the caries and administered a medication into the root canal to relieve the pain. In the next session, we carried out the root canal treatment and also provided the tooth with a partial crown for more stability.
The completed root canal treatment can be seen on the left-hand side of the picture. The tooth has three roots, with two canals in the mesiobuccal root - a peculiarity, as one of the canals is often overlooked. In this case, however, all canals were treated correctly. The root fillings are clearly visible and show that the canals are tightly and compactly sealed. This is the result of thorough cleaning and disinfection of the root canal system before filling.
The image on the right shows the same image with additional graphic elements to emphasize the structure: the roots are marked by a border, the root fillings are shown in red and the access to the root canal system is highlighted in blue. This illustration makes the successful root canal treatment and the correct placement of the filling visually comprehensible.
All cases shown on our website have been treated in full in our practice. The images are protected by copyright. Any use of the images outside the limits of copyright law, in particular copies, is not permitted and is punishable by law.
Modern endodontics
Modern endodontics
In our practice, we usually carry out root canal treatments in one session. This has many advantages for our patients: fewer journeys, fewer repeated anesthetics and less stress overall. By using the latest technology, we can shorten the duration of treatment without compromising on quality or treatment success.
Modern endodontics
In our practice, we usually carry out root canal treatments in one session. This has many advantages for our patients: fewer journeys, fewer repeated anesthetics and less stress overall. By using the latest technology, we can shorten the duration of treatment without compromising on quality or treatment success.
Biological challenges and success rates in root canal therapy
Biological challenges and success rates in root canal therapy
Root canal treatment treats a biological problem - the removal of bacteria from a complex root canal system, which may consist of billions of microscopic tubules and possible side canals or an apical delta. The success of such treatment can be divided into two stages: Absolute success means freedom from pain and no abnormalities on x-ray. In some cases, the bone does not heal completely, but the tooth remains pain-free and functional - this is referred to as relative success.
With correct treatment, the success rate is around 90%. This means that 9 out of 10 treatments are successful. This high success rate reflects the effectiveness and precision of today's endodontic procedures, but also underlines the importance of realistic patient expectations.
In addition, it is crucial for the long-term success of root canal treatment to adequately protect and stabilize the treated tooth. In most cases, a dental crown is recommended. The reason for the original root canal treatment, such as a deep cavity or a broken tooth, has often compromised the structural integrity of the tooth. A crown gives the tooth the necessary stability and ensures that the tooth is tightly sealed, which also protects against future infection.
Biological challenges and success rates in root canal therapy
Root canal treatment treats a biological problem - the removal of bacteria from a complex root canal system, which may consist of billions of microscopic tubules and possible side canals or an apical delta. The success of such treatment can be divided into two stages: Absolute success means freedom from pain and no abnormalities on x-ray. In some cases, the bone does not heal completely, but the tooth remains pain-free and functional - this is referred to as relative success.
With correct treatment, the success rate is around 90%. This means that 9 out of 10 treatments are successful. This high success rate reflects the effectiveness and precision of today's endodontic procedures, but also underlines the importance of realistic patient expectations.
In addition, it is crucial for the long-term success of root canal treatment to adequately protect and stabilize the treated tooth. In most cases, a dental crown is recommended. The reason for the original root canal treatment, such as a deep cavity or a broken tooth, has often compromised the structural integrity of the tooth. A crown gives the tooth the necessary stability and ensures that the tooth is tightly sealed, which also protects against future infection.
Stability and tight closure
Stability and tight closure
After successful root canal treatment, it is usually necessary to restore the treated tooth with a crown. This protects and stabilizes the tooth, especially if its structural integrity is already damaged. In our practice, we make dental crowns in just one session to help you achieve a lasting and safe result quickly and efficiently. You can find more information on our special page about dental crowns.
Stability and tight closure
After successful root canal treatment, it is usually necessary to restore the treated tooth with a crown. This protects and stabilizes the tooth, especially if its structural integrity is already damaged. In our practice, we make dental crowns in just one session to help you achieve a lasting and safe result quickly and efficiently. You can find more information on our special page about dental crowns.
Our practice follows a structured approach to preserve your teeth in the best possible way. In the event of problems following root canal treatment, we offer a revision. In this phase, we carefully analyze the causes and discuss the best course of action with you. The chances of success of a revision depend heavily on the quality of the initial treatment. If the initial treatment was inadequate, there is often room for improvement. If, on the other hand, the initial treatment was optimal, we are more likely to recommend an apicoectomy. Regardless of the procedure chosen, we guarantee the best chances of tooth preservation through precise diagnostics and professional execution.
Symptoms and causes of possible failure
Symptoms and causes of possible failure
After root canal treatment, certain symptoms may indicate that the treatment may not have been successful. These symptoms include
Persistent pain or sensitivity, especially to pressure or when chewing.
Swelling in the area of the treated tooth, which may indicate a persistent infection.
Occurrence of abscesses or fistulas near the treated area.
These symptoms can be caused by various factors. On the one hand, it can be a biological problem, e.g. bacteria that have remained in the millions of microscopically small canals in the tooth. On the other hand, there may be mechanical problems, such as incompletely cleaned or filled root canals. In our practice, we carry out a detailed analysis to determine the exact cause. We will then discuss with you the best individual treatment option - be it a revision of the root canal treatment or another suitable therapy. Our aim is always to find an effective and patient-oriented solution to ensure the long-term success of your dental treatment.
Symptoms and causes of possible failure
After root canal treatment, certain symptoms may indicate that the treatment may not have been successful. These symptoms include
Persistent pain or sensitivity, especially to pressure or when chewing.
Swelling in the area of the treated tooth, which may indicate a persistent infection.
Occurrence of abscesses or fistulas near the treated area.
These symptoms can be caused by various factors. On the one hand, it can be a biological problem, e.g. bacteria that have remained in the millions of microscopically small canals in the tooth. On the other hand, there may be mechanical problems, such as incompletely cleaned or filled root canals. In our practice, we carry out a detailed analysis to determine the exact cause. We will then discuss with you the best individual treatment option - be it a revision of the root canal treatment or another suitable therapy. Our aim is always to find an effective and patient-oriented solution to ensure the long-term success of your dental treatment.
Cone beam computed tomography (CBCT)
Cone beam computed tomography (CBCT)
In our practice, we use advanced cone beam computed tomography (CBCT) for the precise diagnosis of complex root canal treatments. This state-of-the-art 3D X-ray technology allows us to create detailed three-dimensional images of the teeth and their root canals. CBCT helps us to understand the exact anatomy of the root canals and identify potential problems such as hidden canals, calcifications or unusual root structures. This precise diagnosis is crucial for the development of effective treatment plans and the long-term success of root canal treatment.
Cone beam computed tomography (CBCT)
In our practice, we use advanced cone beam computed tomography (CBCT) for the precise diagnosis of complex root canal treatments. This state-of-the-art 3D X-ray technology allows us to create detailed three-dimensional images of the teeth and their root canals. CBCT helps us to understand the exact anatomy of the root canals and identify potential problems such as hidden canals, calcifications or unusual root structures. This precise diagnosis is crucial for the development of effective treatment plans and the long-term success of root canal treatment.
A new chance for your tooth
A new chance for your tooth
Revision root canal treatment is a procedure that is performed when the original treatment was unsuccessful or caused problems. The procedure includes:
Removal of the old root canal filling: First, the existing filling is removed to gain access to the root canals.
Careful cleaning: The canals are thoroughly cleaned to remove any remaining bacteria and infected tissue.
New filling and sealing: After cleaning, the canal is filled with a new, biocompatible material and sealed.
Possible reasons for a necessary revision may be anatomical peculiarities, remaining bacteria or insufficient disinfection. It is important to understand that this is a biological problem in which a complex structure of bacteria in an intricate root canal system needs to be cleaned.
The success rate of a root canal revision is around 80%. This means that 8 out of 10 cases can be treated successfully, but also emphasizes that no absolute guarantee can be given due to the complexity of the biology. Our aim is to set realistic expectations while ensuring positive, patient-oriented and professional treatment.
A new chance for your tooth
Revision root canal treatment is a procedure that is performed when the original treatment was unsuccessful or caused problems. The procedure includes:
Removal of the old root canal filling: First, the existing filling is removed to gain access to the root canals.
Careful cleaning: The canals are thoroughly cleaned to remove any remaining bacteria and infected tissue.
New filling and sealing: After cleaning, the canal is filled with a new, biocompatible material and sealed.
Possible reasons for a necessary revision may be anatomical peculiarities, remaining bacteria or insufficient disinfection. It is important to understand that this is a biological problem in which a complex structure of bacteria in an intricate root canal system needs to be cleaned.
The success rate of a root canal revision is around 80%. This means that 8 out of 10 cases can be treated successfully, but also emphasizes that no absolute guarantee can be given due to the complexity of the biology. Our aim is to set realistic expectations while ensuring positive, patient-oriented and professional treatment.
A case report
A case report
A patient came to us with persistent pain in a tooth that had undergone root canal treatment at another practice years ago. Our x-ray showed an inadequate root canal filling: it was too short and not compact, which indicated potential for optimization. In order to make a comprehensive diagnosis, we took a CBCT scan, which allowed us to examine the tooth in three dimensions. We discovered an additional root that is not normally present. This crucial information enabled us to carry out a successful revision. The x-rays shown here illustrate the entire process and the successful outcome of the treatment.
A case report
A patient came to us with persistent pain in a tooth that had undergone root canal treatment at another practice years ago. Our x-ray showed an inadequate root canal filling: it was too short and not compact, which indicated potential for optimization. In order to make a comprehensive diagnosis, we took a CBCT scan, which allowed us to examine the tooth in three dimensions. We discovered an additional root that is not normally present. This crucial information enabled us to carry out a successful revision. The x-rays shown here illustrate the entire process and the successful outcome of the treatment.
The role of apicoectomy
The role of apicoectomy
Root tip resection is often the last chance to save a tooth if other endodontic treatments such as root canal treatment or its revision have not been successful. In this procedure, the root tip and the surrounding infected tissue are surgically removed. The remaining part of the root canal is then sealed with a filling. The success rate of root tip resection is around 80%, i.e. 8 out of 10 cases are treated successfully. This method offers a great opportunity to preserve the natural tooth and ensure its long-term functionality.
The role of apicoectomy
Root tip resection is often the last chance to save a tooth if other endodontic treatments such as root canal treatment or its revision have not been successful. In this procedure, the root tip and the surrounding infected tissue are surgically removed. The remaining part of the root canal is then sealed with a filling. The success rate of root tip resection is around 80%, i.e. 8 out of 10 cases are treated successfully. This method offers a great opportunity to preserve the natural tooth and ensure its long-term functionality.
Root canal treatment and apicoectomy
Root canal treatment and apicoectomy
We carried out comprehensive treatment on a patient with an extensive infection and a cyst between the maxillary anterior teeth, which was visible as a dark area on the X-ray. The CBCT showed the large extent of the infection. We carried out root canal treatment on the lateral incisor, whose pulp had died. We decided to perform an apicoectomy on the already root-treated central incisor. We surgically removed the root tip and the cyst and filled the root canal from the tip, which is marked in red in the picture. The successful result can be seen eight years after the treatment.
Root canal treatment and apicoectomy
We carried out comprehensive treatment on a patient with an extensive infection and a cyst between the maxillary anterior teeth, which was visible as a dark area on the X-ray. The CBCT showed the large extent of the infection. We carried out root canal treatment on the lateral incisor, whose pulp had died. We decided to perform an apicoectomy on the already root-treated central incisor. We surgically removed the root tip and the cyst and filled the root canal from the tip, which is marked in red in the picture. The successful result can be seen eight years after the treatment.
Our goal: the preservation of your tooth
Our goal: the preservation of your tooth
Our goal: the preservation of your tooth
Tooth preservation through endodontics
Tooth preservation through endodontics
In modern endodontics, equipped with experienced specialists, microscopes and highly developed instruments, we achieve impressive success in tooth preservation. The success rate for primary root canal treatment is around 90%, for revisions 80% and for root tip resections also 80%. By consistently applying all treatment options, we achieve an overall success rate of 98 out of 100 endodontically treated teeth being successfully treated and preserved. This statistic underlines the effectiveness of our comprehensive and advanced endodontic procedures.
Tooth preservation through endodontics
In modern endodontics, equipped with experienced specialists, microscopes and highly developed instruments, we achieve impressive success in tooth preservation. The success rate for primary root canal treatment is around 90%, for revisions 80% and for root tip resections also 80%. By consistently applying all treatment options, we achieve an overall success rate of 98 out of 100 endodontically treated teeth being successfully treated and preserved. This statistic underlines the effectiveness of our comprehensive and advanced endodontic procedures.
Dr. Sebastian Horvath and Dr. Domonkos Horvath are the specialists in our practice who are passionate about preserving your teeth. Dr. Sebastian Horvath, who has a doctorate in root canal treatment revision, and Dr. Domonkos, who has many years of experience in dentistry, use state-of-the-art technology to ensure the health and well-being of your teeth.
Dentist and specialist in prosthetics (DGPro)
Dr Sebastian Horvath holds a doctorate in the field of endodontics and specializes in the preservation of natural teeth. He specializes in the revision of root canal treatments and fixed prosthetics. He is a recognized expert in his field and brings technical excellence and aesthetic care to every treatment.
Dentist and specialist in prosthetics (DGPro)
Dr Sebastian Horvath combines his extensive knowledge of endodontics with a specialization in fixed prosthetics. He completed his doctorate on root canal treatment revisions and is known for his innovative approaches to dentistry. As a lecturer and author of numerous publications, he shares his knowledge and experience with the global dental community.
Dentist and specialist in prosthetics (DGPro)
Dr Sebastian Horvath combines his extensive knowledge of endodontics with a specialization in fixed prosthetics. He completed his doctorate on root canal treatment revisions and is known for his innovative approaches to dentistry. As a lecturer and author of numerous publications, he shares his knowledge and experience with the global dental community.
Dentist
Dr. Domonkos Horvath, founder of the dental practice Dr. Horvath in Jestetten in 1985, is a visionary dentist known for his innovative treatment techniques and research-oriented approach to dentistry.
Dentist
Since 1985, Dr. Domonkos Horvath has been shaping dentistry with his practice in Jestetten through innovation and commitment to advanced treatment methods. After completing his studies in Freiburg and further training in Karlsruhe, he established himself as an expert in fixed restorative dentistry. He was awarded the Medical Design Excellence Award for the development of the "OptraGate" product, which underlines his leading role in dental innovation.
Dentist
Since 1985, Dr. Domonkos Horvath has been shaping dentistry with his practice in Jestetten through innovation and commitment to advanced treatment methods. After completing his studies in Freiburg and further training in Karlsruhe, he established himself as an expert in fixed restorative dentistry. He was awarded the Medical Design Excellence Award for the development of the "OptraGate" product, which underlines his leading role in dental innovation.
Root canal treatment is an important medical procedure that requires a great deal of experience and technical expertise. In our family-run practice, we present the costs transparently and offer individual cost plans and financing options. We take the time to find the best solution for your dental health and your financial situation.
Financial clarity in endodontics
Financial clarity in endodontics
Depending on the number of root canals and the difficulty of the case, the cost of root canal treatment is around €550-1400.
Financial clarity in endodontics
Depending on the number of root canals and the difficulty of the case, the cost of root canal treatment is around €550-1400.
Your destination for excellent dentistry - just 20 minutes from Zurich Airport
Your destination for excellent dentistry - just 20 minutes from Zurich Airport
We greatly appreciate the fact that many of our patients travel long distances to visit us. This underlines their trust in our work and motivates us to make their time with us particularly valuable. That is why we optimize appointments and help with travel planning if necessary, in order to make their stay as efficient and pleasant as possible. Their commitment honors us and encourages us in our efforts to provide each patient with individual and high-quality treatment.
Your destination for excellent dentistry - just 20 minutes from Zurich Airport
We greatly appreciate the fact that many of our patients travel long distances to visit us. This underlines their trust in our work and motivates us to make their time with us particularly valuable. That is why we optimize appointments and help with travel planning if necessary, in order to make their stay as efficient and pleasant as possible. Their commitment honors us and encourages us in our efforts to provide each patient with individual and high-quality treatment.
Experience dental excellence and personal care. We are committed to your well-being and satisfaction. Contact us to take the first step towards your optimal oral health. We look forward to meeting you in person soon and are just a call or click away.
Uncomplicated, without travel and free of charge
Uncomplicated, without travel and free of charge
Uncomplicated, without travel and free of charge
A beautiful smile can change your life.
We specialize in modern aesthetic treatment methods.
Invisible tooth correction with Invisalign aligners
Beautiful and individual Veneers
Complex teeth straightening with fixed braces from the inside or outside
We are available during the following office hours:
Monday 07:30-15:30
Tuesday 07:30-15:30
Wednesday 10:30-18:30
Thursday 07:30-15:30
Friday 07:30-15:30
Directions
You will find our practice at Bahnhofstrasse 24 in Jestetten, 5 km from the Swiss border. From Zurich airport our practice can be reached by car in about 20 minutes.
Parking
You will find free parking spaces in front of the practice.
A fast charging station (150 kW CCS) for electric cars can be found in the immediate vicinity of the practice.
Line S9
By train we are comfortable and very easy to reach. Our practice is located directly opposite the Jestetter train station on the SBB line between Schaffhausen and Zurich (line S9).
20 minutes from Zurich airport.
Our practice is located in the heart of Europe in the immediate vicinity of Zurich International Airport. Zurich Airport is the hub of several airlines and is very easy to reach from all over the world.
By car, we can be reached from Zurich Airport in about 20 minutes. You can also reach us easily by train from the airport, as our practice is located directly opposite the train station on the SBB line between Zurich and Schaffhausen (line S9).
Dentist 
