+7 747 093 89 86Daily 9:00–20:00Book a visit
General dentistry

Microscope-Assisted Dental Treatment in Almaty: Precision, Benefits, Prices

Dental treatment under a microscope means working with magnification and directed light. The dentist can see accessory canals, cracks, and remnants of an old filling. The microscope complements X-rays rather than replacing them. The decision to use it is based on the clinical picture. Appointments take longer: the instrument set differs from the standard one.

Answer a few questions in the calculator below — and our administrator will send you an estimate for your case before your visit.

30+years treating patients in Almaty
up to 5 yearswarranty on work
0%Installments: Jusan bank — 24 months, Kaspi — 12

How much does microscopic dental treatment cost in Almaty

Full price list
TreatmentDuration & warrantyPrice
General dentist consultation and treatment plan0 ₸Message on WhatsApp
Initial examination and treatment plan0 ₸Message on WhatsApp
Caries treatmentfrom15 000 ₸Message on WhatsApp
Treatment of superficial cavitiesfrom15 000 ₸Message on WhatsApp
Treatment of moderate cariesfrom25 000 ₸Message on WhatsApp
Treatment of deep cavitiesfrom35 000 ₸Message on WhatsApp
Caries treatment using the Icon methodfrom25 000 ₸Message on WhatsApp
Treatment of a wedge-shaped defect, one toothfrom23 000 ₸Message on WhatsApp
Pulpitis treatment, single canalfrom65 000 ₸Message on WhatsApp
Periodontitis treatmentfrom77 000 ₸Message on WhatsApp

What is included in the cost of treatment under a microscope

The cost depends on the scope of work: the number of canals in the tooth, their patency, whether there is inflammation at the root apex, and whether retreatment is required. Materials are calculated separately — filling materials, posts, and medicated inserts. The exact amount is given after the examination and X-rays, during the consultation.

By purpose

Types of procedures performed under a microscope

Distinguishing procedures where magnification changes the dentist's approach.

Instruments and materials for this type of treatment, laid out on a light-colored surface — an illustration for the section "What the dentist sees through the microscope"

Crack detection

The goal is to find a crack in the enamel, dentin, or root that is often missed during a routine examination. Under magnification and lateral light, its relief and depth become visible. Unlike root canal treatment, here the dentist decides whether the tooth can be saved; this task is considered when there is pain on biting without an obvious cause.

Chairside appointment: dentist at work, shot over the assistant's shoulder — illustration for the section "Conditions in which the microscope is used"

Primary root canal treatment

The goal is to locate, negotiate, clean, and fill the root canals of a tooth that has not been treated before. Unlike retreatment, there is no old material in the canal. The dentist considers this procedure for pulpitis and periodontitis, especially when the canals are narrow or curved.

Dental model and material samples on the dentist's table next to a mirror and probe — illustration for the "Treatment Warranty" section

Root canal retreatment

The goal is to renegotiate canals that have already been filled: remove the old filling, remove the filling material from the canals, and clean them again. It differs from primary treatment in working with old material and searching for missed canal orifices; it is considered when inflammation at the apex persists after previous treatment.

Treatment room prepared for an appointment: dental chair, lamp, and tray of instruments — illustration for the section "What are the contraindications to treatment under a microscope"

Restoration under a microscope

The goal is to restore the coronal part of the tooth with a composite restoration with a precise margin and contour. Unlike work in the canals, the dentist works on the visible part of the tooth and monitors the filling margin and marginal adaptation under magnification. It is considered for a chip, caries, or an abfraction lesion.

Stages of microscopic dental treatment

Consultation: doctor and patient at a screen with an X-ray — illustration for the section "First visit and treatment plan"
Step 01

Examination and diagnostics

At the initial appointment, the dentist examines the tooth, assesses complaints and tissue condition. If necessary, cone-beam computed tomography is prescribed to see the roots, canals, and surrounding bone tissue. Initial examination and treatment plan — 0 ₸.

Preparation: the assistant lays out sterile instruments, the dentist puts on gloves — illustration for the "Anesthesia" section
Step 02

Treatment planning

Based on the diagnostic results, the dentist determines the scope of work: which canals to treat, whether a filling or crown needs replacement, and how many visits will be required. The patient receives a plan with stages and cost; installment payments are available if needed.

The treatment stage itself: the doctor's gloved hands working inside the oral cavity — an illustration for the "Access to the canals" section
Step 03

Preparation and anesthesia

Before the procedure, local anesthesia is administered so it is painless. The working field is isolated with a rubber dam — this protects the tooth from saliva and solutions. Instruments are sterilized in class B autoclaves.

Follow-up visit: the dentist checks the result with a mirror while the assistant holds the saliva ejector — illustration for the section "Finding hidden canals"
Step 04

Working under the microscope

The dentist sets up the microscope at 25× magnification, locates the canal orifices, negotiates them to full length, removes infected tissue, and irrigates with solution. The canals are then obturated and the crown portion of the tooth is restored.

End of appointment: the doctor beside the patient goes over aftercare instructions — illustration for the section "Treatment and Filling"
Step 05

Follow-up and monitoring

After obturation, a follow-up X-ray is taken to check that the canals are filled along their entire length. The dentist schedules a follow-up examination and gives care recommendations. If necessary, the crown is restored at the next visit.

Our Doctors

Who provides this treatment

The clinic's doctors who see patients for this service. A treatment plan is drawn up after the examination.

Price calculator

Get a price estimate in 20 seconds

Question 1 / 4
What is bothering you about your tooth?
How many teeth are bothering you?
Has this tooth been treated before?
How would you prefer to pay?
One last step

Leave your contact details and we'll send the estimate and suggest a convenient time.

Request received

Our coordinator will contact you during clinic hours, daily 9:00 — 20:00.

Zhumabekov Nurlan Asylbekuly — dentist at Dental-Center dental clinic in Almaty, portrait in work uniformThe estimate is reviewed by the clinic's general dentistTakes 20 seconds — you'll get a reply from our administrator during business hours
Estimate based on the clinic's 2026 price listExamination and treatment plan — 0 ₸0% installments: Jusan bank — 24 months, Kaspi — 12

The structure of the microscope and its use in dental treatment

During a routine appointment, the doctor sees the tooth with the naked eye. Magnification changes the very logic of the work: you can see what was previously guessed at from indirect signs.

What is visible through the eyepiece and what is not

Through the eyepiece, you can see the canal orifice, its walls, small branches, cracks in the enamel and dentin. You can see how the filling material behaves, where it flows, and where a void remains. You can see the edge of an old filling and the border of caries. This changes the conversation with the patient: the doctor shows the same thing he sees himself, and the decision is discussed based on fact, not on sensation. But optics do not decide everything. The depth of inflammation beyond the root apex, the condition of the surrounding bone, and hidden foci are shown by cone-beam CT. The microscope and the image complement each other, and dental treatment under a microscope is based on both sources. There is also a limit: through the eyepiece, you cannot see what is happening in a lateral canal if it is blocked with filling material. That is examined with an instrument. And another thing: magnification does not cancel anatomy. If a canal is curved at an acute angle, optics help find it but do not make it straight. What works is the combination: light, magnification, image, and experienced hands.

Retreatment: why people return to an old tooth

A tooth returns to the doctor for several reasons. A canal was not found and not treated. A canal was treated, but not completely. The filling material did not reach the apex or went beyond it. The root wall has cracked. Sometimes the issue is that previous treatment was performed without magnification: the doctor worked blindly and did not see the branches. In such cases, during an appointment with optics, the first step is to remove the old filling and see what remains underneath. This is a separate task — to take apart someone else's work without damaging the walls. A microscope is needed here to distinguish healthy dentin from infected dentin and not remove too much. It happens that a canal can no longer be retreated: the root has cracked, and then removal is considered. This is not a doctor's failure, but the condition of the tooth. The doctor decides based on the clinical picture, not on a single image. Retreatment is always more difficult than the first treatment, and its outcome cannot be predicted in advance.

Differences in approach at different stages

StageWithout magnificationWith magnification
Locating canal orificesby color and topography of the chamber floordark dots of the orifices are visible
Negotiating the canalby feel with the instrumentthe path and curvature are visible
Shaping the wallsassessed by sound and resistancevisible where dentin remains
Obturationverified by postoperative X-rayvisible how the material flows
Detecting a crackoften missedthe crack is visible through the eyepiece
Removing a fragmentrisk of driving the instrument furthervisible what to engage

When magnification does not solve the problem

  • Root crack below the bone level: only the upper part of the line is visible through the eyepiece; beyond that the prognosis is questionable, and the tooth often has to be extracted because the hidden part of the crack cannot be examined.
  • Canal blocked with material along its entire length: optics show the wall but do not help to pass through the dense mass; a different instrument and time are needed, and sometimes a repeat procedure.
  • Severe root curvature: magnification helps to find the orifice but does not straighten the canal, and part of the wall remains inaccessible for shaping; the instrument works blindly at the bend.
  • Tooth destruction below the gum: the microscope does not restore lost tissue; the issue is resolved by prosthetics or extraction, and the doctor decides based on the clinical picture.

What equipment is used for treatment under a microscope

The doctor's workstation is built around the optics. The microscope sets its own requirements for the rest of the equipment: light, access, instruments. How precisely each of these is chosen determines what exactly the doctor will see through the eyepiece and how confidently they will be able to act.

Optics and illumination of the working field

The foundation of the appointment is a microscope with 25× magnification. It is mounted on a movable arm, so the position of the eyepieces is adjusted to the tilt of the doctor's head, not the other way around. You have to look for a long time, and unnecessary strain has no place here. Light travels through fiber optics from a separate source and is directed as a narrow beam precisely into the field. Shadows in the depth of the canal make it hard to see the orifice or a crack, so the brightness and angle of the beam are changed as the work progresses. Coaxial illumination provides even light along the axis of vision: what the doctor looks at and what is illuminated are the same spot. Side lighting, on the other hand, reveals relief: this is how microcracks in the enamel and the margin of a filling are found. Binocular eyepieces provide depth perception; without it, the depth of the canal is hard to read. Some models allow a camera to be connected and the image displayed on a screen — convenient for discussing a treatment plan. The equipment affects the price of the appointment, but everything begins with diagnostics, not with the device.

Instruments for working in narrow access

  • Micro handpieces: the head is smaller than a standard one and the body is slim — inside the tooth cavity such an instrument does not obstruct the view or bump into adjacent teeth.
  • Ultrasonic tips: thin tips of various shapes remove old filling material, flush out remnants from the canal, and do not cut excess dentin blindly.
  • Small hand files: diameters from 06 to 10 are suitable for narrow and curved canals, where a larger instrument simply cannot pass beyond the orifice.
  • Micro-irrigators: a cannula with side holes delivers the solution to the walls instead of directing a jet at a single point, so irrigation reaches the entire length.
  • Apex locator: an electronic device determines the position of the apex by tissue resistance; the doctor cross-checks its readings with the image in the eyepieces.
  • Rubber dam: a latex sheet isolates the tooth from saliva, keeps the tongue and cheek out of the field of view, and prevents solutions from entering the oral cavity.

Diagnostics alongside the microscope

Optics show what is already exposed to the eye, and so they are supplemented with imaging. Cone-beam computed tomography provides a three-dimensional picture of the jaw: the number of canals, their course, the length of the root, and the condition of the bone around the apex are visible. Based on this data, the doctor decides whether it is worth entering such a tooth at all and from which access. The 3Shape intraoral scanner takes a digital impression: instead of a tray with paste, the tooth is traced with a camera, and the model is built on the screen. A scan is needed when a crown or inlay is planned after treatment. The laser is used in a targeted way — to treat tissue in a hard-to-reach area or to work with soft tissues. Class B autoclaves sterilize instruments between appointments, including those that have been inside a canal. Each device is responsible for its own area, and together they give the doctor a basis for decisions. What exactly will be needed in a specific case depends on the clinical picture.

What is included in the equipment for the appointment

DevicePurposeWhen it's needed
25× microscopeMagnified view of the fieldAt all times
Cone beam CT3D image of the jawBefore treatment begins
3Shape intraoral scannerDigital impressionFor a crown or inlay
LaserTargeted treatment of tissuesWhen indicated
Class B autoclavesSterilization of instrumentsBetween appointments

How long does treatment of one tooth under a microscope take

The duration of an appointment is not measured by a single number. It is made up of diagnostics, access to the site, and the work itself. Below is what the time depends on and what benchmarks exist.

What the duration of the appointment depends on

The time of the appointment is determined by the clinical picture, not by the name of the method. The position of the tooth in the jaw: wisdom teeth sit deep, and reaching them is more difficult. The number of roots and canals — incisors have one or two, molars have three or four, and each requires separate treatment. The patency of the canals: narrow, curved, obliterated passages take more time than straight and wide ones. The condition of the tissues around the apex: inflammation, a cyst, a granuloma add stages. Whether there is a secondary infection under an old filling or crown. Whether the doctor is working on this tooth for the first time or retreating it after an unsuccessful intervention. Finally, how many procedures are combined in one visit. Treatment of a tooth under a microscope is a sequence of steps, and each step takes its own time. Some people come with one site, others have several. That is why the duration can only be predicted approximately in advance, and the doctor decides after the examination and imaging.

One visit or several

Sometimes everything can be completed in a single appointment. This is possible when there is only one canal, it is straight and unobstructed, and the inflammation has not spread beyond the apex. In that case, the dentist cleans, fills, and seals the tooth in one visit. More often, the work is divided into stages. The first visit involves diagnosis and access: X-ray, isolation, opening the pulp chamber, cleaning the canals, and placing a temporary filling. The second visit involves permanent filling and crown restoration. Several days or weeks pass between them to ensure the inflammation has subsided. With a cyst or severe periodontitis, there are more stages—sometimes three or four. Retreatment is a separate case: the old filling is removed, the canals are unsealed, and this is a separate visit. How many visits are needed depends on how the tooth responds to treatment. If the pain does not go away or swelling appears, the dentist changes the plan and adds a stage. The exact number of appointments is determined after the first examination, not before.

Guidelines for different situations

SituationWhat is doneEstimated number of visits
Cavities on a visible surfaceFillingOne visit
Pulpitis, one canalCleaning and filling of the canalOne to two visits
Pulpitis, multiple canalsTreatment of each canalTwo visits
Periodontitis with a cystTreatment, temporary sealing, monitoringTwo to three visits
Root canal retreatmentRemoval of the old filling material, repeat treatmentTwo to four visits
Chipped or cracked crownCrown restorationOne to two visits

What lengthens the procedure

  • Curved canals: a narrow bend prevents the instrument from passing straight through, so the dentist spends time gradually widening the path, sometimes with the risk of breaking the instrument.
  • Obliteration: the canal becomes filled with dense tissue, and it has to be located and opened under magnification, which is a separate and time-consuming step.
  • Foreign body: a broken instrument fragment or an old post from previous treatment is removed piece by piece, which takes more time than routine cleaning.
  • Inflammation beyond the apex: a cyst or granuloma requires temporary sealing and monitoring, so an extra visit is added, and sometimes more than one.
  • Retreatment: removing filling material from an old canal takes longer than initial treatment because the material must be completely removed.
  • Multiple sites in one tooth: if two canals or two walls are affected, the work is done sequentially, and the appointment is prolonged.

How to care for a tooth after microscope-assisted treatment

The procedure is complete, but the dentist's work continues at home. How long the tooth lasts depends on how you care for it.

The first days after the appointment

Immediately after anesthesia, the tooth may feel foreign: the numbness wears off gradually, and the bite feels different. Do not test this with hard food. In the first 24 hours, avoid hot, cold, and sticky foods—the filling or temporary restoration does not harden instantly. You can brush your teeth, but gently: use a soft-bristled brush, sweeping motions, without pressing on the treated area. If the dentist placed a temporary filling, do not poke it with your tongue or try to pick at it with a fingernail. Discomfort usually subsides within a day or two, but the specific timeline depends on the clinical picture. If you received written instructions at the appointment, follow them exactly: they are tailored to your case, not a generic one. Do not self-prescribe rinses—the solution may irritate the mucosa or wash the medication out of the canal. Ask your dentist what is allowed and what is not.

Hygiene around the treated tooth

  • Soft brush: for the first few days use soft bristles, move in circles, and do not press on the gum around the treated tooth, otherwise it bleeds and takes longer to heal.
  • Dental floss: if the dentist allows it, glide the floss along the walls, but do not snap it against the gum — a sudden movement injures the papilla and causes soreness.
  • Water flosser: use a weak pressure, with the tip directed along the gum line rather than into the interdental space; if there is inflammation, the dentist may temporarily advise against using the device.
  • Toothpaste: a regular fluoride toothpaste is suitable; hold off on whitening and abrasive formulas until the dentist says the restoration is fully ready (this is determined by the clinical picture).
  • Interdental brush: with wide gaps it cleans better than floss; choose the size according to the width of the gap, otherwise it either does not clean properly or injures the gum.

When to return to the dentist

The follow-up visit is scheduled by the dentist, and its timing depends on what was done: a filling, root canal treatment, or retreatment. Do not skip this appointment, even if nothing hurts. During the check-up, the dentist examines the marginal fit, contacts with adjacent teeth, and gum condition. Sometimes adjustment is needed: removing a high spot on the filling or polishing a rough area. If you develop a dull ache, swelling, or bad taste, call earlier than scheduled—do not wait. You can book by phone at +7 747 093 89 86; the clinic is open daily from 9:00 to 20:00. Bring any questions you have accumulated: it is better to discuss them at the appointment than to speculate at home. Routine check-ups after treatment are usually combined with professional hygiene, but the frequency is determined by the dentist.

What to do about discomfort

Mild sensitivity to cold or biting in the first few days is normal. You do not have to endure severe pain. If the pain is throbbing, radiates to the ear or temple, you have a fever, or your gum is swollen, contact the clinic the same day. Do not apply heat to your cheek, do not use hot compresses, and do not rinse with baking soda and salt unless prescribed. You may take a pain reliever if your dentist has not prohibited it, but it only relieves the symptom, not the cause. Sometimes discomfort is due to a high filling: the tooth meets first, and the gum around it aches. This is corrected in one short visit. If you are away or cannot come in, call and describe your symptoms—you will be advised on what to do before your appointment. Self-medicating with antibiotics without a prescription is unacceptable: it masks the picture and prevents the dentist from assessing the situation.

Treatment of gum inflammation under a tooth

The gum above the problematic tooth swells, reddens, and hurts when pressed. The cause may be in the tooth itself or in the tissues around it. Examination under magnification helps determine the cause.

How to distinguish gum inflammation from a tooth problem

Patients describe the same thing: "my gum hurts above a tooth." Different conditions lie behind this complaint. If the process originates from the tooth, the gum reacts secondarily — the area adjacent to the root swells, a fistula or localized swelling appears. The tooth itself has often already been treated, has a crown, and the pain fluctuates, worsening and easing. When the source is in the gum, the picture is different: the gum margin is spongy, bleeds when brushing, and a pocket forms between the tooth and gum, from which discharge emerges. The tooth may be intact and not hurt when tapped. These two scenarios cannot be distinguished by appearance alone. Similar symptoms are caused by a cracked root, an underfilled canal, a crown margin pressing on the gum, and chronic bone disease. The doctor decides after examination and imaging. Self-diagnosis does not work here: a mistake leads to treating the wrong area, and time is lost.

What examination under magnification reveals

Optics provide what the naked eye cannot see. Under 25× magnification, the gum margin, the dentogingival junction, and the condition of tissues around the tooth neck are examined. It shows whether there is plaque and calculus under the gum margin, how a filling or crown fits, and whether there is a gap between them and the tooth. Small fistulous tracts and color changes in the tissues above the root projection become noticeable. This clarifies where the process originates. The picture is then supplemented with imaging: cone-beam computed tomography shows the condition of the bone around the roots, canal lengths, and lesions in the periapical tissues. The 3Shape intraoral scanner is used if a new crown or inlay is planned — it provides an accurate digital model. Examination does not replace imaging and does not make a diagnosis by itself. It reveals details that refine the direction of the search. The final decision is made by the doctor, correlating the clinical picture and tomography data.

Possible treatment directions

  • Root canal retreatment: if the source is the tooth, the canal is unsealed, cleaned, and re-obturated, and the work is done under magnification so the canal orifices and remnants of old material can be seen.
  • Treatment of marginal inflammation: plaque and calculus below the gum line are removed, the pocket is irrigated, and a treatment regimen is prescribed; if needed, a laser is used to treat the tissues along the root.
  • Correction of the restoration: an overhanging margin of a filling or crown is trimmed and redone, because such a margin constantly traumatizes the gum and sustains the inflammation.
  • Surgical stage: with a deep pocket, bone loss, or a root fracture, gum surgery or tooth extraction may be needed — the doctor decides based on the imaging.
  • Monitoring: with mild symptoms and a clear cause, hygiene and follow-up after some time are sometimes enough, but the timing and scope are determined by the doctor, not by the patient alone.

Comparison of situations by source of inflammation

  • Source in the tooth: the gum swells locally over the root, a fistula may be present, and the tooth is often already treated or under a crown; the main approach is endodontics, sometimes retreatment.
  • Source in the gum: the margin is loose and bleeds, there is a pocket and exudate, and the tooth itself may be intact; treatment begins with hygiene and debridement of the surrounding tissues.
  • Source in the restoration: inflammation persists around a single tooth with a filling or crown, and the margin overhangs; redoing the restoration helps, whereas cleaning does not.
  • Source in the bone: imaging shows bone loss around the root, and the gum reacts secondarily; the extent of intervention depends on the clinical picture.
  • Mixed picture: signs come from both the tooth and the gum, so the treatment stages are sequenced — the doctor decides what comes first.

Tooth wall fracture below the gum: what does the doctor do?

A fracture below the gum level is a situation where examination is difficult and the decision depends on the condition of the tissues. Let us break down how the doctor evaluates such a tooth and what is offered.

Why such a fracture is difficult to examine

The edge of the defect extends under the gum, and it cannot be seen without retracting the soft tissues. A mirror and probe provide only part of the picture: it is unclear how deep the destruction goes, whether there is a crack in the root, and how far the inflammatory process has spread. The gum is often swollen and bleeds on contact, which hinders examination even more. If the fracture is assessed only by the visible part, it is easy to misjudge the extent of destruction. Then the treatment plan is based on guesses rather than facts. Therefore, with such a defect, the doctor first thinks not about a filling, but about how to obtain the full picture. This determines whether the tooth can be saved and by what method. The doctor decides after diagnostics, not by appearance.

Diagnostics: imaging and magnification

The first step is visual examination and probing, but these are not enough. Imaging is needed: cone-beam computed tomography shows the defect in three dimensions rather than in a single plane. It shows exactly where the crack runs, how the fracture edge is positioned relative to the bone, and whether there is inflammation at the root apex. Then a microscope with 25× magnification comes into play. It allows examination of the defect edge, the condition of the enamel and dentin nearby, and small cracks invisible to the eye. The 3Shape intraoral scanner helps take a digital impression if the tooth is planned to be restored with a crown or inlay. Such a data set allows understanding how deep the destruction goes and whether it makes sense to attempt preservation. Sometimes at this stage it becomes clear that the prognosis is unfavorable. Then the doctor discusses other options with the patient. Diagnostics here is not a formality but the basis of the decision.

Restoration options

  • Composite restoration: for a small chip and dense tissue, the dentist rebuilds the wall in layers, but working below the gum line is difficult and requires a dry field and magnification.
  • Inlay or crown: if the damage is deep but the root is intact, the tooth is covered with an indirect restoration, which is cemented after preparing the core.
  • Surgical crown lengthening: the gum and bone are slightly repositioned to expose the edge of the defect for restoration; this is a separate procedure with its own limitations.
  • Orthodontic extrusion: the tooth is pulled with braces to bring the chipped edge above the gum line; this method takes time and is not suitable for everyone.
  • Extraction: with a root fracture or complete destruction below the bone level, the tooth cannot be saved, and implantation is then discussed.
  • Observation: sometimes the defect causes no problems, and the dentist suggests check-ups if the risk is currently lower than the benefit of intervention.

What influences the choice of decision

The depth of the fracture relative to the gum and bone is a key factor. The lower the edge extends, the fewer options there are to save the tooth without additional interventions. It is important whether the root is intact: a longitudinal crack almost always means the tooth cannot be saved. The condition of the gums also changes the plan. If the tissues are inflamed, the inflammation is treated first, otherwise any restoration will not hold. The amount of remaining hard tissue above the gum determines what the restoration can anchor to. There are also general factors: hygiene, smoking, chronic diseases, and medications. They affect how the tissues respond to intervention. Sometimes the decision depends on how important this tooth is for the bite and how the load is distributed. In complex cases, options are evaluated together with a prosthodontist and a surgeon. The final choice is made by the doctor after diagnosis, and they also explain what can be expected in a specific situation.

What to remember

Magnification complements diagnostics

A microscope does not replace imaging and examination. It shows what the eye cannot see: the canal orifice, a crack in the enamel, remnants of old material in the wall. Optics work in conjunction with cone-beam computed tomography and an intraoral scanner — the scan provides the overall picture, the scanner provides the relief, and the microscope provides details at a specific point. Magnification helps the doctor guide instruments more precisely, but by itself it does not treat anything. The diagnosis is made based on the combination of data, not on a single image in the eyepiece. If the area is blurred on the scan but a clear boundary is visible under magnification, the doctor decides which source to trust in this case. The opposite also happens: the microscope shows less than the CT because the canal is blocked or rotated. Then they rely on the three-dimensional picture. The point is that the devices complement each other rather than compete. Neither of them replaces the specialist's hands and mind.

The doctor makes the decision

No device chooses the treatment approach. The doctor looks at the images, the condition of the tissues, and how the tooth responds to stimuli, and only then decides: treat, retreat, or extract. Under magnification, more is visible, and this changes the line of thinking. Sometimes a canal that looked passable on the scan turns out under the microscope to have a curve and old filling material at the orifice. Then the plan is rewritten on the spot. Sometimes it is the opposite: what seemed like a crack turns out to be an enamel fold. It depends on the clinical picture. The patient can influence the decision in one way: by reporting pain, past treatment, and medications they are taking. These details change the choice of anesthesia and the sequence of steps. After that, it is up to the doctor. They also explain why this path was chosen and what alternatives exist. Questions should be asked before treatment, not after.

Care and follow-up after treatment

After treatment, the tooth does not become invulnerable. A filling, inlay, or crown is a restored part, not a new one. For the first few days, it is worth sparing that side: chew on the other side, do not bite nuts, and do not open packages with your teeth. Brush as usual, but carefully along the edge of the restoration — plaque accumulates there. If the doctor placed a temporary restoration, the load on it should be minimal. If throbbing pain, gum swelling, or mobility appears, book an appointment immediately rather than waiting for it to go away on its own. Follow-up visits are scheduled by the doctor and should not be skipped: changes under a restoration are not visible from the outside. The service life depends on hygiene, the bite, and how much tissue remains around it. For some people, the restoration lasts for years; for others, it needs replacement sooner. Only an examination can give an accurate prognosis.

Administrative matters are handled at the clinic

Appointments, treatment times, the list of procedures, and payment arrangements are discussed either in person or over the phone. The initial examination and treatment plan are free of charge (0 ₸), as stated in the terms of service. After that, the cost is calculated based on the stages of treatment, and you are told the price before any work begins. Installment plans are available for 24 months with Jusan bank or 12 months with Kaspi. The warranty does not cover everything and does not always apply: the terms depend on the type of procedure and on how well the patient follows the recommendations. These details are explained when the treatment plan is presented, not afterward. Office hours are daily from 9:00 AM to 8:00 PM, and parking is free. If a case is complex and requires several specialists, the sequence of visits is arranged in advance so you don't have to go back and forth. It's best to ask all questions about documents, timelines, and payment before treatment starts, not during the process.

Questions about microscopic dental treatment

The cost depends on the number of canals, how difficult they are to access, and whether this is initial treatment or retreatment. The price also includes diagnostics and restoration of the tooth after the canals are treated. The final amount is given by the doctor at the examination, once they have seen the X-rays and understand the scope of work. You can see current price guidelines in the price section on this page.

The price depends on the number and complexity of the root canals, the condition of the tooth, whether retreatment is needed, and the extent of restoration afterward. The number of canals being retreated and whether there is inflammation at the root apex are also factored in separately. The exact cost is given by the doctor at the examination after diagnostics, and you can see approximate figures in the price section on this page. The initial examination and treatment plan are free at our clinic, so you know the amount before any work begins.

The difference is in the magnification: a microscope with 25× magnification gives the doctor a detailed view of the canals and the tooth cavity that are harder to see under normal light. That is why under a microscope it is more often possible to find additional canals, completely remove infected tissue, and avoid unnecessary removal of healthy enamel. The method is especially useful for retreatment and complex root anatomy. The precision of the work affects how long the tooth will last after treatment.

Under a microscope, doctors primarily treat teeth with complex root canal anatomy, as well as teeth that have already been treated before and require retreatment. The method is used to find additional canals, retrieve broken instruments, and treat inflammation at the root apex. Sometimes a microscope is also used for routine cavity treatment when it is important to preserve as much healthy tissue as possible. The decision on whether a microscope is needed is made by the doctor after an examination and an X-ray.

A microscope with 25× magnification makes it possible to see canal branches and cracks that go unnoticed under normal lighting, so the treatment is more thorough. The more precisely the canals are cleaned and filled, the lower the risk of reinfection and the longer the tooth stays in service. The difference is especially noticeable in retreatment, when old material or a broken instrument remains in the canal. At the same time, a microscope does not replace diagnostics: an X-ray and an examination remain essential.

Treatment under a microscope itself does not add pain — the device only magnifies the working field, it does not affect the tooth. Discomfort depends on the condition of the tooth and the depth of the damage, so local anesthesia is used when necessary, and most procedures are painless. If the patient feels anything during the appointment, they should tell the doctor right away: the dose of anesthetic can be adjusted. After the procedure, mild sensitivity is possible in the first few days, and it usually goes away on its own.

Yes, at our clinic the warranty covers treatment and is up to 5 years — the exact term depends on the type of work and is stated in the contract. The warranty is valid if you follow the doctor's recommendations and have regular check-ups, so it is important not to skip follow-up visits. If a problem arises during the warranty period due to the clinic's fault, it is corrected free of charge. It is best to clarify the terms for a specific tooth at your appointment so that they are documented in writing.

Yes, retreatment is possible, and the microscope helps find what could not be seen with the naked eye: an extra canal, remnants of old material, or a crack. Before retreatment, an image is taken, most often with a cone-beam CT, to assess the condition of the roots and surrounding tissues. If the canal can be negotiated and sealed hermetically, the tooth is preserved; in complex cases, retreatment may require several visits. Sometimes the tooth cannot be saved, and then the doctor will honestly say so and offer options.

You can schedule by phone at +7 747 093 89 86 or through the form on the website; the clinic is open daily from 9:00 to 20:00. We are located in Almaty at 133/6 Kanysh Satpayev St., JAZZ Residential Complex; free parking is available for patients. On the first visit, the doctor performs an examination and draws up a treatment plan; the examination itself is free. If you specifically need a microscope, mention this when scheduling so that enough time is allocated for the appointment.

Yes, diagnostics before such treatment is mandatory: without an image, the doctor cannot see the length and shape of the canals or the condition of the tissues around the root. Our clinic has a cone-beam CT for this, which provides a three-dimensional picture of the tooth and jaw. Based on the image, a treatment plan is drawn up and it is determined whether a microscope is needed and how many visits will be required. Sometimes a 3Shape intraoral scanner is additionally used if tooth restoration is planned.

We are open daily from 9:00 AM to 8:00 PM, no days off. The clinic is in Almaty, at 133/6 Kanyš Satpaev Street, JAZZ residential complex. Phone for appointments: +7 747 093 89 86. Initial examination and treatment plan: 0 ₸.

Address: Almaty, 133/6 Kanyš Satpaev Street, JAZZ residential complex. Free parking for patients. Phone for appointments: +7 747 093 89 86. We are open daily from 9:00 AM to 8:00 PM.

Warranty up to 5 years. The clinic has been operating since 1995, with a rating of 4.9 based on 312 reviews on 2GIS, Google and Yandex. Initial examination and treatment plan: 0 ₸. We are open daily from 9:00 AM to 8:00 PM.

Installment plan for 24 months with Jusan bank or 12 months with Kaspi. Initial examination and treatment plan: 0 ₸. We are open daily from 9:00 AM to 8:00 PM. Phone for appointments: +7 747 093 89 86.

Initial examination and treatment plan: 0 ₸. There is no separate fee for the first visit. Warranty up to 5 years. Installment plan for 24 months with Jusan bank or 12 months with Kaspi.

Parking is free. The clinic is in Almaty, at 133/6 Kanyš Satpaev Street, JAZZ residential complex. We are open daily from 9:00 AM to 8:00 PM. Phone for appointments: +7 747 093 89 86.

Reviews of dental treatment with a microscope

4,9
38 reviews on the site
38 ratings
ССауле У.8 September 2026
★ 5,0

I was scared until the very last moment. The root canal was redone under a microscope, and the canal was irrigated thoroughly and for a long time. There's parking in the courtyard, and I found a spot. The filling isn't visible—the color matches. They saw me right on time, no waiting, the way it should be. Quick. The contract and receipt were provided without me having to ask, just as agreed. The receptionist called back when she promised. They scheduled me for a convenient time, no "come at nine and wait." They showed me the X-ray before and after the root canal filling.

ГГульнара О.5 September 2026
★ 5,0

Honestly, I was dreading it. . . I think it's because no one here rushes you. That's what won me over. They redid the root canal under a microscope and took a follow-up X-ray at the end.

ББекзат Ж.25 August 2026
★ 4,0

I've disliked dentists since childhood (I couldn't believe it myself), they redid a root canal under a microscope, with anesthesia, I felt nothing. They gave me the prices upfront, and nothing was added at the end, I'm grateful for that too. I'll keep coming here, no question about it. They messaged me the next day to ask how I was feeling

ВВладимир Т.19 July 2026
★ 5,0

Lechili karies na zhevtaelnom, za odin vizit. Ne ponravilos tolko odno: sms o zapisi opozdala na chas. Tokzhan srazu skazala, chego zhdat.

ААрман С.19 May 2026
★ 5,0

Farrukh is a thorough doctor, attentive to every detail. I had a cavity treated on a molar, in a single visit. In my opinion, the price is fair for this kind of work. The night pain stopped right after the first visit, and that's the main thing. The contract and receipt were provided without me having to ask, and I'm grateful for that too. They used a rubber dam, so my mouth stayed dry and calm. The anesthesia worked completely, I felt nothing. They showed me the X-ray before and after root canal filling, no complaints there (we laughed about it at home later). I was seen right on time, no waiting — a small thing, but nice. The prices were quoted upfront, nothing was added at the end, and I'm grateful for that too.

ААнна Р.9 May 2026
★ 5,0

After the pandemic, I hadn't been to the dentist for about three years (my family laughed about it later). They redid a root canal under a microscope, in a single visit.

The clinic administrator gives the patient a treatment plan at the front desk
Still have questions

Still have questions about "Microscope-assisted dental treatment"?

Message us on WhatsApp or give us a call — the clinic is open daily from 9:00 to 20:00. Initial examination and treatment plan — 0 ₸, free parking.

free parking133/6 Kanysha Satpayevaopen daily, no days off9:00 — 20:00Jusan bank — 24 months, Kaspi — 120% installment plan
Calculate the cost