Endodontics in Madrid
Advanced treatment to save your tooth
We treat damage to the dental pulp caused by tooth decay, infection or trauma using microscopic endodontics, helping to avoid extraction. This minimally invasive procedure is performed by Dr. Santiago de Vega, a specialist dedicated exclusively to endodontics, at a clinic with more than 40 years of experience in Madrid’s Salamanca district.
- Microscope-assisted endodontics
- Specialist dedicated exclusively to endodontics
- Low-dose radiology
- Conscious sedation
What is endodontic treatment and when is it needed?
Endodontic treatment treats the dental pulp (the nerve inside the tooth) when it becomes inflamed or infected. It is indicated in cases such as:
- Severe or persistent toothache
- Prolonged sensitivity to hot or cold
- Dental infections or abscesses
- Deep cavities
- Dental fractures or trauma
- Pulp necrosis (death of the nerve)
Acting in time helps prevent more serious complications and makes it possible to preserve the natural tooth.
Microscopic endodontics, the most precise technique for saving your tooth
Microscopic endodontics is one of the distinguishing pillars of our clinic and one of the most advanced techniques currently available for treating the dental pulp. The operating microscope provides a magnified, detailed view of the inside of the tooth, allowing us to:
- Detect hidden or anatomically complex root canals.
- Remove infection with greater precision.
- Reduce the risk of errors, instrument fractures or the need for retreatment.
- Preserve as much healthy dental tissue as possible.
- Shorten treatment time and improve recovery.
This approach allows us to treat complex cases and retreatments referred to us by other clinics, where the anatomy of the tooth or previous treatment makes a conventional approach more difficult.
How root canal treatment is performed at CIRO
Treatment follows a precise, minimally invasive protocol:
1
Advanced diagnosis through clinical examination and low-dose digital radiology.
2
Local anaesthesia for a pain-free experience.
3
Access to the dental pulp while preserving as much healthy tissue as possible.
4
Cleaning and disinfection of the root canals.
5
Hermetic sealing of the root canal system.
6
Tooth reconstruction to restore function and aesthetics.
Do you need your case assessed by an endodontic specialist?
If you have pain or sensitivity, or you have been advised to undergo root canal treatment, the most important step is obtaining an accurate diagnosis.
Request your personalised assessment and we will help you preserve your tooth with the most appropriate treatment.
Dr. Santiago de Vega, specialist in Microscopic Endodontics
- Exclusively dedicated to microscopic endodontics and restorative dentistry.
- Master’s Degree in Endodontics and Restorative Dentistry from URJC.
- Lecturer on the Master’s Degree in Aesthetic Restorative Dentistry and Endodontics at URJC.
- Member of the IDIBO research group (dental biomaterials, URJC).
- Contributing author of the Endodontics Manual and publications in the sector (Maxillaris); regular speaker at AEDE Congresses.
Advantages of advanced endodontics at CIRO
1
Higher long-term success rate.
2
More conservative treatment that preserves dental tissue.
3
Less chair time and fewer visits.
4
Faster recovery.
5
Better prognosis for the treated tooth.
6
Option of conscious sedation for patients with dental anxiety.
Aftercare and recovery
After root canal treatment, it is normal to experience mild discomfort during the first few days. We recommend:
- Avoid chewing with the treated tooth for the first few hours.
- Take the prescribed medication as directed.
- Maintain good oral hygiene.
- Attend your appointment for the definitive restoration of the tooth, an essential step in ensuring its long-term durability.
In most cases, patients can resume their normal daily activities on the same day as treatment.
Endodontic clinic in Madrid's Salamanca district
We perform endodontic treatments at our facilities at Príncipe de Vergara, 44, in the heart of Madrid’s Salamanca district, in a comfortable and well-connected location.
- Just a few minutes from Núñez de Balboa metro station (lines 5/9) and the Goya and Lista stations.
- Direct access via several bus routes (1, 21, 53, 74).
- Nearby car parks such as Plaza del Marqués de Salamanca, ideal for treatments requiring several visits.
- Private pick-up and transfer service from Adolfo Suárez Madrid-Barajas Airport and Atocha railway station for patients travelling from outside Madrid.
Do you need your case assessed by a specialist?
If you have pain or sensitivity, or you have been advised to undergo root canal treatment, the most important step is an accurate diagnosis.
Request your personalised assessment at our dental clinic in Madrid.
Frequently asked questions about endodontics
Does root canal treatment hurt?
No. The treatment is performed under local anaesthesia, so you will not feel pain during the procedure. Mild and temporary discomfort may occur after the appointment and can usually be easily controlled with standard pain relief medication.
How long does root canal treatment take?
It depends on the anatomy of the tooth and the complexity of the case. In general, treatment is completed in one or two sessions.
Is it better to extract the tooth?
Whenever possible, preserving the natural tooth is the best functional and biological option. No dental implant can exactly reproduce the proprioception or behaviour of your own natural tooth.
What happens if I do not have root canal treatment when it is needed?
The infection may progress and cause severe pain, abscesses, damage to the supporting bone and ultimately the permanent loss of the tooth.
Can root canal treatment fail?
The success rate of microscopic endodontic treatment is very high. In cases involving complex anatomy or persistent infection, retreatment may be necessary and can also be performed under a microscope.
How long does a root canal-treated tooth last?
With proper restoration and care, it can last for many years, potentially even a lifetime. The key is to restore the tooth correctly after root canal treatment (with a crown, inlay or reconstruction, depending on the individual case).
Is microscopic endodontic treatment safe?
Yes. It is currently the most precise and predictable technique for root canal treatment and significantly reduces risks and complications compared with conventional endodontic treatment.
Do you accept cases referred from other clinics?
Yes. We regularly receive referrals for endodontic retreatments and cases with complex anatomy that require a microscope-assisted approach.
