Innovative Technology

Gary Carr DDS, Jessica Roeber DDS


Much of the advanced technology that has allowed a higher standard of care in endodontics was developed or invented in our practice, or at Dr. Carr’s Research Foundation in San Diego: operating microscopes, ultrasonic surgical and re-treatment instruments, micro surgical instrumentation, CBCT imaging, and the software (TDO).

Although our office has been instrumental in introducing much of the advanced technology now present in many endodontic offices, our perspective is that advanced technology is only a tool----a tool that requires experience and knowledge to be truly beneficial for patients.

Surgical Operating Microscopes

The introduction of the surgical microscope has revolutionized the field of endodontic microsurgery. We have invested in the very best quality surgical microscopes that provide unparalleled magnification and illumination for our surgical procedures.

Our success depends on us being able to see the minutest of details — you cannot treat what you cannot see. In addition, we have incorporated the latest high-definition video allowing us to record our procedures with unequaled clarity and detail.



We are the only endodontic office in San Diego to utilize X-Nav technology. It provides for extremely accurate access to blocked or calcified canals. Originally an implant planning and placement tool, we quickly understood it had important application in endodontics. It provides for computer-assisted guidance in challenging cases where traditional treatment will almost always weaken the tooth through extensive dentin removal. 


3D Imaging (CBCT)

Our office uses the latest 3D technology. When we use this type of CT scan, we can work better to give you improved diagnoses, treatment planning, and prognosis.  With this technology, we can visualize any tooth from multiple angles with extreme accuracy.  This machine features one of the highest 3D image resolutions available. Cone Beam CT (CBCT) scans are only taken when necessary, and they provide a multitude of benefits, including superior quality and maximum patient safety.


Digital Radiography

Digital radiographs are safer, faster, and diagnostically more useful in endodontics than conventional film x-rays. There is up to 80% reduction in radiation, compared to traditional film technology. Patient comfort is greatly increased by utilizing sleek and small, rounded, and beveled sensors. The resulting images are digital, allowing computer enhancement, enlargement, and evaluation, which greatly improve diagnostic and communication capabilities.

TDO Software

TDO Software

TDO software was developed by Dr. Carr in an effort to improve endodontic outcomes assessment and to help provide an evidence-based approach to the wide range of opinions concerning endodontic success. Today, it is the most widely used endodontic software in the world and represents the highest standard in endodontic recordkeeping.

It is used to manage all patient records and information and has comprehensive modules that make our office paperless, a great convenience for our patients and referring dentists. The website integration allows our patients to securely access the site to complete the medical history and consent forms online before their appointment. The software allows our referring dentists to make referrals and receive their patients’ reports and imaging through a secured HIPAA compliant portal right after the patient is seen. This technology enables us to diagnose and treat our patients more efficiently and to communicate more effectively with both the patient and referring doctor that is secured and HIPAA compliant.