Endodontics - Root Canal Treatment Wrocław

Endodontics

known as root canal treatment, is necessary when bacteria destroy the enamel of the tooth, entering the deeper tissues – dentin and pulp. An infection in the pulp can threaten not only the tooth, but also the health of the entire body. Bacteria entering the bloodstream can affect the functioning of the heart, kidneys, eyes and joints, making root canal treatment vital.

Lack of treatment can lead to more serious consequences, such as permanent inflammatory changes at the apex of the tooth root, which may require surgical intervention (root tip resection). Bacteria can enter the bloodstream, leading to an increase in the ESR (red blood cell drop rate) and leukocyte (white blood cell) count in the blood, signalling inflammation.

Illustration showing a cross-section of a tooth with its innervation and canals.

Course of root canal treatment

  1.  Diagnosis: The doctor determines the number, shape and length of the root canals from the X-ray.
  2.  Anaesthesia: Anaesthesia is administered, making the procedure completely painless.
  3. Removal of infected pulp: The dentist then removes the infected pulp and other damaged tissue, gaining access to the canals.
  4. Measurement of the canals: With the help of an endometer, the doctor precisely measures the length of the canals.
  5. Cleaning the canals: The root canals are cleaned of bacteria and infected tissue and then disinfected.
  6. Canal filling: After drying, the canals are tightly filled with a material that prevents bacteria from re-entering.
  7. Restoration of the tooth: After root canal treatment, it is necessary to restore the damaged tooth using specialised materials that ensure the restoration of its anatomical shape, function and colour which ultimately completes the treatment.

How long does root canal treatment take?

The current state of knowledge and modern technical possibilities have greatly influenced the reduction of treatment time, nevertheless the duration of treatment depends on the type of tooth being treated, its structure, the number of roots, the condition of the bone adjacent to the apex of the tooth roots.
The treatment of a tooth with 3 roots takes between 1 and 3 hours. Usually this treatment is carried out in more than one appointment. The treatment time may be significantly prolonged if bacteria and their toxins have damaged the bone near the root apex.

Does the tooth need to be ‘poisoned’?

Nowadays, ‘poisoning’ the tooth is very rarely used, as modern anaesthetics allow painless removal of the infected pulp without chemical destruction.

Why is root canal treatment expensive?

Modern root canal treatment requires expensive instrumentation. Root canal dilatation requires the use of several to a dozen specialised nickel-titanium instruments of various diameters, which enable the root canals to be gradually obturated and dilated. These are expensive instruments, whose service life is limited to a few uses . The roots are sometimes curved, making it difficult to properly prepare the entire length of the canal. Sometimes irreversible damage to the instrument occurs with the first use. During treatment, 2-3 radiographs are taken. When treating the roots, a number of chemical preparations are used to achieve a lasting treatment effect.

How effective is root canal treatment?

Root canal treatment is 95 % successful and gives the tooth a chance to remain in the mouth for many years. The complex anatomical structure of the tooth sometimes means that 100% success cannot be achieved despite correct treatment in accordance with the latest medical findings.

Microscope in root canal treatment

Our practice uses a dental microscope, which provides precise magnification and excellent illumination of the treatment field. The microscope allows us to accurately see the mouths of root canals, identify obliterations (canal closures) and avoid complications such as perforations (penetration of the canal walls).

The microscope allows work to be done with accuracy to fractions of a millimetre, which significantly increases the effectiveness of treatment. The microscope allows us to accurately locate the mouths of the canals, which often remain invisible to the naked eye. The number of canals and their course within the tooth root are highly variable, and leaving a canal uncleaned can lead to recurrence of inflammation and the appearance of pain. Obliterations, i.e. partial closure of the canal lumen, are also common. Their unblocking without visual inspection can lead to dangerous complications, such as perforations – punctures of the root canal walls. Working under magnification reduces the risk of complications, as it allows visual control of the area in which the doctor is working. Thanks to the optical system of the microscope, it is also possible to treat complications that may occur during endodontic treatment. Closing a root perforation and removing a broken file are very precise procedures and require a great deal of technical skill on the part of the doctor. However, without high magnification, it would be impossible to visualise the perforation hole, find the broken tool fragment and then remove them and properly secure the root canal lumen.

Endodontics under the microscope is a specialised treatment that is not offered in every dental practice. The treatment microscope enables treatment to the highest standards and, when carried out correctly, root canal treatment can save a tooth at risk of extraction.

Root canal treatment during pregnancy

The second trimester of pregnancy is often identified as the safest period for fetal development and this may be the optimal time to carry out necessary extractions, cavity treatment along with possible endodontic treatment, taking into account the radiological protection of the patient and limiting the duration of visits.

Illustration showing a cross-section of a tooth with its innervation and canals.
Service Price
Reconstruction of a tooth for root canal treatment 300 PLN
Primary Root Canal Treatment
Incisor 1200 PLN
Premolar 1500 PLN
Molar 2000 PLN
Retreatment of Root Canal
Incisor 1500 PLN
Premolar 1800 PLN
Molar 2200 PLN
Other
Removal of a broken instrument 500 - 1000 PLN
Removal of a metal post / glass fiber post 500 PLN
Sealing perforation / bypassing a canal obstruction 500 PLN
all prices include tax VAT
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