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Microscopic Endodontics

Endodontic treatment (root canal treatment) consists of removing inflamed and dead pulp or an old root canal filling from the pulp chamber and root canals, and permanently refilling that area with inert material.

 

The purpose of root canal treatment is to eliminate the source of infection as it causes destructive bone changes and pain, which may persist even after the procedure.

Root canal treatment should be performed by a highly-experienced dentist using specialised equipment. The DENTestetica Dental Clinic has at its disposal high-tech diagnostic tools and a team of well-qualified professionals:

  • Cone Beam Computed Tomography (3D)
  • Computer Radiography (2D)
  • Operating microscopes with in-built digital cameras
  • Computer-guided systems of measurement (6th Gen Apex Locator - Raypex6 VDW), of root canal preparation (rotary and oscillating instruments - Mtwo and Reciproc VDW), of filling root canals (vertical compaction of warm guttapercha - BeeFill System VDW)
  • 3 highly-experienced professionals specializing in endodontic treatment, leaders of endodontic courses for dentists in Poland and abroad


Our clinic boasts not only modern diagnostic equipment but also a team of highly-qualified specialists who ensure positive outcomes for our patients. At the DENTestetica Dental Clinic we employ professionals pursuing research in narrow specializations, which guarantees that each of our patients is attended by the dentist who has the highest qualifications necessary for performing that particular procedure. Our team includes 3 highly-experienced dentists specializing in endodontics and 2 trainee dentists. Some of our endodontics experts are also leaders of courses on the latest root canal techniques in Poland and abroad, and authors of proprietary systems of broken instruments removal and root canal irrigation (FRS - File Removal System and ENDO-STATION).Thanks to the methods available today, root canal therapy can be efficiently performed in one day, with no discomfort to the patient. Using 3D imaging - Cone Beam Computed Tomography - we can quickly and accurately locate the inflamed areas of the teeth and jawbone. 3D tomographic imaging allows us to see not only the consequences of teeth infections but also the complications that can occur, such as failed attempts at endodontic treatment (broken instruments, untreated root canals, prepared margins, perforations). At our clinic it is routine procedure to use operating microscopes equipped with video tracks, which enables us to perfect our methods of clearing, preparing and filling root canals. Using these microscopes, we can see anatomical anomalies, artificial obstructions in root canals (broken endodontic instruments), and complications of previous treatments (perforations, resorptions). Being able to use close-up tools and the latest computer-guided oscillating systems to prepare root canals, as well as thermal condensation equipment to fill canals, we can now preserve teeth that would have been extracted in the past.

Patients often face the dilemma of whether to opt for root canal treatment or rather to simply have the tooth extracted. Unless the patient undergoes chemotherapy or radiotherapy treatments, or is awaiting an organ transplant (e.g. kidney), it is highly advisable to preserve one's natural teeth for both medical reasons (lack of side effects, such as bone atrophy), and financial reasons (low treatment cost; the tooth, after being treated and restored, should remain intact for years). Tooth removal is an irreversible procedure, which entails the need for an implant, bridge or prosthesis, and for this very reason extraction is always treated as the last resort at our clinic. The consequence of avoiding endodontic treatment can be a further spread of inflammation inside the root canals and bone structures in the apex of the roots. Bacteria and their toxins spread haematogenously to other, even more distant, locations. This process is referred to as focal infection and poses the greatest risk for patients with immune deficiencies.

The duration of treatment and number of visits necessary to complete endodontic therapy depends on the extent of inflammation and difficulty or lack thereof in clearing the root canal (e.g. the presence of broken fragments of endodontic tools or old and hard filling material). Primary treatment usually takes one visit lasting between 45 and 60 minutes and it is then that the dentist opens the pulp cavity for the first time. Once the cavity has been opened, secondary treatment requires either one or two visits (the latter occurring less often), each lasting 1,5 to 2 hours.

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