Microscopic Endodontics
Root Canal Treatment Opole
Under the microscope — precision at the highest level
At Mikrostomart, we perform root canal treatment exclusively under an operating microscope with magnification up to 25x. This allows us to see every, even the smallest canal, which could be missed in traditional methods.
We use computer-assisted anesthesia (The Wand / SleeperOne), which eliminates pain right at the administration stage. Many of our patients fall asleep during the procedure — the best proof of its painlessness.
Why does the microscope change everything?
Traditional root canal treatment 'by memory' — where the doctor works with the naked eye, assessing the position of the instrument in the canal based on intuition and control X-rays — is not the standard we strive for. The operating microscope transforms endodontic treatment just as GPS transformed driving in an unfamiliar city.
25x Magnification
We see details invisible to the naked eye — additional canals, cracks, remnants of tissue.
Saving Teeth
Teeth that are doomed to extraction in traditional methods can be saved thanks to the precision of the microscope.
One Visit
We strive to complete root canal treatment in one visit (90-120 minutes), saving your time.
Re-Endo
We specialize in re-root canal treatment — repairing ineffective treatments from years past.
What does laser activation PIPS/SWEEPS provide?
PIPS (Photon-Induced Photoacoustic Streaming) and SWEEPS (Shock Wave Enhanced Emission Photoacoustic Streaming) are protocols for activating irrigating solutions with the Er:YAG laser at 2940 nm. It sounds technical, but the mechanism is elegant — and crucial for the effectiveness of the treatment.
Mechanism — step by step
- 1
After mechanically preparing the canal with NiTi instruments (VDW Reciproc R50), we introduce an irrigating solution into the canal — 5.25% NaOCl (dissolves organic tissue) and 17% EDTA (dissolves the inorganic layer — the so-called 'smear layer' covering the canal walls after preparation).
- 2
We insert the fiber optic tip of the Er:YAG laser into the solution in the tooth chamber. The laser emits light pulses at a wavelength of 2940 nm — this wavelength is highly absorbed by water.
- 3
Microbubbles form in the solution, which immediately implode (collapse). Each implosion generates a shock wave that turbulently moves the solution deep into the lateral canals, dentinal tubules, and all the nooks of the canal system.
- 4
Classic syringe irrigation reaches the solution about 1 mm from the tip of the needle. PIPS/SWEEPS activation distributes the solution along the entire length of the canal and penetrates into lateral branches — of which there are typically several in one tooth.
Disinfection with Nd:YAG laser (1064 nm)
After activating NaOCl/EDTA, we additionally disinfect the root dentin with the Nd:YAG laser. This wavelength penetrates to a depth of about 1 mm into the dentin and is absorbed by bacterial cells — eliminating reservoirs of infection that no irrigating solution can reach. According to clinical studies (Saydjari 2016), the protocol eliminates 99% of Enterococcus faecalis — the bacteria most commonly responsible for recurrences of periapical inflammation.
How does root canal treatment proceed?
Standard root canal treatment at Mikrostomart lasts 90-150 minutes in a single session. In complicated cases (acute inflammation with an abscess, Re-Endo with a previous crown-root post), we may divide the treatment into 2 visits.
Diagnostics
Point X-ray + assessment under the microscope. We explain the treatment plan.
Computer-Assisted Anesthesia
The Wand system administers anesthesia slowly and painlessly — no 'pinch'.
Canal Preparation
Under 25x magnification, we clean and shape the canals using NiTi rotary instruments.
Filling and Restoration
Sealed filling of the canals with hot gutta-percha + restoration of the tooth crown.
Irrigation + laser activation SWEEPS
5-15 ml of 5.25% NaOCl + 5-10 ml of 17% EDTA per canal, activated by the Er:YAG laser in SWEEPS mode (typical parameters: 20 mJ, 15 Hz, conical tip 0.6 mm, 25 µs). This is where the real disinfection occurs — see the section 'What does laser activation provide' above.
Filling the canals
After complete disinfection of the canal interiors, we dry them with sterile paper points and fill them tightly. Typically — with warm gutta-percha (vertical condensation technique) with AH+ sealer. In canals with an open apex (e.g., after resorption, in immature teeth) — with MTA (Mineral Trioxide Aggregate), which stimulates the regeneration of periapical bone.
Crown restoration + X-ray control
The tooth crown is restored with composite material (SonicFill, GC G-aenial) — depending on the extent of the cavity, sometimes immediately with a full ceramic crown (if the remaining tooth structure is significantly weakened). The visit ends with a control X-ray. Follow-up after 3, 6, and 12 months — as healing of the periapical tissues is a process lasting several months to a year.
Re-Endo — a second approach to a difficult tooth
Retreatment (Re-Endo) is our 'daily bread'. Patients come to us after unsuccessful treatment performed years ago — with pain, an abscess, sometimes after a long history of attempts to save the tooth. Each such case is detective work: we need to remove the prosthetic crown (if present), remove the crown-root post (glass, composite, or metal), bypass the patency of the old filling, find missed canals — all with minimal loss of tooth tissue, as the tooth is usually significantly weakened after many interventions.
Typical case: a patient reports pain and swelling of a tooth treated endodontically 5-10 years ago. Under the microscope, we see that one of the canals was originally missed (e.g., MB2 in the upper first molar), and the old gutta-percha is leaking. CBCT diagnostics confirm periapical changes. Plan: remove the crown, remove the post, locate the missed canal, complete disinfection (NaOCl/EDTA + SWEEPS + Nd:YAG), filling, new full ceramic crown. Time: 2-3 visits spread over several weeks. The long-term effectiveness of Re-Endo is 70-85% in the literature; in practice — when we have a microscope, lasers, and time — it is higher.
Where this specialization comes from
Endodontics is a specialty that requires continuous education. Marcin Nowosielski is a graduate of the **Endodontic Curriculum of the Polish Endodontic Society** (PTE) — the longest Polish specialist program in endodontics, requiring case presentations and a final exam. Member of the **European Society of Endodontology** (ESE — a European reference organization whose ESE Quality Guidelines set the standard for modern endodontics). Additionally, he holds a Master of Science in Lasers in Dentistry from RWTH Aachen — which directly translates to the laser protocols used in our office. Lecturer at the LA&HA Symposium 2019 and 2023 in Slovenia and LA&HA Poland 2022 (keynote 'From Root to Crown — Comprehensive Laser Treatment of Teeth'). In 2024 — lecturer at the 20th anniversary of PTE.
Root Canal Treatment — Pricing Opole
(indicative prices, depending on the number of canals)
- Root Canal Treatment (1 canal)from 800 PLN
- Re-Endo (retreatment)from 1200 PLN
- Microscopic Diagnostics200 PLN
And what if the tooth cannot be saved?
Honestly — not every tooth can be saved. A root fracture below the bone margin, significant loss of tooth structure without the possibility of prosthetic restoration, long-term acute inflammation with loss of >50% of the bone surrounding the root — these are cases where a planned extraction with implantation is a better option. We do not promise 'saving at all costs', because sometimes the decision for extraction + implant is one that saves the patient 2-3 years of frustration, further procedures, and ultimately the same conclusion. After thorough diagnostics, we state clearly what the real chances are — without false optimism.
Check our implantology offer →Frequently Asked Questions (FAQ)
Does root canal treatment hurt?
Modern root canal treatment is completely painless. We use computer-assisted anesthesia, which eliminates pain right at the administration stage.
Why is treatment under the microscope better?
The microscope (up to 25x magnification) allows us to find all canals, clean them precisely, and fill them. It drastically increases the chances of saving the tooth.
How many visits does root canal treatment take?
We strive to complete the treatment in one visit (90-120 minutes). In complicated cases, 2 visits may be needed.
What is re-root canal treatment (Re-Endo)?
It is a corrective procedure when the initial treatment has proven ineffective. We remove the old material, find missed canals, and refill them.
Can every tooth be saved with root canal treatment?
No. A root fracture below the bone margin, lack of tooth structure for prosthetic restoration, significant loss of periapical bone — these are cases where we honestly recommend extraction with implantation instead of attempts to save. We state this clearly after thorough diagnostics, because 'saving at all costs' sometimes costs the patient more than the planned extraction.
Does a tooth after root canal treatment require a prosthetic crown?
In the case of molars and premolars — yes, almost always. A tooth treated endodontically is weakened (lack of pulp, decay, or old fillings), and chewing forces are greatest on these teeth. A full ceramic crown or onlay made in our office protects the tooth from fracture. In the case of incisors — not necessarily, sometimes a good composite restoration is sufficient.
How long will a tooth last after root canal treatment?
Properly performed root canal treatment + appropriate prosthetic restoration can allow a tooth to serve for 20-30+ years, often for the patient's lifetime. Key factors are: a tight filling, a prosthetic crown protecting the structure, regular check-ups every 6 months, good hygiene. In the literature, the 5-year success rate of root canal treatment under a microscope is 90-95% — comparable to implants.
Can I eat after root canal treatment?
After standard treatment — yes, but avoid eating hot/cold for 1-2 hours (until the anesthesia wears off) and hard foods on the treated side for 1-3 days (until the permanent restoration is placed). After Re-Endo with surgical elements — a soft diet for 3-5 days and avoiding pressure on the bite.
What if the tooth still hurts after treatment for several days?
Tenderness to pressure for 1-3 days after the procedure is normal and subsides on its own. Spontaneous or increasing pain > 5 days, swelling, fever — these are signals to call the office. Sometimes additional canal irrigation or a short course of antibiotics is necessary. In practice, ~5-10% of treatments require an additional follow-up visit due to pain response — this is a normal part of endodontics.