Dr Kresta

Endodontics · Microscope

Microscope root canalin Poland

Primary root canal treatment and retreatment under a dental microscope. Rubber dam isolation, NiTi rotary preparation, bioceramic sealer where indicated, photographic documentation at each step. Diagnostic-first - including CBCT when the situation requires it.

Microscope
Leica M320
Isolation
Rubber dam, every case
Documentation
Photographic, every stage

About the treatment

A root canal preserves the tooth,
it does not replace it.

§ 02 · Endodontics · Microscope

Endodontic treatment is performed when the pulp tissue inside a tooth is inflamed, infected, or non-vital. The goal is complete cleaning and dense obturation of the root canal system - so the natural tooth can remain functional long-term.

Treatment in this practice is carried out under the Leica M320 dental microscope. The microscope is not a marketing feature - it makes structures visible that cannot be seen with the naked eye: additional canal orifices, calcifications, micro-cracks, and fine anatomical branches.

In previously root-treated teeth with persistent symptoms, retreatment may be indicated. Here too, diagnostics come before the treatment plan.

What this means in practice

Working under the microscope is not about technology for its own sake. It is about better vision: canal orifices, micro-cracks, and anatomy that would otherwise go unnoticed.

Who should read this page

When microscope root canal treatment is an option

Endodontic treatment may be appropriate in the following clinical situations. The final decision is made after examination and diagnostic imaging - not before.

  • Deep decay or dental trauma

    The tooth has symptoms or a known pulp injury that, without endodontic treatment, would lead to loss of the tooth.

  • Persistent symptoms after previous treatment

    A previously root-treated tooth continues to cause problems or shows a periapical change on imaging. Retreatment is an option in these cases.

  • Pre-prosthetic preparation

    Before a planned crown or bridge, endodontic pre-treatment of the abutment tooth is sometimes clinically indicated.

  • Referred by a treating dentist

    Complex anatomy, blocked canals, or calcifications where treatment under magnification can change the outcome.

How I work

Diagnostics before the plan, then careful work under magnification

Four principles that apply to every endodontic case.

  • 01

    Diagnostics before treatment

    Clinical examination, periapical X-rays, CBCT when indicated. A treatment plan is proposed only after evaluation of the full diagnostic picture.

  • 02

    Work under the microscope

    Leica M320 for magnification and illumination. NiTi rotary instruments for shaping, thorough irrigation protocols throughout.

  • 03

    Rubber dam isolation

    Rubber dam is standard on every case and non-negotiable - sterile working conditions are the foundation of a clean obturation.

  • 04

    Photographic documentation

    Before, during, and after treatment. Findings, preparation, and obturation are documented; a copy goes to the patient.

Treatment process

How root canal treatment works in practice

The exact sequence is set in the individual plan. Most endodontic cases require two appointments.

  1. 01

    Consultation and diagnostics

    Examination, history, X-rays or CBCT. Discussion of options, prognosis, alternatives, and the limits of treatment.

  2. 02

    First session - cleaning and shaping

    Local anesthesia, rubber dam isolation, access opening, working-length determination, NiTi rotary shaping, irrigation. In heavily infected cases, a medicated dressing is placed between appointments.

  3. 03

    Second session - obturation

    Re-irrigation and drying, dense warm-technique obturation, coronal seal. Confirmation X-ray.

  4. 04

    Definitive restoration

    After root canal treatment, a crown or at minimum an adhesive core buildup is usually required to protect the tooth from fracture. This is coordinated in the prosthetic plan.

Before we start

What to know before endodontic treatment

Endodontic treatment is a medical procedure. Outcomes depend on factors that cannot always be fully controlled.

No guarantee of success

Even carefully executed root canal treatment cannot guarantee healing in every case. Anatomical complexity, prior treatment history, and the condition of the tooth all influence prognosis.

Multiple visits

Most cases require two appointments. Travel time between sessions is possible and planned individually.

Definitive restoration afterwards

A root-canal-treated tooth typically needs a crown or adhesive restoration. This follow-up work is part of the overall treatment plan.

Written informed consent

Before treatment begins, you receive written information covering anesthesia, possible complications, and post-procedure care.

Communication

English or Polish

Written and verbal communication during consultations is in English or Polish. Translation tools may be used for written exchanges when helpful. English-language contact is available by form or email.

Frequently asked

Questions that come up often

Treatment is performed under local anesthesia and is generally well tolerated. Some post-procedural sensitivity is normal and usually resolves within a few days.

Contact

Questions about endodontic treatment - a short email with a description of your situation is a good place to start.

Szczecin (Stettin)Individual practice

This page is informational and educational. It does not constitute medical advice or a binding offer. Treatment scope, suitability, and outcomes are determined individually after in-person diagnostics and clinical examination. Results cannot be guaranteed.