Root Canal Treatment (Endodontics)

Smile Centrum's endodontic department treats infected and inflamed root canals using machine-assisted (rotary) instrumentation with electronic length measurement, and offers microscope-assisted endodontics for complex anatomy, retreatments and fractured-instrument removal. Czech-insured patients benefit from insurer contributions that reduce the standard machine-assisted treatment co-payment to as little as 590 Kč, while uninsured and international patients pay transparent listed prices from 1,890 Kč plus per-canal surcharges. In-house CBCT 3D imaging supports diagnosis of hidden canals and root fractures, and root-treated teeth are typically restored with a composite rebuild or crown from the network's laboratory.

Root canal treatment removes infected or dying pulp tissue from inside a tooth, disinfects the canal system and seals it — saving teeth that would otherwise need extraction. Modern rotary (machine-assisted) instrumentation with electronic apex location makes treatment faster, more predictable and more comfortable than older hand-filing techniques. **At Smile Centrum:** the network's price list separates the insurer-covered base treatment from technology surcharges, so costs are predictable. Machine-assisted canal treatment carries a 1,890 Kč surcharge (reduced to 590 Kč after the −1,300 Kč insurer contribution where eligible); machine endometry (precision electronic length measurement) is 1,790 Kč per canal; retreatment of a previously filled canal is 690 Kč per canal. **Microscopic endodontics:** a dental operating microscope at up to ~20× magnification reveals canal anatomy invisible to the naked eye — extra canals in molars, calcified canals, perforations and fractured instruments. Smile Centrum offers microscope-assisted work as an add-on at 1,490 Kč (small extent) or 2,990 Kč (large extent), and handles advanced cases such as removal of metal posts (1,990–2,990 Kč) and retrieval of fractured instruments from canals (2,390 Kč) — procedures many general practices refer out. **Diagnosis:** intraoral X-rays are insurer-covered; CBCT 3D imaging (1,190–1,790 Kč) is available when canal anatomy, resorption or root fracture needs three-dimensional assessment. **After treatment:** a root-treated tooth becomes more brittle and usually needs a cuspal-coverage restoration — a photocomposite rebuild (4,990 Kč) or a crown — to prevent fracture. Mild tenderness for a few days after treatment is normal and manageable with over-the-counter analgesics. **Anxiety management:** nitrous oxide (1,500 Kč/15 min), tablet sedation (1,990 Kč) and analgosedation (from 9,900 Kč/hour) are available for anxious patients.