Microscope Root Canal Treatment (Endodontics)

Root canal treatment at The Clinic Praha is performed under the operating microscope, the modern standard that lets the dentist locate and clean all root canals — including narrow and accessory canals invisible to the naked eye — dramatically improving long-term success. Treatment is staged: an acute first phase removes the inflamed or infected nerve and disinfects the canal system (from 7,500 Kč), and a second phase places the definitive root filling and core build-up (from 7,500 Kč); microscope endodontics is priced from 12,250 Kč. The goal is saving your natural tooth and avoiding extraction and implant replacement.

Endodontic (root canal) treatment becomes necessary when the dental pulp — the nerve and blood vessels inside the tooth — is irreversibly inflamed or infected, typically from deep decay, a crack, or trauma. Untreated, the infection spreads to the bone around the root tip, causing abscesses and eventually tooth loss. **Why the microscope matters:** molar root systems are complex — a single molar can have four or more canals, some finer than a human hair. Under up to 25x magnification with coaxial illumination, the endodontist can locate hidden canal entrances, remove all infected tissue, detect cracks, and verify cleanliness before sealing. Studies consistently show higher success rates for microscope-assisted endodontics versus naked-eye treatment, which is why The Clinic Praha treats all root canals this way. **The two-phase protocol:** - *Phase 1 — acute (from 7,500 Kč):* local anaesthesia, isolation with a rubber dam (preventing saliva bacteria entering the canals), removal of the inflamed/infected pulp, mechanical shaping and chemical disinfection of the canal system, and a medicated temporary dressing. Pain relief is typically immediate once the inflamed nerve is removed. - *Phase 2 — definitive (from 7,500 Kč):* once the tooth is symptom-free, canals are filled with gutta-percha and sealer to a verified length, and the access cavity is rebuilt with a core build-up that restores structural strength. **After endodontics:** root-treated molars and premolars usually need a crown (CEREC 15,500 Kč or zirconia 17,500 Kč) to protect against fracture — handled in the same centre with the in-house lab. If an old root filling fails or infection persists at the root tip, surgical root-tip resection (apicoectomy, from 15,000 Kč) is available from the clinic's oral surgery department.