Differences in efficacy
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In primary root canal treatment, efficacy is high in both approaches, but the mikroskop increases the success rate, especially in molars and complex cases; in reendo and mikrochirurgia, the advantage of the mikroskop is clear and confirmed by clinical studies.
Primary treatment (RCT)
Contemporary root canal treatment has high overall survival/success rates; meta-analyses and reviews report survival >90–97% in the long term with proper restoration, although methodologies differ in definitions of clinical vs radiological success.
In comparisons of mikroskop vs without a mikroskop, studies show a higher percentage of positive outcomes using a mikroskop, especially in posterior teeth; in one cohort for molars, the mikroskop increased the success rate 2.9–3.2 times compared to the traditional method under strict and liberal criteria.
Retreatment (reendo)
The efficacy of reendo is lower than primary treatment, but magnification improves the prognosis due to easier localization of missed canals, removal of posts/material, and perforation control; clinical reports indicate higher success rates for reendo with a mikroskop vs without.
In difficult cases (obliterated canals, broken instruments), mikroskop-assisted techniques effectively resolve 70+% of cases, e.g., 74% for calcified canals and 72% for separated instruments in case series analyses.
Surgical mikroendodoncja
Classical periapical surgery has an efficacy of 44–75% in older studies, while endodontyczna microsurgery (mikroskop, micro-instrumentarium, retrograde US filling) reaches 57–97% depending on criteria and observation time.
Clinical series descriptions also indicate faster and more predictable healing with the mikrochirurgia technique, which is attributed precisely to the precision of the optics and technique, rather than just the materials.
What determines the differences? Visibility of additional canals and anatomical anomalies increases the completeness of the preparation and the tightness of the filling, which directly raises efficacy and lowers the risk of recurrent periapical lesions.
The impact of the mikroskop is greatest in molars, cases with large periapical lesions, in reendo, and in surgery; in simple single-canal incisors, the differences may be clinically smaller with a good protocol, but magnification still reduces the risk of errors.
Rycerska 4 Medical Center in Bytom is a modern facility trusted by over 8,000 patients, offering a wide range of services, an experienced team of doctors and therapists, convenient online registration, telephone contact and via WhatsApp, as well as support in treatment financing and the possibility of purchasing gift vouchers for treatments at the clinic.
Explore the details of our offer in the following areas:
- comprehensive conservative dentistry
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| Procedure name | Price |
|---|---|
| Root canal treatment (endodontics) of tooth 1 – 3 (incisors, canines – including RTG and anesthesia) | 700 – 1000 zł |
| Root canal treatment (endodontics) of tooth 4 – 5 (premolars – including RTG and anesthesia) | 900 – 1200 zł |
| Root canal treatment (endodontics) of tooth 6 – 8 (molars – including RTG and anesthesia) | 1100 – 1500 zł |
| Re-treatment (root canal) of tooth 1 – 3 (incisors, canines – including RTG and anesthesia) | 900 - 1300 zł |
| Re-treatment (root canal) of tooth 4 – 5 (premolars – including RTG and anesthesia) | 1100 - 1500 zł |
| Re-treatment (root canal) of tooth 6 – 8 (molars – including RTG and anesthesia) | 1300 - 1700 zł |
| Removal of a broken instrument from the tooth canal (during the procedure) | 300 – 700 zł |
| Closure of perforation with biological material | 200 – 300 zł |
| Glass fiber post (without tooth reconstruction) | 300 PLN |
| Tooth core buildup before root canal treatment (endodontic) | 250 - 450 zł |
| Reconstruction of a severely damaged tooth after root canal treatment (endodontic) | 400 zł |
| Reconstruction of a severely damaged tooth after root canal treatment (endodontic) using glass fiber | 600 zł |
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