dr Majewska

Microscopic endodontics

dr Patrycja Majewska · Warsaw Praga Północ

Root canal treatment with microscopy — top precision in canal location and instrumentation. I perform primary and retreatment cases, removal of fractured instruments, and endodontic surgery. Completed postgraduate Endodontics Curriculum 2018–2019.

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dr Patrycja Majewska — microscopic endodontics at SZPZLO Warsaw Praga Północ

Range of procedures

Main procedures

Each procedure is preceded by diagnostics and consultation. The treatment plan is tailored to the condition of the oral cavity and the patient’s needs.

Primary root canal treatment under microscopy

Full endodontic procedure: pulp chamber access, canal orifice location (microscope), mechanical preparation with nickel-titanium systems, disinfection and tight obturation. The microscope helps detect additional canals invisible to the naked eye.

Endodontic retreatment

Retreatment of teeth previously treated endodontically when the initial treatment failed or periapical inflammation appeared. Removal of old canal material, evaluation under microscopy, repeat preparation and obturation.

Removal of fractured instruments

Highly specialised procedure — using the microscope and ultrasonic diamond tips to precisely retrieve a broken file or other instrument. The procedure saves the tooth from extraction.

Endodontic surgery

Apicoectomy (root tip resection) performed when conventional root canal treatment is not possible or has failed. Done under the operating microscope with retrograde root filling.

CBCT diagnostics

Cone Beam CT as a diagnostic tool for planning challenging endodontic cases — canal anatomy, presence of additional roots, 3D evaluation of periapical tissues.

Certifications and postgraduate training

Specialist qualifications

  1. 10.2018 Ergonomics in endodontics
  2. 11.2018 Primary endodontic treatment
  3. 01.2019 Endodontic retreatment under microscopy and removal of fractured instruments
  4. 02.2019 Endodontic surgery
  5. 03.2019 Restoration and whitening of endodontically treated teeth
  6. 05.2019 Photography in dentistry. CBCT diagnostics in endodontics
  7. 2019 Postgraduate "Endodontics Curriculum" training cycle

FAQ

Frequently asked questions

Why use a microscope in root canal treatment?
The microscope greatly increases the field of view (4–25× magnification) and working precision. It allows for: detecting additional canals (often invisible to the naked eye, especially in molars), precise removal of infected tissue, locating fractured instruments, and evaluating filling tightness. Microscope-assisted endodontics has higher success rates than work without it.
Does root canal treatment hurt?
The procedure itself is painless thanks to local anaesthesia. Some discomfort may appear afterwards (1–3 days) and is typically related to tissue response to the manipulation. Pain relievers and antibiotics (if indicated) effectively manage this discomfort.
How many visits does root canal treatment require?
Most often 1–2 visits. First visit: canal preparation, disinfection, temporary dressing. Second visit (after 2–4 weeks if infection does not subside immediately): check-up, final filling. In simple cases single-visit treatment is possible.
How long does a tooth last after root canal treatment?
With properly performed treatment and restoration — many years, often for the patient’s lifetime. A root-canal-treated tooth is more brittle than a vital tooth and usually requires coronal restoration (a crown, an onlay or extensive composite filling) to protect it from fracture.
What is endodontic surgery?
A surgical procedure performed when conventional root canal treatment (through the tooth crown) is not possible or has failed — most often apicoectomy (root tip resection). Under the operating microscope, the apex is exposed, infected tissue removed, and the canal sealed from the root side.
What if the tooth cannot be saved with root canal treatment?
In rare cases (advanced root destruction, perforations, untreatable anatomy) root canal treatment is not possible. The alternative is extraction and prosthetic restoration (bridge, implant). The decision is made after thorough diagnostics, often using CBCT.

Where I practice

Two SZPZLO clinics — Praga Północ

How to book a visit

Register via SZPZLO Patient Phone Service or the eRegistration system. When choosing a doctor, ask for dr Patrycja Majewska.

22 619 78 76 TOP SZPZLO Online registration ↗

NFZ

Reimbursed services

Dentistry at SZPZLO is also provided under NFZ — according to the current list of guaranteed services from the Ministry of Health.

List of NFZ services

Private services

Private services pricing

Full price list of paid dental services at SZPZLO Praga Północ — I perform selected procedures personally.

See pricing

This content is informational and does not replace medical consultation. Each treatment requires individual diagnostics and qualification.