Root Canal Retreatment

Root canal therapy may occasionally fail, necessitating retreatment. This involves removing the crown, cleaning the canals, and re-crowning the tooth, with a 75% success rate. Retreatment is often more cost-effective and preserves the natural tooth better than alternatives like implants or bridges.

Why Is Root Canal Retreatment Necessary?

Although root canal retreatment may seem daunting, it is usually straightforward and can be completed in 1-3 visits.

Factors that may lead to the failure of the initial root canal include:

  • Cracked crowns that allow filling material to leak
  • Untreated curved or narrow canals missed in the first procedure
  • Delayed restoration placement, compromising tooth integrity
  • New decay after the initial treatment
  • Fractures in the previously treated tooth
  • Saliva infiltration weakening the restoration
  • Overlooked complex canal structures

Retreatment addresses these issues, providing a second chance to save your tooth and restore your oral health.

What Does Root Canal Retreatment Involve?

On the procedure day, local anesthesia will be used for your comfort, with other options available if needed. We’ll isolate the affected tooth with a rubber dam to keep it free from bacteria and saliva. The extent of treatment in one session depends on the inflammation level and case complexity.

The process starts with accessing the inner tooth. If a crown or post is present, it will be removed to expose the root canals. We’ll clear out old fillings and debris using an ultrasonic handpiece, then clean and reshape the canals with fine instruments, confirming thoroughness with X-rays. If necessary, we may place medicated packing material, with additional cleaning scheduled for a follow-up visit.

Once the canals are clean and prepared, they are sealed with gutta-percha to prevent bacteria and reinfection. A temporary crown or filling will be placed, followed by a custom-fitted permanent crown to restore function and ensure long-lasting protection.

This meticulous approach preserves the tooth’s integrity and protects it from future complications.

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