Endodontic Retreatment
Most endodontically treated teeth last as long as other natural teeth. Like natural teeth, root canal treated teeth are susceptible to decay and/or fracture. In these instances, the root canal can become contaminated. If this occurs, an endodontic retreatment can predictably save these teeth.
The root canal retreatment process is almost identical to the original procedure. It involves the removal of the previous root canal material, the cleansing of the root canals, and the placement of new biocompatible root canal material.
A root canal retreatment's success rate is over 90% and is a better alternative than tooth extraction for most individuals. Also, the root canal retreatment is less expensive than the restorative dentistry options like dental implants, extensive bridgework, or the creation of aesthetically prosthetic teeth that may be required after tooth extraction. A root canal treatment's success rate is high if the tooth has good bone support, a solid surface, and healthy gums beneath it.
The reasons why root canal therapy may unexpectedly fails include:
- Delay in recommended restorative treatment after the procedure.
- Recurrent decay in the tooth, contaminating the root canal, and causing re-infection.
- Fracture of the tooth, contaminating the root canal, and causing re-infection.
- Complicated canal anatomy that was not treated sufficiently during the initial procedure.
- Complicated canal anatomy that was undetected during the initial procedure.
What does root canal retreatment involve?
During the retreatment procedure, a local anesthetic will be administered. The affected tooth is then isolated with a rubber dam to protect it during the treatment from bacteria and saliva. Then, the tooth is reopened for access to the root canal filling material. If a post has been placed, this will also be removed. After this, the previous root canal filling material is removed, and canals are cleaned and examined.
Once Dr. Gengo is sure that the root canals are completely clean, the tooth is again filled with biocompatible filling materials to prevent bacterial invasion. As the last step, a temporary filling is applied. You will then return to your general dentist for the permanent restoration.
If you have been informed you need a retreatment, please call Queen City Endodontics to book an appointment at (716) 815-3636.