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Root Canal Retreatment

In rare cases, root canal therapy fails to work as expected. The treated tooth might not heal properly or a patient might experience post-surgical complications that jeopardize the tooth. Root canal retreatment involves the removal of the previous crown and packing material, the cleansing of the root canals, and the re-packing and re-crowning of the tooth. In short, root canal retreatment is almost identical to the original procedure, aside from the structural removal. The success rate for a root canal retreatment runs at around 75%.

Root canal treatments and retreatments are a better alternative than extraction for most individuals. If a tooth has good bone support, a solid surface and healthy gums beneath it, it stands a good chance of being saved. Opting for root canal retreatment can be far less expensive than the alternatives. Dental implants, extensive bridgework and the creation of aesthetically pleasing prosthetic teeth cost far more than working with the natural tooth. They also require maintenance and feel less natural than a “real” tooth.

Why is root canal retreatment required?

Though the prospect of more endodontic surgery might not be pleasant, root canal retreatment is fairly simple. In general, the whole treatment can be completed in 1-3 visits.

There are a number of reasons why root canal therapy unexpectedly fails, including:

  • Cracked crown leaking filling material.
  • Curved or narrow canals not treated during the original procedure.
  • Delay in the placement of restorative devices following the procedure.
  • New decay to the tooth.
  • New fracture in the treated tooth.
  • Saliva entering the restorative structure.
  • Undetected complex canal structures.

What does root canal retreatment involve?

On the day of the retreatment procedure a local anesthetic will be administered, unless another type of anesthetic has been selected. The affected tooth is isolated with a rubber dam. The dam protects the tooth during treatment from bacteria and saliva. The amount the dentist can do within a single appointment will much depend on the amount of inflammation present, and the complexity of the treatment.

The first step in a root canal retreatment is to gain access to the inner tooth. If a crown and post have been placed, these will be removed.

Next, filling material and obstructions that block the root canals will be removed. This removal is conducted using an ultrasonic handpiece. The advantage of using this tool is that any unwanted material is vibrated loose. Tiny instruments will then be used to clean and reshape the root canals. X-rays may be taken to ensure that the roots are thoroughly clean. If this part of the treatment proves to be complex, medicated packing material will be applied, and the rest of the cleansing procedure will be done at the next visit.

When the dentist is confident that the root canals are completely clean, gutta-percha is used to pack the space. This rubbery material seals the canals to prevent bacterial invasion. Finally, a temporary crown or filling is applied to tooth. At a later date, the color-matched permanent crown will be placed.

If you have any questions or concerns about root canal retreatment, please ask your dentist.

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Testimonials

You all are so amazing. Rosie can answer any questions I have about insurance instantly, scheduling is easy, I love the text messages regarding scheduling and reminders. Everyone treats me so nicely and gently, that I have been able to come in and take care of my teeth, despite my anxiety. I feel confident asking any and all questions before, during and after procedures and get answers and explanations that make sense to me. I am included in all decisions and planning and feel comfortable to make small requests to make my visit less stressful. A blanket, head pillow, sunglasses, correct temperature, using the quiet room, these are all small things that can help calm my anxiety and I feel comfortable asking for those things because I know your team wants me to be comfortable and relaxed. The laser has been really life-changing for me, in regards to dental work. No anxiety about numbing, shots, drills, it seems smaller in my mouth, which helps my jaw and even the sound it makes is pleasant. I fully trust the entire team that they are being open and honest with me, not just trying to take my money, but really trying to take care of my teeth and me. I always highly recommend Sycamore Dental.

S.K 07/2018

I can't express enough how impressed I am with the customer service and Dr. Gita Sarkaria. I have already recommended to all my colleges because I know they will not regret making Sycamore Dental their primary Dentist. My husband and I will be coming in from here on out :) Thank you!

N.J. 2018

You have to go here for your dental work. Not only is their work phenomenal, but I had a genuinely pleasant experience. They use up to date technology to make the work faster and higher quality. Everyone was caring and were more concerned that the job is done right than cramming in another patient. I cannot recommend them enough. If you want to upgrade your dental experience, go here!

D. B 02/2018

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