Why do I need another endodontic (root canal) procedure?
As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial endodontic treatment for a variety of reasons:
- Complicated canal anatomy that was undetected in the first root canal procedure.
- The placement of the crown or other restoration was delayed following the endodontic treatment.
- An insufficient restoration did not prevent salivary contamination to the inside of the tooth.
In other cases, a new problem can jeopardize a tooth that was successfully treated. For example:
- New decay can expose the root canal filling material to bacteria, causing a new infection in the tooth
- A loose, cracked or broken crown or filling can expose the tooth to new infection.
- A tooth sustains a fracture.
What will happen during the retreatment procedure?
First, our doctors will discuss and review your treatment options. If you and Dr. Radatti or Dr. Duval choose retreatment, then they will regain access to the root canal filling material within your tooth After removing the canal filling, the canals and carefully cleaned and disinfected. The inside of your tooth is examined under the operating microscope magnification and illumination, searching for any additional canals or unusual anatomy that requires treatment. After cleaning and disinfecting, the canals are sealed with a root canal filling and the tooth is restored. After your treatment is complete, you will need to return to your dentist as soon as possible to have a new crown or other permanent restoration placed on the tooth to protect and restore it to its full function.
Is retreatment the best choice for me?
If the physical structure of you tooth is sound or if the tooth can be restored to it’s full function with a dental restoration or crown, then the best treatment option is to save your natural tooth. Retreated teeth can function well for years, and even for a lifetime. Advances in technology are constantly changing the way root canal treatment is performed, so Dr. Radatti and Dr. Duval may use new techniques that were not available when you had your first root canal procedure. Our Doctors may be able to resolve your problem with endodontic retreatment. As with any dental or medical procedure, there are no guarantees. Dr. Radatti and Dr. Duval will discuss and review your options and your chances of success before beginning treatment.
What are the alternatives to retreatment?
Oftentimes when nonsurgical endodontic retreatment is not an option, then endodontic microsurgery can be performed to treat and save your tooth. Endodontic surgery may also be recommended in conjunction with retreatment in some cases. If a tooth is structurally non-salvageable or if retreatment and endodontic surgery are not feasible, then extraction of the tooth and replacement with a dental implant, dental bridge or removable appliance may be required. Dr. Radatti and Dr. Duval will discuss your options and recommend the appropriate treatment.
What are the alternatives to endodontic treatment (retreatment and/or endodontic surgery)?
Though endodontic procedures are intended to help save your tooth, this is not always possible. Often, the only alternative to endodontic treatment is extraction of the tooth. Missing teeth can make you self-conscious, affect your ability to bite and chew, cause other healthy teeth to shift, result in loss of alveolar bone in the area of the missing tooth and have a negative impact on your overall health. For these reasons, the extracted tooth should be replaced with an artificial one. In many cases a dental implant is recommended but other replacement options included a bridge or removable partial denture.