Teeth
that have been previously treated with root canal therapy are capable
of being retained in the mouth as long as any other tooth, provided
decay, periodontal disease, fracture, or traumatic injury do not
create issues of health and viability. Indeed, the same things
that can cause endodontic involvement may also cause an endodontically
treated
tooth to fail.
In cases where failure of non-surgical endodontic treatment occurs,
need for endodontic retreatment may be indicated, especially if
it appears a canal may exist that was not originally treated, or
the previously placed root canal filling material was not adequately
placed.
During retreatment, an opening is created in the chewing surface
of the involved tooth. The existing root canal filling material
is removed, the canal system is cleaned, the canals additionally
shaped if necessary, and then the system filled and sealed with
an inert rubberized endodontic filling material. This procedure
is usually accomplished in a single appointment.
If you have a tooth that has been previously treated with root
canal therapy, but is still sensitive to pressure, chewing, or
has an ache associated with it of and by itself, whether it is
constant or intermittent (comes and goes), you are potentially
at risk of developing severe complications. Your symptoms need
to be adequately evaluated and treated accordingly. If you are
experiencing any of the described symptoms, please call us. We
are interested in helping you to not only save your tooth, but
to also remain physically healthy.
Many times multiple issues will affect a tooth, therefore, causing
non-surgical endodontic treatment to fail. This is commonly the
case when issues such as separated instruments exist from previous
treatment, or blocked canals. In cases such as these, it is not
uncommon for endodontic retreatment to be combined with surgical
treatment in an attempt to optimize the potential for a healing
result.
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