Endodontic treatment is one
of the most successful forms of dental therapy that is available today. But approximately 10% of the teeth that are
treated will never heal completely or will develop problems later on. You have
a situation that falls into that 10%.
There are several possible
indications that there is a problem. You may experience pain or sensitivity on
the treated tooth when you bite or put pressure on it. There may be either
slight or severe swelling in the treated area.
A fistula (drainage tract) may develop or never fully close. This
drainage site will have pus that can be expressed through it. Or you may feel
nothing at all. The problem may be something that was discovered through a
postoperative radiograph. The bone around the tooth may not have grown back, or
there may be more bone destruction seen.
These problems occur for a
variety of reasons. The pre-existing infection, the reason for the root canal
in the first place, may have left residual effects that never disappeared
entirely and have begun to act up again. It is also possible that the original
root canal filling was not clinically ideal. This happens due to any of several
factors such as severely twisted or curved roots; small, extra canals; separated
root canal instruments; cement washout; and others. Sometimes, no clear reason
can be seen for the root canal failure. It just happened.
Even if the problem has not
been noticed by you, it is not wise to leave an active infection in your body.
A nonsurgical retreatment procedure will remove the root canal filling
materials, clean and refile the root canal, then refill the canals. The
re-treatment is usually more difficult and time consuming than the first root
canal. It is harder to remove condensed,
cemented root canal material, cemented posts, and bonded resins or cements in
order to re-treat the canals. Attempts
to remove these materials may cause the tooth to fracture and become hopeless.
It may not be possible to re-instrument the tooth, based on what is in it. This
may not be known until the treatment is begun. It is also possible that
re-treatment will not work at all.
Despite these possible
problems, re-treatment is the most conservative approach and usually the least
expensive approach. When the situation arises, it is the method of choice. It
is performed on a tooth that you need to keep. If the re-treatment cannot be
done, the problem must be addressed surgically or the tooth will have to be
extracted. A surgical endodontics
procedure, called an apicoectomy, may
be required if the re-treatment does not work.
We'll do whatever it takes for you to have a healthy smile. |
If you have any questions about re-treatment of root canals, please
feel free to ask us at (512)250-5012. -Omni Dental Group
I like post related to health services. Dental care is a part of health plan. But dental treatment is very expensive and so it is better to adopt some dental discount plans TN to support the insurance.
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