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 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 re-treatment 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 damprotects 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 endodontist 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.

Meet Endodotnist Dr.Paryani

Dr. Paryani places the treatment quality and the patient’s experience as our top priority. Our goal is to provide the highest standard of professional care in a friendly and comfortable atmosphere.

“Trust is the foundation of a successful patient-endodontist relationship, as with all other relationships. In the patient-endodontist relationship, trust comes from the assurance that personal information will be kept confidential, that procedures are in the patient’s best interest, the level of clinical skill is unsurpassed and that patient autonomy is recognized. Furthermore, trust is a mutual understanding communicated in an egalitarian and ethical manner.” – Dr. Khimiya Paryani

To schedule an appointment with Endodontist please contact Advanced Dental Scarsdale Department of Endodontics:
Call Us : (914) 874-5757 130 Garth Road Scarsdale, NY 10583