Root Canal Re-Treatment: What You Need to Know
Root canals are commonly performed to save damaged or infected teeth. While they boast a high success rate, there are instances where the treated tooth might not heal as expected, necessitating a root canal re-treatment.
Why Root Canal Treatments Sometimes Fail
Several factors can lead to the failure of an initial root canal:
- Remaining bacteria or infection post-treatment
- Complex canal structures that were initially untreated
- Breakdown of the inner sealing material over time allowing for leakage
Symptoms that might indicate a problem include discomfort, swelling, or disease visible on a radiograph.
The Re-Treatment Process
If re-treatment is deemed necessary, here's what to expect:
- Diagnosis and diagnostic imaging: Most of the time we will require a consultation prior to a root canal re-treatment procedure. At that appointment we will take a couple 2D radiographs as well as a 3D CBCT image [link]
- Accessing the Tooth: Any existing crown or restoration might be removed to access the root canal filling material. Treatment is often done by drilling through the existing restoration.
- Re-Cleaning the Canals: The old filling material is taken out, and the canals are cleaned and reshaped. This process may not simply be repeating the original treatment and hoping for better results. We use enhanced irrigation systems that may contribute to an improved outcome as compared to endodontic treatment done in previous years.
- Typically we will do a root canal re-treatment in two visits to improve our confidence that the problem will resolve.
- Filling and Sealing: The canals are then refilled and sealed.
- Restoration: A new crown or filling is placed to restore the tooth's function and appearance
Benefits of Root Canal Re-Treatment
Opting for re-treatment can offer several benefits:
- Natural Tooth Preservation: Retain your natural tooth, preserving your bite and smile.
- Infection Control: Eliminate any lingering infection, preventing its spread.
- Pain Relief: Alleviate pain and discomfort associated with a failed root canal.
Alternatives to Re-Treatment
While re-treatment is often recommended, there are other options:
- Apicoectomy - Click here to read more about an apicoectomy (also known as an apico, apical surgery, root-end resection or endodontic surgery)
- Tooth Extraction: Removing the problematic tooth, followed by the option of dental implant, bridge, or removable appliance.
Post Re-Treatment Care
Post re-treatment care is the same as after a standard root canal. After re-treatment:
- Ensure you follow all care guidelines provided.
- Attend follow-up appointments to monitor healing.
- Report any unusual symptoms or concerns immediately.
Conclusion
Your dental health is our priority. If you have concerns or questions about root canal re-treatment or any other dental procedure, please reach out. Regular check-ups and open communication with your dental team can go a long way in ensuring the longevity of your dental treatments.
Contact us today to choose treatment under the care of Dr. Shelley at Elm Endodontics, which offers the highest standards in modern care utilizing 3D CBCT imaging, treatment and diagnosis while using a microscope, enhanced irrigation technologies, and private rooms.