Endodontic Retreatment


Why do I need another endodontic treatment?

As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons:

  • Narrow or curved canals were not treated during the initial procedure.
  • Complicated canal anatomy went undetected in the first procedure.
  • The placement of the crown or other restoration was delayed following the endodontic treatment.
  • The 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 a new infection.
  • A tooth sustains a fracture.

What will happen during treatment?

The endodontist will reopen the tooth to gain access to the root canal filling material. In many cases, complex restorative materials crown, post and core material must be disassembled and removed to permit access to the root canals.

After removing the canal filling, the endodontist can clean and canals and carefully examine the inside of your tooth using high magnification and illumination, searching for any additional canals or unusual anatomy that requires treatment.

After cleaning the canals, the endodontist will fill and seal the canals and place a temporary filling in the tooth. If the canals are unusually narrow or blocked, your endodontist may recommend endodontic surgery.

After the retreatment is completed, you will need to return to your dentist as soon as possible to have a new crown or other restoration placed on the tooth to protect and restore it to full function.

Endodontic Surgery