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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 retreatment 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 retreatment 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 dam protects 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 dentist 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.

If you have any questions or concerns about root canal retreatment, please ask your dentist.

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Testimonials

I've been to many dentists over the years, but nothing prepared me for the most amazing experiences I've had with Doc Wood and his team of experts. Warm, kind, anxiety free and most of all... actually enjoyable.

No one enjoys going to the Dentist, I thought. But I can now say with certainty that I do, and look forward to seeing them again which is why I come all the way from Los Angeles to Corvallis. An incredible experience with incredible people. THANKS, DOC! YOU'RE THE BEST! If only all Dentists could be like you... we'd all have amazing teeth!

Fireball T.L.

Best dental office ever. Skilled professionals with a gentle touch, always concerned with my comfort level, and excellent at what they do. Also, state of the art equipment creates your crowns while you wait. No more temporary crowns and multiple visits. Awesome!

Connie E.

I actually travel across 2 states to visit Dr Wood at his office. His gentle touch is worth the drive. Not to mention his staff is always so courteous and kind, but not nosey. I can't believe how nice it is to not have to fear going to the dentist anymore. Also he is the best at giving shots. Hardly feel them. I actually enjoy going to the dentist. It's like being with family! That's the only way to say it. Plus he really works well with my insurance. And he knows what he is doing! And has some really great equipment. I needed a new tooth and they did everything in house. No repeat visit, just a quick change. My smile has never looked better. Thanks Dr Wood!!!! :)

Jeremy S.

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