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AAE Endodontic Retreatment Explained

Endodontic Retreatment explained by the American Association of Endodontists. With proper care, even teeth that have had root canal treatment can last a lifetime. But sometimes, a tooth that has been treated doesn't heal properly and can become painful or diseased months or even years after treatment. If your tooth failed to heal or develops new problems, you have a second chance. An additional procedure may be able to support healing and save your tooth. If you have pain or discomfort in a previously treated tooth, talk to an endodontist about retreatment. 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 new infection. •A tooth sustains a fracture. In a retreatment, after removing the canal filling, the endodontist can clean the canals and carefully examine the inside of your tooth using 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. This surgery involves making an incision to allow the other end of the root to be sealed. After your endodontist completes retreatment, 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 its full function. If nonsurgical retreatment is not an option, then endodontic surgery should be considered. This surgery involves making an incision to allow access to the tip of the root. Endodontic surgery may also be recommended in conjunction with retreatment or as an alternative. Your endodontist will discuss your options and recommend appropriate treatment. Call Evergreen Endodontics in Issaquah at 425-697-9777 to schedule a dental consultation.

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