Root Canal Retreatment- Why 2nd root canal treatment may be needed?
After a root canal procedure, some teeth may not heal as expected, or may develop a new infection, necessitating another root canal. This commonly happens when the initial treatment did not completely remove the infection; when decay returns to the treated area; or when the tooth becomes fractured or loose, exposing it to new infection.
Some patients may have no indications of a reinfection, however others may have swelling or pain while chewing. To treat a tooth that did not heal completely or became infected again after a root canal procedure, a re-treatment technique may be performed to guarantee that the tooth is thoroughly cleaned of decay and can function. For root canal retreatment contact Best dental Academy.
Candidates For Root Canal Retreatment
Root canal retreatment is done in an attempt to keep the tooth from being extracted. Saving the natural tooth generally results in healthier results, and many re-treated teeth can work normally for years, if not the rest of the patient’s life.
Endodontic surgery, which is a considerably more invasive operation, may be required for patients who do not wish to undergo re-treatment. Endodontic surgery is making an incision to obtain access to the root tip.
Reason for root canal retreatment
Sometimes a tooth does not heal properly after root canal therapy, leading in pain, discomfort, or illness months or years later. This could be due to a number of factors, including:
- Narrow or curved canal systems that were not addressed during the initial process
- Root canal architecture that was complex and unnoticed during the original procedure.
- The canal system may have become contaminated during the first treatment due to the crown not being fitted quickly enough.
- Saliva may have been introduced into the tooth as a result of an incorrect restoration, producing contamination.
- A new infection caused by fresh tooth decay, which might expose the root canal filling to microorganisms.
- Crowns and fillings can become loose, fractured, or damaged, exposing the tooth to new infection.
As a result, a root canal retreatment may be required in conjunction with an endodontic appointment. The filling material must be removed from the canal during this surgery, and the endodontist will look for new or untreated root canals. Retreatment treatments typically necessitate the use of an operating microscope, ultrasound, and digital imaging. The root system is then sealed with new canal filling material after it has been completed. Endodontic surgery is frequently used to finish repeat root canal procedures. Your endodontist will review all available options and acceptable treatments with you, and he or she will make the best recommendations based on your unique treatment needs.
Procedure for Root Canal Retreatment
The damaged tooth is reopened during retreatment to gain access to the root canal filling. This may necessitate the removal of crowns, supports, and other restorative components in order to reach the tooth’s root. The original procedure’s filling material is removed, and the canals are carefully cleaned. The region will be carefully investigated using magnification and illumination to find any new canals or strange places.
After cleaning the canals, the tooth is filled with gutta-percha and the canals are sealed. The tooth is filled with a temporary filling. This operation is carried out under local anaesthetic, which numbs the affected area and alleviates any pain or discomfort. Patients are also helped to relax by the anaesthetic.
A follow-up session will be required to permanently restore the tooth, using a crown or other material, allowing it to function normally and preserving it from further infection or decay.
Recovery from Root Canal Retreatment
Patients may endure pain, discomfort, and tenderness for a few days following root canal retreatment. Patients are instructed not to bite or chew on the affected side. Patients can relieve symptoms by taking nonsteroidal anti-inflammatory medications such as ibuprofen or aspirin, as well as gently rinsing their mouth with warm salt water three to four times each day.
If symptoms persist or worsen, contact your dentist.
Risks Associated With Root Canal Retreatment
Although root canal retreatment is thought to be safe, there are some risks and consequences associated with the operation. Some of these dangers include tooth damage and recurring infections. Patients can reduce their risks by following pre- and post-procedure recommendations.
Results Of Root Canal Retreatment
For many individuals, this treatment is a success. A root canal retreatment can produce permanent outcomes, with the treated tooth operating normally for the rest of the patient’s life.
There is always the possibility that the re-treatment method may fail or that the infection will recur. The success percentage of re-treatment treatments is lower than that of original root canal surgeries. If the re-treatment technique fails, extraction or surgery may be required. For reinfected tooth contact the Best dental academy in south Delhi.