Nonsurgical re-treatment of endodontic failures

Compend Contin Educ Dent. 1995 Mar;16(3):324, 326-35; quiz 335.

Abstract

Endodontic treatment has a very high percentage of success. When failures did occur, many were re-treated with surgery, although nonsurgical re-treatment often was an option. Recently, improvements in instruments for use in endodontic surgery have increased the ability to perform such re-treatments. Even so, this author believes that nonsurgical re-treatment is preferable to surgical intervention whenever possible because of the greater comfort to the patient and the increased indication of failure for amalgam reverse fillings. Advice for recall appointments and evaluations and the correct procedures for re-treating common failures without surgery are presented. These include failures caused by short or incomplete canal fillings, overextended canal fillings, untreated major canals, and chronically draining teeth.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Extravasation of Diagnostic and Therapeutic Materials / therapy
  • Humans
  • Patient Care Planning
  • Patient Selection
  • Periapical Diseases / therapy*
  • Radiography
  • Retreatment
  • Root Canal Therapy / instrumentation
  • Root Canal Therapy / methods*
  • Silver
  • Tooth Root / diagnostic imaging
  • Treatment Failure
  • Ultrasonics

Substances

  • Silver