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Endodontic Retreatment

Dentist with gloved hands treating patientUnfortunately, root canal therapy does not always take the first time around. If you have a problematic tooth with a reoccurring infection, you may be in need of endodontic retreatment. At Boise Endodontics, we specialize in endodontic retreatment because we want our patients to get their smile back on track!

What Is Endodontic Retreatment?

Initial endodontic treatment usually involves a root canal. During this procedure, we remove all of the pulpy substance that exists within the tooth. The pulp, which helps keep the tooth alive, is susceptible to infection if damaged, or if decay of the enamel occurs.

Most of the time, removing the pulp helps prevent the spread of infection. Ultimately, endodontic treatment is designed to save an infected or damaged tooth from an extraction. If the infection does return, we usually recommend endodontic retreatment to eliminate infection.

When Is Endodontic Retreatment Necessary?

During your initial consultation appointment, Dr. Newcomb and Dr. Dunstan will assess your current situation to determine whether or not endodontic retreatment is necessary. This typically involves a thorough examination using the latest technology, including digital x-rays and 3D imaging. Before we move forward with retreatment, however, we suggest reviewing all your other options too. Along with retreatment, we offer alternative procedures like apicoectomy surgery and regenerative endodontics. We may also recommend an extraction if we believe the tooth is beyond saving.

Often, endodontic retreatment may be the only way to protect a previously treated tooth. We may recommend retreatment if:
•  You have extra, restricted, or abnormally-shaped canals that were not addressed during your initial treatment.
•  You have a new crack or fracture in the enamel, leaving the pulp exposed.
•  Your initial crown was not placed in a timely manner.
•  A new infection has occurred due to a failed filling, crown, or previous restoration.

The Retreatment Process

Endodontic retreatment is very similar to a routine root canal. It all begins with the application of local anesthetic, which numbs the tooth.

Once you are properly anesthetized, we will access the underlying tooth. Next, we will thoroughly clean previously treated canals, as well as canals that did not get addressed the first time. We typically use a high-powered microscope to ensure we remove every instance of infection, no matter the size.

After the canals are completely clean, we will replace the gutta-percha. Gutta-percha is a rubber-like substance that protects the canals from collapse, sealing them off from bacteria in the process. Finally, we will use a temporary filling material to cover the hole in the enamel and protect the interior.

Schedule a Consultation Appointment

If you have previously had root canal therapy, and that tooth is still causing you pain, it may be time for endodontic retreatment. Call (208) 376-6307 to schedule your consultation appointment today!
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Boise Endodontics, 1070 N. Curts Rd. Suite # 240, Boise, ID 83706 \ (208) 376-6307 \ \ 5/2/2024 \ Page Terms:Endodontist Boise ID \