Endodontic Retreatment: When To Hold And When To Fold

Description

30 years ago, teeth with failed endodontic treatment were extracted or retreated. If the patient did not want to be left with a space, wear a denture and a bridge was not possible, then endodontic retreatment was usually the default option. Accordingly, some teeth underwent complex endodontic and restorative re-treatments with disappointing long-term outcomes. From the early 1990s osseo-integration changed the game and provided a real aternative to complex restorative retreatment. Despite prophecies that endodontics would disappear it has remained an integral part of 21st century dentistry. Just as osseo-integration has evolved at an extraordinary pace over the last 30 years so has modern endodontics. The analysis of teeth with failed endodontic treatment is a complex issue but with modern imaging and microscopic restorative techniques predictable outcomes can be achieved. The clinical and radiographic analysis of teeth with failed endodontic treatment will be discussed.

LEARNING OBJECTIVES

• What is the success rate for Endodontic retreatment?
• What factors determine the prognosis for endodontic retreatment cases
• How can we assess teeth for endodontic retreatment?