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Phillip L M Tomson
University of Birmingham
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0HILIP * ,UMLEY
.ICK !DAMS AND 0HILLIP 4OMSON
2OOT #ANAL 2ETREATMENT
!BSTRACT 2OOT CANAL THERAPY IS NOT ALWAYS SUCCESSFUL AND AN INCREASING NUMBER OF PATIENTS ARE REQUESTING RETREATMENT TO ADDRESS INTRA
RADICULAR INFECTION 4HE ARMAMENTARIUM AVAILABLE TO ASSIST THE DENTIST SOME OF WHICH IS DESCRIBED IN THIS ARTICLE HAS NEVER BEEN GREATER
#LINICAL 2ELEVANCE 4HIS PAPER DISCUSSES THE CAUSES OF FAILURE AND REVIEWS MANY OF THE TECHNIQUES AVAILABLE TO THE PRACTITIONER TO TACKLE THE
PROBLEM
$ENT 5PDATE
)NCREASINGLY PATIENTS ARE BECOMING RELUCTANT
TO LOSE TEETH WHICH HAS LED TO THE PRACTITIONER
BEING FACED WITH REQUESTS FOR RETREATMENT
OF FAILING ROOT CANAL TREATMENT %MPHASIS IS
FREQUENTLY PLACED ON MECHANICAL PROBLEMS
THAT MAY HAVE CONTRIBUTED TO FAILURE (OWEVER
AS THE PRINCIPAL AETIOLOGY IS USUALLY BIOLOGICAL
WITH THE COMMON FACTOR BEING MICRO
ORGANISMS IT IS IMPORTANT TO UNDERSTAND THEIR
ROLE IN ENDODONTIC DISEASE
2EASONS FOR FAILURE OF ROOT CANAL
THERAPY CAN BE SUMMARIZED AS FOLLOWS
&REQUENT INTRARADICULAR CAUSES
INCLUDE &IGURE 0HOTOGRAPH OF THE -ETALIFT SYSTEM ! SMALL HOLE IS DRILLED IN THE OCCLUSAL SURFACE OF THE
.ECROTIC MATERIAL REMAINING IN THE ROOT RESTORATION PRIOR TO THE INTRODUCTION OF A SELF
THREADING SCREW WHICH PUSHES AGAINST THE DENTINECORE AND
CANAL EITHER THROUGH FAILURE TO IDENTIFY ALL ELEVATES THE CROWN THUS BREAKING THE CEMENT SEAL
CANALS OR TREATING CANALS SHORT
5NTREATED OR UNDERTREATED CANALS
#ONTAMINATION OF AN INITIALLY STERILE ROOT
CANAL DURING TREATMENT
&URTHER CAUSES OF FAILURE MAY BE &AILURE DEPENDING ON ITS AETIOLOGY
0ERSISTENT INFECTION OF A ROOT CANAL AFTER
IATROGENIC IN NATURE IN PARTICULAR WHEN POST IS NORMALLY TREATED IN ONE OF THREE WAYS
TREATMENT
SPACE HAS BEEN CREATED WITHOUT CONSIDERATION 2OOT CANAL RETREATMENT
"ACTERIA LEFT IN ACCESSORY OR LATERAL CANALS
BEING GIVEN TO THE INTERNAL AND EXTERNAL ROOT 0ERIRADICULAR SURGERY OR
,OSS OF CORONAL SEAL AND
ANATOMY WITH RESULTANT PERFORATION OR ROOT %XTRACTION
2E
INFECTION OF A DISINFECTED AND SEALED
FRACTURE %XTRACTION IS USUALLY INDICATED
CANAL SYSTEM
3IGNS AND SYMPTOMS OF FAILURE FOR SINGLE
ROOTED TEETH WITH ROOT FRACTURES