Information

Primary endodontic treatment Endodontic retreatment Special treatments Endodontics step by step

Product catalogue

Order and payment information Previous special offers Hand instruments Rotary instruments Operating Microscope General instruments Accessoires Filling materials Miscellaneous

Remaining

References Site map Presentations (RECOMMENDABLE!) Downloads Het Kanaal Links Endoplaza Forum MarketPlaza About Endoplaza Instructions for use website

The endodontic retreatment

An endodontic retreatment takes place when the patient has complaints about a previously treated element.

A operating microscope is an indispensable apparatus for many aspects of the endodontic retreatment. Before we retreat a patient, an anamnesis will be taken. Then, one will among other things look at:

• A recent X-ray of the element to be treated
• Fractures in the element (methylene blue)
• An endo/paro problem (solitary pocket)
• Fistulas (one or multiple). The origin is traced with a gutta-percha tip and X-ray
• Element too high
• Overload of the teeth element
• Mobility
• Loose restoration
• Cariës beneath the restauration

The following aspects are playing a role in the relevant treatment:

• The X-ray shows a peripical lucency which has grown bigger rather than smaller in the course of time
• Missed root canals
• The canal filling is of average quality and the apical part is not well filled
• The restoration leaves a lot to be desired
• A root tip in one of the canals
• A (strip) perforation or a 'fausse route'
• A broken instrument in one of the canals

The present situation is explained to the patient and the consequences/risks are discussed (plan of treatment with an 'informed consent').

The treatment consists of a number of steps:

• Taking an X-ray before the element is opened
• Opening the element. Possibly removing the restoration
• Looking for canal entrances
• Composing the elements in such a way that rubber dam can easily be placed
• Removing possible existing posts
• Removing the old root canal fillings
• Preparing not treated canals
• Removing possible obstacles/broken instruments from the canals
• Tracing perforations/fausse routes
• Preparing and cleaning of all canals
• Closing an open apex
• Possibly closing of perforations
• Filling the canals
• Possibly bleaching of the element
• Filling the pulpa room

---

From this page you can order in our web shop

• Operating microscope
• Methylene blue
• Gutta-percha tip

---

to last chapter: Where, why, how to prevent and what to do in case of fracture of rotating instrumentarium
to next chapter: Opening the element. Possibly removing the restoration

---