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  • 900 Glades Road, Suite 3A Boca Raton, FL 33431
  • Mon – Fri: 9:00 am – 5:00 pm, Sat – Sun: Closed
  • (561) 368-3636

Boca Raton Endodontic Retreatment

Sometimes, after a root canal is performed, the affected tooth may not heal correctly. A tooth may not heal properly because the previous Endodontist may have missed narrow or curved canals, did not seal the root canal properly, or the crown was not added to the tooth in a timely matter. For teeth that developed new problems or failed to heal, a retreatment procedure can save the natural tooth.

When faced with dental issues such as persistent pain or infection, patients often encounter the dilemma of whether to retreat a root canal or opt for tooth extraction. At Dr. Glen Mitchell Endodontics in Boca Raton, we emphasize the importance of individualized care to ensure the best outcomes for our patients.

Understanding Root Canal Retreatments

A root canal is a common procedure designed to save a tooth that has become infected or damaged. During this procedure, the infected pulp is removed, the root canals are cleaned and sealed, and the tooth is restored to its original function. However, in some cases, a tooth that has undergone root canal therapy may still exhibit symptoms or develop new issues. This can happen due to various reasons, such as the presence of untreated canals, a new infection, or a fracture in the tooth.

Retreating a root canal involves reopening the tooth, cleaning out the existing filling material, and thoroughly disinfecting the canals again. This procedure allows the dentist to address any issues that may have been overlooked during the initial treatment. Patients who choose to retreat their root canal often have a good chance of saving their tooth, avoiding the complications that can arise from extraction.

Advantages of Retreating a Root Canal
  1. Tooth Preservation: One of the primary benefits of retreatment is that it allows patients to keep their natural tooth. Retaining the tooth is crucial, as it maintains the integrity of the surrounding teeth and jawbone.
  2. Less Invasive: Retreating a root canal is generally less invasive than extraction. It often involves fewer complications and a shorter recovery time.
  3. Cost-Effectiveness: While retreating a root canal may involve additional costs, it can be more economical in the long run compared to the expenses associated with extraction and subsequent replacement options like implants or bridges.
  4. Familiarity: For many patients, the prospect of retreating a root canal can be less intimidating than tooth extraction, which can bring about anxiety and fear of complications.
When Extraction May Be Necessary

In some situations, retreating a root canal may not be feasible or advisable. If the tooth is severely damaged beyond repair, if there is significant bone loss, or if the tooth is fractured, extraction might be the best option. Additionally, certain patients may have systemic health issues that complicate further treatment.

Extraction, while often seen as a last resort, can also be beneficial in specific circumstances. It allows for the prompt resolution of infection and can pave the way for the placement of a dental implant or bridge to restore functionality and aesthetics.

Making the Right Choice

Deciding between retreating a root canal and extraction requires careful consideration and expert guidance. At Dr. Glen Mitchell Endodontics, we conduct a thorough evaluation of each patient’s unique situation, including imaging studies and a detailed medical history. We work collaboratively with patients to discuss the pros and cons of each option, ensuring they feel empowered to make an informed decision.

Ultimately, whether you choose to retreat your root canal or proceed with extraction, Dr. Glen Mitchell and his dedicated team are here to provide compassionate care, expert treatment, and support throughout your dental journey. Your comfort and well-being are our top priorities as we strive to achieve the best possible outcomes for your oral health.

Frequently Asked Questions

It is a branch of dentistry that specializes in the cause, prevention and treatment of diseases of the human dental pulp and the surrounding bone and tissue.

A specialist in the treatment of diseases and injuries to the root and surrounding bone and tissues. An endodontist is a dentist who receives 2-3 years of specialty training after dental school, and often after a hospital based residency in general dentistry in an accredited dental school.

To become Board Certified, an endodontist must meet the following requirements: Complete a postdoctoral study in an ADA approved program and be identified with endodontics for at least four years. Demonstrate high moral, ethical and professional qualifications and hold a valid license to practice endodontics. Pass an extensive written exam that tests a broad range of fields including anatomy, biochemistry, pathology, immunology, microbiology, radiology, pharmacology, statistics, clinical endodontics, and related medical disciplines. Submit documentation of a variety of cases from his/her own practice. These cases must be diverse and complex enough to demonstrate exceptional knowledge, skill and expertise in the full scope of the field of endodontics. Complete an oral exam given by a team of experts in the field. Throughout this intensive interview, a high level of problem solving, decision-making, analysis, creativity, diagnosis and treatment must be demonstrated.

Founded in 1964, the American Board of Endodontics is the only certifying board in the dental specialty of Endodontics recognized by the American Dental Association and the American Association of Endodontists. The purpose of the ABE is to assure the public that the endodontists it certifies have demonstrated exceptional knowledge, skill and expertise in the specialty of endodontics and to progressively raise the quality of patient care.

All dentists receive training in endodontic treatment in dental school. However, because of specialized equipment and advanced education and training in root canal techniques and procedures, many dentists refer patients needing endodontic treatment to an endodontic specialist.

The length of time to do each procedure varies. Each tooth is different with unique anatomy and conditions. The number of roots involved, the condition of the roots, infection, accessibility, all determine the time needed. Many treatments are completed in one visit, but some cases will require additional visits. Visits can take from approximately 1 hour to over 2 hours.

It is not uncommon to experience moderate discomfort and sensitivity, and tenderness to touch and chewing after your initial visit. The discomfort will gradually decrease over the following 5 to 7 days. The first choice for pain relief is Ibuprofen. If you cannot take Ibuprofen, we recommend Acetaminophen. You should ask your physician prior to taking any of these medications.

You should schedule an appointment to see your dentist within 30 days of your root canal treatment. It is important to protect the remaining tooth structure with a permanent restoration. A crown is usually recommended after root canal treatment.

After root canal treatment, your tooth will have a temporary filling inserted. After time, food debris and bacteria will contaminate the root canal system. This will result in treatment failure and often another root canal will need to be done – at additional expense and time. If the damage is too severe, extraction becomes the only choice. Your tooth can also fracture if not permanently restored in a timely manner. This too may result in extraction.