The endodontic restoration is the total resumption of endodontic treatment, starting with the removal of the coronary (or crown) filling, continuing with the removal of the root filling and aiming at the disinfection of the endodontic space and its subsequent reentry.

The causes of failure of the initial therapy can not be accurately stated because each patient presents with his / her peculiarities.

One of the main causes is the inappropriate adaptation of coronary obturations or over-wound coronaries that allow the penetration of bacteria from the oral environment into the endodontic space.

The so-called “apical reaction,” often used by dentists, is the result of inflammation produced by “traveling” bacteria from the buccal environment in the apical periodontium through the endodontic canal.

Another common cause of failure is the inappropriate instrumentation of complicated or atypical microanatomy. For proper treatment on such a tooth, the dentist must have good training and technical equipment to enable him to do such work.

Some tips to avoid getting RETRATAMENT:

Ask your endodontic specialist doctors when your dentist suspects a complicated case of treatment.
If your doctor recommends a crown on a tooth with endodontic treatment, it’s because either the tooth has a high risk of fracture, or a good coronary sealing can not be achieved.
If endodontic treatment extends over several sessions, follow your doctor’s appointments and instructions to avoid starting treatment.

An article by Dr. Andrei Chirita

Specialist in Endodontics