12 doctors weighed in:

What are endodontic retreatment and apicoectomy?

12 doctors weighed in
Dr. Randolph Todd
Dentistry - Endodontics
4 doctors agree

In brief: Post Endo Disease

Post endodontic disease can occur after initial treatment for a variety of reasons.
The treatment of this condition is accomplished either non-surgically or surgically depending on various conditions. Ewhen possible non-surgical treatment is preferable. This is a redo of the first treatment. When not a choice a surgical approach is used to reach the cause of the infection. At times both are needed.

In brief: Post Endo Disease

Post endodontic disease can occur after initial treatment for a variety of reasons.
The treatment of this condition is accomplished either non-surgically or surgically depending on various conditions. Ewhen possible non-surgical treatment is preferable. This is a redo of the first treatment. When not a choice a surgical approach is used to reach the cause of the infection. At times both are needed.
Dr. Randolph Todd
Dr. Randolph Todd
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3 doctors agree

In brief: Different solutions

When a root canal treatment fails, it is usually because of an incomplete seal or accessory canals that are not sealed.
If the problem cannot be resolved by retreatment of the original canal, a surgical approach is accessed at the root tip through the bone. The tip of the root or apex is removed and the canal is resealed from the root end which is an apicoectomy (removal of the apex).

In brief: Different solutions

When a root canal treatment fails, it is usually because of an incomplete seal or accessory canals that are not sealed.
If the problem cannot be resolved by retreatment of the original canal, a surgical approach is accessed at the root tip through the bone. The tip of the root or apex is removed and the canal is resealed from the root end which is an apicoectomy (removal of the apex).
Dr. Charles Lockhart
Dr. Charles Lockhart
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Dr. Scott Williams
Dentistry
2 doctors agree

In brief: Ways to save a tooth

When a root canal fails there are usually 2 options to save the tooth.
Retreatment: the dentist basically redoes the rootcanal and hopes to do it better than the last one-i always recommend going to a specialist for this. Apicoectomy: removal of the tip of the root and sealing off of the tooth from the tip. This is a surgical procedure done if a retreatment isn't the right answer.

In brief: Ways to save a tooth

When a root canal fails there are usually 2 options to save the tooth.
Retreatment: the dentist basically redoes the rootcanal and hopes to do it better than the last one-i always recommend going to a specialist for this. Apicoectomy: removal of the tip of the root and sealing off of the tooth from the tip. This is a surgical procedure done if a retreatment isn't the right answer.
Dr. Scott Williams
Dr. Scott Williams
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1 comment
Dr. Gary Sandler
The third option might be an extraction of the tooth, if long term success is questionable and extraction and tooth replacement would be a better option. At least it’s one to consider. Discuss all options with both an Endodontist and General Dentist before making any decisions. Understand all options and prognosis of each one.
Dr. Dennis Kelley
Dentistry
2 doctors agree

In brief: Similar

Endo retreatment is just what it says.
.. Removal of previously placed gutta purcha (endo filling material) and re filing the tooth and then replacing the gutta purcha. Apicoectomy is a procedure usually performed in a endo specialist office . In this procedure the end of the root tip is removed and a special cement or other filling material is placed to plug the freshly cut root tip.

In brief: Similar

Endo retreatment is just what it says.
.. Removal of previously placed gutta purcha (endo filling material) and re filing the tooth and then replacing the gutta purcha. Apicoectomy is a procedure usually performed in a endo specialist office . In this procedure the end of the root tip is removed and a special cement or other filling material is placed to plug the freshly cut root tip.
Dr. Dennis Kelley
Dr. Dennis Kelley
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Dr. Gary Sandler
Dentistry
1 doctor agrees

In brief: Attempts to save

When a previously endodontically treated tooth fails, there are four basic options: 1-retreatment (rct redone, hopefully better) ;2-cut off the tip of the root & then seal it (surgical procedure); 3- retreat + apico; 4- extract the tooth when it is determined that likelihood of success is questionable & there are better long term solutions.
Understand all options + prognosis of each.

In brief: Attempts to save

When a previously endodontically treated tooth fails, there are four basic options: 1-retreatment (rct redone, hopefully better) ;2-cut off the tip of the root & then seal it (surgical procedure); 3- retreat + apico; 4- extract the tooth when it is determined that likelihood of success is questionable & there are better long term solutions.
Understand all options + prognosis of each.
Dr. Gary Sandler
Dr. Gary Sandler
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Dr. Kenneth Grossman
Dentistry - Endodontics
1 doctor agrees

In brief: Root canal failure

These are the treatments performed when a previous root canal is failing.
. Each case needs to be eval by the endodontist to determine which procedure is appropriate. Retreatment is non surgical, an apico is surgical. Retreatment under the microscope, by an accomplished endodontist is usually but not always done first.Make an appt w an endodontist for your case.My collegues explanation of each was e.

In brief: Root canal failure

These are the treatments performed when a previous root canal is failing.
. Each case needs to be eval by the endodontist to determine which procedure is appropriate. Retreatment is non surgical, an apico is surgical. Retreatment under the microscope, by an accomplished endodontist is usually but not always done first.Make an appt w an endodontist for your case.My collegues explanation of each was e.
Dr. Kenneth Grossman
Dr. Kenneth Grossman
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