Weighing the Options: Retreatment vs. Apicoectomy in Endodontics

Endodontist examining patient's teeth

Endodontic treatment, which focuses on preserving natural teeth, often faces complexities that demand careful consideration of treatment options. When conventional root canal therapy falls short, two primary approaches stand out as viable solutions: retreatment and apicoectomy.

Retreatment: A Second Chance for the Natural Tooth

Retreatment involves revisiting the root canal to address issues such as persistent infection or incomplete treatment. This approach aims to save the tooth through refining the root canal system and replacing existing filling material. Cases with intact structural integrity and an effectively cleanable root canal system often favor retreatment.

Apicoectomy: A Surgical Procedure for Lasting Results

Apicoectomy, or root-end resection, is a surgical procedure where the infected or damaged portion of the tooth’s root is removed, along with the surrounding tissues. This technique is used in cases where there is a transportation, ledge, or calcification preventing adequate debridement of the root. A surgical approach is also preferred in cases of resorption or when retreatment is failed.

How to decide which procedure is the best?

The decision between retreatment and apicoectomy is based on clinical and radiographic findings. Factors such as the patient’s medical history, the extent of damage, anatomical considerations, and the overall health of the tooth guide endodontists towards the most suitable approach.

At River Street Endodontics, we prioritize individualized care, ensuring that each patient receives a personalized treatment plan based on a thorough assessment of their specific dental needs. Schedule your appointment with us here, and we will gladly assist you.

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