The Endo Fix

Tag: Retreatment Algorithm

J- Shaped Retreatment

Daily Fix

This gentleman presented with pain and swelling as well as probing to the apex on the distal aspect of the tooth. Many people would say the tooth was cracked. But we’ve saved many, many teeth that fit this profile. J-shaped ragiographic findings are not pathognomatic for cracked roots. The the embrasure right with the tipping of the back tooth will be tough. Amalgam is a better choice when we are down on bone with potential contact issues in the future. Removing fiber posts if you have a chairside assistant in the scope is a breeze. The tooth had some reasonable buccal and lingual tooth structure so it makes it a decent retreatment candidate when following the Retreatment Algorithm.

Rethinking Retreatment

Deep Fix

Suffolk Endodontist

Hampton Roads Endodontist

 

A more traditional approach to retreatment thinking was given to me courtesy of Ken Serota with this first algorithm. The focus of the decision making is on the quality of the root filling. Decision making with such a matrix often results in retreatment without necessarily improving patient centered outcomes. The second algorithm is restorativley driven with the expressed interest in improving patient centered outcomes and meeting treatment planning objectives. The other pillars of restoratively driven endodontics are present as well including conservation of tooth structure, and determination of restorability based on remaining tooth structure.