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Root canal treatment is considered to have failed if there is still obvious physical signs of an infection or if the Root Canal Surgery has caused other symptoms.
It is essential that you are aware of the symptoms of failed root canals. The earlier that you are able to detect a failed root canal and the quicker you report it to your dentist the easier it is to fix the problem.
There many options available to people to solve issues caused by root canal failures. With the development of the technology and the huge selection of expertise available nowadays this field has developed hugely in recent years.
Root Canal Re-treatment
The first and most obvious way your dentist may recommend to fix problems caused by a failed root canal treatment is to repeat the treatment. It is usually worth going through a specialised and experienced dentist if you use this option.
Often, people who need root canal re-treatment tend to have a tooth anatomy that makes reaching root canal difficult. However another reason why Root Canal Re-treatment might be needed is because during the previous root canal treatment a new infection or problem is detected. There are many other reasons why endodontic re-treatment may be required.
Apicoectomy
Sometimes your dentist may decide that as a result of the anatomy of your teeth or as a result of other reasons cleaning the infection out of the root canal by accessing it through the crown of the tooth is simply too difficult.
An alternative option is to carry out an an Apicoectomy. During an Apicoectomy the root is accessed from a small incision made in the gum. It may be easier to access the infection by doing this. It is easier for your dentist to ensure that the infection is thoroughly cleaned this way.
An apicoectomy is a more specialised procedure then a normal root canal procedure. As a result it is worth ensuring that your dentist has the necessary training and experience to perform this successfully.
There is a lot of information about apicoecomies available that you should read up before agreeing to undergo surgery. Having a thorough understanding of the risks involved before agreeing to have any surgery means that it is easier for you to make an informed decision when deciding what treatment is best for you.
Extraction
Extraction should be a last resort option. It is always preferable to have as much natural teeth as possible. However, there are times when this is simply not possible and the tooth will need to be extracted.
Sometimes the infection has progressed too far or the anatomy of the tooth makes it far too difficult for any dentist to clean the root canal. When this happens extraction may be the best option.
Having a tooth out can be more painful then a normal root extraction procedure. This is because problems such as a dry socket can develop.
In today's world of specialised dentistry and highly-skilled specialists it is a common process that has relatively low risks. There is vast amount of information on tooth extraction available on tooth extraction that is worth reading up on.
How to decide which management option is the best for me?
It is very difficult to give general advice on which root canal management option is the most suitable for your needs as this ultimately depends on the exact reasons for the failure of your first root canal procedure. However, your dentist will be able to give you advice that it specific and tailored for your own personal needs.
What is certain is that you and your dentist should discuss the possible reasons of why the original root canal treatment failed. This is because there is no point spending the money to have root canal re-treatment done again if the reason why the first procedure failed was because the anatomy of your teeth made removing the infection too difficult.
In this situation is it worth considering alternative root canal treatments alternatives such as an apicoectomy or extraction. Your dentist will be able to provide you with further guidance and information on how these options work around your needs.
The cost of Root Canal Re-treatment
Root Canal treatment can be expensive. It is important that you read up on the root canal treatment costs before beginning treatment.
Root Canal re-treatment and other management options for failed root canal treatments can be costly options because they require greater expertise.
The costs will vary greatly depending on your exact needs and your specific situation. You should always ask your dentist for the specific costs of any dental treatment you want to have done before you start the treatment.
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