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Success rates for root-canal treatment range from 47 to 97 percent; failures may be due to spaces in the root-canal filling, a root filling which is too short or a preexisting periapical lesion. [3] Treatment options are nonsurgical root-canal re-treatment or periradicular surgery.
Root canal treatment (also known as endodontic therapy, endodontic treatment, or root canal therapy) is a treatment sequence for the infected pulp of a tooth that is intended to result in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion.
A root end surgery, also known as apicoectomy (apico-+ -ectomy), apicectomy (apic-+ -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
For retreatment of a non-healing lesion, there is really no magical method that can be employed; the course of action is merely to achieve what was supposed to have been achieved the first time. [30] Keeping in mind the notion that endodontic retreatment is a problem-solving exploit will substantially increase its success.
If apical closure has not occurred within six months, the root canal is retreated again with the material of choice. Ideally, the tooth should demonstrate continued apical growth and closure or an apical stop. When closure is observed, the canal is filled with a root canal filling material known as gutta-percha. [10]
Root development allows the increase of the resistance to fracture and improve the tooth survival rate. [46] The tertiary therapeutic goal of regenerative endodontic procedures is return of pulp vitality. Regenerative endodontic procedures suggests that free nerve endings of the root end are guided into the canal by specific chemical signals.
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If the pulp becomes totally necrosed the resorption will cease unless lateral canals are present to supply osteoclasts with nutrients. If the condition is discovered before perforation of the root has occurred, endodontic therapy (root canal therapy) may be carried out with the expectation of a fairly high success rate. Removing the stimulus ...
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