Endodontic Retreatment of a Mandibular Molar: a case report
Keywords:
endodontic retreatment, mandibular molarAbstract
The goals of nonsurgical retreatment are to remove materials from the root canal space and if present, address deficiencies or repair defects that are pathologic or iatrogenic in origin. Endodontic failures can be attributable to inadequacies in shaping, cleaning and obturation, iatrogenic events, or re-infectionof the root canal system when the coronal seal is lost after completion of root canal treatment. Regardless of the etiology, the sum of all causes is leakage and bacterial contamination.
A 45 years old male patient was referred by a general practitioner for endodontic retreatment of the first mandibular molar (#36). He reported with pain. History revealed that patient had a root canal treatment about 5 years ago.Intraoral periapical radiograph confirmed that the patient had a deficient previous root canal treatment on the mandibular molar with incomplete root canal fillings.Diagnosis is # 36 endodontically treated tooth with chronic
apical periodontitis. The recommended treatment plan was to attempt nonsurgical retreatment. When the patient was reviewed after three months, there was not any abnormality detected radiologically and clinically.The patient was referred back to his dentist for permanent restoration.
References
2. Ruddle CJ. Nonsurgical endodontic retreatment. In: Cohen S, Burns RC, ed. Pathway of the pulp. 8th ed. St Louis: Mosby; 2002.
3. Bruder GA, White RR. Color atlas of endodontics: Retreatment. WB: Saunder; 2002.
4. Friedman S, Stabholz A. Endodontic retreatmentcase selection and technique: Part 1 Criteria for case selection. J Endod 1986;12(1):28-33.
5. Kulid JC, Peters DD. Incidence and configuration of canal systems in the mesiobuccal root of maxillary first and second molars. J Endod 1990;16(7):311-17.
6. Melton DC, Krell KV, Fuller MW. Anatomical and histological features of C-shaped canals in Mandibular second molars, J Endod 1991;17(8) :384-8.
7. Fan B, Cheung GS, Fan M, Gutmann JL, Bian Z. C-shaped canal system in Mandibular second molars: Part I-Anatomatic features. J Endod 2004;30(12):899-903.
8. Stabholz A, Friedman S. Endodontic retreatment– case selection and technique. Part 2: Treatment planning for retreatment. J Endod 1988;14(12):
607-14.
9. Idris M, Sakkir N, Nandakishore KJ, Kini A. Endodontic retreatment of a mandibular second molar with four separate roots: a case report. J of Clin and Diag Res 2014:8(3):280-82.
10. Stabholz A, Friedman S, Tamse A. Endodontic failures and retreatment. In: Cohen S, Burns RC, ed.Pathway of pulp. 6th ed. St Louis: Mosby; 1994.
11. Mandel E, Friedman S. Endodontic retreatment : A rational approach to root canal reinstrumentation. J Endod 1992;18(11):565-9.
12. Sjogren U, Figdor D, Spangberg L, Sundqvist G. The antimicrobial effect of calcium hydroxide as a short-term intracanal dressing. Int Endod J 1991;24:119-25.
