Root canal treatment is an excellent solution for saving a tooth that’s been damaged by infection or decay. However, in some cases, the tooth might not heal as expected, or new issues might arise. This makes endodontic retreatment necessary. Retreatment involves redoing the root canal to address any unresolved problems. It gives the tooth another chance to heal properly.

Several factors might lead to the need for endodontic retreatment:

  • Incomplete Cleaning – If the initial root canal didn’t fully clean out the infection or debris, bacteria can persist and cause ongoing problems. This is less likely to happen if you get your initial treatment from an endodontic specialist. 
  • Complicated Canal Anatomy – Sometimes, the tooth’s root canals are complex and difficult to thoroughly clean and seal during the first treatment. Our expert team uses advanced laser technology to clean the canals.
  • New Decay – If new decay occurs and compromises the seal of the original root canal, bacteria can re-enter and reinfect the tooth.
  • Fractured Tooth – A crack or fracture in the treated tooth can expose the canal to bacteria and infection. This is why it’s important to address any kind of damage to a tooth as soon as possible. 

How to Know if You Need Retreatment

Recognizing the signs that you might need endodontic retreatment is crucial for addressing the problem promptly. They are the same signs you may have noticed with the initial infection:

  • Persistent Pain – If you experience ongoing or intermittent pain in the treated tooth, it could indicate an underlying issue.
  • Swelling or Tenderness – Swelling, tenderness, or a recurring pimple on the gum near the treated tooth might signal an infection.
  • Discoloration – Darkening of the treated tooth can indicate underlying problems.
  • Discomfort When Biting – If you feel pain or discomfort when biting or chewing, it could mean the tooth hasn’t healed correctly or there’s a new issue.

If you notice any of these symptoms, it’s important to contact your endodontist ASAP for an evaluation. 

What Happens During Retreatment

Endodontic retreatment resolves issues from the initial root canal and ensures the tooth can heal properly. You should see an endodontist, a root canal specialist, for the retreatment. With their advanced training and expertise, an endodontist is better equipped than a general dentist to perform the procedure. Here’s what to expect:

  • Assessment and Imaging – Your endodontist will evaluate your symptoms and use imaging, like X-rays, to understand the problem’s extent.
  • Removing the Previous Filling – The endodontist will carefully remove the existing filling material from the tooth’s canals.
  • Cleaning and Disinfecting – The canals will be thoroughly cleaned and disinfected to remove any remaining bacteria or debris.
  • Re-shaping and Sealing – The canals will be reshaped if necessary and then sealed with new filling material to prevent future infections.
  • Restoration – Finally, the tooth will be restored with a crown or filling to ensure its strength and functionality.

How to Avoid the Need for Endodontic Retreatment

While retreatment can effectively resolve issues, it’s always best to avoid needing it in the first place! Fortunately, that’s not hard to do. Here are some tips to help maintain the health of your root canal-treated tooth:

  • Maintain Good Oral Hygiene – Brush and floss regularly to keep your teeth and gums healthy and prevent new decay.
  • Regular Dental Check-ups – Visit your dentist for regular check-ups and cleanings to catch any potential issues early. Professional cleanings also remove problematic plaque and tartar from your teeth. It can be difficult to completely remove these substances with brushing and flossing.
  • Avoid Hard Foods – Be careful when eating hard foods that could crack or damage your treated tooth.
  • Use a Mouthguard – If you grind your teeth at night or play sports, a mouthguard can protect your teeth from damage.
  • Promptly Address Dental Issues – If you notice any signs of decay, discomfort, or damage, see your dentist promptly to address the problem before it worsens. Treating a problem as soon as possible makes it less likely for bacteria to get to the soft center of your tooth. 

By taking these preventive measures, you can help ensure the longevity of your root canal-treated tooth and minimize the risk of needing retreatment.

Think you may need endodontic retreatment? It’s best to see an endodontic expert. That’s what you’ll find at Northwest Endodontic Specialists. For an appointment in Olympia, WA, call us today at 360-525-2882. Or schedule online.