Esthetic rehabilitation and retreatment of endodontically treated tooth: A Case Series
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Abstract
Introduction: Initial root canal treatment is highly successful, appreciated by patients, and cost-effective, but failures occur. Nonsurgical retreatment is generally prioritized before surgical endodontic treatment.1
Case Report 1: A 18 Years old female Patient complained of decay in her upper front teeth regionUnderwent root canal treatment one and half years ago. O/E–RVG shows incomplete BMP.2
Case report 2: A 16 years old male patient complained of fractured restoration in upper front teeth region since 2-3 months. The patient had fractured tooth and underwent root canal treatment 4 years ago. O/E- discoloration in 11 and Ellies class IV fractured 21. Xray shows some random material in the canals. Incomplete obturation.
Case report 3: A 45 years old male patient complained of decay in upper front teeth region since 1 year. The patient underwent root canal treatment 6 years ago. O/E- secondary caries irt 23, post endo restoration absent.
Treatment plan for all cases: Re-RCT done following all retreatment protocols. Removal of caries, removal of old gutta percha with h-file, irrigation, BMP and obturation done, in Case 2 Apical plug and MTA dressing given in 11 before obturation.
Discussion: Failure in any steps in root canal treatment can lead to failure of whole treatment, right from case selection, access opening, working length determination, BMP, obturation and post endo restoration. There are many ways to do retreatment, non-surgical and surgical. Non-surgical is generally prioritized for retreatment
Keywords: retreatment, root canal treatment, fractured tooth
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