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Home > Blog > What to do in case of a failed endodontic treatment?

What to do in case of a failed endodontic treatment?

26/02/2019 - 09:45

The retreats root canal or re-endodontic treatment , are inevitable procedures even with ideal clinical guidelines. A minimal focus of remnant infection or tiny space without sealing or sealing that bacteria can recolonize can eventually cause endodontic failure.

A problem of difficultly every dentist has had to deal with, both because of the complexity of the treatment even more when it is derived, as in the management and understanding of the patient, discontent without understanding why he must pay even more for repeating a procedure already done, and get the patient to understand that it is not about malapraxis but about an inevitable error even for the most expert endodontist.

To relieve the burdens of professional and patient, the Komet brand presents its rotary retreat files , repairs the endodontics quickly and safely. Relieves the pocket and above all the discomfort of going through an endodontics, a decisive factor beyond the economic to achieve customer satisfaction and care as a patient .

The NiTi Endo ReStart file range consists of only 2 instruments :

  • One Opener file  for coronal third
  • A file of complete radicular removal in 21 or 25mm

Resolution of Failed Conduit Treatment

Faced with a failed endodontics, the professional has several solutions:

  • Tooth extraction
  • Surgical treatment with apicectomy and apex resection
  • Retreatment or orthograde preparation of the duct

Given the complexity of other treatments or economic and aesthetic costs for the patient with the need for specialized training or referral of the patient, the retreatment of ducts is the best solution in most cases.

Success factors in the Root Retreatment

  • Complete removal of the existing obturation material (gutta-percha and sealing cement).
  • Secure creation of an access to the apex
  • Treatment of channels and unreached areas during the primary process
  • Complete disinfection of the root system

Files NiTi RESTART by Komet

The range of Restart files of the Komet brand are indicated for endodontic retreatment . Failures in endodontic treatment are unavoidable, for example due to persistent bacteria or ineffective duct sealing.

Reendodonciar is the last option to save the tooth, now thanks to these latest generation files allows the retreatment and orthograde preparation with which to completely remove the gutta-percha filling and to reach those defective areas of the previous treatment, guaranteeing the complete disinfection of the root system .

The NiTi Endo ReStart file system achieves effective, fast and controlled removal of the sealing material.

Advantage:

  • Endodontic NiTi files for efficient retreatment of the root canal with only 1-2 instruments .
  • Special cutting geometry with dynamic torsion , the files facilitate an optimal removal of the root filling without altering the conformation of the canal.
  • Equipped with a non-cutting but effective " Safe activity " tip . Thanks to this optimization, the file can be easily inserted into the sealing material.
  • Conicidad de .05 el lima Endo ReStart offers a perfect balance between high stability and flexibility .

Indications of Komet Endodontic Retreatment

The ReStart file system consists of 2 NiTi files for use with low speed contra-angle (300-500rpm) and 1.8Ncmtorque :

  • ENDO RESTART OPENER: Used first to remove the filling in the coronal third of the canal

  • Constant conicity of .10
  • Size 030
  • 15 mm length
  • Active part short of 5mm
  • Tip of 4 surfaces
  • Sterile (reusable)

 

  • Limas Endo ReStart: Allows remove the complete sealing of the root canal

  • Constant conicity of .05
  • Size 025
  • Available length in 21 and 25 mm
  • Active part short of 5mm
  • Tip of 2 surfaces
  • Sterile (one use only)

We hope this article on Root canal treatment has been of interest to you. If you would like to know more about root canal retreatment, please visit our video guide with the step-by-step guide to Komet Restart files. Have you done endodontic retreats? What was the result? Share your experiences with us through our social networks. We love to hear about your day-to-day life in the clinic and in contact with patients. We look forward to hearing from you!

 

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Tags: endodontics, Dental Mills

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