Endodontic Retreatment Explained

Root canal retreatment explained.

American Association of Endodontists – specialists in saving teeth.

Teeth that have had root canal treatment can last a lifetime but occasionally a root canal treated tooth does not heal properly. It can become painful or diseased. Months or years after the original treatment. When that happens an additional procedure called endodontic retreatment can help save your tooth. There are many reasons why a tooth may not heal. The tooth may have root canals that are narrow, curved or branched and are difficult to clean. The tooth may have extra root canals that were not located during the initial procedure. Sometimes a cavity forms or a fracture occurs – exposing the tooth to new infection. Retreatments are often complex and most are performed by dental specialists called Endodontists. Endodontists have advanced training in root canal treatment – they are experts in saving your natural teeth using state of the art technologies like microscopes and digital imaging to treat you quickly and comfortably. Here is how the endodontic retreatment process works – first the Endodontist numbs the area and makes a small opening in the crown of the tooth to access the pulp chamber, after removing materials placed in the root canals during the first procedure – the Endodontist looks for additional canals or new infection. The Endodontists then removes any infection cleans and shapes the canals, and places new filling materials in the roots – the Endodontist may fill the opening in the crown to protect the tooth or send you back to your dentist.

You and your Endodontist should discuss whether retreatment is the right option to save your tooth. Advances in dental technology are constantly emerging and techniques maybe available now that were not when you first had your root canal procedure. Sometimes a tooth can’t be retreated. In these cases, your Endodontist may recommend endodontic surgery. Surgery can be done through the gum to remove the infected tip of the tooth’s root and allow the bone to heal. Occasionally neither retreatment or surgery is possible and the tooth may need to be removed. It is important to have a conversation with your Endodontist to determine the best option for you. Nothing looks, feels or functions like your natural teeth. Talk to your Endodontist about retreatment or other options to save your smile.

For more information go to www.aae.org



Root Canal Treatment Step by Step - Beverly Hills, CA

Nothing beats a natural tooth. Here’s a step-by-step guide to a root canal procedure that can save natural teeth.

Nothing looks feels or functions like your natural teeth, and with the right care, your smile can last a lifetime, but problems like decay disease or injury can threaten teeth and ruin smiles. Thanks to advances in treatment and technology, many teeth can be saved. One way a tooth can be saved is with a procedure called root canal treatment, also known as endodontic treatment. Endodontics is a specialized area of Dentistry focused on treating disease or injury to the dental pulp, endodontists are dental specialists with advanced training in root canal treatment. They are experts in saving your natural teeth using state-of-the-art technologies, like microscopes and digital imaging to treat you quickly and comfortably. Let’s take a step by step look at a modern root canal procedure. Here is a healthy tooth. Inside the tooth under the white enamel is a hard tissue called dentin. Inside the dentin is a soft tissue called pulp. The pulp contains the tooths nerves and blood vessels. It extends from the crown of the tooth into the roots of your teeth. If the pulp becomes inflamed or infected your endodontist will remove it relieving your pain or discomfort. Here’s how root canal treatment works. First your endodontist will numb the tooth so that you won’t feel anything during the procedure. A small shield isolates the tooth keeping it dry and clean. An opening is made through the crown of the tooth and into the pulp chamber fluid is put in the canals to kill any bacteria and help rinse out debris. Then the pulp is removed. Using small instruments, the endodontist carefully cleans and shapes the canals. After the space is cleaned and shaped, the endodontist fills and seals the root canals in most cases a temporary filling is placed to close the opening until you see your dentist. After your endodontist is finished, you must return to your dentist to have your tooth properly restored with a filling or crown. That protects the tooth and is important to ensure the success of your root canal treatment. A tooth that has had root canal treatment often lasts a lifetime, so you keep smiling with confidence.


What is a Root Canal Treatment - Beverly Hills, CA

A clear and concise explanation of everything you wanted to know about root canal treatments.

A root canal treatment has to be performed if the dental nerve technically called the dental pulp from the Latin Pulpa has died or is infected. The patient may or may not experience pain after pulp death. Some causes of pulp death include deep-seated caries, severe heat generation during tooth cutting, severe periodontitis or possibly chemicals used by the dentist for example white fillings called composites. The dead tooth can lead to acute even life-threatening complications at any time because the necrotic pulp tissue can cause acute infections called abscesses. The tooth is connected to the bone through numerous small canals at the end of the root. The objective of a root canal treatment is to completely remove the destroyed tissue which may also be infected with bacteria in some cases from the interior of a tooth. This way the infection is prevented from spreading to the bone. Since complete cleaning of the interior of a tooth is never 100% successful, the dentist attempts to close the pulp cavity in the root canals tightly with a special compound so that any remaining bacteria don’t have space to multiply. This means that absolute cleanliness and the sterile working environment are prerequisites for any root canal treatment. In order to create this environment in the oral cavity, it’s imperative that the dentist works with a rubber dam, because that’s the only way to prevent saliva from reaching the interior of a tooth. Saliva contains many different bacteria that can endanger the success of a root canal treatment. Furthermore, it’s important to work with sterile instruments. With the aid of sterile instruments, the dentist begins to clear and clean the interior of the tooth. Special solutions are used intermittently for irrigation in order to flush out tooth chips cell debris and bacteria. It’s important that all canals are reconditioned. Most teeth have several canals therefore a root canal specialist a so-called endodontic specialist always works with magnification, such as medical magnifying glasses or a microscope. The dental canal must be reconditioned all the way to the root apex. The length of the root is ascertained by means of x-rays and measuring aids. Only a well-conditioned tooth filled all the way to the root apex can be preserved permanently. If the tooth exudes a foul smell is painful or bleeds severely from within the canal should not be filled with the permanent material. In such cases medication is applied within the canal which is then tightly sealed for a few days. However, the temporary sealing material must be absolutely saliva proof because only then will it keep the tooth sealed for about one week. Another cleaning session must take place no longer than a week after the initial session. If this is not done bacteria from the saliva could enter the tooth and its canals necessitating a repeat of the entire previous procedure. Once the canals are clean and the tooth no longer causes any discomfort, the canals are tightly filled with a special compound creating a tight apical seal. The tooth crown should also be tightly sealed from the top in effect from the access opening because only then is it guaranteed that bacteria can no longer enter. On this x-ray of a tooth, you can see a good root canal treatment. The canals have been filled homogeneously and tightly down to the root apex. These filled canals are represented on the x-ray as a light strip within the interior of the tooth. Such a tooth is able to provide valuable service for an entire lifetime. Now we see an example of a tooth with a poorly performed root canal. The anterior root is not filled at all while the posterior root is only half filled. Such teeth can cause trouble even after many years and can lead to conditions like acute bone infection or abscesses. In this case a revision of the root canal treatment and/or tooth extraction becomes necessary. The only alternative to a root canal treatment is tooth extraction prevention is the best alternative. The risks involved in a root canal treatment include the following. Instrument breakage in the canal root canals overlooked by the dentist who leaves them unfilled perforation of the canal and the dental crown and over instrumentation with respective possible consequences such as maxillary sinusitis or bone inflammation.


Root Canal near Beverly Hills, CA

Experience pain-free root canal treatment with a skilled endodontist.

Root canal therapy is a very common procedure. It has a reputation of being undesirable and painful but when done properly it is actually painless. Every tooth in your mouth is composed of a crown and a root. When a cavity or bacteria penetrates the tooth the root and its nerves become irritated. As a result the bacteria within the pulp cavity needs to be removed and cleaned in order to restore the tooth to its healthy state. Following the procedure the tooth is fragile and is consequently restored to a natural crown for a lifetime of durability. Root canals have a success rate of 95 percent or greater. Most root canals are diagnosed by patient’s sensitivities to a specific tooth. Be sure to consult your dentist if any symptoms or discomfort.


Dr. Fanny Yacaman explains how root canal procedures have changed over the years

Dr. Fanny Yacaman explains how root canal procedures have changed over the years and why it’s important to have a trained endodontist perform the procedures.

Does the thought of having a root canal make you cringe? Well you are not alone – an advanced specialist in microscopic Endodontics and microsurgery – Dr. Fanny Yacaman, shows us how to help personalize treatment and technology has really improved the health of her patients. An Endodontist is a specialist in the industry that diagnoses and treats the pulp or nerves as the patients calls it – the diseases and the surrounding tissues of the tooth. The patient will say I have a tooth ache or I have a tooth infection or my gums are swelling or I have pain with cod hot sweet or something with chewing would wake me up at night and I need to take pain medications to relive the pain or sometime the whole face is swelling and I have a pimple in my gums.

Root canal therapy has changed over the years; today procedures are virtually painless and more efficient – resulting in a more positive patient experience. My practice is extremely personalized – that is the key of a good treatment and this together with a use of the microscope in Endodontics the attest magnification and illumination with digital x-rays and instrumentation that we have now, this may facilitate the retreatment outcome. With the microscope now we can find tooth cracks that were impossible to see before and we can find extra canals it the same root however it is important to understand that faster doesn’t mean better there is nothing that will substitute a trained clinician and the time we take for each specific procedure the steps of a root canals as I mentioned in one procedure or 2 procedure – we need to have a good diagnosis and a biological and mechanical cleaning and a filling of the root canals – we must understand that nothing is better than keeping our own teeth – we have to remind our patients that our teeth are part of our mouth and our body – having good oral health will contribute towards our overall health towards our body. It is important that our patients also see their dentists 2 times a year, and after the root canal they must have restoration and of course brushing and flossing 3 times a day is extremely important to prevent future problems. I am always scared to go to the dentist and I usually have pains and I am never calm and Dr. Yacaman was very clam and soothing and I had a really nice experience with her. Dr. Fanny Yacaman knows that when it comes to your dental health you want the best endodontic treatment available.


Variedades…y Mas! Fanny Yacaman (Dentista)

Variedades…y Mas! Fanny Yacaman (Dentista)