Root canal retreatment, advanced endodontic techniques that resolve resorption

At Beverly Hills Advanced Specialties of Dentistry, we have access to treatments and technologies that can’t be found elsewhere. Drs. Frank Vidjak and Fanny Yacaman specialize in techniques and treatments to rebuild and restore teeth. Dr. Vidjak is a prosthodontist with advanced training in the replacement of oral tissues, including tooth structure and gums. As an endodontist, Dr. Yacaman focuses on resolving conditions that affect the innermost parts of the teeth. She offers both nonsurgical root canal therapy and a range of surgical endodontic treatment options to successfully resolve even the most complex or challenging cases — for instance, patients with root resorption who may have been told their tooth cannot be saved. 

Root resorption explained

“Resorption” refers to the loss or dissolution of tissue, whereas the “root” in dentistry refers to the dental anatomy that anchors the teeth in the jawbone. So, “root resorption” quite literally refers to the loss of the tooth’s root structure. It is important to understand the true nature of resorption. In doing so, our specialists are best equipped to suggest effective ways of treating this damaging process.

Resorption can generally affect a tooth in three ways: 

• Cervically, affecting the areas where the teeth meet the gums
• Internally, as the pink parts of the teeth containing the nerves and blood vessels become enlarged and degrade the tooth from inside out 
• Apically, which is the type of resorption that affects the root(s)

When a child’s secondary teeth develop properly, the roots of the primary or milk teeth dissolve naturally. The process of resorption, in turn, makes way for the adult teeth. Mature teeth can be threatened by external root resorption. There are many potential causes, from oral infections and impactions to chronic bruxism (teeth grinding) or the movement that is facilitated with orthodontic treatment to align teeth. Rarely, this condition is associated with tumors or is idiopathic (having no known cause). Some patients may experience discomfort, swelling, and teeth that feel loose. Others may have no symptoms at all! 

Trust our specialty expertise 

Root resorption must be addressed promptly with advanced, specialty care. Without prompt, precise, and appropriate treatment, the natural tooth may be lost. 

Our center uses sophisticated intraoral cameras, digital imaging, microscopy, and scanners to inform our understanding of the state of your teeth and gums. From there, we can make the most informed treatment recommendations. As an endodontist, Dr. Fanny Yacaman may recommend root canal therapy. She is also among the world’s leading experts in resolving resorption that arises in root canal-treated teeth. Retreatment options, or micro-surgical endodontic procedures (like root-end resection or apicoectomy), may be appropriate to save the tooth. 

Of course, whenever possible, steps are taken to prevent resorption. We partner with referring general dentists and patients to assess and address their risk factors. And we encourage you to contact us before problems become unbearable. Our specialty team can be reached at (310) 861-3955. We look forward to meeting you.

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