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Dentistry/Root canal retreatment vs. apicoectomy on front crowned tooth

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MANISH wrote at 2010-01-26 14:13:39
hi!,

  I would like to go with retreatment rather than apical surgery.This ,I,say from my experience as an endodontist for ten years.

  My simple logic is,according to the rationale of endodontics,if we ask ,why did this lesion come in the first place ,it has to do with some inadequacy in our chemomechanical preparation eventhough the so called "the look" on the radiograph might be good and if we are able to prepare the canal again and put a calcium hydroxide intracanal medicament for a couple of weeks, I feel this case could be treated without a surgery .

  We all understand that surgery should be the last resort as it might effect the crown root ratio and as it has its own problems with the success rate.

 All this I am saying without seeing the records and so this suggestion has to be verified.In my practice,if conditions are favourable ,I would definitely go with retreatment.

 

     Manish

         M.D.S  


KC wrote at 2015-10-22 19:14:12
Dr. Bornfield,

Thank you very much for your advice. It was very helpful and appreciated.


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Mark Bornfeld DDS

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I can respond to all questions dealing with the practice of dentistry, from both the dentist`s and patient`s perspective. I am knowledgeable about all dental disciplines, from cosmetic dentistry to surgery, from restorative dentistry to root canal treatment. I have strong opinions about controversial issues in dental practice, including those topics which directly impact on the reputation of the profession in the eyes of both the lay public and our health profession colleagues.

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Editor, Queens County Academy of General Dentistry newsletter; contributor to Dentistry.com
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