Selective Root Retreatment: A Conservative Alternative
Selective Root Retreatment: A Conservative Alternative is organized by Dentaltown, L.L.C.
Released: 10/7/2015
Review Date: 6/30/2022
Expiration Date: 6/30/2025
Overview:
Root canal retreatment is traditionally considered an “all or none” treatment approach. Meaning, that all restorative and obturation material must be removed from the entire root canal space of all roots regardless of individual periapical health. In contrast, surgical endodontics is not viewed as an “all or none” approach. It is generally accepted that only the diseased root(s) should be addressed via root-end resection and root-end filling. Knowledge gained from CBCT imaging has introduced a new reasonable treatment option for endodontic treated teeth presenting with post-treatment disease. This new concept allows the clinician to make predictable treatment decisions based on the periapical status of an individual root(s) rather than make assumptions about the tooth as a whole. A “selective root retreatment” combines the approach of orthograde retreatment with the selectivity of a retrograde surgical root resection. It is being suggested that retreatment could be limited to a single root or roots clearly demonstrating periapical pathology while leaving the root(s) with no visible or perceived pathology untouched.
Educational Objectives:
Upon completion of this course, participants should be able to achieve the following:
• Understand the current recommendations for root canal retreatment and associated risks.
• Understand the conflict between the root canal retreatment model and the endodontic surgical model.
• Understand a literature-based rationale justifying a more conservative approach to endodontic retreatment.
• Understand the importance of CBCT imaging when determining the presence or absence of periapical pathosis.
• Use the CBCT image to create a guided precision slot access designed to selectively treat one or more roots of a multi-rooted tooth diagnosed with post-treatment disease.
Note: The fee to view this course is $36. This cost includes the fee to take the exam and claim your CE credits.