Even with the best care, some teeth just don’t heal properly after the initial endodontic treatment. Thankfully, though, this is a rare situation. In such a case, Dr. Shawn Velez of Advanced Endodontics will use endodontic retreatment - aka root canal retreatment - to save the tooth and address complications. If you’ve had endodontic treatment and are experiencing complications, Dr. Velez might consider endodontic retreatment. 

Endodontic retreatment involves reopening a tooth that has previously undergone a root canal to address any remaining or new issues. This procedure includes removing the old root canal filling, cleaning the canals thoroughly to eliminate infection or debris, and resealing the canals to promote proper healing. It’s an intricate process that requires specialized skills. 

Signs of Endodontic Retreatment

If you know the signs that you might need endodontic retreatment, you’ll be able to get the necessary help before the problem worsens and becomes more painful. Here are some main indicators:

• Constant Pain: Pain is a major sign you might need root canal retreatment. Some discomfort is normal after a root canal, but prolonged pain that doesn’t resolve could indicate an underlying issue. The pain could be constant or triggered when you are chewing or biting.

• Swelling and tenderness: If you see swelling in your gums or face, or if the area around the tooth stays tender to the touch for an extended time, you might need dental retreatment.

• Recurrence of Infection: A recurring infection could mean the initial root canal treatment was not fully successful. Symptoms of infection can include a bad taste in your mouth, pus discharge, or a persistent bad odor. You should contact Advanced Endodontics immediately if you experience any of the above symptoms. .

• Gum Boils or Pimples: Gum boils or pimples on your gum near the treated tooth are signs of infection. The bumps often indicate that pus is draining from the infection inside the tooth. While they may temporarily disappear, they usually return if the underlying issue is not resolved through endodontic retreatment.

• Darkening of the Tooth: A tooth that becomes discolored or darkens after a root canal can be a sign of internal damage or ongoing infection. The tooth changes color because of the breakdown of the internal tissues or blood vessels within the tooth, indicating that further treatment is necessary.

• Sensitivity to Temperature: Some sensitivity is normal after a root canal, but prolonged or intense sensitivity to hot or cold temperatures suggests that the initial treatment did not fully address the infection or inflammation. If heightened sensitivity persists, it’s time to consider consulting an endodontist for a possible retreatment.

Why Endodontic Retreatment is Important

• Prevents Further Infection: Untreated infections can spread beyond the tooth, affecting surrounding tissues and bones and even leading to systemic health issues. Endodontic retreatment removes the source of infection, preventing further complications.

• Preserves the Natural Tooth: A natural tooth functions better than any artificial replacement. Endodontic retreatment can maintain your bite and jaw structure, save your natural tooth, and avoid the need for more invasive procedures like extractions and implants.

• Alleviates Pain and Discomfort: Persistent pain and discomfort significantly affect your quality of life. Endodontic retreatment can resolve these issues and give you relief so you can return to normal activities.

If you are experiencing any of these symptoms after having a root canal, you might need endodontic retreatment. Contact Dr. Velez and his skilled staff at Advanced Endodontics today for a thorough assessment.