ENDODONTIC

RETREATMENT
Putu Ratna Kusumadewi Giri,drg.,Sp.KG
Departemen Ilmu Konservasi Gigi
PSPDG FK UNUD
• Before Going/performing
• Case Selesction
• Prognosis,Contraindications and problems
• Steps
 BEFORE GOING TO ENDODONTIC
RETREATMENT
• When should tretament be considered
• Patient’s need
• Strategic important of the tooth
• Periodontal evaluation
• Chair time &cost
 BEFORE PERFORMING TO
ENDODONTIC RETREATMENT
• May to prevent the potential disease
• Remove/remade coronal restoration
• Technical problem
• May not achieve better result
• Filling materials have to be removed
• Prognosis could be poorer
 CASE SELECTION
• Careful history
• Anatomy of root canal,curvature,unusual configuration
• Quality of obturation
• Iatrogenic complication
• Cooperation of the patient
 FACTOR AFFECTING PROGNOSIS
• Periapical radiolucency
• Quality of the obturation
• Postendodontic coronal restoration
• Iatrogenic complication
 CONTRAINDICATION
• Unfavorable root anatomy
• Root resorption and perforation
• Root or bifurcation caries
• Insufficient crown/root ratio
 PROBLEM
• Unpredictable result
• Cost factor
• Time consuming
NON SURGICAL RETREATMENT
SURGICAL RETREATMENT
APICOECTOMY/
APEX RESECTION
 WHAT ARE THE ALTERNATIVES TO
ENDODONTIC RETREATMENT AND/OR
ENDODONTIC SURGERY?
• The only other alternative is extraction of the tooth. The extracted tooth must
then be replaced with an implant, bridge or removable partial denture to
restore chewing function and to prevent adjacent teeth from shifting.
Because these options require extensive surgery or dental procedures on
adjacent healthy teeth, they can be far more costly and time consuming
than retreatment and restoration of the natural tooth.
• No matter how effective tooth replacements are—nothing is as good as your
own natural tooth. You’ve already made an investment in saving your tooth.
The payoff for choosing retreatment could be a healthy, functioning natural
tooth for many years to come.
 ENDODONTIC SURGERY
• INSISION FOR DRAINAGE-SOFT TISSUE
• TREPHINATION
• REPAIR OF PERFORATION
• HEMISECTION AND ROOT AMPUTATION
• PERIRADICULAR SURGERY
• APICAL CURETAGE
• APICOECTOMY
• APICOECTOMY WITH RETROGRADE FILLING
 POSTSURGICAL COMPLICATION
• PAIN
• SWELLING
• INFECTION
• BLEEDING
• HEMATOMA
• TISSUE TRAUMA
• INCOMPLETE ROOT RESECTION
• PARASTHESIA
 SEKIAN
SAMPAI JUMPA DI PROFESI