Endodontic Orthograde Retreatments: Challenges and Solutions

Area of Science:

• Dentistry
• Endodontics
• Restorative Dentistry

Background:

• Endodontic orthograde retreatment is a key treatment for post-treatment diseases.
• Numerous studies exist, making synthesis challenging.

Purpose of the Study:

• To review and synthesize crucial aspects of non-surgical endodontic retreatment.
• To compare current protocols, techniques, materials, and indications.

Main Methods:

• Literature review and synthesis of existing studies on endodontic retreatment.
• Analysis of diagnostic tools, procedural steps, and management of complications.

Main Results:

• Cone-beam computed tomography (CBCT) is recommended for diagnosis and treatment planning.
• Removal of coronal restorations, use of magnification, ultrasonic instruments, and advanced cleaning protocols are advised.
• Mineral trioxide aggregate (MTA) or similar materials are recommended for perforation repair.
• Instrument fragment removal is preferred, with bypass as an alternative.

Conclusions:

• Non-surgical endodontic retreatment offers promising results for post-treatment diseases.
• Standardized protocols involving advanced imaging and techniques enhance retreatment success.
• Proper management of complications like perforations and ledges is crucial.