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Related Experiment Videos

Evidence-based dentistry: endodontic failure--how should it be managed?

P F Briggs1, B J Scott

  • 1Department of Restorative Dentistry, King's Dental Institute, London.

British Dental Journal
|October 7, 1997
PubMed
Summary
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Failed endodontic treatment management is best approached with conventional retreatment first. Successful outcomes are improved with timely permanent restoration after endodontic retreatment.

Area of Science:

  • Endodontics
  • Dental Surgery
  • Restorative Dentistry

Background:

  • Failed endodontic treatment presents a clinical challenge.
  • Evidence supports conventional endodontic retreatment as a viable option.
  • Surgical endodontic outcomes require careful interpretation based on existing root fillings.

Purpose of the Study:

  • To review the evidence on the most appropriate management of failed endodontic treatment.
  • To evaluate the success rates of different endodontic retreatment modalities.

Main Methods:

  • Systematic review of the international literature on failed endodontic treatment.
  • Analysis of evidence regarding conventional endodontic retreatment and surgical endodontic treatment.

Main Results:

Related Experiment Videos

  • Conventional endodontic treatment demonstrates a significant success rate.
  • Surgical treatment success is harder to interpret but may improve with satisfactory orthograde root fillings.
  • Teeth restored promptly after retreatment show higher success rates.

Conclusions:

  • Conventional endodontic retreatment is the preferred initial approach when root canal access is feasible.
  • Surgical endodontic treatment can be considered as a subsequent option.
  • Timely permanent restoration post-retreatment is crucial for long-term success.
  • Prospective research on failed root fillings faces significant challenges.