Non-surgical management of endodontic failure - An observational study

Abstract

In the present study, possibility of non-surgical endodontic re-treatment for correction of symptomatic endodontic failure with and without periradicular pathosis was evaluated both clinically and radiologically. The main objective of this study was also to assess, verify and establish the non-surgical re-treatment method as primary approach to resolve endodontic failures irrespective of sex. A total 69 cases of endodontic failure with or without periapical pathosis were studied of which 24 (34.78%) were male and 45 (65.21%) were female .The mostly affected teeth were Mandibular 1 st molars 19 in number (27.53%) followed by Maxillary central incisors 17 in number (24.63%). After one year follow up, the final outcome was success-47 (75.80%), doubtful-2 (3.22%) and failure-13 (20.96%)

A 60-year-old female with pain on mastication for one month

“…Retreatment of the root canal can be possible by non -surgical retreatment method with or without apical surgery, intentional replantation and extraction. [22][23][24][25][26] In the present case, as the tooth was found restorable, non-surgical retreatment was performed. However, proper management of calcified canal depends upon correct access opening and identification of the root canal system.…”