Removal of the Previous Root Canal Filling Material for Retreatment: Implications and Techniques
Adequate removal of the previous filling material may be pivotal to a favorable outcome of root canal retreatment of teeth with post-treatment periodontitis in order to permit the access of irrigants and medicaments to persistent bacteria. However, even with recent technological advances, including...
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MDPI AG
2022-10-01
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Series: | Applied Sciences |
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Online Access: | https://www.mdpi.com/2076-3417/12/20/10217 |
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author | Flávio R. F. Alves Isabela N. Rôças José C. Provenzano José F. Siqueira |
author_facet | Flávio R. F. Alves Isabela N. Rôças José C. Provenzano José F. Siqueira |
author_sort | Flávio R. F. Alves |
collection | DOAJ |
description | Adequate removal of the previous filling material may be pivotal to a favorable outcome of root canal retreatment of teeth with post-treatment periodontitis in order to permit the access of irrigants and medicaments to persistent bacteria. However, even with recent technological advances, including the introduction of specially designed instruments, no technique has been shown to predictably promote complete filling removal. Supplementary approaches used after chemomechanical preparation, including the use of finishing instruments, ultrasonics and laser, have shown promising results in enhancing root canal cleaning and disinfection. This narrative review addresses the importance and implications of maximal filling removal during retreatment and discusses the effectiveness of different techniques and supplementary approaches used for this purpose. |
first_indexed | 2024-03-09T20:48:06Z |
format | Article |
id | doaj.art-e99b229f775243a5897b2818e49b0270 |
institution | Directory Open Access Journal |
issn | 2076-3417 |
language | English |
last_indexed | 2024-03-09T20:48:06Z |
publishDate | 2022-10-01 |
publisher | MDPI AG |
record_format | Article |
series | Applied Sciences |
spelling | doaj.art-e99b229f775243a5897b2818e49b02702023-11-23T22:40:56ZengMDPI AGApplied Sciences2076-34172022-10-0112201021710.3390/app122010217Removal of the Previous Root Canal Filling Material for Retreatment: Implications and TechniquesFlávio R. F. Alves0Isabela N. Rôças1José C. Provenzano2José F. Siqueira3Postgraduate Program in Dentistry, University of Grande Rio (UNIGRANRIO), Rio de Janeiro 25071-202, RJ, BrazilPostgraduate Program in Dentistry, University of Grande Rio (UNIGRANRIO), Rio de Janeiro 25071-202, RJ, BrazilPostgraduate Program in Dentistry, University of Grande Rio (UNIGRANRIO), Rio de Janeiro 25071-202, RJ, BrazilPostgraduate Program in Dentistry, University of Grande Rio (UNIGRANRIO), Rio de Janeiro 25071-202, RJ, BrazilAdequate removal of the previous filling material may be pivotal to a favorable outcome of root canal retreatment of teeth with post-treatment periodontitis in order to permit the access of irrigants and medicaments to persistent bacteria. However, even with recent technological advances, including the introduction of specially designed instruments, no technique has been shown to predictably promote complete filling removal. Supplementary approaches used after chemomechanical preparation, including the use of finishing instruments, ultrasonics and laser, have shown promising results in enhancing root canal cleaning and disinfection. This narrative review addresses the importance and implications of maximal filling removal during retreatment and discusses the effectiveness of different techniques and supplementary approaches used for this purpose.https://www.mdpi.com/2076-3417/12/20/10217filling removalgutta-perchanon-surgical endodontic retreatmentroot canal sealers |
spellingShingle | Flávio R. F. Alves Isabela N. Rôças José C. Provenzano José F. Siqueira Removal of the Previous Root Canal Filling Material for Retreatment: Implications and Techniques Applied Sciences filling removal gutta-percha non-surgical endodontic retreatment root canal sealers |
title | Removal of the Previous Root Canal Filling Material for Retreatment: Implications and Techniques |
title_full | Removal of the Previous Root Canal Filling Material for Retreatment: Implications and Techniques |
title_fullStr | Removal of the Previous Root Canal Filling Material for Retreatment: Implications and Techniques |
title_full_unstemmed | Removal of the Previous Root Canal Filling Material for Retreatment: Implications and Techniques |
title_short | Removal of the Previous Root Canal Filling Material for Retreatment: Implications and Techniques |
title_sort | removal of the previous root canal filling material for retreatment implications and techniques |
topic | filling removal gutta-percha non-surgical endodontic retreatment root canal sealers |
url | https://www.mdpi.com/2076-3417/12/20/10217 |
work_keys_str_mv | AT flaviorfalves removalofthepreviousrootcanalfillingmaterialforretreatmentimplicationsandtechniques AT isabelanrocas removalofthepreviousrootcanalfillingmaterialforretreatmentimplicationsandtechniques AT josecprovenzano removalofthepreviousrootcanalfillingmaterialforretreatmentimplicationsandtechniques AT josefsiqueira removalofthepreviousrootcanalfillingmaterialforretreatmentimplicationsandtechniques |