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Apical Periodontitis in Root-Filled Teeth pp 89–102Cite as

Non-surgical Retreatment

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Abstract

Non-surgical retreatment is difficult and treatment planning is essential. Good access to the already root-filled root canals and working with good aseptic procedures will create a possibility to render a preferable prognosis. The knowledge and ability in how to remove the gutta-percha and other obstacles within the root canal will make the procedure easier and more predictable. The microbiotic flora in the already treated root canal system with periapical pathologies is more robust to chemical treatment due to its ability to survive in an environment where nutrients are sparse. This is important to understand when making the choice of and how to use the irrigant. An inter-appointment dressing is preferably used. The procedure of placing a new root filling might be as challenging as the removal of the old one since the original form of the root canal has been changed. Follow-ups of endodontic treatment must be made systematically and over a longer period of time in order not to jump into conclusions or let rare individual events distort the overall results.

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Authors and Affiliations

  1. Specialist Clinic of Endodontics, Public Dental Service Västra Götaland, Göteborg, Sweden

    Charlotte Ulin DDS

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  1. Charlotte Ulin DDS
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Correspondence to Charlotte Ulin DDS .

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Editors and Affiliations

  1. Department of Endodontology, University of Gothenburg The Sahlgrenska Academy, Gothenburg, Sweden

    Thomas Kvist

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Ulin, C. (2018). Non-surgical Retreatment. In: Kvist, T. (eds) Apical Periodontitis in Root-Filled Teeth. Springer, Cham. https://doi.org/10.1007/978-3-319-57250-5_8

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  • DOI: https://doi.org/10.1007/978-3-319-57250-5_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57248-2

  • Online ISBN: 978-3-319-57250-5

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