Abstract

Endodontic treatments tend to have very high successful rates in spite of the fact that they are quite an invasive, difficult procedure, especially in complex anatomies. Some complications can arise during or after a root canal procedure due to poor understanding of the anatomy and iatrogenic errors mainly during instrumentation. While some of these problems can be anticipated, many can never really be predicted.1-3 As a consequence, retreatment has become a well-defined field of knowledge and expertise in endodontics, since most complications can be solved with proper surgical or nonsurgical retreatments.4 Reinfection or persistent infections: Root canal treatment can fail due to a persistent bacterial infections or reinfections. These include inadequate shaping, cleaning, and obturation procedures, poor restorations, and exposure through a fracture. The remedies are dependent on the primary cause of the reinfection and the affected parts. Persistent infection is the major cause of short-term endodontic failures.5.

Highlights

  • Endodontic treatments tend to have very high successful rates in spite of the fact that they are quite an invasive, difficult procedure, especially in complex anatomies

  • Clinicians can sometimes miss a canal in a complex tooth structure

  • Crown fracture is the major cause of long-term endodontic failures.[7]

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Summary

Introduction

Endodontic treatments tend to have very high successful rates in spite of the fact that they are quite an invasive, difficult procedure, especially in complex anatomies. Missed root canals: Canal anatomy can be complex and variable. Clinicians can sometimes miss a canal in a complex tooth structure. The increasing use of more advanced 3D radiographic images (CBCT) is very helpful to reduce these errors.[6] Fractured root or crown: The carious lesions and the endodontic procedure (access cavity and canal enlargement) leaves make it brittle and fragile.

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