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Edit and Undo the filling step: A review on non surgical endodontic
retreatment measures to retrieve gutta-percha from the filled root canal
system
Dubey A1, Avinash A2, Sheetal Mujoo3
1. Reader, Department of Pedodontics & Preventive dentistry, Rungta College of Dental Sciences, Bhilai
(C.G), India.
2. Senior Lecturer, Department of Pedodontics & Preventive dentistry, Rungta College of Dental
Sciences, Bhilai (C.G), India.
3. P.G. student, Department of Oral Medicine and Radiology, Rungta College of Dental Sciences, Bhilai
(C.G), India.
Corresponding Address:
Dr. Alok Dubey,
Reader, Department of Pedodontics & Preventive dentistry,
Rungta College of Dental Sciences,
Kohka- Kurud road, Bhilai-490024 (C.G).
Tel: +918827865566
Email: dentistalok@yahoo.co.in
Abstract:
Over the years, non surgical endodontic retreatment has replaced apical surgery as the treatment of choice for the causes of endodontic therapy failure. The
recognition of persistent infection as the main cause of such failure has highlightened the need for procedures for cleaning and disinfecting the entire root
canal system. This paper reviews the measures employed to remove root canal filling material, efficacy of different methods and factors governing the
success of retreatment.
Key words: Gutta-percha removal, Endodontic retreatment, Pro Taper Universal system
Introduction:
Residual necrotic tissue or bacteria beneath gutta-percha
(GP) or sealer can be responsible for periapical
inflammation or pain. Thus, the main objective of non
surgical endodontic retreatment is to remove all material
filling the root canal and regain access to apical foramen1.
Materials used to obturate root canal:
There are four commonly encountered obturating materials
found in root canals. These materials are GP, carrier-based
obturators, silver points and paste fillers. The effective
removal of an obturating material requires utilizing the
most proven methods from the past in conjunction with
presently developed techniques2.
GP is the most widely used and accepted root filling
material. GP is usually used as a core filling material, in
combination with a sealer or cement as a luting agent.
Hence in majority of retreatment cases, the most commonly
encountered root filling material is likely to be GP3. This
review will be focusing mainly on GP as the obturating
material and the methods employed to retrieve back the
same.
Planning for endodontic retreatment:
Before commencing with any treatment, it is profoundly
important to consider all interdisciplinary treatment options
in terms of time, cost, prognosis and potential for patient
satisfaction. Endodontic failure must be evaluated, so a
decision can be made among non surgical endodontic
retreatment, surgical retreatment, or extraction 2. In general,
non surgical endodontic retreatment of previously filled
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Edit and Undo the filling step: A review on non surgical endodontic retreatment measures to retrieve gutta-percha from the filled root canal system
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