Endodontic Retreatment: Achieving Success the Second Time
Course Description: In this two part course, Dr. Brett Gilbert may just have the answers that make us pause and reconsider the quick condemnation of endodontically treated teeth that have post treatment disease. After all, it is easy to point to a radiolucency and offer a dental implant as the “obvious” solution. But is it? In Part I of this 2-part series, Brett teaches us what can be expected with endodontic success and how, in turn, we can evaluate teeth with continued apical disease. What is the etiology? Are all bugs the same? Given different clinical situations, Dr. Gilbert gives us the tools to make reasonable predications as to the success of retreatment and how best to go about it. By the end of this lecture, we have a greater understanding of the multitude of irritants that challenge endodontic success and which steps are necessary to improve treatment outcomes. There will be a test at the end of the section to verify successful completion of the course.
So in Part 1 Dr. Gilbert establishes why endodontically treated teeth may exhibit new disease post-treatment. He defines clinical success for endodontically treated teeth, and then explains the causes for new/continued apical disease and what are the practical expectations for retreatment. In Part II, he explains: coronal disassembly, radicular disassembly, which instruments are needed and how to use them. He demonstrates post-isolation, post removal, silver point removal and the techniques/instruments for filling the root canal system and which is the most important final step for a successful retreatment. There will be a test at the end of the section to verify successful completion of the course., A test will be administered at the end each section to verify successful completion, Part 1 and Part 2 should be taken sequentially for better understanding of the course. .
Course Objectives: After completion of this course the participant should be able to:
- Evaluate previously root canal treated teeth for success and failure.
- Understand the bacterial etiology and pathogenesis of post treatment disease, and the prognosis for retreatment.
- Select appropriate retreatment options.
- Understand techniques for safe and effective coronal and radicular disassembly of a previously root canal treated tooth.
- Implement techniques on effective debridement and irrigation of root canal systems.
- Utilize current instrumentation protocols.
- Develop skills to apply the latest clinical techniques to treat diseased teeth that have had previous root canal treatment.