I believe everyone knows that root canal treatment is the main treatment for teeth to promote recovery. However, inflammation may occur after root canal treatment. Some patients may not recover well or do not take good care of the local area, which may lead to local inflammation. In this case, repair and other related treatments should be given. Precautions After root canal treatment, the body goes through a repair process and regular checkups can be performed to understand the healing status of the tissues. The patient may experience discomfort in the treated tooth for quite some time. If the condition is not gradually getting worse, you can adopt an observation approach, but you should follow the doctor's advice and have a follow-up check in time. Re-treatment There are a few cases where root canal treatment is unsuccessful and where conventional root canal treatment is unsuccessful or cannot be treated. Some cases can be treated further with apical surgery, while others can be treated with extraction. During and after root canal treatment, teeth are prone to splitting, which may lead to tooth extraction. If the tooth defect is large, please follow the doctor's instructions to promptly perform crown restoration after treatment. Cause of failure Root canal therapy is one of the main methods for treating pulp and periapical periodontitis, so people are very concerned about the efficacy of root canal therapy. Many cases strictly follow the treatment procedures, but still fail. The reasons can be summarized as follows: 1. Anatomical factors Lateral canal Accessory canal Divergence Of root apex FurcatlonOfrootapex 2. Iatrogenic factors 1. Lateral penetration of the root canal wall (not found) 2. Apical superfilling Overfill failure is mainly caused by infection inside or outside the root canal. In many cases, the overfilled apical sealing is incomplete. The tissue fluid that penetrates into the root canal is rich in glycoproteins, which can provide nutrition to the residual bacteria, allowing the bacteria to grow and reach a certain number, causing recurrence of apical periodontitis. 3. Crown closure status Incomplete crown sealing is one of the important reasons for the failure of root canal treatment. In some cases, root canal fillings can still be contaminated again, such as temporary or permanent fillings are broken, and permanent repairs are not made in time. Bacteria can invade and colonize in the root canal system, resulting in failure of root canal treatment. |
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