Root Canal Retreatment

Most of the time, root canal therapy is effective at permanently relieving tooth pain and halting infection of the soft tissues deep inside the teeth and gums. But occasionally, as in any medical procedure, the body may not heal as we expect it to. After a period of time, you may experience pain in the affected tooth again — or, even if you have no symptoms, x-rays may reveal that infection is still present near the tooth's roots. In that case, you may need root canal retreatment.

Root canal retreatment.There are several reasons why your root canal treatment may not have succeeded at first. The “canals” themselves are slender, forking passageways deep inside the tooth that enclose nerves and blood vessels: the tooth's soft “pulp.” They can be so narrow and intricate that some may have gone undetected, or failed to respond to treatment the first time. Or, the canals might have become recontaminated via a number of routes: a delayed or ineffective crown restoration, new tooth decay, advancing gum disease, or a cracked or fractured tooth. Any of these conditions could result in reinfection.

If initial root canal (endodontic) therapy has failed, the first thing to do is evaluate your options. Besides retreatment, the alternatives may include endodontic surgery or extraction (removal) of the tooth. However, a missing tooth should be replaced by a dental implant, a bridge or a partial denture as soon as possible — and none of these are simple or inexpensive options. That's part of the reason we prefer to help you retain your natural teeth whenever possible.

The Retreatment Procedure

If endodontic retreatment is appropriate for you, the procedure is similar to a routine root canal, with a few added measures. After you are anesthetized (usually with a numbing shot), any restorations presently on your tooth — crowns, for example — will be altered to provide access to the root canal filling material. This is usually accomplished by making a small opening into the inner part of the tooth, removing filling material or obstructions, and cleaning the pulp chambers with tiny instruments.

A microscope and light are used to search carefully for additional canals or unusual structures. If the treatment process becomes extremely complex, it may be finished in a subsequent visit. Finally, when all the canals have been cleaned and disinfected, they will be filled with inert material and sealed. Then a temporary filling will be placed in the tooth. A permanent restoration will need to be placed at a later time.

Is Root Canal Retreatment My Best Option?

Medicine and dentistry are as much art as science, and neither one can guarantee that any procedure will be 100% successful. While endodontic retreatment can be more complex than initial root canal therapy, it offers a good chance of success in many instances. And, since the field of endodontics is constantly evolving, it may be possible to use new techniques that weren't available when your first root canal procedure was done.

Dentists take seriously our responsibility to help you understand the risks, benefits and alternatives for treating root canal problems. When we recommend retreatment, it's because we feel it is the best way for you to preserve your natural teeth — and we want you to be able to enjoy them for many years to come.

Related Articles

Root Canal Retreatment - Dear Doctor Magazine

Root Canal Retreatment As occasionally happens with any dental or medical procedure, a tooth may not heal as anticipated after a root canal treatment. In these cases, it's often possible to save the tooth with a second root canal procedure... Read Article

Our Location

Find us on the map

Hours of Operation

The office is open alternating Wednesdays and Fridays!

Primary Location

Monday:

8:00 am-5:30 pm

Tuesday:

8:00 am-5:30 pm

Wednesday:

8:00 am-5:30 pm

Thursday:

8:00 am-5:30 pm

Friday:

8:00 am-5:30 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

  • "This dental office rocks! Dr. M. & all her staff are knowledable, professional, & all very friendly."
    Lisa Griffith
  • "The entire staff at Ahh Dental are amazing. From the moment you walk in to the treatment area and checking out. Dr. Moreschini is very nice and makes sure patients are comfortable with any treatment. I would recommend everyone and anyone to Ahh dental!"
    Stephanie Lovato
  • "Excellent service and a great staff."
    Herman Lujan
  • "This team is awesome! Each and every one of them are present when you are talking and they explain everything in a language you can follow. They each have a heart of gold. I recommend then to all. I will never go anywhere else for my dental care."
    Regan Rezac
  • "Dr. Moreschini is not only intelligent, well-versed, articulate in diagnosis as well as treatment, but kind and gracious in her treatment administrations. I knew, a year ago, Ahh Dental would be my dental home. I’m even more vested now as a patient but also as a “family member” to this exceprional team of people who strive to provide the best outcome for their patients. Thank you, Ahh Dental"
    Sabine Stanley
  • "I loved this dental office. When I moved away from Santa Fe, I was sincerely sad because it also meant saying goodbye to a dentist I could trust!"
    Jennifer Quick
  • "The patient comes first. The front desk, hygienist and dentist all work together to get you in the healthy zone. The office seems to be run professionally with all the insurance processes integrated."
    John Urbanowski
  • "Best dentist and caring staff."
    Yvonne Vigil
  • "From the front staff to my dental hygienist, everyone was so friendly and personable. Ahh Dental made me fill at ease and that my concerns were important. Very efficient, awesome experience."
    Barbara
  • "I visited Ahh Dental for the first time earlier today and it was one of the most positive experiences I've had at a dental office. I am actually looking forward to my next appointment. Everyone was extremely pleasant and attentive. If you are new to town, or just looking for a new dentist I highly recommend Ahh Dental."
    Kelse Lighthizer
  • "Amazing place! Amazing staff! Everyone that works there is so friendly and down to earth. Honestly wish I could come back all the time I enjoy it so much. Went above and beyond, very highly recommended!!"
    Jordan Higgins
  • "One of my top dental experiences. Everyone was very kind, knowledgeable, and professional."
    Diann Darnall
  • "Highly recommend Ahh Dental. Dr Moreschini is one the the best Dentist who is not only professional but cares about her patients and their well being. She has an excellent staff who are very helpful and also very professional!!"
    Marcella Sandoval
  • "This place is great! Super friendly and welcoming staff! I actually enjoy going to the dentist here! Really recommend them!"
    Oscar Rivera
  • "Dr and staff are the best! Always professional and friendly. They’re current about best dental practices, and the best thing? They don’t nickel and dime you to death. Love them!"
    Susan Miera
  • "Ahh Dental has a wonderful atmosphere and an awesome staff. My appointments and procedures have all been very pleasant and professional - thank you Ahh Dental for my happy teeth and big smile."
    Cherie Hughes
  • "It’s a pleasure sitting in Dr. Moreschini’s chair. She’s a stellar graduate of Creighton and a wonderful reminder of the Marquette University dentists I had for thirty years. She is always a pleasure to work with, efficient and excellent at pain prevention and management. This young woman is my third dentist in three years in Santa Fe. Unquestionably the best."
    Mark Janssen
  • "I'm so glad that I found Dr Renae. She's great to work with . Feel very at ease with her and her staff. Great people. Highly recommend her. Thanks Dr."
    John Vigil
  • "Very clean, conscientious about Coronavirus. Prompt, friendly, quality work"
    Victor Nelson
  • "I had a wonderful experience at Ahh Dental. Everyone was truly kind and professional. Everything was explained to me beforehand and they made sure I was comfortable and felt at ease. Dr. M.and her staff truly care about their patients. Thank you for making my dental appointment a positive one."
    Georgina Perez
  • "Excellent Ahh Dental was very professional and provided me with great care . You can definitely trust Doctor and staff. Procedures were pain free and the work that had been done is excellent you can not get any better service than that."
    Virginia Salazar
  • "Never had a more comprehensive exam and cleaning by dentist and Roxanne, the hygienist. They fortunately found two cavities that two other dentists had missed altogether.!!! a VERY BIG DEAL. also had to have a molar pulled and Dr. Moreshini was so skilled that I didn't even feel it at all! I learned so much from Roxanne about how decay happens, how to prevent tooth decay, how to effectively and affordable whiten my teeth.

    Amazing clinic... Everyone should experience this attention and care for their oral health care."
    Claudia Wolfe