Int J Stomatol ›› 2021, Vol. 48 ›› Issue (5): 579-584.doi: 10.7518/gjkq.2021100

• Reviews • Previous Articles     Next Articles

Clinical evaluation and treatment strategies for post-treatment endodontic disease

Xing Guiqi(),Guo Linxi,Su Qin()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-02-15 Revised:2021-06-02 Online:2021-09-01 Published:2021-09-10
  • Contact: Qin Su E-mail:925197055@qq.com;susan_sq@hotmail.com
  • Supported by:
    Science and Technology Projects of Sichuan Province(2018SZ0129)

Abstract:

Root canal therapy is the most effective method to solve pulpal and periapical diseases, but some clinical cases still require retreatment because of treatment failure or new symptoms. Disease complexity, diagnostic uncertainty, and technical equipment limitations have caused difficulties in the diagnosis and treatment of such diseases. This article aims to propose corresponding clinical treatment strategies from the perspective of the affected tooth itself and the risks/benefits to provide a reference for clinicians in choosing a retreatment plan.

Key words: post-treatment endodontic disease, root canal retreatment, apical microsurgery, intentional replantation, risk benefit assessment

CLC Number: 

  • R781.05

TrendMD: 
[1] Haapasalo M, Shen Y, Ricucci D. Reasons for persistent and emerging post-treatment endodontic disease[J]. Endod Top, 2008, 18(1):31-50.
doi: 10.1111/etp.2011.18.issue-1
[2] Ng YL, Mann V, Gulabivala K. Tooth survival following non-surgical root canal treatment: a systematic review of the literature[J]. Int Endod J, 2010, 43(3):171-189.
doi: 10.1111/j.1365-2591.2009.01671.x pmid: 20158529
[3] Carratù P, Amato M, Riccitiello F, et al. Evaluation of leakage of bacteria and endotoxins in teeth treated endodontically by two different techniques[J]. J Endod, 2002, 28(4):272-275.
doi: 10.1097/00004770-200204000-00003
[4] Gillen BM, Looney SW, Gu LS, et al. Impact of the quality of coronal restoration versus the quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis[J]. J Endod, 2011, 37(7):895-902.
doi: 10.1016/j.joen.2011.04.002 pmid: 21689541
[5] Touré B, Faye B, Kane AW, et al. Analysis of reasons for extraction of endodontically treated teeth: a prospective study[J]. J Endod, 2011, 37(11):1512-1515.
doi: 10.1016/j.joen.2011.07.002
[6] Ricucci D, Siqueira JF Jr. Recurrent apical periodontitis and late endodontic treatment failure related to coronal leakage: a case report[J]. J Endod, 2011, 37(8):1171-1175.
doi: 10.1016/j.joen.2011.05.025
[7] Hayashi M, Kinomoto Y, Takeshige F, et al. Prognosis of intentional replantation of vertically fractured roots reconstructed with dentin-bonded resin[J]. J Endod, 2004, 30(3):145-148.
doi: 10.1097/00004770-200403000-00005
[8] Ng YL, Mann V, Rahbaran S, et al. Outcome of primary root canal treatment: systematic review of the literature: part 2. Influence of clinical factors[J]. Int Endod J, 2008, 41(1):6-31.
pmid: 17931388
[9] Craveiro MA, Fontana CE, de Martin AS, et al. Influence of coronal restoration and root canal filling quality on periapical status: clinical and radiographic evaluation[J]. J Endod, 2015, 41(6):836-840.
doi: 10.1016/j.joen.2015.02.017 pmid: 25799533
[10] Azim AA, Griggs JA, Huang GT. The Tennessee stu-dy: factors affecting treatment outcome and healing time following nonsurgical root canal treatment[J]. Int Endod J, 2016, 49(1):6-16.
doi: 10.1111/iej.12429 pmid: 25582870
[11] Nascimento EHL, Gaêta-Araujo H, Andrade MFS, et al. Prevalence of technical errors and periapical lesions in a sample of endodontically treated teeth: a CBCT analysis[J]. Clin Oral Investig, 2018, 22(7):2495-2503.
doi: 10.1007/s00784-018-2344-y
[12] Mello FW, Miguel AFP, Ribeiro DM, et al. The influence of apical extent of root canal obturation on endodontic therapy outcome: a systematic review[J]. Clin Oral Investig, 2019, 23(5):2005-2019.
doi: 10.1007/s00784-019-02897-x
[13] Siqueira Junior JF, Rôças IDN, Marceliano-Alves MF, et al. Unprepared root canal surface areas: cau-ses, clinical implications, and therapeutic strategies[J]. Braz Oral Res, 2018, 32(suppl 1):e65.
[14] Baruwa AO, Martins JNR, Meirinhos J, et al. The influence of missed canals on the prevalence of periapical lesions in endodontically treated teeth: a cross-sectional study[J]. J Endod, 2020, 46(1): 34-39. e1.
doi: 10.1016/j.joen.2019.10.007
[15] Karabucak B, Bunes A, Chehoud C, et al. Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal: a cone-beam computed tomography study[J]. J Endod, 2016, 42(4):538-541.
doi: 10.1016/j.joen.2015.12.026 pmid: 26873567
[16] 闫萍. 根管再治疗的问题与对策[J]. 中国实用口腔科杂志, 2011, 4(9):524-528.
Yan P. Problems and solutions in root canal retreat-ment[J]. Chin J Pract Stomatol, 2011, 4(9):524-528.
[17] Pereira RS, Rodrigues VAA, Furtado WT, et al. Microbial analysis of root canal and periradicular lesion associated to teeth with endodontic failure[J]. Anaerobe, 2017, 48:12-18.
doi: S1075-9964(17)30134-8 pmid: 28666877
[18] Ricucci D, Candeiro GT, Bugea C, et al. Complex apical intraradicular infection and extraradicular mineralized biofilms as the cause of wet canals and treatment failure: report of 2 cases[J]. J Endod, 2016, 42(3):509-515.
doi: 10.1016/j.joen.2015.12.014
[19] Wang J, Jiang YT, Chen W, et al. Bacterial flora and extraradicular biofilm associated with the apical segment of teeth with post-treatment apical periodontitis[J]. J Endod, 2012, 38(7):954-959.
doi: 10.1016/j.joen.2012.03.004
[20] Nair PN. On the causes of persistent apical periodontitis: a review[J]. Int Endod J, 2006, 39(4):249-281.
pmid: 16584489
[21] Siqueira JF Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail[J]. Int Endod J, 2001, 34(1):1-10.
pmid: 11307374
[22] Zhang JY, Luo N, Miao D, et al. Intentional replantation of periodontally involved hopeless teeth: a ca-se series study[J]. Clin Oral Investig, 2020, 24(5):1769-1777.
doi: 10.1007/s00784-019-03039-z
[23] Segura-Egea JJ, Martín-González J, Cabanillas-Bal-sera D, et al. Association between diabetes and the prevalence of radiolucent periapical lesions in root-filled teeth: systematic review and meta-analysis[J]. Clin Oral Investig, 2016, 20(6):1133-1141.
doi: 10.1007/s00784-016-1805-4
[24] Segura-Egea JJ, Martín-González J, Castellanos-Cosano L. Endodontic medicine: connections between apical periodontitis and systemic diseases[J]. Int Endod J, 2015, 48(10):933-951.
doi: 10.1111/iej.12507 pmid: 26174809
[25] Chong BS, Gohil K, Pawar R, et al. Anatomical relationship between mental foramen, mandibular teeth and risk of nerve injury with endodontic treatment[J]. Clin Oral Investig, 2017, 21(1):381-387.
doi: 10.1007/s00784-016-1801-8
[26] Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review[J]. J Endod, 2006, 32(7):601-623.
doi: 10.1016/j.joen.2005.12.010
[27] Torabinejad M, Dinsbach NA, Turman M, et al. Survival of intentionally replanted teeth and implant-supported single crowns: a systematic review[J]. J Endod, 2015, 41(7):992-998.
doi: 10.1016/j.joen.2015.01.004 pmid: 25742795
[28] Rouhani A, Javidi B, Habibi M, et al. Intentional replantation: a procedure as a last resort[J]. J Contemp Dent Pract, 2011, 12(6):486-492.
pmid: 22269241
[29] Salvi GE, Siegrist Guldener BE, Amstad T, et al. Cli-nical evaluation of root filled teeth restored with or without post-and-core systems in a specialist practice setting[J]. Int Endod J, 2007, 40(3):209-215.
pmid: 17305698
[30] Rollings S, Stevenson B, Ricketts D, Posts: When it all goes wrong! Part 1: case assessment and management options[J]. 2013, 40(2): 82-84, 86-88, 90-91.
[31] Sorrentino R, di Mauro MI, Ferrari M, et al. Complications of endodontically treated teeth restored with fiber posts and single crowns or fixed dental prostheses: a systematic review[J]. Clin Oral Investig, 2016, 20(7):1449-1457.
doi: 10.1007/s00784-016-1919-8
[32] Guldener KA, Lanzrein CL, Siegrist Guldener BE, et al. Long-term clinical outcomes of endodontically treated teeth restored with or without fiber post-retained single-unit restorations[J]. J Endod, 2017, 43(2):188-193.
doi: S0099-2399(16)30735-X pmid: 27939825
[33] Beddis HP, Okechukwu N, Nattress BR. ‘the last post?’: assessment of the failing post-retained crown[J]. Dent Updat, 2014, 41(5):386-394.
doi: 10.12968/denu.2014.41.5.386
[34] Plotino G, Grande NM, Pameijer CH, et al. Influence of surface remodelling using burs on the macro and micro surface morphology of anatomically for-med fibre posts[J]. Int Endod J, 2008, 41(4):345-355.
doi: 10.1111/j.1365-2591.2007.01362.x pmid: 18217993
[35] Truschnegg A, Rugani P, Kirnbauer B, et al. Long-term follow-up for apical microsurgery of teeth with core and post restorations[J]. J Endod, 2020, 46(2):178-183.
doi: S0099-2399(19)30850-7 pmid: 31862177
[36] Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health[J]. Int Endod J, 2011, 44(7):583-609.
doi: 10.1111/j.1365-2591.2011.01872.x pmid: 21366626
[37] Chugal NM, Clive JM, Spångberg LS. Endodontic infection: some biologic and treatment factors associated with outcome[J]. Oral Surg Oral Med Oral Pa-thol Oral Radiol Endod, 2003, 96(1):81-90.
[38] Madarati AA, Hunter MJ, Dummer PM. Management of intracanal separated instruments[J]. J Endod, 2013, 39(5):569-581.
doi: 10.1016/j.joen.2012.12.033 pmid: 23611371
[39] Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study. PhasesⅠandⅡ: orthograde retreatment[J]. J Endod, 2004, 30(9):627-633.
doi: 10.1097/01.DON.0000129958.12388.82
[40] Siew K, Lee AH, Cheung GS. Treatment outcome of repaired root perforation: a systematic review and meta-analysis[J]. J Endod, 2015, 41(11):1795-1804.
doi: 10.1016/j.joen.2015.07.007
[41] Kruse C, Spin-Neto R, Wenzel A, et al. Cone beam computed tomography and periapical lesions: a systematic review analysing studies on diagnostic efficacy by a hierarchical model[J]. Int Endod J, 2015, 48(9):815-828.
doi: 10.1111/iej.12388 pmid: 25283541
[42] Cho SY, Lee Y, Shin SJ, et al. Retention and healing outcomes after intentional replantation[J]. J Endod, 2016, 42(6):909-915.
doi: 10.1016/j.joen.2016.03.006
[43] Torabinejad M, Corr R, Handysides R, et al. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review[J]. J Endod, 2009, 35(7):930-937.
doi: 10.1016/j.joen.2009.04.023 pmid: 19567310
[44] Kang MJ, In Jung H, Song MJ, et al. Outcome of nonsurgical retreatment and endodontic microsurgery: a meta-analysis[J]. Clin Oral Investig, 2015, 19(3):569-582.
doi: 10.1007/s00784-015-1398-3
[45] 黄定明, 甯佳丽, 郑广宁, 等. 牙根尖周区病变的影像学诊断之惑与鉴别之道[J]. 国际口腔医学杂志, 2017, 44(3):249-255.
Huang DM, Ning JL, Zheng GN, et al. Confusion and differentiation of periapical radiolucent lesions[J]. Int J Stomatol, 2017, 44(3):249-255.
[1] Zhao Yuanxi,Su Qin.. Application and development of supplementary techniques in removing the remaining filling materials of root canal retreatment [J]. Int J Stomatol, 2023, 50(5): 581-586.
[2] Zhang Jiayu,Luo Ning,Miao Di,Ying Xuan,Chen Yue. Clinical study on intentional replantation for periodontally involved hopeless teeth [J]. Int J Stomatol, 2019, 46(4): 400-406.
[3] Sun Xiao-yang, Li Xia.. Research status of NiTi retreatment instrumentations for the removal of filling material in the root canal [J]. Inter J Stomatol, 2017, 44(3): 284-287.
[4] Li Xue, Jia Chunrong, Zhao Xiaoxi. A analysis of nursing cooperation during intentional replantation microsurgery [J]. Inter J Stomatol, 2016, 43(4): 409-411.
[5] Zhang Ruirui, Sun Keqin. Pathogenicity, detection, and elimination of Enterococcus faecalis in post-treatment endodontic disease [J]. Inter J Stomatol, 2015, 42(3): 357-360.
[6] Song Dengxian, Chen Xinmei, Zheng Liwei. Current opinions and new perspectives on etiology and treatment of refractory periapical periodontitis [J]. Inter J Stomatol, 2013, 40(3): 330-333.
[7] WEN Chun -mei, CHEN Wen -xia.. Formation mechanism of Enterococcus faecalis biofilm associating with post-treatment endodontic disease [J]. Inter J Stomatol, 2011, 38(3): 304-307.
[8] LI Feng-xia, TAN Hong, YE Ling.. Clinical analysis of 201 cases of root canal retreatment [J]. Inter J Stomatol, 2011, 38(2): 134-137.
[9] LI Feng -xia, TAN Hong, YE Ling.. Research using different instruments to remove filling material in the root canal [J]. Inter J Stomatol, 2010, 37(4): 457-459.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[7] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[8] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[9] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[10] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .