Presenter: Dr Chan Pei Yuan
Title: To retreat or not to retreat? That is the Question.
Date: 27 June 2019
Venue: Alumni Theatrette (Alumni Association, 2 College Road S169850)
CDE points: 1
The ultimate goal of endodontics is to treat apical periodontitis and to prevent the recurrence of infection to the root canal system. In spite of the most ideal of situations, periapical lesions may still persist after initial root canal treatment due to a variety of reasons. Treatment options after failed initial root canal treatment include non-surgical retreatment, surgical retreatment or extraction and replacement with a single tooth implant.
Clinicians are often confronted with difficult choices whether a tooth can be salvaged or extracted and replaced with an implant, and if it can be saved, should it be treated by non-surgical retreatment or endodontic microsurgery. This choice can be challenging, depending on the accessibility to the root canal system, variations in root canal morphology and availability of advanced instruments for predictable outcomes. Periodontal, endodontic and restorative characteristics also need to be carefully evaluated to determine the prognosis and predictability of the treatment plan.
This presentation aims to shed some light on the evaluation of clinical situations and discuss the factors which will guide us through the decision making process on the retreatment of the tooth.
The lecture will include the following:
1. Clinical outcomes of non-surgical retreatment and surgical retreatment vs. single-tooth implants
2. Prognostic factors of the long term outcome for the various treatment modalities
3. Clinical considerations in nonsurgical vs. surgical retreatment
4. Clinical cases