[Retreatment Root Canal Treatment] My gums are swollen. The dentist I was seeing said I needed retreatment root canal treatment or an extraction.

Hello.

I’m Dr. Jeon Jun-hee, the Teeth Guardian from Sinchon.

As a specialist in Conservative Dentistry,

the treatment I perform most often in a day is

retreatment root canal treatment.

When discomfort continues after treatment at another dental clinic,

or when a patient received good treatment but

a long time has passed

and retreatment is needed,

patients come to see me.

20250106

This is a female patient in her 30s.

Overall, her oral hygiene and dental health are in relatively good condition.

20250106

Let’s look at the lower right molar.

You can see a dark space

surrounding the root tip.

This is also called apical inflammation.

The inflammation has recurred after root canal treatment

and is hanging around the root tip.

It has been a long time since treatment,

and the previous treatment does not look especially insufficient.

As nothing in the world lasts forever,

even a well-done dental treatment

may eventually need to be treated again as time passes inside the mouth.

At first,

she said the gum around the tooth began to swell,

so she went to another dental clinic.

At that clinic,

she was told, "You’ll need retreatment root canal treatment

or you’ll have to have it extracted."

Of course, no one wants to extract a precious molar.

If possible, you would want to treat it and use it for a long time.

After a long search, she came to me.

20250106

At the root tip,

a black inflammatory pocket is attached.

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After removing the crown,

a thin metal post is visible. In dentistry, this is called a post.

When the crown portion of the tooth is greatly deficient,

this post is placed into the root

to support the crown portion.

To be honest,

in this retreatment, there was no real need to place a post.

It didn’t seem necessary.

The post was removed,

and all of the previous root canal materials were removed.

Removing all traces of the previous treatment left inside the tooth,

and further improving it.

That is retreatment root canal treatment.

(Left) Previous treatment (Right) After retreatment root canal treatment

It must be treated even more carefully than the previous treatment.

It takes a lot of time

and requires multiple visits.

This is a treatment that requires the patient’s active cooperation.

It is long and tedious,

but both sides must work together

to achieve the precious result of preserving the natural tooth.

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Without a post,

the crown portion was rebuilt using only resin.

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The last thing left is the crown.

After first sealing it with resin,

we add a second layer of locking with the crown.

This is to prevent bacteria or food from entering the tooth again

and causing infection.

Even though you were busy with daily life,

your active cooperation with treatment made smooth treatment possible.

Thank you once again, Ms. ㅇㅅㅎ.

#RetreatmentRootCanalTreatment

#SpecialistInConservativeDentistry