AAE Online CE
SP-8 Nonsurgical Retreatment: Management of Different Clinical Situations
The nonsurgical endodontic retreatment is one of greatest challenges in everyday's endodontic practice. Clinical procedures, in general, include the removal and/or drilling of crowns, the removal of cast posts or screws, gutta-percha, silver cones, pastes, and, in some cases separated instruments. Once these maneuvers are done, we must approach the root canal system to be able to shape it again, clean it, and finally fill it. The diagnosis must encompass a vision, not only endodontic but also restorative. This means that the dentist and/or endodontist should be trained to do an endo-restorative diagnosis of the tooth, considering if retreatment is viable and if it will be structurally able to fulfill its functional role in the oral cavity after therapy. The bibliography describes a success rate in the endodontic reintervention that oscillates between 80% and 88%, being in this way a predictable practice, when it is well executed and fundamentally when diagnosis is correct.
At the conclusion, participants should be able to:
- Recognize the reason why primary treatment failed, and study the conditions to achieve an accurate endo-restorative diagnosis of the compromised tooth.
- Describe and evaluate different ways of removing different intra-radicular posts, gutta-percha, silver cones, separate instruments, etc.
- Explain the importance of accurate coronal rehabilitation and follow-ups as fundamental to assess the long-term success of our therapies.
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Jorge C. Alberdi, DDS
• Specialist in Endodontics
• Director of the post-graduate course "Clinical Mechanized Endodontics", at Circulo Odontológico de Rosario, Rosario, Argentina
• Auxiliar Professor of the Endodontics Chair II, at University of Salvador / Asociación Odontologica Argentina, Buenos Aires, Argentina • Visiting Professor of the "Specialist of Endodontics Carreer", at Catholic University of Cordoba, Cordoba, Argentina
• Director of course: "Operative Microscope and new technologies in Endodontics", at Troiano Odontology Institute, Rosario, Argentina
• Member of the Troiano Odontology Institute, dedicated to the clinical area of Endodontics and Post-endodontic Reconstruction, in Rosario, Argentina
• Lecturer on Endodontics and Post-endodontic Reconstruction
• Author and co-author of research articles and case reports in national and international journals
• Partner of the Argentine Society of Endodontics (SAE) and the American Association of Endodontists (AAE)
Jorge C. Alberdi, DDS
I declare that I have no proprietary, financial, or other personal interest of any nature or kind in any product, service, course, and/or company, or in any firm beneficially associated therewith, that will be discussed or considered during the proposed presentation.