Our topic in the next weeks is root canal treatment and its risks! (8/10)
If bone is already too badly inflamed after faulty root treatment, then it is no longer enough to clean out the inside of the tooth. The inflammation is too extensive. One option is to perform a root tip resection.
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But root tip resection just means removing inflamed tissue, the cause of the inflammation, the contaminated canal, is left untreated. Either a revision is performed to redo root treatment as part of the operation – which is then referred to as root tip resection with orthograde filling, or the root canal is sealed up from behind – referred to as root tip resection with retrograde filling.
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Why from behind? Well, sometimes it is no longer possible to perform a revision starting from the crown e.g. in the case of pivot teeth, or if the structure of the root canal is too complicated, or part of an instrument has broken off during treatment, etc. Depending on the circumstances, this sealing method can also be used to kill off the bacteria still left in the root canal, because you cut the bacteria off from their source of food, and the tooth is saved!