Root canal treatment (RCT) is a conservative procedure to save infected natural teeth, often necessitated by spread of infection to the tooth root. If primary RCT fails, re-root canal treatment (re-RCT) may be performed to eliminate the infection without invasive surgery. Various advanced tools and techniques, including digital x-rays and rotary systems, are utilized in re-RCT, and Dr. Sachdeva's Dental Institute offers specialized courses in dentistry.

1. RE- ROOT CANAL TREATMENT

2. Root Canal treatment-
A root canal treatment (RCT) is the most
conservative treatment to save the natural teeth
which is infected. This treatment is generally,
introduced when the infection spreads in a tooth
root reaching the tip of the root. Sometimes, the
lesion further invades in the soft tissue and form a
clear infection line associated with root apex, seen
in the x-ray.

4. Re- Root Canal treatment-
Once the primary root canal treatment fails, that
particular tooth can be saved without any invasive
surgery just by re- treating its root canals (Re-RCT)
again to remove the infection. The symptoms of
failed root canals can cause serious pain to the
patient and calls for an emergency endodontic visit.

6. Causes of root canal failure:
•Continuance of bacteria causing secondary
infection in the canal or outside the canal- on tooth
or its roots.
•Incomplete filling of canals or chances of
reoccurrence is also due to poorly cleaned canals.

7. •Outstretched root canal filling extending
beyond the root tip in the soft tissue.
•Irregular seal at the tooth- root junction,
delivering micro- leakage in the canal.

8. •Salivary contamination while sealing a root
canal.
•Missed treating canals, either major or
accessory.

9. Misconception related to re- root canal treatment:
•Painful procedure-
It is very normal to have moderate pain after root canal
treatment for few days and subsides on its own.

10. •RCT causes illness-
Dental pain is considered to be the most severe
pains compared to other systemic problems, causing
pain. Many of them fear of getting sick after they
had RCT done. But, it is always better to preserve
natural teeth than to get it replaced by any other
option. Slight tenderness on chewing with RC
treated teeth is there for 3 to 7 days and then the
patient adapts to the new changes- definitely he or
she is relieved of severe pain with which they had
reported to the clinic for.

11. •Preferring extraction over RCT-
This is not true, extraction is the surgical
procedure requiring sure pain post extraction
and losing a tooth which could have been
saved.

12. Another endodontic treatment options:
Endodontic surgery- Small fractures with root or a
tooth can be corrected by endodontic surgery
followed by root canal treatment, gives the best
restored tooth making it last longer. Sometimes, it
has been noticed that after primary root canal
treatment there is small fracture present which can
be surgically treated.

13. Advanced tools used in re- root canal
treatments:

14. •Dental microscopes and loupes used in
performing re- root canal treatment facilitates
high resolution making the operating field clear,
making the work easy and precise. We, at Dr.
Sachdeva’s Dental Institute are equipped with
such latest system. Our clinic is the best dental
clinic in North Delhi.

16. •Digital x-rays are taken with RVG 5100
digital sensor which records fast and
immediate HD images showing sharp images
of the root canal.

17. Re- root canal treatment done with
rotary system:

18. •Apex locator-
It is generally used to measure the lengths of root
canals avoiding the conventional radiographic
methods. We have Canal pro by Coltene apex
locator to measure the canal length digitally for a
faster, more accurate and radiation free process.

19. •Endomotor: This is used in cleaning and
shaping of a root canal using specialized files.
To accomplish this we have Endomotor from
Dentsply which provides better treatment
outcomes.

20. •Rotary File system used:
 Protaper NEXT
 Kerr Endo K3/ Quantec, K3X
 Profile Rotary Files
 F360 endo-system by Komet
 Endowave from J Morita

21. Hero 642
Pathfile- A new Maillefer rotary Nickel Titanium system
ProGlider- Rotary Glide path file from DENTSPLY
HyFlex CM Rotary file by COLTENE
Self Adjusting File system (SAF)
Adaptive & advanced endodontic system

22. Re- root canal treatment kits:
•Protaper Universal from Dentsply
•Masserann kit to retrieve separated
instruments.

23. Touch and heat system
System B (Sybron Endo)

24. Dr. Sachdeva’s Dental Institute masters in providing
various certified courses to the hard core dental
aspirants who are keen in learning clinical aspects of
dentistry. Dr. Rajat is the captain leading his team
and believes in teaching with latest equipments. A
learner from Dr. Sachdeva’s institute is the sure- best
dentist in Delhi.

26. FAQ’s

27. Q1. Do root canal causes health problems?
A1. Root canal infection is not the cause of any
systemic illness, major or minor. Root canal
treatment if done does not leave any necrotic
bone in your tissue.

28. Q2. What should you do after a root canal?
A2. Most commonly there is slight discomfort felt
after the completion of root canal which lasts for few
days. If you experience pain post treatment then pain
killers available over the counter can be taken as
needed. Intake of medication is also temporary; one
need not take it for long time.

29. Q3. Do I need crown after the root canal
treatment is finished?
A3. Yes, it is important to get a crown over root
canal treated tooth. As it restores its functional
abilities and reinforces strength in the root canal
treated tooth making minimal chances of wear
and tear.

30. Q4. What are alternatives to root canal?
A4. Considering the cost of a root canal,
extraction is the only option to get comfort from
constant pain caused by infected tooth. This tooth
can be saved by doing a root canal, but in
patients not willing to go for endodontic
treatment can get there tooth extracted. It is
always better to save the natural tooth.

31. Q5. Can I get filling done over root canal
treatment?
A5. Decay which is nearer to the surface of the
tooth can be saved by just doing a filling. But, if the
decay has gone down deep to the pulp then root
canal has to be done, to remove infection from the
roots saving a tooth and restoring its function and
strength.

32. Dr. Sachdeva’s dental institute in Delhi is
the best dental clinic in Delhi. He exercises
many different dental procedures,
thoroughly after examining the patient with
great care and concern.