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Surgical Retreatment

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Apical Periodontitis in Root-Filled Teeth

Abstract

In many cases, modern surgical retreatment technique is a realistic treatment option with a predictable and successful outcome. The main objective with surgical retreatment is to eliminate and prevent bacterial infection in the root canal system from causing an inflammatory reaction in the periradicular tissue. This chapter provides an overview of possible indications and contraindications for surgical retreatment from a technical, biological, anatomical, and medical perspective.

The concept of minimal invasive microsurgical approach is the state-of-the-art for surgical retreatment. It requires certain techniques, instruments, and materials. Furthermore, and perhaps most importantly, it requires magnification and illumination either through an operating microscope or loupes equipped with head-lights.

A basic prerequisite for successful treatment is the diagnosis, case selection, and treatment planning. This is particularly important since the primary treatment has failed, and consequently, the case may pose particular difficulties, which is exemplified in the chapter.

It ought … to be understood that no one can be a good physician who has no idea of surgical operations, and that a surgeon is nothing if ignorant of medicine.

—Guido Lanfranchi

Chirurgia Magna (1296, printed 1479).

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Author information

Authors and Affiliations

  1. Department of Endodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden

    Peter Jonasson DDS, PhD

  2. Endodontist in private practice, Reykjavik, Iceland

    Magnús Friðjón Ragnarsson DDS

Authors
  1. Peter Jonasson DDS, PhD
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  2. Magnús Friðjón Ragnarsson DDS
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Correspondence to Peter Jonasson DDS, PhD .

Editor information

Editors and Affiliations

  1. Department of Endodontology, University of Gothenburg The Sahlgrenska Academy, Gothenburg, Sweden

    Thomas Kvist

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Jonasson, P., Ragnarsson, M.F. (2018). Surgical Retreatment. In: Kvist, T. (eds) Apical Periodontitis in Root-Filled Teeth. Springer, Cham. https://doi.org/10.1007/978-3-319-57250-5_7

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  • DOI: https://doi.org/10.1007/978-3-319-57250-5_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-57248-2

  • Online ISBN: 978-3-319-57250-5

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