Endodontic Retreatment 2009

Objectives and Goals

  • Discuss the indications, contraindications and prognosis for non-surgical endodontic retreatment.
  • Discuss the current techniques used for the retreatment of gutta-percha, silver cones, and carrier systems.

Endodontic Failures and Re-treatment. in Pathways of the Pulps.  Eds: Cohen and Hargreaves. 2006, 9th edition chapt 25:954-1005

Ruddle CJ.  Nonsurgical retreatment.  J Endodon  2004;30:827-845


Molven O.  Nonpenetrable root canals as assessed by a standardized instrumentation procedure.  Oral Surg 35:232-237. 1973.


Bergenholtz G, Lekholm U, Milthon R, Heden G, Odesjo B,

Engstrom B. Retreatment of endodontic fillings.  Scand J Dent Res 87:217-224. 1979.

Bergenholtz G, Lekholm U, Milthon R, Engstrom B.  Influenceof apical overinstrumentation and overfilling on retreated endodontic fillings. J Endodon 5:310-314. 1979.           


Allen RK, Newton CW, Brown CE.  A statistical analysis of surgical and non-surgical endodontic retreatment cases.  J Endodon 15:261-266. 1989.


Sjogren U, Hagglund B, Sundqvist, G, Wing K.  Factors affecting long-term results of endodontic treatment.  J Endod 1990;16:498-504


McDonald MN, Vire DE.  Chloroform in the endodontic operatory. J Endodon 18:301-303. 1992.


Van Nieuwenhuysen JP, Aouar M, D'Hoore W.  Retreatment or radiographic monitoring in endodontics.  Int Endodon J  27:75-81 1994.


Molander A, Reit C, dahlen g, Kvist T.  Microbioligical status of root-filled teeth with apical periodontitis.  Int Endod J.  1998;31:1-7

Sundqvist G, Figdor D, Persson S, Sjogren U.  Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:86-93.


Kvist T, Reit C.  Results of endodontic retreatment: A randomized clinical study comparing surgical and non-surgical procedures.  J Endodon 1999;25:814-817

Nair PNR, Sjogren U, Figdor D, Sundqvist.  Persistent periapical radiolucencies of root-filled teeth, failed endodontic treatments, and periapical scars.  Oral Surg Oral Med Oral Pathol 1999;87:617-627


Ricuccii D, Grondahl K, Bergenholtz G.  Peiapical status of root-filled teeth exposed to the oral environment by loss of restoration or caries.  Oral Surg Oral Pathol Oral Radiol Endod 2000;90:354-9


Heling I, Gorfil C, Slutzky,H, Kopolovic K, Zalkind M, Slutzky-Goldberg I.  Endodontic failure caused by inadequate restorative procedures: Review and treatment recommendations.  J Prosthet Dent 2002;87:674-8

Kvist T, Reit C.  Postoperative discomfort associated with surgical and nonsurgical endodontic retreatment.  Endod Dent Traumatol  2000;16:71-74         

Hoen MM, Pink FE.  Contemporary endodontic retreatments: An analysis based on clinical treatment findings.  J Endod 2002;12:834-36


Gorni FGM, Gagliani MM.  The outcome of endodontic retreatment: A 2-yr follow-up.  J Endodon 2004;30:1-4

Farzaneh M, Abitol S, Friedman S.  Treatment outcome in endodontics: The Toronto study.  Phases I and II: Orthograde retreatment.  J Endodon 2004;30:627-633

Paik S, Sechrist C, Torabinejad M.  Levels of evidence for the outcome of endodontic retreatment.  J Endodon 2004;30:745-750

Fristad I, Molven O, Halse A.  Non-surgically retreated root-filled teeth – radiographic findings after 20-27 years.  Int Endod J  2004;37:12-18


Edgar SW, Marshall JG, Baumgartner JC.  The antimicrobial effect of chloroform on enterococcus faecalis after gutta-percha removal.  J Endod 2006;32:1185-87


Schirmeister JF, Liebenow AL, Braun G, Wittmer A, Hellwig E, Al-Ahmad A.  Detection and eradication of microorganisms in root-filled teeth associated with periradicular lesions: An in vivo study.  J Endod 2007;33:536-40


Wilcox LR.  Thermafil retreatment with and without chloroform solvent. J Endodon 19:563-566. 1993.

Hulsmann M.  Methods for removing metal obstructions from the root canal. Endodon Dent Traumatol 9:223-237. 1993.

Moshonow J, Trope M, Friedman S.  Retreatment efficacy 3 months after obturation using glass ionomer cement, zinc oxide-eugenol, and epoxy resin sealers.  J Endodon 1994;20:90-92.

Metzger Z, Ben-Amar A.  Removal of overextended gutta-percha root canal fillings in endodontic failure cases.  J Endodon 21:287-288  1995.

Hulsmann M, Stotz S.  Efficacy, cleaning ability and safety of different devices for gutta-percha removal in root canal retreatment. Int Endodon J 30:227-233 1997.

Wilcox LR.  Endodontic retreatment: ultrasonics and chloroform as the final step in reinstrumentation.  J Endodon 15:125-127. 1989.

Wilcox LR, Van Surksum R.  Endodontic retreatment in large and small straight canals.  J Endodon 17:119-121. 1991.

Wilcox LR, Swift M.  Endodontic retreatment in small and large curved canals.  J Endodon 17:313-315. 1991.

Altshul JH, Marshall G, Morgan LA, Baumgartner JC.  Comparison of dentinal crack incidence and of post removal time resulting from post removal by ultrasonic force.  J Endodon 23:683-686  1997.

Wilcox LR, Krell KV, Madison S, Rittman B.  Endodontic retreatment: evaluation of gutta percha and sealer removal and canal reinstrumentation. J Endodon 13:453-457. 1987.           

Wourms DJ, Campbell AD, Hicks ML, Pelleu GB.  Alternative solvents to chloroform for gutta-percha removal. J Endodon 16:224-226 1990

Chutich MJ,  Kaminski EJ, Miller DA, Lautenschlager EP.  Risk assessment of the toxicity of solvents of gutta-percha used in endodontic retreatment. J Endodon 24:213-216.

Danin J, Linder LE, Lundqvist G, Ohlsson L, Ramsskold LO, Stromberg T. Outcomes of periradicular surgery in cases with apical pathosis and untreated canals.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod.  199;87:227-232     

Imura N, Zuolo ML, Kherlakian D.  Comparison of endodontic retreatment of laterally condensed gutta percha and Thermafil with plastic carriers. J Endodon 19:609-612. 1993.

Ferreira JJ, Rhodes JS, Pitt Ford TR.  The efficacy of gutta-percha removal using profiles.  Int Endo J 2001;34:267-274.

Friedman S.  Considerations and concepts of case selection in the management of post-treatment endodontic disease (treatment failure).  Endo Topics 2002;1:54-78

Plotino G, Pameijer CH, Grande NM, Somma F.  Ultrasonics in endodontics: A review of the literature.  J Endod 2007;33:81-95