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← All guides · Dental care

Root canal retreatment

root canal retreatment · redo root canal · repeat root canal · re-treating a tooth

The dentist opens a tooth that was treated before, removes the old filling from the canals, cleans them and fills them again.

When a tooth hurts after earlier treatment, there is inflammation at the root on the X-ray, or a crown is needed on a tooth with poorly filled canals.

⏱ Duration: usually 1 to 2 hours, often in 2 to 3 visits

Be sure to tell your doctor

How to prepare

  • X-rays. A fresh X-ray or 3D scan of the tooth is usually needed.
  • Food. Eat 1 to 2 hours before the visit.

What to bring

  • Your ID
  • Old X-rays of the tooth, if you have them
  • A list of your medicines

How it goes

  1. Numbing is given
  2. The tooth is kept dry with a rubber sheet
  3. The old filling or crown is removed
  4. The old material is taken out of the canals
  5. The canals are cleaned and rinsed
  6. Sometimes medicine is placed until the next visit
  7. The canals are filled and the tooth is closed with a temporary or permanent filling

What you'll feel

  • With numbing, pressure and vibration
  • Keeping your mouth open for long is tiring
  • Afterward the tooth may ache for a few days

Afterwards

  • Do not chew on this side while the temporary filling is in
  • Take pain relief as the doctor recommends
  • Come to all the visits you were given
  • After treatment the tooth is usually covered with a crown or inlay. The doctor will tell you

Contact a doctor straight away if

  • Swelling of the cheek or gum
  • Severe pain that keeps getting worse
  • Fever above 38 with a swollen face

Common questions

Why does the tooth need treatment again?

Sometimes infection stays in the canals or the filling is not tight. Then inflammation develops at the root.

Can I leave it if it doesn't hurt?

Inflammation can go on without pain. Make the decision together with the doctor.