Current concepts in gutta-percha removal in endodontic retreatment.
Effective removal of gutta-percha (GP) in endodontic retreatment is a significant factor in creating successful outcomes from failed procedures. Ideally, gutta-percha removal must be efficient, not predispose the tooth to subsequent failure through iatrogenic events, and clean the existing canals so that subsequent irrigants can effectively and biomechanically cleanse the root canal system. All things being equal, it is recommended that GP be removed without solvents in the coronal two-thirds of canals as much as possible and with solvents in the apical third. Rotary nickel titanium files and the SystemB heat source (SybronEndo, Orange, CA) are significant adjuncts in effective GP removal.
Mounce
Rich
R
lineker@aol.com
D002725:Chloroform / Q000627:therapeutic use; D003722:Dental Alloys; D003786:Dental Pulp Cavity / Q000473:pathology; D006171:Gutta-Percha / Q000737:chemistry; D006358:Hot Temperature; D006801:Humans; D009532:Nickel; D019233:Retreatment; D012387:Root Canal Filling Materials / Q000737:chemistry; D012388:Root Canal Irrigants / Q000627:therapeutic use; D018915:Root Canal Preparation / Q000295:instrumentation / Q000379:methods; D012390:Root Canal Therapy; D012997:Solvents / Q000627:therapeutic use; D014025:Titanium; D019227:Tooth Apex / Q000473:pathology; D016896:Treatment Outcome
D003722:Dental Alloys; D012387:Root Canal Filling Materials; D012388:Root Canal Irrigants; D012997:Solvents; C040654:titanium nickelide; D009532:Nickel; D002725:Chloroform; D006171:Gutta-Percha; D014025:Titanium