Endodontic Retreatment
Still experiencing pain after a root canal? Expert retreatment can save your tooth and eliminate discomfort.
When Root Canal Retreatment is Needed
With proper care, teeth that have received endodontic treatment can last as long as other natural teeth. However, sometimes a tooth may fail to heal or pain may continue to exist months or years after treatment.

Signs You May Need Retreatment
- Persistent pain or discomfort after root canal treatment
- Sensitivity to hot or cold temperatures
- Swelling or tenderness in the gums
- Discoloration of the treated tooth
- Recurring abscess or infection
Common Reasons for Retreatment
Understanding why initial root canal treatment may not succeed helps us provide better retreatment outcomes.
Curved or Narrow Canals
Complex canal anatomy that was not fully treated during the initial procedure
Undetected Canals
Additional canals that went unnoticed during the original treatment
Delayed Restoration
Crown or filling was not placed within the appropriate timeframe
Contamination
Saliva contaminated the inside of the tooth due to inadequate seal
New Decay
Fresh decay exposed the root canal filling to bacteria
Cracked Restoration
Loose or damaged crown allowed reinfection of the tooth
Our Advanced Retreatment Process
Using state-of-the-art technology and proven techniques, we can often save teeth that have failed previous treatment.
Comprehensive Evaluation
3D CBCT imaging and thorough examination to assess the previous treatment and identify issues
Access and Removal
Carefully reopen the tooth and remove the previous root canal filling material
Thorough Cleaning
Clean and disinfect the canals using advanced techniques and antimicrobial solutions
Microscopic Examination
Use surgical microscope to identify any missed canals or remaining infected tissue
Sealing and Restoration
Fill and seal the canals, then place a temporary restoration
Understanding Endodontic Retreatment
Benefits of Endodontic Retreatment
Retreatment offers a second chance to save your natural tooth and avoid more complex procedures.
Save Your Tooth
Avoid extraction and preserve your natural tooth structure
Up to 85% Success Rate
Modern retreatment techniques provide excellent outcomes when properly performed
Pain Relief
Eliminate persistent pain and discomfort from failed treatment
Advanced Technology
Surgical microscopes and 3D imaging for precise treatment
Frequently Asked Questions
Common questions about endodontic retreatment and what to expect.
How successful is endodontic retreatment?
Endodontic retreatment has a success rate of up to 85% when performed by an experienced endodontist using modern techniques and technology. The success rate depends on factors such as the reason for failure, the complexity of the case, and the patient's overall health.
Is retreatment more painful than the original treatment?
Retreatment is typically no more uncomfortable than the original root canal treatment. We use advanced anesthesia techniques and offer sedation options to ensure your comfort throughout the procedure. Most patients experience significant pain relief after retreatment.
What are the alternatives to retreatment?
If retreatment is not suitable or unsuccessful, alternatives include endodontic surgery (apicoectomy) or tooth extraction followed by replacement with a dental implant, bridge, or partial denture. However, saving your natural tooth through retreatment is usually the preferred option.
Don't Give Up on Your Tooth
If you're experiencing pain after a previous root canal, retreatment may be able to save your tooth. Contact us for a comprehensive evaluation and expert care.
Serving the Greater Seattle Area
Expert retreatment for failed root canals throughout the Eastside communities. Advanced microsurgery techniques available.
Areas We Serve
Don't see your city listed? We welcome patients from throughout the greater Seattle area. Call us to discuss your endodontic retreatment needs.