Endodontic Retreatment Of Teeth With Endodontic Infection

Nestor Cohenca, D.D.S., FIADT

10/31/2022

Effectiveness Of 1-Visit And 2-Visit Endodontic Retreatment Of Teeth With Endodontic Infection

Conclusions: Endodontic retreatment in 1 or 2 visits exhibited equally favorable periapical healing at 18 months, with no statistically significant differences between groups. Cestari Toia et al. J Endod 2022;48:4–14

This randomized clinical trial aimed to compare the effectiveness of endodontic retreatment of teeth with post-treatment apical periodontitis (PTAP) performed in 1 visit versus 2 visits on the reduction of cultivable bacteria and the periapical lesion volume (mm3) after 18 months of follow-up. M & M: 40 patients diagnosed with PTAP were selected and randomly divided into the following 2 groups: 1-visit retreatment and 2-visit retreatment with the placement of calcium hydroxide medication for 14 days. Cone-beam computed tomographic scans were performed at 2 stages: preoperatively and after 18 months of follow-up. Samples were collected before and after root canal procedures. Results: A higher bacterial load was found in the 2-visit group after the retreatment protocol, with no statistical differences between the groups regarding endotoxin levels and periapical lesion volume (mm3) at the 18-month follow-up analyzed by cone-beam computed tomographic imaging. Conclusions: Endodontic retreatment in 1 or 2 visits exhibited equally favorable periapical healing at 18 months, with no statistically significant differences between groups.

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Nestor Cohenca, D.D.S., FIADT Prime Endodontics

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I had my second root canal in a week performed by a very caring and skilled Dr. Cohenca. I can honestly say the experience was much easier and painless than I feared. In fact it was a lot like getting a cavity filled, just takes longer, about an hour. I was able to leave the office and go for a pain-free cold smoothie on the way home! The Dr. clearly explained the procedure with images, and I could see the before and after X-rays. He was assisted by skilled and compassionate professionals who made sure I was comfortable throughout the procedure. The front desk staff is very competent as well.

D.O. Yelp

If you need a root canal, look no further. Dr Cohenca is the only endodontist I will go to for root canals. I have had so many traumatic ones over the years, but for my last 2(which were repairs of old root canals), he fixed me right up. So professional, yet so sweet and caring. I believe him to be the best out there! He is honest and lets you know exactly what is going on, as well as having a dental office with the latest and greatest technology so you can even watch your own procedure.

H.M. Google

Was able to visit this clinic in two different occasions and I recommend Prime Endodontics, very professional staff, very caring, they made sure I was comfortable and my dental procedure was excellent, I Receive a post-op call after each visit to check on my progress, that is something I really appreciate. My dentist informed me that he refer me to this clinic because of the good comments and excellent ratings, I can confirm that it is true and I do recommend this clinic.

D.R. Google

Dr. Cohenca is so highly skilled & excellent at what he does. I had a very challenging root canal, and was very anxious. I needn’t have been - I experienced very minimal discomfort during and after the procedure. His staff was great - just couldn’t have asked for more. I would recommend Dr. Cohenca highly!!

D.K. Google

I have had nothing but positive experiences at Prime Endodontics. Dr.Sahrd Nawari was especially adept at explaining the procedures and monitoring my comfort level and anxiety. have seen both doctors and they provide gentle care and my comfort came first. I highly recommend them.

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