Endodontic Retreatment Of Teeth With Endodontic Infection

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Nestor Cohenca, D.D.S., FIADT

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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.

This is the only place to go if you need to get a root canal, it took less than an hour and he did an outstanding job. The staff there is spot on and they know what they’re doing. Highly recommend this place.

J.S. Google

I had an apicoectomy with Dr. Cohenca and his team at Prime Endodontics, and honestly… wow. I was nervous going in (because surgery 😬), but they completely put me at ease. From the moment I walked through the door, I felt taken care of.The place is spotless, calm, and comforting. They wrapped me in a warm blanket (yes, that little touch made such a difference), explained everything so clearly, and were just so kind. Dr. Cohenca is not only an expert at what he does, but also incredibly thoughtful and attentive.The surgery itself went super smoothly, and recovery has been way easier than I expected. I never thought I’d say this about a dental procedure, but the whole experience was actually… comforting? I left feeling genuinely grateful.If you’re anxious or unsure, this is the team you want by your side. 10/10.

A.M. Google

I had the best experience. First of all the staff is accommodating and really caring as I was in so much pain they gave me earliest appointment which was next morning. I did my paper work before hand. Dr. Cohenca is an amazing doc. He evaluated me first to confirm that for sure root canal is required and then 1.5 hour around it took for while procedure. After 2 hours of root canal when my anesthesia was gone I had literally no pain.They even gave me headphones to listen to music so that I don’t have to hear that drilling noise and become anxious.100% recommend !!!

S.G. Google

If you're suffering from tooth pain and don't know where to go, don't waste your time and money. Visit Prime Endodontics in Kirkland and see Dr. Nestor Cohenca, D.D.S. He’s not just an endodontist — he’s like an angel when it comes to fixing root canals.The office is clean, the atmosphere is welcoming, and the staff is incredibly friendly. I highly recommend this clinic. Thank you so much for helping me get rid of my pain!

R.G. Google

Dr. Cohenca has saved several teeth for me with root canals. He is the BEST!

M.G. Google

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