Decision Making in Retreatments

There are two critical factors to develop a solid protocol for retreatments are decision makinG and treatment sequence. Pointing out the main cause of pain and failure is our primary goal to be “patient centered” to relief the patients symptoms and to do that determining the actual cause is the objective. In this article we have a tooth that was treated three times previously and referred to remove the broken instrument assuming that it's the cause of pain while actually it was not the causative factor of pain as it was multifactorial including poor disinfection, missed anatomy and aggressive apical violation. therefore our treatment sequence started with the complete disinfection first then removing the file and taking the decision to…