Silver Point Retreatment : Two Different Approaches � A Case Series

Archit Kedia; Vidya Saraswathi; Tina P Purayil; Sree theja Upadhyay; Reaba R Thomas

Volume : VI, Issue : VI, June - 2016

Silver Point Retreatment : Two Different Approaches � A Case Series

Archit Kedia, Vidya Saraswathi, Tina P Purayil, Sree Theja Upadhyay, Reaba R Thomas

Abstract :

 Clinicians infrequently encounter endodontically treated teeth with silver points that are often associated with a high degree of endodontic failure. These silver points corrode over time and do not produce an acceptable three dimensional seal of the root canal system. Hence, there is frequently a need to retreat these cases in order to facilitate a successful outcome. Despite the shortcomings of silver points, prophylactic revision of silver point obturation is not recommended, unless there is clear evidence of endodontic pathosis or if they complicate proper restoration of the tooth. “Selective root retreatment” is an alternative treatment where retreatment is limited to a single root showing periapical pathology without involving the other roots with no visible pathosis. This case report presents two cases of successful management of nonsurgical retreatment of a maxillary and a mandibular molar previously obturated with silver points.