Just to keep you thinking……………………..
Reasons for failure
subsequent to retreatment
· Incomplete debridement
· Inadequate apical enlargement
· Extra-radicular infection
· Resistant Intra-canal infection (E. faecalis)
· Root surface biofilm
· Foreign body
reactions
· True cyst
· Non-negotiable canal (obliteration,
deformations from initial treatment,missed canals)
· Ledges,blockages, transportation
· Vertical root fracture
· Coronal re-infection
· Apical Surgery
o
Missed
canals/roots during surgery
o
Coronal
leakage
o
Leakage
of retrograde filling