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Root canal retreatment

A typical case, in 6 steps over 2 visits. Typically sore for a few days afterward. Every step names its source.

Not yet reviewed by a licensed clinician. Every step names its source.

Root canal retreatment, Visit 1: Checking the tooth. Tooth #14, rendered illustration.
Illustration of a typical case, not a photo of a patient and not a prediction of your result. Results vary.

Root canal retreatment · Visit 1

Checking the tooth

The endodontist examines the tooth and takes X-rays to see why the first root canal has not healed.

Source: aae.org

Steps in a typical case

  1. Checking the tooth

    The endodontist examines the tooth and takes X-rays to see why the first root canal has not healed.

    Visit 1 · Source 1

  2. Reopening the tooth

    The tooth is numbed and reopened, and the filling material placed in the root canals during the first treatment is removed.

    Visit 1 · Source 1

  3. Looking for what was missed

    The endodontist examines the inside of the tooth for additional canals or new infection.

    Visit 1 · Source 1

  4. Cleaning and refilling

    Any infection is removed, the canals are cleaned and shaped, and new filling material is placed.

    Visit 1 · Source 1

  5. Temporary filling

    The opening is sealed with a temporary filling.

    Visit 1 · Source 1

  6. Permanent filling or crown

    The tooth is then restored with a permanent filling or crown to seal and protect it.

    Visit 2 · Source 2

Typical trade-offs

VisitsTypically a retreatment visit, plus a follow-up visit for a filling or crown. Source 2
Time to final resultTypically sore for a few days afterward. Source 2
How long it lastsTypically, with proper care, a treated tooth can last a lifetime. Source 1
UpkeepTypical upkeep: brushing twice a day, cleaning between teeth daily and regular dental visits. Source 3

Figures for a typical case from the sources below. A dentist can say how a given case differs.

Questions to ask your dentist

  • The typical case takes 2 visits. How many would I need, and what happens at each one?
  • What are my other options, including waiting, and what happens if I wait?
  • How long does it usually last in a case like mine, and what upkeep will it need?
  • Will it hurt, and what can I eat or do while it heals?
  • What will it cost me, and will my insurance cover it? Ask which billing codes apply (the typical case uses D3346, D3347, D3348).
  • How many of these have you done, and who would do mine?

Sources

  1. Endodontic retreatment. American Association of Endodontists. www.aae.org/patients/root-canal-treatment/endodontic-treatment-options/endodontic-retreatment. Accessed November 14, 2026.
  2. Endodontics. Cleveland Clinic. my.clevelandclinic.org/health/articles/16959-endodontics. Accessed November 14, 2026.
  3. Root canals. ADA MouthHealthy. www.mouthhealthy.org/all-topics-a-z/root-canals. Accessed November 10, 2026.

Osler Press procedure library, version 2026.11.0. Billing codes for the typical case: D3346, D3347, D3348.