Root canal treatment and retreatment – information and informed consent form

General information

The purpose of root canal treatment or retreatment is to preserve a tooth that is causing symptoms or discomfort. Without treatment, extraction of the affected tooth may become necessary.

The treating dentist has explained the procedure, its steps, and the expected outcomes in detail. The patient acknowledges that this is a voluntary, planned procedure and understands that alternative treatment options exist, along with their advantages and disadvantages.

Factors affecting the success of root canal treatment

Several factors may influence the success of root canal treatment, some of which cannot be determined at the beginning of the procedure and may only become apparent during treatment, including:

• the body’s healing capacity
• the response of bacteria to treatment
• the size, shape, and location of root canals
• very narrow or highly curved canals

Possible outcomes and complications

It is possible that symptoms may not fully resolve even after a properly completed root canal filling. In such cases, the following may be required:

• retreatment
• endodontic surgical intervention
• tooth extraction as a last resort

During or after treatment, the following may occur:

• pain
• swelling
• sensitivity when biting
• redness

These symptoms usually subside over time, but antibiotic treatment may be required in some cases. In rare situations, a surgical incision may be necessary to drain inflammatory exudate.

Technical risks

In narrow root canals, instrument fracture may occur despite proper irrigation.

The broken fragment may be removed; if this is not possible, the root canal filling will still be completed. In some cases, additional procedures may be necessary, such as:

• endodontic surgery
• tooth extraction as a last resort

During treatment, the following may occur:

• perforation toward the periodontal tissues or sinus
• temporary numbness in nerve areas

Disinfecting agents used during treatment may pass beyond the root apex and affect surrounding tissues or nerves, which may require surgical intervention.

Post-treatment care and warranty

After root canal treatment, the tooth must be restored with a long-term solution (filling, inlay, or crown) as soon as possible.

Failure to do so may result in:

• tooth fracture
• infection
• decay

If the final restoration is not completed, or not performed by the treating dentist, the warranty for the root canal treatment becomes void.

Existing restorations (fillings, crowns, veneers) may be damaged during treatment. The cost of their replacement is the responsibility of the patient.

Follow-up and treatment success

A periapical X-ray is taken after treatment to verify the quality of the root filling.

Although the success rate of root canal treatment is high, the dentist cannot guarantee a perfect outcome in endodontic procedures.

In unforeseen situations, the treating dentist may deviate from the originally planned treatment steps or refer the patient to a specialist.

By signing this document, the patient authorizes the treating dentist and, if necessary, their colleagues to perform additional procedures based on professional judgment (e.g. microscopic or endodontic surgical procedures). Any additional costs will be borne by the patient.

Additional provisions

Due to the nature of the procedure, the cost of treatment already performed is non-refundable, even if healing is not achieved.

The condition of the root filling and final restoration will be checked during annual follow-up visits. Failure to attend these check-ups will void the warranty.

The alternative to root canal treatment is tooth extraction.

Contact

Phone: +36 70 535 6466
Email: fogaszat@brilliantdent.hu
Website: www.brilliantdent.hu

Address:
1134 Budapest, Kassák Lajos utca 39.