Root canal failure - Demystified

Root-canal treatment is a therapeutic procedure performed to treat and prevent apical periodontitis when pulpal disease is considered too advanced to be managed by vital pulp therapy. A thorough conceptualization of the complex interplay between infection, inflammation and healthy tissue can help to increase the visualization of how treatment procedures might influence biological events and help in periapical disease prevention. This article highlights all the factors that can influence the final outcome of root canal treatment and the overall prognosis of the tooth following root canal treatment. Following the mechanical and biological principles along with the judicious use of inventory and continuous monitoring of practices along with skillful and meticulous planning will enable to reduce the flaws and thus increasing the chances of success root canal treatment.