What is the main goal of a successful endodontic retreatment?

The primary objective of successful endodontic retreatment is to remove infected tissue from the root canal system. This process is vital because any remaining infected or necrotic tissue can lead to persistent symptoms, failure of the initial treatment, and could hinder the healing process. The retreatment allows clinicians to not only clear out any remnants of bacteria and organic debris but also to address issues with the previous root canal filling material that may have contributed to the failure, such as inadequate sealing or improper instrumentation.

While establishing a new access cavity is sometimes necessary to adequately clean and shape the canal system, it isn't the central goal; rather, it is a means to an end. Reducing treatment time can be beneficial for both the clinician and the patient, but it should not compromise the thoroughness of cleaning infected tissue. Complete bone regeneration is an expected outcome following successful treatment but is not the immediate focus during the retreatment process; rather, it is a result of effectively removing the infection and achieving proper root canal sealing. Therefore, the main emphasis remains on eliminating the infected tissue to facilitate successful healing and restoration of function.