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In rare cases, if conventional root canal treatment cannot be completed, what may happen to the tooth?

  1. It may be continually observed

  2. It is extracted, undergoes RCT, then reinserted

  3. It is permanently lost

  4. It is bonded with a crown

The correct answer is: It is extracted, undergoes RCT, then reinserted

When conventional root canal treatment cannot be completed, the tooth may be extracted, undergo additional root canal treatment (RCT), and then reinserted. This scenario is quite rare, as it involves a unique approach to preserve the tooth structure while addressing any complications that have arisen during the initial treatment process. In cases where the root canal procedure faces significant challenges, such as persistent infection or anatomical complexities, a dentist may resort to extracting the tooth. Following extraction, the tooth can sometimes be treated outside of the mouth to ensure the root canal is successfully completed. After successful RCT, the tooth can be reintegrated into the dental arch, although this requires careful handling and expertise to avoid complications. This option emphasizes a proactive approach to preserving the tooth whenever feasible, as opposed to outright extraction and considering it a lost cause. Other options do not capture the potential for reintegration following such specialized treatment paths.