Patient Chief Complaint:
Patient presented with pain in the lower right back tooth region for the past few days.Pain aggravated on chewing and consuming hot food.
Patient Chief Complaint:
- Patient presented with pain in the lower right back tooth region for the past few days.
- Pain aggravated on chewing and consuming hot food.
Clinical & Radiographic Examination:
- Deep Class II caries was noted in tooth 47.
- Intraoral periapical radiograph (IOPA) revealed
Diagnosis:
- Based on clinical signs, symptoms, and radiographic findings, the tooth was diagnosed with Symptomatic Irreversible Pulpitis (SIP) irt 47.
Treatment Plan:
- Root Canal Treatment (RCT) was advised to save the tooth.
- Followed by post-endodontic restoration with a full-coverage crown.
Step-by-Step Treatment Performed:
- Local anaesthesia is administered to ensure a painless procedure.
- Rubber dam isolation was done to maintain asepsis.
- An access cavity was prepared on tooth 47.
- Canal orifices are generally located two mesial and one or two distal canals in mandibular second molars.
- Working length determined using apex locator and confirmed radiographically.
- Biomechanical Preparation (BMP) was done using rotary files and frequent irrigation (NaOCl and saline).
- Canals were dried and obturated using gutta-percha and resin-based sealer.
- Temporary restoration was placed the patient was recalled for crown preparation.
- The tooth was later restored with a full ceramic crown for long-term function and protection.
Treatment Outcome:
- Patient reported complete relief of pain.
- Normal chewing ability restored.
- Aesthetics and strength improved with the final crown.
Clinical Insight:
- Mandibular second molars usually have variable root canal anatomy. Careful exploration and good illumination help ensure all canals are treated.
- Early intervention in deep caries helps avoid complications like abscess or extraction.