Patient Presentation
- The patient reported with pain in the upper left back tooth region.
- Clinical exam showed a large carious lesion in tooth 26.
- Radiograph revealed a radiolucency approaching the pulp.
Diagnosis
Based on clinical symptoms and radiographic findings:
- Symptomatic Irreversible Pulpitis irt 26.
Treatment Plan
- Planned for Root Canal Treatment (RCT) to relieve pain and save the tooth.
Treatment Procedure
- Local anaesthesia is administered for painless treatment.
- Access cavity prepared under magnification.
- All three main canals are located – MB, DB, and Palatal.
- An additional canal (MB2) was also carefully located and negotiated.
- Complete biomechanical preparation and irrigation of all canals, including MB2.
- Obturation was done using warm vertical compaction for a dense and sealed fill.
- Temporary restoration placed; final crown advised.
Outcome
- The patient experienced immediate relief from pain post-treatment.
- Successful identification and treatment of the MB2 canal enhanced prognosis.
- Final restoration is planned to restore full function and aesthetics.
Clinical Insight
- MB2 canal is commonly missed in upper first molars.
- Use of proper magnification and technique is crucial for endodontic success.
- Treating all canals, especially additional ones like MB2, helps prevent failure
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