Introduction

Tooth pain can be sudden, sharp, and debilitating affecting sleep, eating, and overall well-being. At Summirow Dental, we recently treated a male patient who came in with severe pain in the lower right back tooth (tooth 46) that had intensified over the past two days. Upon diagnosis, we found irreversible pulpitis, a condition requiring immediate endodontic intervention. Fortunately, with advancements in dental technology, we were able to restore his comfort through a single-sitting root canal treatment (RCT).

Patient Complaint

The patient presented with:

  • Severe, continuous pain in the lower right jaw
  • Discomfort worsened by hot and cold foods
  • Pain radiating to the ear and jaw region
  • Difficulty sleeping due to the intensity of the pain

The symptoms had started two days prior and quickly escalated, prompting an urgent dental visit.

Clinical Examination & Diagnosis

A thorough clinical and radiographic examination revealed:

  • A deep carious lesion in tooth 46 (lower right first molar)
  • No visible swelling, but the tooth was tender to percussion
  • Positive response to pulp vitality testing (lingering pain)
  • The radiograph showed a large cavity approaching the pulp with no significant periapical changes

Diagnosis:

Irreversible pulpitis in tooth 46

This condition occurs when the dental pulp becomes inflamed beyond the point of recovery, usually due to untreated deep decay.

Treatment Plan: Single-Sitting Root Canal Treatment in 46

Given the clear diagnosis and the urgency of the patient’s pain, we decided to proceed with a single-sitting root canal treatment to remove the infection, alleviate pain, and preserve the tooth.

Treatment Procedure

  1. Anaesthesia: Local anaesthesia was administered to ensure a pain-free procedure.
  2. Isolation: The tooth was isolated using a rubber dam to maintain a sterile environment.
  3. Access Opening: An access cavity was prepared to reach the infected pulp tissue.
  4. Canal Cleaning & Shaping: All root canals were cleaned, shaped, and disinfected using rotary endodontic files and advanced irrigants.
  5. Obturation: The canals were sealed using gutta-percha and root canal sealer.
  6. Temporary Restoration: A composite build-up was placed to seal the tooth until the final crown is planned.

Post-Treatment Instructions

The patient was prescribed painkillers and advised on:

  • Eating soft foods for a day or two
  • Avoiding biting hard on the treated tooth
  • Returning for a permanent crown to fully restore the function and strength of the molar

Conclusion

This case illustrates how single-sitting root canal treatment can be a lifesaver for patients experiencing intense tooth pain. Thanks to modern techniques and expert care at Summirow Dental, even a severely infected tooth can be saved and restored in just one visit.

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Call us on +91 93 777 77 303

Visit us at: www.summirow.com