Introduction

At Summirow Dental, we understand that even mild dental pain can disrupt daily life. Many patients often dismiss early signs like sensitivity or discomfort, not realizing that these could indicate deeper issues. Recently, a female patient visited us with mild pain and sensitivity in her lower front teeth (31 and 41) that had been bothering her for a few days. What seemed like a minor concern turned out to need prompt endodontic intervention.

Patient Complaint

The patient reported:

  • Mild, intermittent pain in the lower front Teeth
  • Sensitivity to cold and air
  • Slight discomfort while chewing

Though the pain wasn’t severe, the symptoms were persistent enough to warrant clinical evaluation.

Clinical Examination and Diagnosis

Our diagnostic process included:

  • Clinical examinations of 31 and 41
  • Pulp vitality testing (both teeth showed a delayed or no response)
  • An intraoral periapical radiograph (IOPA) to assess the periapical condition

Findings:

  • Teeth 31 and 41 had deep internal pulpal involvement
  • No visible caries, but internal inflammation of the pulp was evident
  • No swelling or abscess, but early periapical changes were noted

Diagnosis:

Pulpal necrosis with early periapical involvement in 31 and 41

Treatment Plan: Single-Sitting Root Canal Treatment

Given the controlled symptoms and straightforward canal anatomy of the lower anterior teeth, we opted for a single-sitting root canal treatment (RCT) in both 31 and 41. This approach is safe, efficient, and often preferred when infection is localized and manageable.

Procedure Overview

  1. Local Anesthesia: Ensured the patient was completely comfortable throughout the procedure.
  2. Access Opening: Carried out in both 31 and 41 to reach the infected pulp chamber.
  3. Cleaning & Shaping: Root canals were thoroughly cleaned, shaped, and disinfected using rotary endodontic files and irrigants.
  4. Obturation: Canals were sealed with biocompatible gutta-percha material in the same appointment.
  5. Temporary Restoration: Composite build-up was placed to restore structure and aesthetics.

Post-Operative Care

  • The patient was prescribed analgesics and antibiotics for post-operative comfort.
  • She was advised to avoid biting hard on the front teeth for a few days.
  • A permanent restoration (if needed) will be evaluated after a follow-up.

Outcome

The patient experienced immediate relief from sensitivity and pain. Within 24–48 hours, she was able to resume normal function without discomfort. She expressed satisfaction with the quick, painless procedure and appreciated the single-visit convenience.

Conclusion

This case reinforces the importance of not ignoring early warning signs like mild pain or sensitivity. When diagnosed early, advanced treatment like single-sitting RCT can be performed with minimal discomfort and excellent success. At Summirow Dental, we combine expert care with modern techniques to deliver long-lasting, pain-free solutions.

Book your appointment with us today!

Call us on +91 93 777 77 303

Visit us at: www.summirow.com