Case

 Primary Root Canal Treatment at Lower First Molar

Case presentation:

The case presented as previously initiated root canal treatment at the lower left first molar (LL6). The gentleman was experiencing occasional pain initiated by hot drinks.

Diagnosis: 

Previously initiated endodontic treatment, with irreversible pulpitis and normal apical tissues.

Treatment:

  • Endodontic therapy was completed in a single visit.

  • Rubber dam isolation and thorough chemo-mechanical preparation was undertaken using Protaper Gold nickel titanium rotary files, sodium hypochlorite and EDTA.

  • Three root canals were found, the mesio-lingual canal converged with the mesio-buccal canal at 16mm.

  • The canals were obturated with warm vertical compaction and AH Plus sealer and a composite core placed.

  • LL6 was restored with an e-max crown and was symptomless at 12-month review.

Radiographs:

Pre-operative radiograph

Cone fit radiograph

Post-operative radiograph

Radiograph at 12 month review