08/03/2025
Today, I want to share a clinical case involving a lower first molar with deep carious lesions on the buccal surface, necessitating endodontic intervention. The patient presented with symptoms of irreversible pulpitis, including prolonged sensitivity to cold and spontaneous pain.
Upon clinical examination, a deep carious lesion was observed on the buccal aspect of the tooth, extending close to the pulp chamber. Radiographic evaluation confirmed the proximity of the caries to the pulp, indicating the need for root canal therapy (RCT) to preserve the tooth and alleviate symptoms. .
**Next Steps:**
The patient will return for a permanent restoration, likely a full-coverage crown, to restore the tooth’s function and prevent fracture.
**Key Takeaways:**
- Early detection and treatment of caries are crucial to avoid endodontic complications.
- Proper isolation and disinfection are essential for successful root canal therapy.
- A well-sealed final restoration is critical for the long-term success of endodontically treated teeth.
