This case is one in which the patient had a root canal started on the tooth a few month prior to seeing Dr. Ibrahim for final treatment. Although the patient was not in pain but the signs of infection around the root tip area ( dark halo) and break down of the temporary restoration were evident upon examination clinically and on the radiograph ( X-ray).
Prior to Treatment
Patient presented to the office with hot and cold sensitivity and spontaneous pain on the top right. Dentition looked relatively intact. No dental caries observed but several long- standing large restorations were noted. The first molar was painful to all tests performed while the teeth around it tested normal. Although a large infection as in case one wasn't observed but in this case, the patient's symptoms revealed the need for a root canal.
Completed Root Canal
This procedure was 1:15 hour in duration and both the root canal treatment and restoration with white filling material were completed. A crown was suggested to the patient to protect the tooth long term due to the significant loss of tooth structure. 4 canals were found in this lower right molar.
An access opening through the existing filling was made. All the roots were cleaned and filled with specialized root filling material and the access opening was restored with white filling material. A crown was suggested to the patient in this case also.
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