Irreversible pulpits with Symptomatic apical periodontitis RL6

Case Presentation A patient presented with pain associated with the right mandibular first molar (46). Clinical and radiographic evaluation confirmed a diagnosis of irreversible pulpitis with symptomatic apical periodontitis. Radiographic examination periapcal radio licence under the distal root. Crown had open margin on the distobuccal aspect! A non-surgical root canal treatment in two visits was performed . Removal of the existing crown was done under LA. Local anesthesia was administered and the defective crown was removed. Following rubber dam isolation, an access cavity was prepared. Canal orifices were identified, revealing: Mesial canals: mesiobuccal and mesiolingual canals with a confluent configuration Distal canals: distobuccal and distolingual canals with a confluent configuration Confluence was confirmed when placing non setting Calcium hydroxide. Working…