MOLARIZED PREMOLAR Management of three rooted premolar

Only one case is primary treated and the other three cases were previously treated, this reminds us that successful root canal treatment relies on correct access cavity preparation with location of all existing canals, sufficient cleaning, adequate shaping, and complete 3D obturation plays an important role in the success of initial treatment procedures. Fig. 1 This case shows Symptomatic Apical Periodontitis (SAP) associated with a failed primary root canal treatment. Initial situation of maxillary second premolar with a large carious lesion, poor filling and metal post presented with spontaneous pain, tender to percussion Fig. 2 Pre-op X-Ray showed previously insufficient root canal treatment for buccal canal, disto-palatal canal and complete neglect of mesio-palatal canal (MP) Radiographic assessment should be done…