Pulpotec Managemet

This case presents the retreatment of a maxillary first molar (tooth #16) in a 20-year-old patient who reported with a history of spontaneous pain. The tooth had been previously treated with Pulpotec, a material occasionally used in vital pulp therapies. Radiographic assessment revealed no obvious radiopaque filling within the canals, except for the palatal canal, which appeared to contain an unfamiliar material that did not exhibit the radiopaque qualities of conventional endodontic obturation. This discrepancy made the diagnosis and retreatment plan more complex. A common clinical finding associated with Pulpotec treatment is calcification of pulp tissue, which poses a significant challenge during retreatment. In this case, locating and negotiating the calcified canals was extremely difficult. The palatal canal, typically the…