Symptomatic Irreversible Pulpitis – Root Canal Treatment of Tooth 1.7

Case overview — Symptomatic Irreversible Pulpitis, Tooth 1.7 Patient Presentation A 25-year-old patient presented to the clinic with a chief complaint of spontaneous, lingering pain in the upper right posterior region. The pain was described as moderate-to-severe, exacerbated by thermal stimuli — particularly cold — and persisting well after the stimulus was removed. No relevant medical history was reported and the patient was ASA I. Pre-operative radiograph — Tooth 1.7 Diagnosis: Symptomatic Irreversible Pulpitis — Tooth 1.7 (upper right second molar). Periapical status: normal apical tissues. Treatment Protocol Primary root canal treatment was indicated. Following administration of local anesthesia, rubber dam isolation was placed to ensure a sterile operative field. Access cavity was prepared under magnification and the pulp chamber…