The Art of Saving 46

Case summary: Full endodontic treatment and coronal restoration of tooth 46 (lower right first molar) in a [patient age/sex] presenting with [chief complaint]. This case highlights the clinical decision-making and step-by-step approach that made tooth preservation possible. Clinical Presentation A [age]-year-old patient presented to the clinic reporting [chief complaint — e.g., spontaneous pain / sensitivity / swelling] in the lower right quadrant. Medical history was [unremarkable / relevant findings]. Extraoral examination was within normal limits. Intraoral examination of tooth 46 revealed [clinical findings — e.g., deep carious lesion, cracked cusp, previous restoration, probing depths, mobility]. Pre-operative clinical view of tooth 46 at initial presentation. Pre-operative periapical radiograph demonstrating [describe radiographic findings — e.g., periapical lesion, extent of caries, root morphology].…