Raymond Kandou and Nirawati Pribadi (2017) Root canal treatment in first lower left molar with middle mesial and radix entomolaris: Case report. In: Proceeding International Scientific Meeting (TINI IV) & IKORGI National Congress XI. PPIKORGI, Surabaya, pp. 599-605. ISBN 978-602-19108-6-3

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Abstract

Background: Root canal treatment aims to eliminate bacteries, infected pulp, necrotic tissues, and debris which located inside the pulp chamber and root canal. Aims: To perform on first lower left molar with middle mesial and radix entomolaris case in order to maintain the teeth in the oral cavity for a long period of time.Case: A 25 year-old female patient came to RSGMP UNAIR clinic with a complaints of feel pain when chewing food and when being exposed to hot water since a week ago, and the patient wants to save her tooth. After being examined, it shows a negative in cold thermal test, and positive in percussion and palpation test, with mobility of one degree. The Radiographic shows an indication of radiolucent in 1/3 apical of the mesial and distal root. Hence, the patient is diagnosed with the presence of pulp necrosis with symptomatic apical periodontitis in tooth 36. Case management : Root canal preparation was then performed by crown technique using manual k file 8 and 10 for scouting. pathfiles for glidepath and shaping with protaper next x1- x2. Then, irrigation is done by using Naocl 5,25%, EDTA 17%, Chlorhexidine 2% and Aquadest, accompanied by the use of endoactivator in the irrigation activation. A calcium hydroxide tooth canal dressing was applied for one week, obturation was then performed using single cone with warm vertical compaction technique and restoration was done by using prefabricated fibre post placement and porcelain fused to metal crown. Conclusion: Operator requires the knowledge of the anatomy of the root canal and the experience to perform a proper access opening techniques in order to avoid missed canal in endodontic treatment

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