ABSTRACT

Introduction: Dental caries is a multifactorial disease, caused by demineralization of hard tissue as a result of acids produced due to fermentation of carbohydrates. It is the most prevalent chronic disease globally, with a prevalence of 36% in the global adult population. Streptococcus mutans, an acidogenic bacterial species, is considered to be the predominant causal agent. If dental caries progresses into the pulp chamber of the tooth, direct pulp capping or root canal treatment (RCT) may be indicated. Root canal treatment is performed to manage infection caused by the ingress of bacteria. The aim of RCT is to reduce the bacterial load in the root canal system by chemo-mechanical debridement and the root canals are prepared to maximize irrigant penetration.

Case Report: This case report demonstrates structured evidence-based approach to management of a multi-rooted maxillary first molar (UR6) by a foundation dentist in a general practice setting. The patient presented with symptoms of irreversible pulpitis of the UR6 and opted for RCT of the tooth, followed by cuspal coverage with a metal onlay.

Conclusion: This case discusses the considerations and step-by-step management of endodontic treatment to achieve a successful outcome. It highlights the importance of understanding root canal anatomy and employing tools such as magnification and ultrasonics, in addition to maintaining clear communication with patients about their treatment options. Reflection on cases such as these aids professional growth and fosters an understanding of the decision-making process.