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Root Canal (RCT)Verified Case

Single-Sitting Rotary Root Canal & Zirconia Crown on Mandibular Molar

Dr. Panseriya
5 Days (2 Sittings)
42 Years · Female
Clinical Visual Documentation:
Before TreatmentInitial Condition
Pre-Operative Photo
After TreatmentCompleted Smile
Final Restored Result

Patient Concern & Overview

The patient visited Panseriya Dental Care seeking an aesthetic and functional solution for their dental condition.

Chief Complaint:
“Severe throbbing nocturnal pain in the lower right molar with inability to chew food or drink cold liquids.”

Clinical Diagnosis

Acute irreversible pulpitis of mandibular first molar (#46) secondary to deep recurrent occlusal caries extending to the pulp chamber.

Baseline Health: Deep occlusal caries, severe thermal sensitivity, normal periodontal ligament

Step-by-Step Treatment Procedure

The treatment was planned and executed using evidence-based protocols to ensure maximum patient comfort and long-lasting stability.

  1. 1
    Painless computerized local anesthesia delivery.
  2. 2
    Absolute rubber dam isolation and rotary canal shaping with heat-treated NiTi files.
  3. 3
    Ultrasonic endodontic irrigation with NaOCl activation for complete 3D disinfection.
  4. 4
    Warm vertical hydraulic gutta-percha obturation and fiber-reinforced composite core.
  5. 5
    Precision CAD/CAM monolithic zirconia crown cementation.

Materials & Technology Used

Biocompatible Materials:
Heat-Treated Gold NiTi Rotary Files, Bio-Ceramic Root Canal Sealer, Monolithic 3D Zirconia
Equipment & Instruments:
Electronic Apex LocatorRotary Endodontic Motor with Auto-ReverseUltrasonic Irrigation ActivatorDigital RVG High-Resolution SensorCAD/CAM 5-Axis Milling Unit

Final Result & Clinical Outcome

Instant elimination of acute pain, complete periapical tissue health, and full chewing load restored.

Doctor's Commentary

Dr. Panseriya (BDS, Surat)
“Ultrasonic irrigation activation is paramount to destroying bio-films in curved accessory canals without requiring multiple painful sessions.”
“I came in with agonizing tooth pain that kept me awake all night. The treatment was 100% painless. By the time I walked out, the pain was completely gone!”
— Neeta D. (Vesu, Surat)

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