Minimally Invasive Root Canal
Lower Right First Molar (LR6)
Clinical Radiographs
Case Details
Patient
Male, early 30s
Presentation
Lower right first molar with acute pulpitis (inflamed nerve) following a deep filling placed elsewhere. The tooth was otherwise structurally sound with minimal previous intervention.
The Challenge
The goal was to treat the nerve while preserving maximum tooth structure. Traditional endodontic access removes significant healthy dentine, which weakens the tooth long-term.
Treatment
A Truss access (ultra-conservative, directed access cavity) was used, guided by the pre-operative X-ray and microscope. Only the minimum amount of dentine was removed to reach the canals, preserving the structural integrity of the tooth.
Outcome
Successful treatment with maximum tooth structure preserved. The small access was sealed with composite, requiring no crown - saving the patient time and expense.
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