case_images: PMC10848179_01
case_images: Radiographic evaluation of lower left first molar suggestive of irreversible pulpitis. Radiographic evaluation of the lower left first molar shows radiolucency extending up to the pulp chamber on the distal pulp horn and sharpshooting pain on mastication, suggesting symptomatic irreversible pulpitis.
case_images: cureus-0016-00000051837-i01.jpg
case_images: PMC10848179_01_cureus-0016-00000051837-i01.jpg
case_images: FIG1
case_images: Figure 1. Figure 2 shows the preop image.
case_images: Pre-operative image
case_images: cureus-0016-00000051837-i02.jpg
case_images: PMC10848179_01_cureus-0016-00000051837-i02.jpg
case_images: FIG2
case_images: Figure 1. Figure 2 shows the preop image.
case_images: Removal of carious dentin and access cavity preparation
case_images: cureus-0016-00000051837-i03.jpg
case_images: PMC10848179_01_cureus-0016-00000051837-i03.jpg
case_images: FIG3
case_images: After deroofing and preparing the access cavity, pulp excavation was carried out to the level of the orifices using a sharp spoon excavator and a size #3 high-speed carbide round bur (Premier, USA) (Figure 3).
case_images: Hemostasis established using a cotton pellet soaked in NaOCl for two minutes
case_images: cureus-0016-00000051837-i04.jpg
case_images: PMC10848179_01_cureus-0016-00000051837-i04.jpg
case_images: FIG4
case_images: MTA placement done. MTA - mineral trioxide aggregate
case_images: cureus-0016-00000051837-i05.jpg
case_images: PMC10848179_01_cureus-0016-00000051837-i05.jpg
case_images: FIG5
case_images: A wet cotton pellet was immediately applied on top of the MTA seen in Figure 5. After setting of MTA tooth-colored composite (3M, ESPE, USA) restoration was done as seen in Figure 6.
case_images: Composite restoration done after MTA placement
case_images: cureus-0016-00000051837-i06.jpg
case_images: PMC10848179_01_cureus-0016-00000051837-i06.jpg
case_images: FIG6
case_images: A wet cotton pellet was immediately applied on top of the MTA seen in Figure 5. After setting of MTA tooth-colored composite (3M, ESPE, USA) restoration was done as seen in Figure 6.
case_images: PMC10848179_02
case_images: Twelve months follow-up
case_images: cureus-0016-00000051837-i07.jpg
case_images: PMC10848179_02_cureus-0016-00000051837-i07.jpg
case_images: FIG7
case_images: Figure 7. Furthermore, clinical examination revealed no coronal discoloration.