case_images: PMC11811897_01
case_images: Clinical photograph of tooth 36 showing extensive caries on disto-occlusal surface.
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case_images: Clinical examination revealed extensive caries on the disto-occlusal surface of the lower left first permanent molar (tooth 36) (Fig. 1).
case_images: Periapical radiograph of tooth 36 showing a large radiolucency area at the distal crown involving the cervical third of the distal root.
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case_images: Radiographic examination showed a large radiolucency at the distal crown extending to the cervical third of the distal root, with periapical radiolucencies on both mesial and distal roots (Fig. 2).
case_images: Periapical radiograph of tooth 36 with obturation on MB and ML canals.
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case_images: The orifices were sealed with glass ionomer cement (Fuji IX) (Fig. 3).
case_images: Clinical photographs showing (a) line of resection through furcation area and separation of mesial and distal roots, (b) after elevation of root and smoothening of sharp edges, (c) periapical radiograph of tooth 36 after hemisection and removal of distal root.
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case_images: Tooth 36 was anatomically restored to conform esthetically and functionally with the existing occlusion (Fig. 4 and 5).
case_images: Clinical photographs showing (a) zirconia bridge design, (b) final prosthesis after cementation, (c) periapical radiograph post-cementation of zirconia, the bridge shows a good adaptation of the restorative margins.
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case_images: Tooth 36 was anatomically restored to conform esthetically and functionally with the existing occlusion (Fig. 4 and 5).
case_images: PMC11811897_02
case_images: Clinical photograph of tooth 36 showing extensive amalgam restoration on mesio-occlusal-disto-bucco-lingual (MODBL).
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case_images: The tooth was diagnosed with pulpal necrosis and symptomatic apical periodontitis associated with extensive root caries (Fig. 6 and 7).
case_images: Periapical radiograph of tooth 36 shows large radiopacity, indicating a restoration on the crown extending to the mesial root surface. Radiolucency was detected beneath restoration on the mesial root surface, indicating caries. Peri-radicular radiolucency was observed in the furcation region.
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case_images: The tooth was diagnosed with pulpal necrosis and symptomatic apical periodontitis associated with extensive root caries (Fig. 6 and 7).
case_images: Periapical radiograph of tooth 36 with obturation on DB and DL canal. Sealer extrusion noted.
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case_images: Only the DB and DL canals were cleaned and shaped, and obturation was completed using ProTaper Gold gutta-percha with AH Plus sealer (Dentsply, Konstanz, Germany) (Fig. 8).
case_images: Clinical photographs showing (a) line of resection through furcation area and separation of mesial and distal segments, (b) surgical field after removal of resected half of tooth structure, (c) surgical field after suturing, (d) 2 weeks postoperative showing healing of soft tissue.
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case_images: The socket was irrigated with sterile saline, and the flap was approximated and sutured with Vicryl 4-0 sutures (Fig. 9).
case_images: Immediate postoperative radiograph of the mesial segment of tooth 36 showing overhanging dentin at furcation area mesial to the remaining root.
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case_images: Immediate postoperative radiographs confirmed the stable retention of the distal root (Fig. 10).
case_images: Clinical photographs showing the occlusal view of milled PBM bridge 35-P-36 after cementation.
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case_images: The design included a premolar pontic, a mesial rest seat on tooth 35, and a lingual rest seat on both teeth 35 and 36 (Fig. 11 and 12).
case_images: Periapical radiograph post-cementation of bridge 35-36 showing good adaptation of restorative margins and healing of bony lesion.
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case_images: The design included a premolar pontic, a mesial rest seat on tooth 35, and a lingual rest seat on both teeth 35 and 36 (Fig. 11 and 12).