Case 103: Restodotic treatment on Lower Premolar One with Two Canals

Assalammualaikum Wr Wb.. Good Morning!!

welcome back to SekilasKonservasiGigi.Com, a full story of my mini series updated from my social media such as instagramfacebookgoogle plus, and also twitter. Sometimes, I also updated my cases at Line or Linkedin. 🙂 this topic will focus only on conservative dentistry cases such as restorative dentistry and endodontic or root canal treatment.

Endodontic: Lower Premolar One with Two Canals
According to the research,
The result of root canal configuration on lower first and second premolar in Iranian Population: (Saeed Rahimi, Shahriar Shahi, et al)

1. 98% of mandibular first premolar had one root, 2% had two roots.

2. 70,6% had one canal, 27,8% had two canals, 1,2% had three canals.

3. The prevalence of c-shaped was 2,4%

4. 100% mandibular second premolar had one root.

5. 80,5% had one canal

6. 17,5% had two canals.

7. The prevalence of c-shaped canals was 2%

dokter gigi rio suryantoro spesialis konservasi gigi jakarta rare 44 juli

A while ago, a patient came to me, for this scenario we can call her Nami. 🙂
Nami came with a referral from my friend, dentist, due to the inability to find the right canal(s). The first condition showed an overhanged temporary filling and a inflammed proximal gingiva. From the xray, i saw two canals. For me, i think the problem lies on the access preparation.

dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta PSA 44
After taking a proper informed consent, i started my dental treatment. First, I cautered the marginal gingiva, then i placed the rubberdam (cerkamed rubberdam sheet and sanctuary rubberdam clamp). Followed with creating/rebuilding the distal wall with bulkfill composite (filtek bulkfill – 3M)

Alhamdulillaah.. i found all the two orifices, one in the buccal, and the other lies on the lingual. Cleaning and shaping was done with Mtwo (VDW) with reciprocal motion (150 CW, 30 CCW) with Denjoy Endomotor. Coronally sealed with low shrinkage stress flowable composite resin (filtek bulkfill flow – 3M). Xray evaluation with VistaRay 7.1 (Durr) showed a fully obturated two canals, and intact margin on guttapercha-composite resin-dentin junction.

After a week post endodontic treatment (electro surgery, rebuild up the distal wall, root canal treatment, and internal bleaching), now Nami feels better. She can chew without any pain, all the previous sympthoms were gone, and ready to do restorative procedure.
After placing rubber dam (nictone rubberdam sheet, sanctuary rubberdam clamp), i filled the cavity with packable composite resin, Ceram-X one (dentsply), single shade. Then, polished it with soflex (3M) and enhance (dentsply). Xray evaluation with VistaRay 7.1 (Durr) showed an intact margin between composite resin, gutta percha, and tooth structure. Also, a homogeneous body of restoration. This condition will provide the longevity of the restoration.
…..dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta RK 44 jul suli

Hope this dental restoration will be long last.

Yup, that’s for my 103rd story in SekilasKonservasiGigi.Com, For more stories please visit CeritaPasienRio.Com or browse my fb at and don’t forget to click the follow botton on your rigth side to get the latest updates from my site.. see you on my next dental story..

thank You Very Much,

keep UP the GOOD WORK!!

keep on Sharing,

with love from Jakarta, Indonesia

Wassalammualaikum Wr Wb..

-drg. Rio Suryantoro, Sp.KG-

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About Rio Suryantoro, drg., Sp.KG

Dentist, conservative dentistry specialist (Restorative Dentisty and Endodontist)|case reports' author on and|trainer of conservative dentistry | live in Jakarta.
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