Case Study

Single-sitting root Canal Treatment with aesthetic Crown

– Case Description

Our patient, a middle-aged male with a history of hypertension and diabetes for the past 15 years, recently presented with complaints of pain and food lodgment in the upper right side of his teeth. An intraoral periapical radiograph (IOPA) revealed proximal caries involving the pulp, indicating a bacterial infection in the teeth.

Caries, commonly known as tooth decay, is a progressive disease caused by bacteria that leads to the destruction of tooth structure. The treatment for caries depends on the extent of the infection. In cases where caries only involves the enamel, it can be treated with caries excavation and tooth restorations, such as tooth fillings.

Before

After

Treatment Plan

However, when caries extends deeper into the dentin, more extensive treatments may be required. One such treatment is pulp capping, which involves the application of a medicament to the exposed dentin to stimulate the formation of secondary dentin and protect the pulp.

In cases where the caries has reached the pulp tissues, root canal treatment (RCT) becomes necessary. RCT involves the removal of the infected pulp, cleaning and shaping of the root canals, and filling them with an inert material. This procedure eliminates the infection but also causes the tooth to lose its vitality and become brittle.

To provide protection and longevity to the tooth after RCT, a crown (also known as a cap) is often recommended. A crown is a prosthetic restoration that covers the entire visible portion of the tooth, providing strength and support. It acts as a protective barrier, preventing the tooth from fracturing and restoring its functionality.

After a healing period of approximately one week following RCT, an aesthetic crown or cap is placed on the treated tooth. This crown is custom-made to match the shape, size, and color of the patient’s natural teeth, ensuring a seamless and natural appearance.

The placement of an esthetic crown not only enhances the appearance of the tooth but also ensures its longevity. With proper care and maintenance, a crown can last for many years, allowing the patient to enjoy a fully functional and pain-free tooth.

Conclusion

In conclusion, the treatment for proximal caries depends on the extent of the infection. While caries involving only enamel can be treated with fillings, deeper caries may require pulp capping or root canal treatment. Following a root canal treatment, a crown is often recommended to protect the tooth and restore its functionality. An esthetic crown provides both longevity and protection, allowing the patient to maintain a healthy and beautiful smile.