Endodontic management for a vertucci type II J-shaped root canal of the mandibular first molar

Introduction: The goal of endodontic treatment is the prevention or cure of apical periodontitis. Biomechanically, this means cleaning, shaping and disinfection that enable three dimensional obturation of root canal systems. Evaluation of one or more periapical radiographs is mandatory. Here, we discuss the endodontic treatment of a Vertucci type II (2-1) J-shaped root canal identified radiographically. Case report: A 29-year-old woman visited the Specialist Clinic of Conservative Dentistry University of Indonesia. The patient was referred there to continue dental treatment of the mandibular first molar. The mandibular first molar had undergone root canal treatment 9 months previously; however, the procedure had not been completed. One month previously, she started experiencing discomfort in the area while eating. A complete history was taken, and clinical and radiographic examinations were performed. She was diagnosed with a chronic apical abscess caused by inadequate endodontic treatment, and she underwent non-vital root canal treatment with post-endodontic onlay ceramage restoration. Conclusion: Endodontic management in this case was successful because of adequate diagnosis, preparation, obturation and restoration. The treatment restored tooth morphology and function. Further evaluation are needed at 1, 3, 6 and months postoperatively.