| case report
From the inside out— a seamless journey from endodontic therapy to restoration Dr Byron Tsivos, Isle of Man & Greece Modern endodontics is no longer an isolated discipline. It marks the start of a restorative process that extends all the way to the final composite layer. When endodontics and restorative dentistry work together seamlessly, the result is not just clinical success but harmony from the inside out. This case report demonstrates how an integrated workflow can turn a challenging endodontic treatment into a predictable journey from endodontic therapy to restorative treatment.
Case presentation A 19-year-old female patient presented with slight dental anxiety and symptoms
of irreversible pulpitis affecting her mandibular right second molar. Under magnification, the existing restoration and carious dentine were carefully removed.
1 Fig. 1: Pre-op radiograph of the mandibular right second molar showing deep caries beneath the existing restoration and a complex, curved root canal anatomy.
The tooth was deemed restorable— strategically important for maintaining occlusal stability in a young patient— and endodontic therapy was indicated. The presence of three highly curved canals posed a particular challenge for both navigation and instrumentation (Fig. 1). The treatment objective was to preserve the tooth while minimising stress and chair time for the anxious patient.
2 Fig. 2: CanalPro Jeni, used for both canal preparation and working length determination. Its adaptive motion control and integrated apex locator ensured safe and precise shaping to the zero reading.
24
roots 2 2025