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Introduction: One-visit root canal treatment (PSA) should comply with the endodontic triad principles (biomechanical preparation, medication, and root canal obturation) in one visit. The advantage of a one-time PSA is the minimum microorganism contamination risk, time-saving, without compromising the treatment outcome quality. The PSA on multiple roots (molars) is a difficult challenge because it requires more expertise. This case report was aimed to discuss a one-time visit PSA of the lower right first molar with a composite endocrown resin final restoration. Case report: A 38-years-old female patient diagnosed with irreversible pulpitis and the PSA was performed on the lower right first molar. The objective examination results showed positive vitality and negative percussion. The radiological examination results showed radiolucency to the pulp chamber, and the periodontal ligament was within normal limits. The diagnosis of tooth 25 was irreversible pulpitis. The root canal treatment was performed in a one-time visit with isolation of the working area; then the access cavity was prepared. Root canal negotiation was performed using K-files #10, and the working length measurement was carried out using the apex locator. The root canal was irrigated using the NaOCl 5.25%, followed by EDTA 17% and chlorhexidine 2%. Preparation was conducted using the rotary instruments to #25.06. The root canal filling with epoxy resin will be followed by composite endocrown restoration at the next visit. Conclusion: One visit root canal treatment in the lower right first molar with composite resin endocrown restoration performed in this case showed the clinical and radiological success.

Perawatan saluran akar (PSA) satu kali kunjungan pada gigi molar pertama bawah kanan dengan restorasi endocrown resin komposit