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Abstract

Abstract

Introduction: This case report describes the endodontic management of a maxillary first molar with a Vertucci type II canal configuration, an anatomical complexity that increases the risk of procedural errors and treatment failure, utilizing the Schilder technique to achieve a complete, hermetic seal.

Case Report: A 29-year-old female patient presented at the Hasanuddin University Dental Hospital with a dislodged filling and pain in the right maxillary first molar (tooth #16). Clinical examination revealed a deep occlusal carious lesion. Periapical radiography showed pulpal radiolucency with no periapical abnormalities and revealed a root canal system consistent with Vertucci type II classification. The final diagnosis was asymptomatic irreversible pulpitis. The tooth was managed with root canal treatment using the crown-down preparation technique, followed by obturation using the Schilder technique and placement of a direct composite restoration.

Discussion: The crown-down preparation creates the ideal tapered funnel shape required for advanced obturation techniques. The Schilder technique then utilizes thermally plasticized gutta-percha, allowing it to flow and adapt into the complex merging canals and irregularities inherent to a Vertucci Type II configuration.

Conclusion: The Schilder technique is essential for successfully treating maxillary molars with complex Vertucci Type II anatomy, as it yields a dense, well-adapted obturation characterized by a radiographically confirmed hermetic seal.

Pages

228-231

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Rights

©2025Endo Sadewa, Afniati Rachmuddin

DOI

10.15562/jdmfs.v10i4.2077

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