Abstract
A 45-year-old woman visited her general dentist because of severe pain in the right mandibular posterior region. Her first molar contained a large mesial-occlusal-distal amalgam restoration, and the patient experienced symptoms consistent with irreversible pulpitis. In addition, radiographs showed changes associated with the mesial root. The second molar contained a conservative occlusal amalgam restoration, and the premolars contained no restorations. The clinician performed endodontic therapy in the patient’s first molar; the pain remitted for a few weeks after treatment but then returned.
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