The clinical treatment of pulpitis or apical periodontitis secondary to distal caries in mandibular second molars due to impacted mandibular third molars
YANG Zi
WANG Wen-ting
ZHANG Chen
Abstract：Distal caries in mandibular second molars as-sociated with impacted mandibular third molars are hidden,of-ten located subgingivally,which may lead to pulpitis or apical periodontitis,and accompanied by distal periodontal patholo-gies such as distal alveolar bone resorption.During the treat-ment,mandibular second molars face difficulties in rubber dam isolation,anatomical complexities of root canals,iatrogen-ic injury,insufficient occluso-gingival distance,and coronal restoration.Choosing appropriate dental,periodontal,and res-toration treatment is of great value in preserving mandibular second molars.This article reviews the clinical characteris-tics,treatment difficulties,and clinical treatment strategies se-lection of pulpitis or apical periodontitis secondary to distal caries in mandibular second molars due to impacted third mo-lars.
Keywords：mandibular second molarmandibular third molarC-shaped root canalmicro-endodontic therapyendo-crown
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 257-264 )