Mesial caries present

what can be done in 48 male 25 years various and tenderness and mesika caries present .

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There is a ledge created in the mesial root.Take smaller no. File laden with EDTA and patiently try to bypass that ledge.It may take some time.Be patient.
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If rct isn't possible, then you can go for extraction . And moreover it has periapical infection wch can't be cleared out 100% Its not completely errupted to the occlusal level,,better to avoid bad prognosis & go for extraction. If you are doing well with rct & patient is cooperative with no symptoms then you can proceed with rct with the use of smaller files.
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Proximal cervical caries approaching pulp prefrebally RCT would be better option.
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If 48 is partially erupted then better to extract
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If you think the tooth have erupted clinically iam saying this as there is no clinical picture you can go for RCT doc... make sure you give crown too... as it becomes mandatory after RCT and best wishes doc
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Ledge us seen in the mesial root, whereas canal is also traceable, just put 10 no file or put EDTA and leave it for sometime, try afterwards, u will definitely got the canal.
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RCT could be an easy proposal... not more than 16mm I guess
Thank you doctor
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Patient s cooperative and wanted to go for rct
Best of luck
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