A 42 year old female patient came to the office complaining about crown fracture and severe pain in the left mandibular posterior area. Intraoral and radiographic examination revealed disto-occlusal decay in tooth 3.6 (fig1), and exposure of the distal pulp horn. Tooth was highly sensitive to thermal cold test; an acute pulpitis was diagnosed and an endodontic orthograde treatment was proposed and accepted. Following a minimally invasive approach, access cavity was designed starting from the distal portion of the tooth, to avoid unnecessary loss of dentinal structure…
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