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This case report describes successful management of a grossly mutilated mandibular molar tooth. A 25 year old male patient came complaining of continuous pain with sensitivity to hot and cold and also food impaction in relation to lower back tooth since 1 year. IOPA revealed a grossly mutilated mandibular right second molar with furcation involvement. Endodontic treatment was performed with proper isolation using rubber dam. After complete removal of carious lesion, biomechanical preparation and obturation, core build up was done using coremax. Hemisection was then carried out were the mesial and the distal roots were separated leaving the furcation area open as it was not possible to seal the furcation area and keep it self cleansing without separating the two roots. A cast post (custom made post) was planned and placed over the distal root then individual crowns were fabricated on both the roots in the shape of premolars. Proper oral hygiene maintenance instructions were explained to the patient. The patient was observed at 3 months and 6 months intervals. Radiographically no pathology nor any signs of resorption were observed and clinically the gingival tissues were healthy.

Grossly mutilated mandibular molar tooth, Post endodontic restoration, Cast post, Core max