The aim of this paper is to present an interesting case of a shirt sleeve cuff-shaped hypercementosis associated with mandibular premolar and first molar.A 35-year-old healthy female patient was referred to our clinic by a general dentist. A diagnosis of hypercementosis with pulp necrosis was made. The root canal was prepared using the sequential hand files and rotary files. In the first session, calcium hydroxide was applied to the root canals to treat the radiolucent lesion. A one-week break was taken between the first and second session, and finally, the canals were filled with standard cold lateral gutta-percha condensation. No clinical signs were detected in the clinical examination of the controls, and the hypercementosis and radiolucent lesion were healed in follow-up x-rays.
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