ENDODONTIC MANAGEMENT OF A PERMANENT MANDIBULAR FIRST MOLAR WITH 4 ROOTS: A CASE REPORT

Abstract

Introduction: Supernumerary roots in mandibular rst molars can be noted in about 24% of Asian population. But, the 4-rooted variant, described as Radix entoparamolaris is extremely rare, noted in only 0.04% of Asians. Case Report: A 27-year-old male patient was diagnosed with symptomatic irreversible pulpitis with apical periodontitis on the mandibular right rst molar. After anesthetizing the tooth using inferior alveolar nerve block, rubber dam isolation was done. The access cavity was prepared and the canal orices were located. Angled radiograph taken during working length determination revealed the presence of 4 roots (2 mesial and 2 distal). The cleaning and shaping procedures were performed using rotary les followed by obturation. Conclusion: This case report describes the successful endodontic management of Radix entoparamolaris, the 4-rooted variant of mandibular rst molar, which is extremely rare in our ethnic group.