Affiliation:
1. People's Dental academy Bhopal, Madhya Pradesh
Abstract
Achieving success in endodontic treatment necessitates proper identification of the canals, thorough chemomechanical preparation, and three-dimensional obturation with an airtight seal. However, treatment failure can occur due to unpredictable tooth morphology. Although mandibular molars typically possess two roots containing three canals, the number of roots and canals may vary in certain teeth. These variations include the presence of an additional root, known as radix entomolaris (RE) if located distolingually, or radix paramolaris (RP) if located mesiobuccally. In this case series, we present six cases of mandibular first, second, and third molars with rare microstructures; one with RE and the other with RP respectively, both of which required endodontic treatment to achieve successful outcomes.
Key Words: Additional third root; Anatomical variations; Endodontic treatment; Mandibular molar; Radix entomolaris; Radix paramolaris
Publisher
Indian Dental Association
Reference22 articles.
1. Segura-Egea JJ, Jimenez-Pinzon A, Rios-Santos JV. Endodontic therapy in a 3-rooted mandibular first molar: Importance of a thorough radiographic examination. J Can Dent Assoc 2002; 68(9):541-544.
2. De Moor RJG, Deroose CAJG, Calberson FLG. The radix entomolaris in mandibular first molars: an endodontic challenge. International endodontic journal 2004; 37(11):789-799.
3. Pai AV, Jain R, Colaco AS. Detection and endodontic management of radix entomolaris: Report of case series. Saudi Endodontic Journal 2014; 4(2):77.
4. Attam K, Nawal RR, Utneja S, Talwar S. Radix entomolaris in mandibular first molars in Indian population: a review and case reports. Case reports in dentistry 2012.
5. Gu Y1, Zhou P, Ding Y, Wang P, Ni L. Root canal morphology of permanent three-rooted mandibular first molars: Part III—An odontometric analysis. J Endod 2011; 37: 485-490.