Endodontic management of a severely dilacerated mandibular third molar: A case report

Abstract

It is crucial to have a thorough grasp of the anatomical changes in the roots and root canals of third molar teeth, as well as the endodontic consequences of these variations, before beginning any endodontic therapy. The key to the success of endodontic therapy is the cleaning and shape of the root canal. While treating curved canals, a few procedural mistakes might occur, such as ledge development, obstructions, and apical transportations and perforations. It was advised utilizing precurve files or flexible NiTi files to minimize procedural errors. Third molars face a variety of anatomical differences, such as merged canals, C-shaped canals, curved roots, and bayonet roots. Curved canals have become more common and been discovered to be comparatively higher in mandibular third molars (3.3 to 30.92%) as opposed to maxillary third molars (1.33 to 8.46%). The following article presents a case report of the endodontic treatment of a mandibular third molar with severely curved canals and highlights the various disciplines and modifications employed for its management.It is essential to give thorough attention to the radiographic assessment, access cavity preparation, and exploration in order to successfully navigate curved canals.