A rare finding of a radix entomolaris and radix paramolaris in a lower first mandibular molar requiring endodontic treatment: a case report

Abstract

The success of endodontic treatment lies in the ability to appropriately access, clean and debride the entire root canal system to prevent or treat peri-apical pathology. The ‘conventional’ anatomy of a lower first molar consists of one mesial root usually with two canals and one distal root containing a single canal. Variations of this anatomy may present many clinical challenges to the operator. This case report is a summary of the clinical considerations for endodontic treatment of a symptomatic lower first mandibular molar with four roots and five canals. CPD/Clinical Relevance: Dental professionals should be aware of variations in root canal anatomy.