Endodontic Management of Radix Entomolaris: Case Report.

Chole, Dayanand; Maske, Kiran; Kundoor, Shashank; Bakle, Srinivas; Gandhi, Neha; Deshpande, Rucha

doi:10.9790/0853-1604017578

Cited by 1 publication

(2 citation statements)

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“…Periapical radiographs could be taken in different angulation, in addition the employment of digital radiography and Cone Beam CT would be very useful. Operator could also use Methylene Blue dye and "champagne effect" of sodium hypochlorite to help the identification of additional orifice(s) [1,2].…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of entire root canal system is essential to maximize the success in root canal treatment. It is necessary for the clinician to have a thorough knowledge of the dental anatomy as well as of its variations [2]. The majority of mandibular first molars consist of two roots, mesial root with two canals and distal root with one canal.…”

Section: Introductionmentioning

confidence: 99%

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Root Canal Treatment of Mandibular Molar With Accessory Root Canal: A Case Report

Kusumo¹,

Ratih²,

Mulyawati³

2021

Proceedings of the 1st Aceh International Dental Meeting (AIDEM 2019), Oral Health International Conference on Art, Nature and

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Root canal treatment comprises of cleaning and shaping, disinfecting, and root canal obturation. The success of treatment depends on the knowledge of the operator regarding root canal morphology. The mandibular first molars usually have two roots with three canals: distal, mesio-buccal and mesio-lingual. There is a possibility of an additional distolingual root namely radix entomolaris. A 21-year-old male patient was referred to Universitas Gadjah Mada Dental Hospital for root canal treatment. After subjective and objective examination, diagnosis of tooth 36 was pulp necrosis. Dental history of patient revealed caries occurred in left mandibular molar along with spontaneous pain that lasted for hours. The referring dentist had done pulp devitalization and prescribed oral analgesics. Shaping and cleaning were performed on mesio-buccal, mesio-lingual and distal root canal followed by intracanal dressing on first visit. Three days later the patient came with complaint of spontaneous pain. After careful observation, a distolingual root was found, which previously had not been prepared. Root canal preparation was carried out on the distolingual root followed by intracanal dressing. On third visit, the tooth was asymptomatic and root canals were obturated. On fourth visit, the tooth was prepared for onlay restoration and impression was taken. Composite onlay was cemented on the fifth visit. A week later the patient came for recall and no complaints were noted. Conclusion: root canal treatment on mandibular first molars must consider the anatomic variations, such as radix entomolaris. Using proper diagnostic aids and instruments would help identify acessory root canal. A thorough root canal preparation influence the success of root canal treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%