Endodontic Management of Radix Entomolaris in Mandibular First Molars–Two Case Reports

Maj (Dr.)Ravi Kanth Chintala; Col.(Dr.) Mahesh Gowda; Dr.Potharaju Santhi Priya; Dr. Jai Krishna Srikanth Kolliboyana

Volume : III, Issue : IX, September - 2014

Endodontic Management of Radix Entomolaris in Mandibular First Molars–Two Case Reports

Maj Dr. Ravi Kanth Chintala, Col. Dr. Mahesh Gowda, Dr. Potharaju Santhi Priya, Dr. Jai Krishna Srikanth Kolliboyana

Abstract :

Knowledge and understanding of the presence of an additional root and unusual root canal morphology can be a determining factor in the success of endodontic treatment. Unusual root canal anatomy is a common phenomenon, so a comprehensive knowledge of basic root canal anatomy and its variations is necessary for successful completion of endodontic treatment. Here, we describe two radix entomolaris case reports to illustrate the techniques required to visualize and diagnose this anatomical variation. The first of these was a 22–year–old patient with deep caries and irreversible pulpitis in the left mandibular first molar. The second was a 45–year–old patient with chronic irreversible pulpitis and acute apical periodontitis involving the right mandibular first molar. Both patients were found to have a second distal root and root canal in the lingual area. The reports focus particularly on the radiographic techniques necessary to clarify whether such a root is present and on cavity modifications that facilitate the access and instrumentation of these extra canals. We also discuss the importance of locating any additional roots and canals in the context of increased risk of root canal treatment failure if these are not recognized by the clinician.