Year : 2024

Volume : Volume 15

Issue : Issue 5

Address for correspondence :
Dr. Deepika Sharma
deepikapcds@gmail.com

Abstract

The majority of anatomic variations are found in the roots of the mandibular first molar. One such is radix entomolaris (RE) and radix paramolaris (RP). RE has been reported to occur with a frequency of 0.2–32% and RP 0–1.2% in different populations. A thorough understanding of root canal morphology, prevalence, and canal configuration of RE and RP ensures successful treatment outcomes and also eliminates endodontic failure in the future. This paper includes a review and case description of three rare cases of RE. The majority of patients reported with a chief complaint of pain in their lower back tooth region. Based on diagnosis, endodontic treatment was planned. Investigations revealed the presence of an extra root in all these cases. To know complex root anatomies, the use of cone-beam computed tomography is helpful to a great extent. Cases such as RE and RP once diagnosed, management of the extra canal can be done using equipment such as magnification aids, orifice locators, and flexible files. A common clinical problem posed by the three-rooted molar is the possible fracture of the distolingual root during extraction. Meticulous care should be taken from diagnosis till the completion of the treatment procedure, especially in cases of root canal therapy.