Management of Radix Entomolaris of Mandibular First Molar With Complex Root Canal Curvatures: A Case Report and Mini Review
ABSTRACT Radix entomolaris (RE) characterized by an extra root in mandibular molars is a rare phenotype. When this condition coincides with complex root canal curvatures or S‐shaped canals, root canal therapy (RCT) challenges arise. The present study presents three cases of RE along with complex roo...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70104 |
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| author | Ali Chamani Maryam Gharechahi Reza Shakiba Farshad Alipour |
| author_facet | Ali Chamani Maryam Gharechahi Reza Shakiba Farshad Alipour |
| author_sort | Ali Chamani |
| collection | DOAJ |
| description | ABSTRACT Radix entomolaris (RE) characterized by an extra root in mandibular molars is a rare phenotype. When this condition coincides with complex root canal curvatures or S‐shaped canals, root canal therapy (RCT) challenges arise. The present study presents three cases of RE along with complex root curvatures. The challenges of RCT and case management in this study are addressed within the framework of paying attention to the access cavity according to the extra root, instrumentation with the crown‐down technique, sufficient irrigation, using nickel–titanium rotary systems, dense obturation with the warm vertical technique, and patient follow‐up. Also, in the last case, the management of two broken files by loop and bypass techniques is described. Adequate knowledge of the root canal system's morphology and the use of appropriate techniques and materials for root canal therapy are the background for successful RCT. |
| format | Article |
| id | doaj-art-db54728422b94b028f96e1cb9dcde3c9 |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-db54728422b94b028f96e1cb9dcde3c92025-01-24T05:08:47ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70104Management of Radix Entomolaris of Mandibular First Molar With Complex Root Canal Curvatures: A Case Report and Mini ReviewAli Chamani0Maryam Gharechahi1Reza Shakiba2Farshad Alipour3Department of Endodontics School of Dentistry, Mashhad University of Medical Sciences Mashhad IranAssociate Professor of Endodontics, Department of Endodontics School of Dentistry, Mashhad University of Medical Sciences Mashhad IranStudent Research Committee, School of Dentistry, Mashhad University of Medical Sciences Mashhad IranStudent Research Committee, School of Dentistry, Mashhad University of Medical Sciences Mashhad IranABSTRACT Radix entomolaris (RE) characterized by an extra root in mandibular molars is a rare phenotype. When this condition coincides with complex root canal curvatures or S‐shaped canals, root canal therapy (RCT) challenges arise. The present study presents three cases of RE along with complex root curvatures. The challenges of RCT and case management in this study are addressed within the framework of paying attention to the access cavity according to the extra root, instrumentation with the crown‐down technique, sufficient irrigation, using nickel–titanium rotary systems, dense obturation with the warm vertical technique, and patient follow‐up. Also, in the last case, the management of two broken files by loop and bypass techniques is described. Adequate knowledge of the root canal system's morphology and the use of appropriate techniques and materials for root canal therapy are the background for successful RCT.https://doi.org/10.1002/ccr3.70104complex root canal curvaturesendodonticradix entomolarisroot canal therapyS‐shaped canals |
| spellingShingle | Ali Chamani Maryam Gharechahi Reza Shakiba Farshad Alipour Management of Radix Entomolaris of Mandibular First Molar With Complex Root Canal Curvatures: A Case Report and Mini Review Clinical Case Reports complex root canal curvatures endodontic radix entomolaris root canal therapy S‐shaped canals |
| title | Management of Radix Entomolaris of Mandibular First Molar With Complex Root Canal Curvatures: A Case Report and Mini Review |
| title_full | Management of Radix Entomolaris of Mandibular First Molar With Complex Root Canal Curvatures: A Case Report and Mini Review |
| title_fullStr | Management of Radix Entomolaris of Mandibular First Molar With Complex Root Canal Curvatures: A Case Report and Mini Review |
| title_full_unstemmed | Management of Radix Entomolaris of Mandibular First Molar With Complex Root Canal Curvatures: A Case Report and Mini Review |
| title_short | Management of Radix Entomolaris of Mandibular First Molar With Complex Root Canal Curvatures: A Case Report and Mini Review |
| title_sort | management of radix entomolaris of mandibular first molar with complex root canal curvatures a case report and mini review |
| topic | complex root canal curvatures endodontic radix entomolaris root canal therapy S‐shaped canals |
| url | https://doi.org/10.1002/ccr3.70104 |
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