Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed Tomography

The meticulous knowledge of anatomic characteristics and their variations is essential for the clinician. Radix entomolaris (RE) is one such anomaly where an extra root is present on the distolingual aspect of the mandibular first molar. 18-year-old patient was referred for the root canal treatment...

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Main Authors: Muktishree Mahendra, Anand Verma, Sanjeev Tyagi, Santosh Singh, Kapil Malviya, Ramit Chaddha
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2013/697323
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author Muktishree Mahendra
Anand Verma
Sanjeev Tyagi
Santosh Singh
Kapil Malviya
Ramit Chaddha
author_facet Muktishree Mahendra
Anand Verma
Sanjeev Tyagi
Santosh Singh
Kapil Malviya
Ramit Chaddha
author_sort Muktishree Mahendra
collection DOAJ
description The meticulous knowledge of anatomic characteristics and their variations is essential for the clinician. Radix entomolaris (RE) is one such anomaly where an extra root is present on the distolingual aspect of the mandibular first molar. 18-year-old patient was referred for the root canal treatment of mandibular right and left first molars. Intraoral periapical radiograph revealed additional periodontal spacing crossing distal root of 36. A CBCT was advised and it confirmed the presence of extra roots both in 36 and 46. CBCT is useful in endodontics as it aids in the identification of essential anatomic structures and determination of radius and angle of root canal curvature which is linked to fracture of the instrument. The classical triangular access cavity was modified to a trapezoidal form to locate the extra canal. All canals were instrumented with controlled memory nickel titanium instruments and obturation was done with single cone technique.
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institution Kabale University
issn 2090-6447
2090-6455
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-e3f720602d944a81a37ce7041c5547d22025-02-03T01:28:15ZengWileyCase Reports in Dentistry2090-64472090-64552013-01-01201310.1155/2013/697323697323Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed TomographyMuktishree Mahendra0Anand Verma1Sanjeev Tyagi2Santosh Singh3Kapil Malviya4Ramit Chaddha5Department of Conservative Dentistry & Endodontics, People’s Dental Academy, Bhopal, Madhya Pradesh 462037, IndiaAnand Verma Dental Clinic, C/2-30, Civil Lines, Shamla Hill, Bhopal 462002, IndiaDepartment of Conservative Dentistry & Endodontics, People’s Dental Academy, Bhopal, Madhya Pradesh 462037, IndiaDepartment of Conservative Dentistry & Endodontics, People’s Dental Academy, Bhopal, Madhya Pradesh 462037, IndiaAnand Verma Dental Clinic, C/2-30, Civil Lines, Shamla Hill, Bhopal 462002, IndiaAnand Verma Dental Clinic, C/2-30, Civil Lines, Shamla Hill, Bhopal 462002, IndiaThe meticulous knowledge of anatomic characteristics and their variations is essential for the clinician. Radix entomolaris (RE) is one such anomaly where an extra root is present on the distolingual aspect of the mandibular first molar. 18-year-old patient was referred for the root canal treatment of mandibular right and left first molars. Intraoral periapical radiograph revealed additional periodontal spacing crossing distal root of 36. A CBCT was advised and it confirmed the presence of extra roots both in 36 and 46. CBCT is useful in endodontics as it aids in the identification of essential anatomic structures and determination of radius and angle of root canal curvature which is linked to fracture of the instrument. The classical triangular access cavity was modified to a trapezoidal form to locate the extra canal. All canals were instrumented with controlled memory nickel titanium instruments and obturation was done with single cone technique.http://dx.doi.org/10.1155/2013/697323
spellingShingle Muktishree Mahendra
Anand Verma
Sanjeev Tyagi
Santosh Singh
Kapil Malviya
Ramit Chaddha
Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed Tomography
Case Reports in Dentistry
title Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed Tomography
title_full Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed Tomography
title_fullStr Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed Tomography
title_full_unstemmed Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed Tomography
title_short Management of Complex Root Canal Curvature of Bilateral Radix Entomolaris: Three-Dimensional Analysis with Cone Beam Computed Tomography
title_sort management of complex root canal curvature of bilateral radix entomolaris three dimensional analysis with cone beam computed tomography
url http://dx.doi.org/10.1155/2013/697323
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