Endodontic Management of Radix Entomolaris: Case Report.

Abstract

The treatment of mandibular molars has been challenging to the endodontist due to its several anatomical variations. The majority of mandibular first molars are two rooted with one mesial root and one distal root. It can have an additional root located lingually (radix entomolaris) or buccally (radix paramolaris). Success of endodontic treatment depends on thorough mechanical and chemical cleaning of the root canal system and obturation with an inert filling material. Lack of a working knowledge of pulp anatomy ranks second to inaccurate diagnosis and treatment planning as a cause of endodontic treatment failure. Hence accurate diagnosis and careful application of clinical endodontic skill is essential for the good prognosis of mandibular with this root morphology.