Clinical Case 20 – Management of root canal treatment failure with inadequate obturation, unusual distal root anatomy and suspected ledge formation in a mandibular molar

Author(s):  
Eugen Buga
2014 ◽  
Vol 2 (2) ◽  
pp. 40-45
Author(s):  
N Acharya ◽  
PS Samant ◽  
V Gautam ◽  
O Singh ◽  
A Shrestha

In everyday endodontic practice, clinicians face various atypical configurations, such as presence of extra root and/or atypical canal configuration. One of the major reason of the treatment failure is the missed extra root and/or canals. Mandibular first molars typically have two roots (one mesial and one distal), but sometimes present with a supernumerary root either distolingually (radix entomolaris), or mesiobuccally (radix paramolaris). Hence, the thorough knowledge of root canal anatomy and morphology along with its variation is crucial for the successful outcome of the root canal treatment. The aim of this paper is to present and describe the three clinical case reports of three rooted mandibular first molars and its endodontic management. DOI: http://dx.doi.org/10.3126/jucms.v2i2.11173 Journal of Universal College of Medical Sciences (2014) Vol.2(2): 40-45


Author(s):  
Anushka Yadav ◽  
Somendra Saraswat ◽  
B.R. Adyanthaya ◽  
Meetu Mathur

<p class="Default">The main objective of root canal treatment is thorough mechanical and chemical cleansing of the entire pulp space followed by complete obturation with an inert filling material. These molars normally have two roots, one mesial and one distal, and their usual canal distribution is two in the mesial root and one or two in the distal root. This clinical case reports and review of literature describes the management of the mandibular molar with three separate mesial canals including middle mesial canal.</p>


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