Endodontic Management of Radix Entomolaris in Mandibular third Molar – A Case Report

Autogenous tooth transplantation is a procedure to reposition an autogenous tooth to another extraction area or surgically created recipient site. The autotransplantation procedures have been documented well in the literature, and the survival rate of the transplanted teeth was reported to be more than 90% after ten years. Therefore, autotransplantation might have been overlooked as a treatment option. The purpose of this case report is to evaluate the long-term (29-year) success and periodontal stability of the tooth autotransplantation from the mandibular third molar to the second molar. A 24-year old female presented to a clinic with a large caries lesion with periapical radiolucnecy on to tooth #18. The tooth was extracted with the site and treated with autogenous tooth transplantation from #17 with a complete root form. Endodontic treatment was completed 3 months post autotransplantation; the final prosthesis was placed 6 months postoperatively. The patient has shown excellent oral hygiene care and high compliance with the regular maintenance recall program. The transplanted tooth has been still functioning without any symptoms. Radiographic and clinical examinations revealed stable periodontal and endodontic conditions over the 29 years after the procedure. This case report showed the long-term success of autotransplantation of the mandibular third molar with a closed root apex to the second molar site. Autotransplantation can be an option when an adequate donor site is available to reconstruct the occlusion after the tooth extraction.

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Iatrogenic root fracture secondary to extraction of impacted mandibular third molar that is mVasked by severe inflammation in the maxillofacial region – a case report

Clinical Case Reports and Reviews ◽

10.15761/ccrr.1000396 ◽

2018 ◽

Vol 4 (3) ◽

Author(s):

Stanimir Kisselov ◽

Tasho Gavrailov ◽

Petia Pechalova ◽

Desislava Konstantinova

Keyword(s):

Case Report ◽

Third Molar ◽

Maxillofacial Region ◽

Root Fracture ◽

Severe Inflammation ◽

Impacted Mandibular Third Molar ◽

Mandibular Third Molar

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Managing Curvatures in an Atypical Mandibular Third Molar: “Radix Paramolaris”

International Journal of Research and Review ◽

10.52403/ijrr.20220110 ◽

2022 ◽

Vol 9 (1) ◽

pp. 65-68

Author(s):

Sachin Gupta ◽

Shikha Jaiswal ◽

Rudhra Koul

Keyword(s):

Case Report ◽

Root Canal ◽

Crucial Role ◽

Third Molar ◽

Root Canal Treatment ◽

Activation Technique ◽

Third Molars ◽

Morphological Variations ◽

Root Canals ◽

Mandibular Third Molar

Third molars are known for morphological variations and atypical anatomy. Although these teeth pose difficulty in root canal treatment due to limited accessibility however, retaining third molars has gained importance in the present scenario due to their crucial role in serving as an abutment or in auto transplantation cases. This case report presents a case of Radix Paramolaris in mandibular third molar with severe curvatures of root canals in different planes and discusses its management with controlled memory files and tactile-controlled activation technique. Keywords: Radix Paramolaris, Curved canals, Controlled memory files, Tactile-controlled activation technique.

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Fused mandibular third molar with supernumerary tooth: A rare case report

Indian Journal of Oral Sciences ◽

10.4103/0976-6944.154606 ◽

2015 ◽

Vol 6 (1) ◽

pp. 26

Author(s):

Anand Kumar ◽

RamK Srivastava ◽

Iqbal Ali ◽

Puneet Wadhwani ◽

Harmuti Singh

Keyword(s):

Case Report ◽

Rare Case ◽

Third Molar ◽

Supernumerary Tooth ◽

Mandibular Third Molar ◽

Rare Case Report

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Orthodontic extraction of a mandibular third molar to avoid nerve injury: A case report

Journal of Orthodontic Research ◽

10.4103/2321-3825.125927 ◽

2014 ◽

Vol 2 (1) ◽

pp. 42 ◽

Cited By ~ 1

Author(s):

Enver Yetkiner ◽

GulcanCoskun Akar ◽

Ersin Mutlu

Keyword(s):

Case Report ◽

Nerve Injury ◽

Third Molar ◽

Mandibular Third Molar

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Endodontic Management of a Severely Dilacerated Mandibular Third Molar: Case Report and Clinical Considerations

Case Reports in Dentistry ◽

10.1155/2018/7594147 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Suraj Arora ◽

Gurdeep Singh Gill ◽

Priyanka Setia ◽

Anshad Mohamed Abdulla ◽

Ganapathy Sivadas ◽

...

Keyword(s):

Case Report ◽

Root Canal ◽

Third Molar ◽

Advanced Technology ◽

Root Canal Treatment ◽

Third Molars ◽

Limited Access ◽

Mandibular Third Molar ◽

Single Cone ◽

Clinical Considerations

This article aims at providing an insight to the clinical modifications required for the endodontic management of severely dilacerated mandibular third molar. A 35-year-old patient was referred for the root canal treatment of the mandibular left third molar. An intraoral periapical radiograph revealed a severe curvature in both the canals. A wide trapezoidal access was prepared following the use of intermediate-sized files for apical preparation. Owing to increased flexibility, Hero Shaper NITI files were used for the biomechanical preparation and single cone obturation was carried out. Third molars owing to their most posterior location-limited access coupled with a severe curvature pose utmost clinical challenges require meticulous skill, advanced technology, and patience to achieve success.

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