Endodontic Management of Hypercementosis in Conjunction  with Middle Mesial Canal: A Clinical Challenge

Harakh Chand Baranwal; Aiyman Ayubi; Silviya Samad; Harshitaa Aggarwal; Shubham Kharat; Prachi Rani

doi:10.9734/ajds/2025/v8i1223

Research Article Open access CC BY 4.0

Endodontic Management of Hypercementosis in Conjunction with Middle Mesial Canal: A Clinical Challenge

Harakh Chand Baranwal, Aiyman Ayubi, Silviya Samad, Harshitaa Aggarwal, Shubham Kharat, Prachi Rani

Asian Journal of Dental Sciences · pp. 49–54 · Published 11 Feb 2025

10.9734/ajds/2025/v8i1223

Abstract

Hypercementosis is characterized by an excessive deposit of dental cementum. While it is considered a benign pathology, it can sometimes be associated with a chronic pulpal or periapical infection. Furthermore, its management is complex, because establishing an accurate apical limit for a root canal procedure is not always possible. When a periapical lesion is present, a conservative, non-surgical approach to remove the inflammatory tissue from the periapical lesion can be considered as a treatment option. This case report illustrates the management of a tooth with hypercementosis accompanied by a middle mesial canal affecting a left mandibular first molar.

Endodontics ` hypercementosis mandibular molar mid-mesial canal root canal treatment

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Harakh Chand Baranwal, Aiyman Ayubi, Silviya Samad, Harshitaa Aggarwal, Shubham Kharat, Prachi Rani (2025). Endodontic Management of Hypercementosis in Conjunction with Middle Mesial Canal: A Clinical Challenge. Asian Journal of Dental Sciences , 49–54. https://doi.org/10.9734/ajds/2025/v8i1223

Affiliations

Harakh Chand Baranwal — Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Aiyman Ayubi — Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Silviya Samad — Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Harshitaa Aggarwal — Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Shubham Kharat — Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Prachi Rani — Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.

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