Endodontic Management of Mandibular First Molars with Radix Entomolaris: Two Case Reports

Abstract

Aim: To increase understanding of Radix Entomolaris for better diagnosis which can reduce complication and procedural errors in mandibular molars. Presentation of Case: This article presents two cases of radix entomolaris (RE) in the mandibular first molar. Its management started right from detection of root canal in extra root using intraoral radiographs through SLOB technique followed by correct protocol of chemo-mechanical debridement and 3D obturation of canals in mandibular first molars. Discussion: Mandibular molars have numerous variations in their internal anatomy one of which is RE which is commonly seen in the Asian population. Correct identification of all canals which can be done by various diagnostic techniques and thorough instrumentation of canals are required for a proper root canal treatment. A missed root canal is a common reason for the failure of RCTs. Conclusion: A proper radiographic investigation for better diagnosis and the use of flexible Ni-Ti rotary files that can avoid various procedural errors will lead to effective management of radix entomolaris.