Endodontic challenges in the management of radix entomolaris: Case series

Endodontic treatment of Radix Entomolaris is challenging and requires a complete understanding of root canal system, and skills to manage the commonly occurring mishaps during the treatment. Therefore, comprehensive clinical & radiographic interpretation is critical in identifying unusual root canal morphologies. The additional root variation in the mandibular molars may be present either mesio-bucally (Radix Paramolaris) or distolingually (Radix Entomolaris). This case series intends to discuss the diagnosis, endodontic challenges during file separation, and non-surgical endodontic management of two cases of Radix Entomolaris in the mandibular first molar.
 

Keywords: Radix entomolaris, File retrieval, Ultrasonic tip, Endodontic treatment