The radix entomolaris and radix paramolaris: an endodontic challenge.

J Contemp Dent Pract

Assistant Professor, Department of Oral and Maxillofacial Surgery, Government Dental College, Jaipur, Rajasthan, India.

Published: July 2014

Success of endodontic treatment depends on the proper identi-fication of all the canals, thorough chemomechanical preparation followed by three-dimensional obturation with hermetic seal. Failure of any of these steps may occur due to unusual tooth morphology. Usually mandibular molars have two roots with three canals but in few teeth, the number of roots and canals vary. The variation in the number of roots, if extra root located lingually called radix entomolaris (RE) or located bucally called radix paramolaris (RP). This article presents successful endo-dontic treatment of two mandibular frst molars with extra roots one is with radix entomolaris and other is with radix paramolaris, both of which are rare microstructures.

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http://dx.doi.org/10.5005/jp-journals-10024-1568DOI Listing

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Background Anatomical variations in the mandibular first molars can significantly impact endodontic outcomes. The presence of additional roots, such as the distolingual radix entomolaris (RE) and the mesiobuccal radix paramolaris (RP), complicates endodontic procedures. Traditional radiographs often fail to detect these variations due to their inherent limitations.

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Article Synopsis
  • - The study investigated the connection between radix entomolaris (RE) in permanent mandibular first molars and C-shaped canals (CSC) in mandibular second molars among Malaysian patients using cone-beam computed tomography (CBCT) images.
  • - Findings revealed that RE was present in 21.2% of first molars, while CSC appeared in 37.9% of second molars, with a co-occurrence rate of 6.5%.
  • - Certain demographics, like females and those from Eastern Peninsular Malaysia, showed a higher association with CSC in second molars, highlighting the need for clinicians to be cautious during examinations to avoid endodontic complications.
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Article Synopsis
  • The study examines the complexity of teeth anatomy, especially focusing on C-shaped canals and radix entomolaris, which impact the effectiveness of root canal treatments.
  • Using cone-beam computed tomography (CBCT), researchers identified the prevalence and types of these anatomical variations in a sample of 2173 teeth from a Mexican population.
  • Results showed that C-shaped canals were more common in second mandibular molars, with a significant gender difference in prevalence, highlighting the importance of understanding these variations for improving endodontic treatment success rates.
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Dental Anomalies: An Identification Marker in Forensics.

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May 2024

Department of Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Aim This study aims to evaluate the non-morphological traits of the South Indian population. Introduction Dental morphological traits, also known as non-metric dental traits, exhibit variation in appearance both within and between groups. The study analyzed the non-metric traits among the South Indian population, as few variants can be grouped within the population.

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Radix entomolaris (RE) is an anatomical variation that involves the existence of an extra root in lower molars, particularly the first molar. This variant, although less common, has significant clinical implications in endodontic treatment and dental surgeries. Appropriate detection of radix entomolaris is crucial for treatment planning and prognosis.

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