Endodontic Management of Radix - A Case Series

Usually, mandibular first molars have two roots (mesial and distal) and three root canals (mesiobuccal, mesio-lingual and distal), but variations in the number of roots and canals are not uncommon. Permanent mandibular molars can have an additional root, which may be located lingually as the radix entomolaris or buccally as the radix paramolaris. The successful endodontic outcome in such cases can be achieved by comprehensive diagnosis, Knowledge of such unusual root canal morphology& internal anatomy, three-dimensional cleaning, shaping, and obturation. This case series discusses endodontic management of three mandibular molars with two radix entomolaris and one paramolaris, which are rare findings in the Indian population. The prevalence, the external morphological variations, and inherent challenges in detection diagnosis and management of Radix Entomolaris and Paramolaris are discussed and deliberate upon.