Radix Entamolaris And Paramolaris: A Review

A thorough knowledge of root canal anatomy and its variations is very important for successful endodontic therapy and it depends upon the locations of all the canals, debridement and proper sealing. At times the clinicians are challenged with variations in morphology of root canal, one of such variations are observed in mandibular first molars. It is well known that both primary and permanent mandibular first molars usually have two roots, one mesial and distal and rarely an additional third root (supernumerary root) , when it is located distolingually to the main distal root is called “radix entomolaris (RE)” and when it is placed mesiobuccaly to the mesial root is called “radix paramolaris (RP) .” This review article attempts to make the dental fraternity aware of this morpho-anatomical variation, prevalence and endodontic management of these teeth thereby making their endodontic treatment successful.

The Radix Entomolaris : A Rare Entity In Endodontics.

Mandibular molars can have an additional root located lingually (the radix entomolaris) or buccally (the radix paramolaris). If present, an awareness and understanding of this unusual root and its root canal morphology can contribute to the successful outcome of root canal treatment. This report discusses endodontic treatment of one Mandibular molar with a radix entomolaris or paramolaris, both of which are rare macrostructures in the Caucasian population. The prevalence, the external morphological variations and internal anatomy of the radix entomolaris and paramolaris are described. Avoiding procedural errors during endodontic therapy demand an adapted clinical approach to diagnosis and root canal treatment.

Clinical Management Of Radix Entomolaris And Radix Paramolaris In Endodontics- Case Reports.

Treatment of mandibular molars have always kept the endodontist sharp and alert as it is one of the teeth that show variations in its external and internal morphology to the extreme. This reaches its epitome in the presence of an additional root located lingually (the radix entomolaris) or buccally (the radix paramolaris). When present an awareness and understanding of this unusual root and its root canal morphology contributes to the successful outcome of root canal treatment. This report discusses endodontic treatment of two mandibular molars with a radix entomolaris or paramolaris. The prevalence, the external morphological variations and internal anatomy of the radix entomolaris and paramolaris are described.

The Radix Entomolaris – An Endodontic Challenge : Case Reports.

Mandibular molars can have an additional root located lingually (the radix entomolaris) or buccally (the radix paramolaris). If present, an awareness and understanding of this unusual root and its root canal morphology can contribute to the successful outcome of root canal treatment. This report discusses endodontic treatment of three mandibular molars with a radix entomolaris. The prevalence, the external morphological variations and internal anatomy of the radix entomolaris and paramolaris are described.

Endodontic Management Of Radix Entomolaris - Two Case Reports.

A mandibular first molar with two distal roots is an interesting example of anatomic variation. This paper describes 2 case reports of mandibular first molar with three roots (one mesial and two distal) and four canals (two in mesial and one in each distobuccal and distolingual root). The canals were shaped with protaper rotary files and irrigated with 2.5% sodium hyochlorite and 0.2 %w/v of chlorhexidine gluconate and normal saline as the final irrigant. The prevalence, the external morphological variations and internal anatomy of the radix entomolaris and paramolaris are described.