3-D diagnosis-assisted management of anomalous mandibular molar

3-D diagnosis-assisted management of anomalous mandibular molar

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This case report describes the successful non-surgical endodontic management of carious exposed three-rooted mandibular molar with four root canals detected on the pre-operative radiograph taken with 20 degrees mesial angulation and confirmed with a 64-slice Psoriasis Cream helical computed tomography scan-assisted 3-D-reconstructed images.Access cavity shape was modified to locate the extra canal with respect to the distolingual root in the left mandibular first molar.Copious irrigation was accomplished with 5.25% sodium hypochlorite and 17% EDTA.

Biomechanical preparation was done using protapers.Calcium hydroxide dressing was done for 1 week.The tooth was obturated using gutta percha and AH 26 root canal sealer, and it was permanently restored with composite.Clinical examination on follow-up visits revealed no sensitivity to percussion and palpation in the left mandibular first Hairclips molar.

Thorough knowledge of root canal variations and use of advanced diagnostic modalities lead to successful non-surgical management of the complex cases.