Dental Journal of Advance Studies

Ashu Gupta ¹, Saroj Thakur ¹, Rambhika Thakur ²

Affiliations
1 Department of Conservative Dentistry, H.P.G.D.C & H, Shimla, Himachal Pradesh, IN
2 Department of Periodontology, M.N.D.A.V. Dental College, Solan, Himachal Pradesh, IN

Abstract

The removal of a ischolar_main and the overlaying anatomic crown is referred to as a hemisection. A case with a complain of pain and bone loss till the apex of distal ischolar_main of 36 presented in the department of Endodontics, Government dental college, Shimla. The patient had increased desire to maintain the natural dentition. The decision was taken to hemi-sect the distal ischolar_main, as mesial bone and furcation bone was relatively unaffected. After phase I therapy, periodontal flap was reflected, area debrided and distal ischolar_main was resected. This article describes a procedure of hemisection in mandibular molar and its subsequent restoration. The key to long term success appear to be thorough diagnosis, selection of patients with good oral hygiene and careful surgical and restorative management.

Keywords

Periodontitis, Permanent Dental Restoration, Surgery.

Full Text

   

Ashu Gupta ¹, Saroj Thakur ¹, Vishal Sharma ¹, Anshu Minocha ¹, Bhanu Pratap Singh ¹, Rambhika Thakur ²

Affiliations
1 Deptt. Of Conservative Dentistry, H.P.G.D.C & H, Shimla. (H.P.), IN
2 Deptt. of Periodontology, M.N.D.A.V. Dental College, Solan. (H.P.), IN

Abstract

Variation of ischolar_main canal anatomy is always a challenge for accurate diagnosis and successful endodontic therapy. A thorough knowledge of most common anatomic characteristics and their possible variations is essential for the clinician. The hard tissue repository of the human dental pulp takes on numerous configurations and shapes. These aberrations occur so often that they can be considered as normal anatomy. Radix Entomolaris (RE) is one such aberration where an extra ischolar_main is present on the distolingual aspect of mandibular first molar (molar with 3 ischolar_mains). This article presents two case reports of mandibular first molars with extra ischolar_mains which was successfully treated.

Keywords

Radix Entomolaris, Anatomic Variations, Extra Roots, Endodontic Treatment.

Full Text