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CBCT Imaging of a Rare Case of Radix Entomolaris in Mandibular Second Molar


Affiliations
1 Associate Professor and Subject In-Charge, Department of Oral Medicine, Diagnosis and Radiology, SGRD Institute of Dental Sciences and Research, Amritsar – 143006, Punjab, India
2 Associate Professor, Department of Prosthodontics, SGRD Institute of Dental Sciences and Research, Amritsar – 143006, Punjab, India
3 Former Intern, SGRD Institute of Dental Sciences and Research, Amritsar – 143006, Punjab, India
     

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The presence of an additional supernumerary distolingual root in the mandibular molar is termed Radix Entomolaris (RE). It is common in the mandibular first molar, but its occurrence in the mandibular second molar is scarcely reported in the literature. Two-dimensional imaging can diagnose anatomical root canal variations when taken with different horizontal angulations. With the recent innovations in three-dimensional diagnostic imaging, cone beam computed tomography (CBCT) can aid in unfolding the complexities of the root canal system. Accurate diagnosis by CBCT leads to the success of endodontic treatment. A rare case of radix entomolaris in the mandibular second molar in an Indian female is reported here with three of its CBCT findings. Imaging in all three dimensions, oblique sections and volume rendering by CBCT proved to be of additional help to understand the complex anatomy and root canal morphology of the tooth.

Keywords

Additional Root, Cone Beam Computed Tomography, Distolingual Root, Mandibular Second Molar, Radix Entomolaris, Radix.
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  • CBCT Imaging of a Rare Case of Radix Entomolaris in Mandibular Second Molar

Abstract Views: 114  |  PDF Views: 0

Authors

Preeti Chawla Arora
Associate Professor and Subject In-Charge, Department of Oral Medicine, Diagnosis and Radiology, SGRD Institute of Dental Sciences and Research, Amritsar – 143006, Punjab, India
M. Aman Arora
Associate Professor, Department of Prosthodontics, SGRD Institute of Dental Sciences and Research, Amritsar – 143006, Punjab, India
Jasmeet Kaur
Former Intern, SGRD Institute of Dental Sciences and Research, Amritsar – 143006, Punjab, India

Abstract


The presence of an additional supernumerary distolingual root in the mandibular molar is termed Radix Entomolaris (RE). It is common in the mandibular first molar, but its occurrence in the mandibular second molar is scarcely reported in the literature. Two-dimensional imaging can diagnose anatomical root canal variations when taken with different horizontal angulations. With the recent innovations in three-dimensional diagnostic imaging, cone beam computed tomography (CBCT) can aid in unfolding the complexities of the root canal system. Accurate diagnosis by CBCT leads to the success of endodontic treatment. A rare case of radix entomolaris in the mandibular second molar in an Indian female is reported here with three of its CBCT findings. Imaging in all three dimensions, oblique sections and volume rendering by CBCT proved to be of additional help to understand the complex anatomy and root canal morphology of the tooth.

Keywords


Additional Root, Cone Beam Computed Tomography, Distolingual Root, Mandibular Second Molar, Radix Entomolaris, Radix.

References





DOI: https://doi.org/10.18311/jpfa%2F2022%2F31155