Endodontic treatment on lower right first molar with radix entomolaris

Assalammualaikum Wr Wb.. Good Morning!!

welcome back to SekilasKonservasiGigi.Com, a full story of my mini series updated from my social media such as instagramfacebookgoogle plus, and also twitter. Sometimes, I also updated my cases at Line or Linkedin. 🙂 this topic will focus only on conservative dentistry cases such as restorative dentistry and endodontic or root canal treatment.

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Endodontic treatment on lower right first molar with radix entomolaris
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By definition, Radix entomolaris is the presence of an additional distolingual root in mandibular molars. The extra root is on the lingual side of the root.
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I got this patient with a big cavity which had been opened by another operator. The patient said that she had 4 visits and don’t know when is ended because she still feel pain while chewing.
The radiographic showed radiolucencies at the bifurcation area.

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After taking informed consent. I build up the distal wall prior to root canal treatment. Shaping was done with ProtaperNext (Dentsply), coronally sealed with composite resin Z350 flowable (3MESPE).
Xray image taken with durr sensor 7.1 (60kV, 3mA, 0.03seconds).
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Take a look at the presence of lateral canal at coronal third of mesial root.
Now we know why there is radiolucencies at the bifurcation.. 🙂
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with love from Jakarta, Indonesia

Wassalammualaikum Wr Wb..

-drg. Rio Suryantoro, Sp.KG-

M e e t   m e   a t :

All Care Dental Centre, Plaza 5 Pondok Indah, blok B No. 15. Jakarta selatan
Positive dental Team Clinic, JL. Anggrek Garuda DII/1B, slipi, jakarta barat
Mayapada Hospital, Jl. Lebak Bulus I Kav 29, Jakarta Selatan

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