Endodontic management of a severely dilacerated mandibular third molar: A case report

It is crucial to have a thorough grasp of the anatomical changes in the roots and root canals of third molar teeth, as well as the endodontic consequences of these variations, before beginning any endodontic therapy. The key to the success of endodontic therapy is the cleaning and shape of the root canal. While treating curved canals, a few procedural mistakes might occur, such as ledge development, obstructions, and apical transportations and perforations. It was advised utilizing precurve files or flexible NiTi files to minimize procedural errors. Third molars face a variety of anatomical differences, such as merged canals, C-shaped canals, curved roots, and bayonet roots. Curved canals have become more common and been discovered to be comparatively higher in mandibular third molars (3.3 to 30.92%) as opposed to maxillary third molars (1.33 to 8.46%). The following article presents a case report of the endodontic treatment of a mandibular third molar with severely curved canals and highlights the various disciplines and modifications employed for its management. It is essential to give thorough attention to the radiographic assessment, access cavity preparation, and exploration in order to successfully navigate curved canals.

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Publication Details

Journal
IP Indian Journal of Conservative and Endodontics
Published
2024-09-05
DOI
https://doi.org/10.18231/j.ijce.2024.031
Primary Topic
Endodontics and Root Canal Treatments
Type
article
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article

Endodontic management of a severely dilacerated mandibular third molar: A case report

Rachita Arora, Nikhil Bhardwaj, Ambica Khetarpal, Avishek Singh et al.
IP Indian Journal of Conservative and Endodontics
Endodontics and Root Canal Treatments
article

Endodontic management of a severely dilacerated mandibular third molar: A case report

Rachita Arora, Nikhil Bhardwaj, Ambica Khetarpal, Avishek Singh, Shally Suri, Rajnish Jain
article en

Abstract

It is crucial to have a thorough grasp of the anatomical changes in the roots and root canals of third molar teeth, as well as the endodontic consequences of these variations, before beginning any endodontic therapy. The key to the success of endodontic therapy is the cleaning and shape of the root canal. While treating curved canals, a few procedural mistakes might occur, such as ledge development, obstructions, and apical transportations and perforations. It was advised utilizing precurve files or flexible NiTi files to minimize procedural errors. Third molars face a variety of anatomical differences, such as merged canals, C-shaped canals, curved roots, and bayonet roots. Curved canals have become more common and been discovered to be comparatively higher in mandibular third molars (3.3 to 30.92%) as opposed to maxillary third molars (1.33 to 8.46%). The following article presents a case report of the endodontic treatment of a mandibular third molar with severely curved canals and highlights the various disciplines and modifications employed for its management. It is essential to give thorough attention to the radiographic assessment, access cavity preparation, and exploration in order to successfully navigate curved canals.

IP Indian Journal of Conservative and EndodonticsVol. 9(3)
Manubhai Patel Dental College and Hospital (IN), Satguru Partap Singh Hospital (IN), Rajasthan Dental College and Hospital (IN)
Openalex Percentile: Top 78%
Endodontics and Root Canal Treatments
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