Abstract

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 A 18-year-old boy came with the complaints of mild pain during mastication on the lower right posterior tooth for two weeks. He gave the history of severe pain on offending tooth one month before, which subsided within a few days after taking medication from a local pharmacy. On clinical examination, a deep occlusal caries was present on the lower right first molar tooth. The tooth was tender to the vertical percussion but not associated with any swelling or discharge. The vitality test revealed that the tooth was non-vital.

Highlights

  • Dr Mujibur Rahman Howlader (Associate Professor): Previous studies have indicated that the mandibular first molar tooth may exhibit several anatomical variations among the races such as the first molars of the Caucasian population usually present with two roots: one mesial and one distal.[15,16]

  • Dr Govind Kumar Chaudhary (MS Resident): Previous studies have indicated that a third additional root known as radix entomolaris could be found in the mandibular first molar tooth in the distolingual position.[22,23]

  • De Moor et al (2004)[25] described another classification according to curvature variations of radix entomolaris in the buccolingual direction as type I, II and III where type I considered as straight root/canals, type II as a curvature at the entrance of the orifice and type III contains two curvatures where one is located at the coronal and the other is found at the middle third

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Summary

Introduction

Dr Mujibur Rahman Howlader (Associate Professor): Previous studies have indicated that the mandibular first molar tooth may exhibit several anatomical variations among the races such as the first molars of the Caucasian population usually present with two roots: one mesial and one distal.[15,16] in the case of the mesial root, the two canals finish into two different apical foramens or sometimes they may unite at the root ending and develops a single foramen. Dr Govind Kumar Chaudhary (MS Resident): Previous studies have indicated that a third additional root known as radix entomolaris could be found in the mandibular first molar tooth in the distolingual position.[22,23] when this supernumerary root is located in the mesiobuccal surface, it is termed as radix paramolaris.

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