Abstract
This paper aims to provide examples of mandibular first molars that have an extra distolingual root and discuss how to manage them with the right tools and methods. Mandibular molars occasionally exhibit radix entomolaris, a variant in which the tooth has an additional root fixed to its lingual aspect. If this extra root is misdiagnosed or treated improperly, it could make endodontic management of the tooth more difficult. Thus, Understanding the variances in tooth/canal architecture and distinguishing traits is essential since it can help with canal location, negotiation, and management. Mandibular molars with this root shape have a different prognosis depending on the precise diagnosis and appropriate use of clinical endodontic competence.
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