Root Canal Treatment Of Radix Entomolaris Mandibular First Molar In A Geriatric Patient- A Case Report

The target of an endodontic treatment, is to prevent and intercept pulpal / periradicular pathosis, to conserve a tooth affected by pathosis and to prevent recontamination after the treatment. In order to do so, a sound knowledge of basic root and root canal morphology as well as possible variation in anatomy of the root canal system is important in doing a successful root canal treatment. Careful radiographic examination and thorough clinical exploration of the tooth being treated is important in order to negotiate all the canals during an endodontic treatment. Mandibular molars sometimes present a variation called radix entomolaris, with the tooth having an extra root attached to its lingual aspect. This third lingual root, first mentioned in the literature by Carabelli [1], is called the radix entomolaris (RE). So, understanding the presence of this root and the angulation of the root canal, plays a vital role in endodontic management of the tooth. This case report describes the successful diagnosis and treatment of mandibular first molar of left side, ( that is tooth number 36) with a separate distal root