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Year : 2015  |  Volume : 6  |  Issue : 2  |  Page : 121-125

Endodontic management of radix paramolaris with pulp stone in a mandibular permanent first molar

1 Department of Pedodontics and Preventive Dentistry, Guru Nanak Institute of Dental Sciences and Research, Kolkata, West Bengal, India
2 Department of Conservative Dentistry and Endodontics, Guru Nanak Institute of Dental Sciences and Research, Kolkata, West Bengal, India

Correspondence Address:
Abhirup Goswami
No: 3, M. C. Lahiri Street, Chatra, (Serampore-4), Hooghly - 712 204, West Bengal
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DOI: 10.4103/0976-433X.155474

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Variation of root canal anatomy is always a challenge for accurate diagnosis and subsequent successful endodontic therapy. A thorough knowledge of most common anatomic characteristics and their possible variations is essential for the clinician. The hard tissue repository of the human dental pulp takes on numerous configurations and shapes. These aberrations occur so often that they can be considered as normal anatomy. Radix paramolaris is one such aberration where an extra root is present on the mesiobuccal aspect of mandibular first molar. This article reports a case of successful endodontic management of a three rooted mandibular first molar with chronic irreversible pulpitis and emphasizes on the modifications in access and canal preparation, problems encountered during treatment, common iatrogenic errors during the endodontic intervention and factors, which affect the prognosis.

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