Endodontic management and outcome of nonsurgical root canal treatment for radix entomolaris associated mandibular molar teeth: a scoping review of case reports
Radix entomolaris (RE) is an anatomical variant of the permanent mandibular molar (MM) with various complex anatomy. However, there is limited literature on the guideline on endodontic management of RE, resulting in unclear understanding on the endodontic treatment outcomes. Hence, this study ai...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
IIUM Press
2024
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/113836/7/113836_Endodontic%20management%20and%20outcome.pdf http://irep.iium.edu.my/113836/ https://journals.iium.edu.my/ktn/index.php/ijohs/article/view/315 https://doi.org/10.31436/ijohs.v5i2.315 |
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| Summary: | Radix entomolaris (RE) is an anatomical variant of the permanent
mandibular molar (MM) with various complex anatomy. However, there
is limited literature on the guideline on endodontic management of RE,
resulting in unclear understanding on the endodontic treatment
outcomes. Hence, this study aimed to map current case reports on
endodontic treatment modalities, occurrence of endodontic mishaps, and
outcome of MM associated with RE. A systematic search was performed
in PubMed, Google Scholar, Scopus, Science Direct, PLOS, and Lilac
databases for English articles published between 2000 and 2022 that met
the inclusion criteria. The search yielded 1435 results; after screening
was completed, only 58 articles were included in the study and critically
appraised using JBI critical appraisal tool. Amongst the modifications
made in endodontic management of RE were utilising angulated
periapical radiograph supplemented with cone-beam computed
tomography, extending the access cavity distolingually, and maintaining
a small apical size of #25. There were 12% incidence of endodontic
mishaps (separated instrument, ledge, missed canal, and extruded
sealer) on RE. The success and survival rate of MM associated with RE
were 58.7% and 40% respectively, at an average of 8.4 months. The basic
management of MM with RE is similar to that of other MM. However,
emphasis should be made on RE identification to prevent endodontic
mishaps that can influence the endodontic treatment outcome. |
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