Endodontic Management of Hypercementosis in Conjunction with Middle Mesial Canal: A Clinical Challenge
Harakh Chand Baranwal
Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Aiyman Ayubi *
Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Silviya Samad
Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Harshitaa Aggarwal
Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Shubham Kharat
Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
Prachi Rani
Conservative Dentistry and Endodontics, Faculty of Dental Sciences, IMS, BHU, Varanasi -221005, India.
*Author to whom correspondence should be addressed.
Abstract
Hypercementosis is characterized by an excessive deposit of dental cementum. While it is considered a benign pathology, it can sometimes be associated with a chronic pulpal or periapical infection. Furthermore, its management is complex, because establishing an accurate apical limit for a root canal procedure is not always possible. When a periapical lesion is present, a conservative, non-surgical approach to remove the inflammatory tissue from the periapical lesion can be considered as a treatment option. This case report illustrates the management of a tooth with hypercementosis accompanied by a middle mesial canal affecting a left mandibular first molar.
Keywords: Endodontics, `, hypercementosis, mandibular molar, mid-mesial canal, root canal treatment