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Case Reports in Dentistry
Volume 2018, Article ID 7594147, 4 pages
https://doi.org/10.1155/2018/7594147
Case Report

Endodontic Management of a Severely Dilacerated Mandibular Third Molar: Case Report and Clinical Considerations

1Department of Restorative Dentistry, College of Dentistry, King Khalid University, Abha, Asir Province, Saudi Arabia
2Department of Conservative Dentistry & Endodontics, JCD Dental College, Sirsa, Haryana, India
3Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, Asir Province, Saudi Arabia
4Department of Pedodontics and Preventive Dentistry, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Kedah, Malaysia
5Department of Oral Pathology, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Kedah, Malaysia

Correspondence should be addressed to Anshad Mohamed Abdulla; moc.liamg@4002dahsna

Received 21 May 2018; Accepted 28 August 2018; Published 8 October 2018

Academic Editor: Jiiang H. Jeng

Copyright © 2018 Suraj Arora et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This article aims at providing an insight to the clinical modifications required for the endodontic management of severely dilacerated mandibular third molar. A 35-year-old patient was referred for the root canal treatment of the mandibular left third molar. An intraoral periapical radiograph revealed a severe curvature in both the canals. A wide trapezoidal access was prepared following the use of intermediate-sized files for apical preparation. Owing to increased flexibility, Hero Shaper NITI files were used for the biomechanical preparation and single cone obturation was carried out. Third molars owing to their most posterior location-limited access coupled with a severe curvature pose utmost clinical challenges require meticulous skill, advanced technology, and patience to achieve success.