Endodontic Management of Hypercementosis in Conjunction with Middle Mesial Canal: A Clinical Challenge

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.