Endodontics · single question

Tooth #30 (mandibular right first molar) has been endodontically treated and now requires a post and core. Which root should be selected for the post space?

  1. Any of the three roots is equally suitable
  2. Distal
  3. Mesiolingual
  4. Mesiobuccal
Show answer and explanation

Correct answer: B. Distal

  • A. The roots are not equivalent. Root morphology dictates post site selection, and choosing the wrong root converts a restorable tooth into a perforated one.
  • B. CORRECT. In a MANDIBULAR MOLAR the DISTAL root is the root of choice for a post. It is the largest root, its canal is the widest and roundest, and it is the straightest — the mesial root is thin, ribbon-shaped in cross-section, curved, and has a pronounced mesial concavity (the 'danger zone') on its distal surface where the dentin is thinnest. Post preparation in a mesial canal readily causes strip perforation.
  • C. The MESIOLINGUAL canal shares the same problems as the mesiobuccal — it sits within the same thin, hourglass-shaped mesial root with minimal dentin on its distal wall.
  • D. The MESIOBUCCAL canal is narrow, curved, and lies immediately adjacent to the furcal concavity. Preparing a post space here is the classic route to a strip perforation into the furcation.

Note: The parallel rule for the MAXILLARY molar is the PALATAL root — largest, roundest, straightest. Same logic, different tooth. And remember the general post rules that apply regardless of root: preserve 4–5 mm of apical gutta-percha, keep at least 1 mm of circumferential dentin around the post, and secure a 1.5–2 mm ferrule of sound coronal dentin, which is the strongest single predictor of long-term survival.

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