Endodontic management of special care patients with access difficulties: a case of oral submucous fibrosis and a temporomandibular joint ankylosis

Endodontic management of diseased pulp consist of cleaning and shaping of root canal after adequate access and thus sealing of the root canal space with inert obturating material. Root canal treatment has been considered as a challenging task when teeth are associated with anatomical difficulties such as root canals with extreme curvature, calcification or aberrant root anatomy etc. These difficulties become more complex when access to the tooth is limited as in case of limited mouth opening associated with oral submucous fibrosis (OSMF) and temporomandibular joint (TMJ) disorder. This article describes the successful endodontic management of two complex cases of patient having OSMF and patient with TMJ ankylosis.