The endodontic triad consists of cleaning and shaping, disinfection and obturation. Success of root canal therapy in primary teeth is mainly achieved by thorough removal of debris and necrotic tissue. However, complete elimination of bacterial contaminants as well as necrotic debris require adjunctive use of root canal irrigants along with mechanical instrumentation. As we know from literature that none of the available irrigating solutions alone provides all the ideal requirements. Studies have shown that a combination of two or more irrigating solutions in a specific sequence will help to achieve optimal irrigation. This review article mainly highlights the mechanism of action, safety and biocompatibility of currently used irrigation solutions and also the other materials that can be used as a potent irrigants, their advantages and limitations in future of endodontics.

A 6-year old boy was seen at the Paediatric clinic in Bangalore, with the chief complaint of pain in the lower left primary second molar. His medical, surgical, and personal history was noncontributory. Extraoral examination revealed left submandibular lymphadenopathy. Oral examination revealed a large carious lesion in relation to the left mandibular second primary molar. No soft tissue abnormalities were found. On careful clinical examination, extra additional cuspal projections were seen on the distobuccal surfaces of the right and left mandibular primary first molars [Table/ Fig-1]. The projections were 2x2mm in size with a globular shape and placed on the distobuccal surface of the mandibular primary first molars [Table/ Fig-2].The opposing teeth conformed well in occlusion with these cuspal projections. No evidence of caries was noted in the grooves of these cusps. Neither the siblings nor the parents had reported with such Dentistry Section

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Mesiodens is a commonly found supernumerary tooth present in the midline of maxilla. Mesiodens can be paired, single, erupted, unerupted, and sometimes impacted. Numerous issues are brought on by these mesiodens, including cyst development, root resorption, midline diastema, displacement, and rotation. In the present case, mesiodens is found bilaterally in the anterior maxilla and both mesiodens are prophylactically extracted to prevent its adverse effects on permanent dentition