EC Dental Science

Case Report Volume 22 Issue 4 - 2023

Middle Mesial Canals in Mandibular First Molars: A Clinician’s Dilemma

Harpreet Singh1*, Renu Bala Sroa2 and Jagvinder Singh Mann3

1Principal, Professor, and Head, of Conservative Dentistry and Endodontics, BJS Dental College and Hospital, Ludhiana
2Principal, Professor and Head, Conservative Dentistry and Endodontics, Govt. Dental College and Hospital, Amritsar, India
3Principal, Professor and Head, Conservative Dentistry and Endodontics, Govt. Dental College and Hospital, Patiala, India

*Corresponding Author: Harpreet Singh, Principal, Professor, and Head, of Conservative Dentistry and Endodontics, BJS Dental College and Hospital, Ludhiana.
Received: October 25, 2022; Published: March 20, 2023



followed by its complete obturation. However, owing to anatomic perplexities. this therapy at times may be more complicated than expected. The morphological variations of the Mandibular first molar demand careful clinical approach to avoid failures. The introduction of magnification and ultrasonics in endodontics has revolutionized the world and we are now able to manage the anatomical complexities much more predictably.

Keywords: Endodontic Treatment; Magnification; Middle Mesial Canal; Mandibular First Molar; Ultrasonics

  1. Malagnino V., et al. “Some unusual clinical cases on root anatomy of permanent maxillary molars”. Journal of Endodontics 2 (1997): 127-128.
  2. Alani AH. “Endodontic treatment of bilaterally occurring 4-rooted maxillary second molars: case report”. Journal of the Canadian Dental Association 11 (2003): 733-735.
  3. Slowey R. “Radiographic aids in the detection of extra root canals”. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 5 (1974): 762-772.
  4. Dean Baugh and James Wallace. “Middle Mesial Canal of the Mandibular First Molar: A Case Report and Literature Review”. Journal of Endodontics 3 (2004): 185-186.
  5. De Toubes KM., et al. “Comparative analysis of accessory mesial canal identification in mandibular first molars by using four different diagnostic methods”. Journal of Endodontics 4 (2012): 436-441.
  6. Nosrat A., et al. “Middle mesial canals in mandibular molars: incidence and related factors”. Journal of Endodontics 1 (2015): 28-32.
  7. Dean Baugh and James Wallace. “Middle Mesial Canal of the Mandibular First Molar: A Case Report and Literature Review”. Journal of Endodontics 3 (2004): 185-186.
  8. Bansal R., et al. “Morphology and prevalence of middle canals in the mandibular molars: A systematic review”. Journal of Oral and Maxillofacial Pathology 2 (2018): 216-226.
  9. Goel NK., et al. “Study of root canals configuration in mandibular first permanent molar”. Journal of Indian Society of Pedodontics and Preventive Dentistry 1 (1991): 12-14.
  10. Singh H. “Magnification in Endodontics: The third eye”. Research and Reviews: Journal of Dental Sciences2 (2016): 56-57.
  11. Qiao X., et al. “Prevalence of middle mesial canal and radix entomolaris of mandibular first permanent molars in a western Chinese population: an in vivo cone-beam computed tomographic study”. BMC Oral Health1 (2020): 224.

Harpreet Singh., et al. “Middle Mesial Canals in Mandibular First Molars: A Clinician’s Dilemma”.”. EC Dental Science 22.4 (2023): 116-120.