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Case Reports in Dentistry
Volume 2012, Article ID 103125, 6 pages
Case Report

Independent and Confluent Middle Mesial Root Canals in Mandibular First Molars: A Report of Four Cases

1Department of Conservative Dentistry & Endodontics, Chettinad dental college, Chettinad Health City & Research Institute, Old Mahabalipuram Road, Kelambakkam 603103, Chennai, India
2Department of Conservative Dentistry & Endodontics, Ragas Dental College & Hospital, Uthandi 600119, Chennai, India

Received 11 March 2012; Accepted 15 May 2012

Academic Editors: J. H. Campbell, I. El-Hakim, and E. F. Wright

Copyright © 2012 Mohanavelu Deepalakshmi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Mandibular molars demonstrate considerable variations with respect to number of roots and root canals. The possibility of additional root canals should be considered even in teeth with a low frequency of abnormal root canal anatomy. This paper discusses the endodontic management of the rare anatomical complexity middle mesial canals in mandibular first molar and also serves to remind the clinicians that such anatomical variations should be taken into account during the endodontic treatment of the mandibular molars.