Mandibular molars display a wide spectrum of intricate anatomical variations among the Indian population. This case report details the diagnosis and successful endodontic management of a mid-mesial canal in the mandibular first molar tooth, emphasizing the importance of radiographic imaging and meticulous instrumentation. The patient presented with symptoms of irreversible pulpitis that led to accurate relief of symptoms after shaping and cleaning protocols were followed. This case series discusses the challenges encountered during canal negotiation, cleaning, shaping, and obturation, providing insights into the complexities associated with mid-mesial canals.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10840594PMC
http://dx.doi.org/10.7759/cureus.51746DOI Listing

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Mandibular molars display a wide spectrum of intricate anatomical variations among the Indian population. This case report details the diagnosis and successful endodontic management of a mid-mesial canal in the mandibular first molar tooth, emphasizing the importance of radiographic imaging and meticulous instrumentation. The patient presented with symptoms of irreversible pulpitis that led to accurate relief of symptoms after shaping and cleaning protocols were followed.

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Background: The presence of middle mesial canals in mandibular molars are not commonly encountered in daily practice. However, locating and debriding such anatomical variation during the endodontic therapy is essential to avoid endodontic failure. The aim of this systematic review was to identify the overall prevalence of middle mesial canals (MMC) in mandibular molars using cone-beam computed tomography (CBCT), to assess the influence of different gender on the prevalence of MMCs in mandibular molars and to describe the MMC configurations.

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Article Synopsis
  • - This study reviewed root canal morphology in permanent mandibular teeth across various regions of Saudi Arabia, following PRISMA guidelines to collect and analyze data from multiple databases like Web of Science, Scopus, and PubMed.
  • - It focused on several key factors including the number of roots and canals, and classified them according to Vertucci's system, finding that most mandibular incisors and canines typically have one canal, while molars can have up to four canals.
  • - The findings showed variations in canal configurations across different regions but collectively represent the root canal anatomy of the Saudi population, with specific types such as C-shaped canals and mid-mesial canals observed in a smaller percentage of teeth.
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Introduction: The aim was to assess the prevalence of Mid Mesial Canal (MMC) in the first and second mandibular molars in a Saudi subpopulation sample and assess its relation to side, gender, and age using Cone beam computed tomography (CBCT).

Methods: The CBCT scans at King Saud University Dental Hospital between 2016 and 2019 were reviewed and filtered. The MMC of the mandibular molars were assessed according to Pomeranz et al.

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Purpose: Missed additional canals are one of the most important reasons for RCT failures in molar teeth. This study aimed to determine the prevalence and distribution of middle mesial canals in mandibular first molars of the Kerman population.

Materials And Methods: A retrospective study was performed on de-identified cone beam image sets from 3 private radiology centers in Kerman.

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