Abstract
Mandibular rst molars are frequently encountered with variations in their internal anatomy; among those is the presence of an extra canal in the mesial root called the middle mesial canal, and the presence of an additional distolingual root known as the radix entomolaris. The proper application of the magnication, such as the microscopes, loupes, and cone-beam computed tomography (CBCT), together with the usage of heattreated exible NiTi les augments the accomplishment in the endodontics while dealing with such rare cases. This case report describes the management of the mandibular rst molar with unusual morphology having Radix entomolaris along with the middle mesial canal in a 32 years old female patient. The treatment approach included root canal treatment without the assistance of any magnication devices.
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