Endodontic management of permanent mandibular left first molar with six root canals

Abstract

The endodontic treatment of a mandibular molar with aberrant canal configuration can be diagnostically and clinically challenging. This case report presents the treatment of a mandibular first molar with six root canals, of which three canals were located in the mesial root and three in distal root. Third canals were found between the two main root canals. This case presents a rare anatomic configuration and points to the importance of expecting and searching for additional canals.

Keywords

• Cone beam computed tomography
• mandibular first molar
• middle distal canal
• middle mesial canal