Mandibular Molar With Radix Entomolaris and Middle Mesial Canal : A Rare Clinical Encounter

The simultaneous occurrence of radix entomolaris (RE) and a middle mesial canal(MMC) in a mandibular first molar is exceptionally uncommon. This rare anatomical combination demands meticulous diagnostic evaluation and careful endodontic management to ensure all canal variations are properly identified and treated. Effective management requires accurate diagnosis,thorough exploration of all canals,precise chemomechanical preparation and three dimensional obturation that preserves the root canal’s natural anatomy.The appropriate utilization of the advanced aids of magnification and technology,such as the microscopes,loupes, and cone-beam computed tomography (CBCT) enhances the success while dealing with such rare entities.This article presents a case report of an radix entomolaris with middle mesial canal which is definitely rare in occurrence and requires cautious management.