Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 401–403
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ENDODONTIC MANAGEMENT OF PERMANENT MANDIBULAR FIRST MOLAR WITH FOUR DISTAL ROOT CANALS: A CASE REPORT

Nagaraj*, Pallavi S, ArvindKumar A

Rajas Dental College and Hospital, Kavalkinaru, Tamil Nadu, India

Received: 2026-04-08 · Published: 2025-11-17

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
ENDODONTIC MANAGEMENT OF PERMANENT MANDIBULAR FIRST MOLAR WITH FOUR DISTAL ROOT CANALS: A CASE REPORT
Authors
Nagaraj, Pallavi S, ArvindKumar A
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-11-17
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.10-401

Abstract

Endodontic therapy of mandibular molars is complicated due to the varied configuration of roots and canals. There are numerous cases in the literature describing the distinctive anatomy of mandibular first molars. An interesting illustration of anatomical variance in a mandibular first molar with more than four canals, particularly when four of these canals are found in distal roots. A mandibular first molar with six canals—two mesial and four distal canals in two distal roots—is the main focus of this report. A thorough grasp of anatomical variances, preoperative awareness, and intraoperative attention to detect both typical and distinctive anatomy of the root canal system can help to raise the rate of therapeutic success.
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