Middle mesial canal in mandibular first molar: A narrative review

Purpose: This review aimed to assess the incidence, anatomical characteristics, identification, and clinical management using conventional techniques and advanced tools to manage MMCs successfully. Methods: Medline/PubMed and Scopus databases were searched using “Middle mesial canal,” “Middle mesial...

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Main Authors: Raghavendra Penukonda, Harshada Pattar, Phrabhakaran Nambiar, Afaf Al-Haddad
Format: Article
Language:English
Published: Springer 2023-07-01
Series:Saudi Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905223000901
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author Raghavendra Penukonda
Harshada Pattar
Phrabhakaran Nambiar
Afaf Al-Haddad
author_facet Raghavendra Penukonda
Harshada Pattar
Phrabhakaran Nambiar
Afaf Al-Haddad
author_sort Raghavendra Penukonda
collection DOAJ
description Purpose: This review aimed to assess the incidence, anatomical characteristics, identification, and clinical management using conventional techniques and advanced tools to manage MMCs successfully. Methods: Medline/PubMed and Scopus databases were searched using “Middle mesial canal,” “Middle mesial root canal,” OR “Accessory mesial canal” keywords from 1 January 1970 and 1 February 2023. The most pertinent articles were chosen for the review from the retrieved articles. In addition, relevant articles were added by manually searching the list of references. Results: The incidence of MMC is noticeable in younger people, and the confluent canal is the most common type. The majority of MMCs merged with mesiobuccal (MB) canals rather than mesiolingual (ML) canals. Clinical management could be employed using the standard endodontics protocol, and recent radiography technologies, magnification, rotary, and obturation materials can facilitate the procedures. Conclusion: The possibility of the incidence of MMC is not unusual. Detection and thorough debridement followed by obturation of the canal could increase the success rate of clinical outcomes.
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series Saudi Dental Journal
spelling doaj-art-a86cb6ffb8f743c7ad80eb7a0867bd6b2025-08-20T02:20:44ZengSpringerSaudi Dental Journal1013-90522023-07-0135546847510.1016/j.sdentj.2023.05.008Middle mesial canal in mandibular first molar: A narrative reviewRaghavendra Penukonda0Harshada Pattar1Phrabhakaran Nambiar2Afaf Al-Haddad3Department of Endodontics, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, 42610, Selangor, MalaysiaDepartment of Oral Pathology, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, 42610, Selangor, MalaysiaHead of the Department, Department of Oral Biology, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, 42610, Selangor, MalaysiaDepartment of Conservative Dentistry, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, 42610, Selangor, Malaysia; Corresponding author at: Department of Conservative Dentistry, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, 42610, Selangor, Malaysia.Purpose: This review aimed to assess the incidence, anatomical characteristics, identification, and clinical management using conventional techniques and advanced tools to manage MMCs successfully. Methods: Medline/PubMed and Scopus databases were searched using “Middle mesial canal,” “Middle mesial root canal,” OR “Accessory mesial canal” keywords from 1 January 1970 and 1 February 2023. The most pertinent articles were chosen for the review from the retrieved articles. In addition, relevant articles were added by manually searching the list of references. Results: The incidence of MMC is noticeable in younger people, and the confluent canal is the most common type. The majority of MMCs merged with mesiobuccal (MB) canals rather than mesiolingual (ML) canals. Clinical management could be employed using the standard endodontics protocol, and recent radiography technologies, magnification, rotary, and obturation materials can facilitate the procedures. Conclusion: The possibility of the incidence of MMC is not unusual. Detection and thorough debridement followed by obturation of the canal could increase the success rate of clinical outcomes.http://www.sciencedirect.com/science/article/pii/S1013905223000901Canal configurationCone Beam Computed Tomography (CBCT)Dental Operating Microscope (DOM)Mandibular first molar (M1M)Middle mesial canal (MMC)
spellingShingle Raghavendra Penukonda
Harshada Pattar
Phrabhakaran Nambiar
Afaf Al-Haddad
Middle mesial canal in mandibular first molar: A narrative review
Saudi Dental Journal
Canal configuration
Cone Beam Computed Tomography (CBCT)
Dental Operating Microscope (DOM)
Mandibular first molar (M1M)
Middle mesial canal (MMC)
title Middle mesial canal in mandibular first molar: A narrative review
title_full Middle mesial canal in mandibular first molar: A narrative review
title_fullStr Middle mesial canal in mandibular first molar: A narrative review
title_full_unstemmed Middle mesial canal in mandibular first molar: A narrative review
title_short Middle mesial canal in mandibular first molar: A narrative review
title_sort middle mesial canal in mandibular first molar a narrative review
topic Canal configuration
Cone Beam Computed Tomography (CBCT)
Dental Operating Microscope (DOM)
Mandibular first molar (M1M)
Middle mesial canal (MMC)
url http://www.sciencedirect.com/science/article/pii/S1013905223000901
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