The outcome and long term prognosis of the successful root canal therapy relies on the awareness and thorough understanding of
variations in morphology that may exist in the root canals. Aim of the present study is to report a case of Management of Two
Mandibular First Molar with Middle Mesial Canal. A 34 year old male reported with pain since three months. He was diagnosed with
irreversible pulpitis. The Root canal treatment was initiated. The presence of extra canal, which is not so common finding was found
during the treatment. Treatment plan was modified accordingly and Root canal was completed. The extra canal has been reviewed
and discussed. This mid- mesial canal can be visualized after obtaining access to the pulp chamber and removing hindrance
covering the canal orifice with either burs or ultrasonic tips.
Keywords: Middle Mesial Canal, Extra Canal, Mandibular Molars, Mid Mesial Canal