Click here to download an editable Power Point file with all pictures and the movie of the middle mesial canal Click on the picture to enlarge Source: Pathway of Pulp 10th Ed. (p. 209) In a study of 760 mandibular molars, Fabra found that 20 (2.6%) had three canals in the mesial root. In 13 of these (65%) the third canal joined the mesiobuccal canal in the apical third of the root and in 6 (30%) they converged with the mesiolingual canal, also in the apical third; the third canal ended as an independent canal in only 1 case. Many authors agree on the presence of three foramena in the mesial root but few report three independent canals, which presents itself as a rare anatomical variant. Walker cites 3 canals in the mesial root of the mandibular first molars as an infrequent ocurrence. Goel notes that the mesial root of permanent mandibular first molars presented two foramena in 60% of the specimens they examined, 6,7% had three and 3.3% even had four. In early studies by Hess, onl...