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Objective: The knowledge of internal tooth anatomy and its variations is essential to perform a successful endodontic treatment. The presence of a supernumerary root in primary teeth is uncommon compared to permanent dentition. This paper aims to report a clinical case of an endodontic management of a primary mandibular three rooted molar. Case Report: A 5-year-old female patient complained about a tumefaction in the mandibular left posterior region. The intraoral examination revealed an activedoi:10.15448/1980-6523.2015.2.18688 fatcat:fxgquz2mjrcpjowdti2evfexwu