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The mental foramen is a single anatomical structure that can be seen bilaterally in the body of the mandible and generally in the lower area of the premolars. Sometimes, the mental foramen can have accessory foramina that should be considered. Clinical evaluation of the accessory mental foramina is critical because of its neurovascular fibers. Identifying the secondary mental foramen reduces the possibility of paraesthesia and pain after surgery., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Mohebiniya et al.)