Endodontic management of maxillary first molar with two palatal canals

Abstract

Having a thorough knowledge about the internal anatomy of a tooth and its possible variations is an important aspect for the success of a root canal therapy. Variations in the number of roots, root canals and configurations affect the treatment outcome. Moreover, missed canals make up for the highest chances of failure of endodontic therapy(1).

A maxillary first molar shows lot of variations in the anatomy. Although finding MB2 canal has now become a routine procedure, but variations in the palatal canal is still aberrant which concerns the clinicians. With the advancements in radiographic procedures, it has now become an easy task to look for aberrations in tooth anatomy. One such advancement is the Cone Beam Computed Tomography (CBCT) which acts as the third eye for clinicians. It helps in accurate diagnosis and in negotiating the complex morphologic variations in root canals(2).

This case report presents the endodontic management of a maxillary first molar presenting with five canals with two palatal canals confirmed with the aid of Cone Beam Computed Tomography.