Authors :
Sreeja Laguvaram; Nithin K. Shetty; Indiresha H. Narayana; Dinesh Kalasaiah
Volume/Issue :
Volume 10 - 2025, Issue 8 - August
Google Scholar :
https://tinyurl.com/2bje2pc4
Scribd :
https://tinyurl.com/3vfhd6y2
DOI :
https://doi.org/10.38124/ijisrt/25aug037
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Abstract :
A thorough knowledge of root canal anatomy and morphology is essential for ensuring the success of endodontic
treatment. The permanent maxillary first molar is recognized for its intricate internal configuration, and although it has
been extensively studied, the occurrence of a two-rooted variant with only two canals remains uncommon. This case report
describes the management of such a rare anatomical variation in a patient referred to the Department of Conservative
Dentistry and Endodontics. Following evaluation with intraoral periapical radiographs (IOPA) and cone-beam computed
tomography (CBCT), non-surgical root canal treatment was carried out successfully, and the tooth was subsequently
restored with composite resin. The effective utilization of CBCT imaging and a dental operating microscope played a vital
role in enhancing diagnostic precision and optimizing treatment outcomes in this unusual presentation of maxillary molar
anatomy.
Keywords :
Anatomy, Molar, Roots, Root Canal, Tooth.
References :
- Anuhya S, Reddy J, Imran S, Punna R. Exploring maxillary molar root morphology: A case of extra palatal canal. IP Indian J Conserv Endod 2024;9(4):185-189.
- Jharwal A, Poonia L. Endodontic Management of the Maxillary First Molar with Two Palatal Canals: A Case Report. Journal of Mahatma Gandhi University of Medical Sciences and Technology. 2021 Apr 12;5(2):61-5.
- Kaur K, Saini RS, Vaddamanu SK, Bavabeedu SS, Gurumurthy V, Sainudeen S, Mathew VB, Khateeb SU, Mokhlesi A, Mosaddad SA, Heboyan A. Exploring Technological Progress in Three-Dimensional Imaging for Root Canal Treatments: A Systematic Review. International Dental Journal. 2024 Jul 19.
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- Shakouie, S., Mokhtari, H., Ghasemi, N. and Gholizadeh, S., 2013. Two-rooted maxillary first molars with two canals: a case series. Iranian Endodontic Journal, 8(1), p.29.
- Gopikrishna V, Bhargavi N, Kandaswamy D. Endodontic management of a maxillary first molar with a single root and a single canal diagnosed with the aid of spiral CT: a case report. Journal of Endodontics. 2006 Jul 1;32(7):687-91.
- Bromberg N, Brizuela M. Dental cone beam computed tomography.
- Meto A, Halilaj G. The Integration of Cone Beam Computed Tomography, Artificial Intelligence, Augmented Reality, and Virtual Reality in Dental Diagnostics, Surgical Planning, and Education: A Narrative Review. Applied Sciences. 2025 Jun 4;15(11):6308.
- Ahmed HM, Rossi‐Fedele G, Dummer PM. Critical analysis of a new system to classify root and canal morphology—A systematic review. Australian Endodontic Journal. 2023 Dec;49(3):750-68.
- Weine FS, Healey HJ, Gerstein H, Evanson L. Canal configuration in the mesiobuccal root of the maxillary first molar and its endodontic significance. Oral Surgery, Oral Medicine, Oral Pathology. 1969 Sep 1;28(3):419-25.
- Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral surgery, oral medicine, oral pathology. 1984 Nov 1;58(5):589-99.
- Bhatt M, Coil J, Chehroudi B, Esteves A, Aleksejuniene J, MacDonald D. Clinical decision‐making and importance of the AAE/AAOMR position statement for CBCT examination in endodontic cases. International endodontic journal. 2021 Jan;54(1):26-37.
A thorough knowledge of root canal anatomy and morphology is essential for ensuring the success of endodontic
treatment. The permanent maxillary first molar is recognized for its intricate internal configuration, and although it has
been extensively studied, the occurrence of a two-rooted variant with only two canals remains uncommon. This case report
describes the management of such a rare anatomical variation in a patient referred to the Department of Conservative
Dentistry and Endodontics. Following evaluation with intraoral periapical radiographs (IOPA) and cone-beam computed
tomography (CBCT), non-surgical root canal treatment was carried out successfully, and the tooth was subsequently
restored with composite resin. The effective utilization of CBCT imaging and a dental operating microscope played a vital
role in enhancing diagnostic precision and optimizing treatment outcomes in this unusual presentation of maxillary molar
anatomy.
Keywords :
Anatomy, Molar, Roots, Root Canal, Tooth.