Atypical Molar- Two Roots and Canals in Upper Molar


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 :

  1. 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.
  2. 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.
  3. 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.
  4. Zhang ZH, Yao HL, Zhang Y, Wang X. Endodontic management of the maxillary first molar with special root canals: A case report and review of the literature. World Journal of Clinical Cases. 2020 Jun 26;8(12):2590.
  5. Shakouie, S., Mokhtari, H., Ghasemi, N. and Gholizadeh, S., 2013. Two-rooted maxillary first molars with two canals: a case series. Iranian Endodontic Journal8(1), p.29.
  6. 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.
  7. Bromberg N, Brizuela M. Dental cone beam computed tomography.
  8. 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.
  9. 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.
  10. 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.
  11. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral surgery, oral medicine, oral pathology. 1984 Nov 1;58(5):589-99.
  12. 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.

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Paper Submission Last Date
30 - November - 2025

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