# A clinical case concerning an extraordinary maxillary second molar having two separate palatal roots

## TL;DR

This paper describes a rare case of a maxillary second molar with two separate palatal roots and canals, highlighting the importance of advanced imaging for effective root canal treatment.

## Contribution

The study presents a rare anatomical variation in a maxillary second molar and demonstrates the use of CBCT for accurate diagnosis.

## Key findings

- CBCT revealed two distinct palatal roots and canals in the maxillary second molar.
- The use of an operative microscope and CBCT improved the accuracy of root canal treatment.
- Anatomical variations can significantly impact the success of endodontic procedures.

## Abstract

Main objective of root canal therapy is to locate all the canals, cleaning and shaping, and obturation to obtain fluid tight seal. Failure to locate all canals can lead to the failure of root canal therapy.

Variation of pulp aperture, among teeth with multiple roots, constitutes recurring issue during diagnosing and completing efficient endodontic procedures. Understanding normal anatomy features and associated likely modifications is critical in the effective execution of the dental procedure, since the inability to effectively treat simply one canal may end up into endodontic unsuccessful therapy. The paper covers a procedure whereby the root pattern and canals of the maxillary second molar were modified employing an operative microscope and verified with cone‐beam computed tomography (CBCT). Cone‐beam computed tomography revealed that the maxillary second molar containing two different palatal roots and canals and two distinct buccal roots and canals. This Research paper presents and investigates the morphological difference observed on the maxillary second molar in order to guarantee the effectiveness of root canal treatment examined utilizing imaging techniques like CBCT.