# Two Palatal Roots in Maxillary First Molar, a Rare Entity: Report of Two Cases

## TL;DR

This paper reports two rare cases of maxillary first molars with an extra palatal root and emphasizes the importance of advanced imaging for successful dental treatment.

## Contribution

The paper contributes two clinical case reports highlighting the rare occurrence of an extra palatal root in maxillary first molars.

## Key findings

- Two cases of maxillary first molars with an additional palatal root were successfully managed non-surgically.
- Advanced imaging like CBCT is crucial for identifying anatomical variations in teeth.
- Clinicians should be aware of anatomical deviations and use appropriate diagnostic tools.

## Abstract

An in-depth understanding of the anatomical variations of maxillary molars is essential for endodontic success. Unlike the maxillary second molars, the presence of a second palatal root is uncommon in the first maxillary molar. This case report describes two cases of non-surgical management of maxillary molars with extra palatal roots. Careful clinical examination, knowledge of the internal anatomy, and the use of advanced radiographic modalities like cone beam computed tomography (CBCT) can reveal the presence of variations in the internal and external anatomy of any tooth. Therefore, for nonsurgical as well as surgical management clinicians should always watch out for any deviations in a tooth and utilize all the available tools to diagnose and manage them successfully.