Atypical Molar- Two Roots and Canals in Upper Molar

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.