Case Report of a Rare Anatomical Variation of Vertucci Type II Canal Configuration in Maxillary First Molar
Year: 2026
Type: article
Study design: Case Report
Abstract: Different root morphologies and canal configurations have been associated with the first maxillary molar. It has significant clinical importance in endodontics. There are extensive studies documented in literature about additional roots and canals however, the occurrence of fewer roots or canals is comparatively rare and the clinicians must be aware about it. Such anatomical deviations lead to challenges during diagnosis, treatment planning and prognosis. If improperly identified it may lead to mishaps like leading to missed canals, perforations, instrument separation inadequate debridement of the root canal system and obturation etc. The case report describes the endodontic management of a maxillary first molar which had a single root in a 45-year-old female patient. For accurate radiographic assessment of the internal anatomy, Digital Volumetric Tomography (DVT) was used. It enabled identification of the root canal morphology which was Vertucci Type II (2-1) canal configuration. After access opening, one buccal orifice and one palatal orifice were located. These two canals merged into a single canal apically. Biomechanical preparation was performed using Protaper file system. Standard irrigation protocols were followed to ensure effective cleaning and disinfection. The canals were later obturated with calcium-hydroxide based sealer and single cone obturation technique. The patient was asymptomatic in the one-month review indicating the favourable treatment outcome and no complication. This case highlights the importance of careful clinical evaluation and using advanced imaging systems for such uncommon root canal anatomies.
Language: English
Subfield: Oral Surgery
Field: Dentistry
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $275
OpenAlex ID: W7167903333