Navigating and Managing Eight Canals in a Maxillary First Molar: A Case Report

Understanding the existence of an additional root and atypical root canal anatomy is essential because it impacts the manner in which endodontic therapy occurs. For endodontic procedures to be performed successfully, a thorough knowledge of the basic anatomy of root canals and their possible variations is essential. The anatomical features of permanent maxillary molars are characterised by three roots and canals consisting of one palatal and two buccal roots and root canals. The most frequently encountered kind of root canal is the second Mesiobuccal (MB) root canal. The outcome of treatment for maxillary first molars is significantly affected by the frequent occurrence of root canal variations. It may be easy to avoid iatrogenic errors and guarantee success by having an in-depth knowledge of root canal morphology and being able to anticipate any potential morphological changes with the help of Cone Beam Computed Tomography (CBCT) and Dental Operating Microscope (DOM). This case report documents the successful endodontic treatment of a maxillary 1st molar with three roots and eight root canals under a dental operating microscope. The root canal anatomy was confirmed using CBCT analysis.