An Unusual Clinical Presentation of a Maxillary Molar with Two Palatal Canals

This clinical scenario describes a maxillary first molar with four canals that required endodontic treatment. The pulp space morphology of the upper molar is highly intricate. The most notable changes include the existence of lateral and auxiliary canals, two palatal canals of the maxillary molar. A literature search turned up very few case descriptions of maxillary first teeth with four canals. This case illustration details the successful endodontic therapy performed on a maxillary first molar with four canals using intraoral periapical radiograph.