Thorough knowledge of root canal morphology is essential for the endodontic therapy. There are rare variations in canal number and configuration in maxillary molars, which could affect treatment outcome. This paper presents the endodontic management of a maxillary first molar with two palatal canals in one root (Vertucci type IV) and a single buccal canal. In this paper cone-beam computed tomography was made to asses this morphology. This paper is intended to reinforce clinician's awareness of the rare morphology of root canals.

Oculofaciocardiodental (OFCD) syndrome is characterized by ocular, facial, cardiac, and dental abnormalities. Radiculomegaly affecting canines is pathognomonic dental finding. Dentists should be aware of the somatic anomalies potentially associated with radiculomegaly. We report a case of OFCDS and provide the description of the challenges in endodontic treatment of gigantic roots.

Human mandibular premolars have earned the reputation for having an extremely complex root and root canal morphology. The incidence of multiple roots and canals in mandibular second premolars is lower than those in mandibular first premolars. Mandibular second premolars with three root canals and separate foramina are very rare. In this case report, endodontic management of a three-rooted mandibular second premolar is discussed.