Abstract

Management of maxillary first molar with aberrant anatomy is a endodontic challenge, careful observation of periapical radiograph is a must to ensure clinical success. CBCT should be used for knowing canal architecture properly and to avoid any perforations. In this case report endodontic therapy of left maxillary first molar was done after careful analysis of CBCT images and perforation repair was done using MTA. Keywords: Maxillary molar, Two roots, Vertuccis type V, Perforation repair.

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