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The incidence of two separate palatal roots on a maxillary molar has been reported at 1.21% (Nosrat et all 2017).  These teeth have been reported and studied by Cone-beam Computed Tomography (CBCT), review of radiographs, clearing techniques, and study of extracted human molars.  These teeth represent to the dental clinician a diagnosis and treatment challenge.  When properly identified and treated, they can be restored to normal function for our patients.  I will typically treat 1-2 maxillary molars with this canal morphology in a year.

Patients present with a variety of challenges to the endodontist.  Calcific  metamorphosis or “calcification” is particularly interesting because it occurs naturally and/or in response to trauma.  This becomes a treatment barrier for many practitioners but if properly trained and managed, these can become successful cases and provide patients with relief of pain and swelling and return their teeth to normal function.  Dr. Nguyen and Dr. Moran utilizes all the available tools at their disposal to manage these cases, including fiber optic transillumination, ultrasonic instrumentation and irrigation, surgical microscope visualization, and, if necessary, cone bean CT.