A detailed acquaintance of root canal anatomy is essential for the endodontic root canal therapy. Aberrations or unusual variations in the root canal morphology, mainly in multirooted teeth, can cause a substantial challenge to the endodontist during endodontic management. Knowledge of these variations, mostly concerning the position and treatment of all canals, is very essential for the successful outcomes of endodontic therapy; the failure to find and properly treat the root canals may cause treatment failure because it is important to assess individual case for variations. Endodontist should be suspicious while treating maxillary first molars because of its root curvatures, additional canals and variations in internal morphology.
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