Kishan, KVDas, DevikaChhabra, NaveenRathore, Vishnu Pratap SinghRemy, Vimal2020-01-022020-01-022018-09Kishan KV, Das Devika, Chhabra Naveen, Rathore Vishnu Pratap Singh, Remy Vimal. Management of maxillary first molar with six canals using operating microscope. Indian Journal of Dental Research. 2018 Sep; 29(5): 683-6860970-92901998-3603http://imsear.searo.who.int/handle/123456789/192138The purpose of this article was to highlight the importance of having a thorough knowledge about the root canal morphology. This case report highlights the unusual anatomy of a maxillary first molar with three mesiobuccal (MB) canals, two palatal canals, and one distobuccal canal which is extremely rare. The use of operating microscope was crucial, both for the detection and for the management of the additional canals. The use of surgical operating microscope and digital radiograph showed that MB root had Type 3-1 of Gulabivala classification and palatal canal showed Vertucci's Type II canal morphology This report describes and discusses the identification of variation in canal morphology of maxillary first molar and the use of latest adjuncts in successfully diagnosing and negotiating them.Maxillary molaroperating microscopethree mesiobuccal canalstwo palatal canalsManagement of maxillary first molar with six canals using operating microscopeJournal ArticleIndiaDepartment of Conservative Dentistry and Endodontics, KMSDCH, Sumandeep Vidyapeeth, Vadodara, Gujarat, IndiaDepartment of Oral and Maxillofacial surgery, KMSDCH, Sumandeep Vidyapeeth, Vadodara, Gujarat, IndiaDepartment of Conservative Dentistry, Kannur Dental College, Anjarakandy, Kannur, Kerala, India