Vol. 11, Issue 3, Part F (2025)

A 58-year-old male presented with pain in the lower right posterior region. Clinical and radiographic evaluation revealed a fractured restoration with secondary caries involving the pulp in mandibular right second premolar, diagnosed as symptomatic irreversible pulpitis with symptomatic apical periodontitis. Root canal treatment was initiated under magnification, revealing complex canal anatomy. Cone-beam computed tomography (CBCT) confirmed a Vertucci Type V configuration, with a single canal bifurcating into buccal and lingual canals at the middle third. The canals were shaped and obturated using warm vertical compaction. This case highlights the importance of advanced imaging and magnification in identifying and managing complex root canal systems.