Type II
How rare is a tooth with four roots?
Understanding of the presence of additional roots and unusual root canals is essential and determines the success of endodontic treatment1. The existence of maxillary second molars with 4 roots (2 buccal and 2 palatal) is extremely rare and ranges about only 0.4%.
Can a molar tooth have 4 roots?
The majority of human maxillary first molars is usually described as having three roots, but different morphologies were documented in several studies and case reports. One very rare and less investigated anatomical anomaly is the occurrence of four radicular structures in the upper first molars.