Abstract
Cone beam computed tomography (CBCT) is a valuable diagnostic tool for evaluating the upper airway and maxillofacial region. This report demonstrates the clinical value of CBCT in identifying significant anatomical variations in endodontics, incidentally detected on a non-endodontic CBCT scan. A 23-year-old female patient underwent CBCT imaging at the Faculty of Dentistry-UJED to evaluate her upper airway. CBCT imaging revealed a unique, complex, and unusual anatomy of mandibular root canals, characterized by Vertucci's type III root canals in the anterior sextant and co-occurrence of bilateral C-shaped mandibular second molars (type C2 according to Fan's classification). No therapeutic interventions were initiated due to the patient's asymptomatic status. CBCT imaging is a valuable tool for integrated diagnostic approaches, underscoring its role in thorough patient management. The integration of multidisciplinary interpretation of CBCT data can enhance diagnostic accuracy and optimize patient records and management, emphasizing the importance of collaborative efforts between radiologists, clinicians, and endodontists. Documenting and sharing such findings can increase awareness of rare anatomical variations, facilitating detection and contributing to medical knowledge.