Objective: The study aimed to evaluate the anatomical challenges of curved root canals and their influence on the effectiveness of endodontic materials and techniques. Methods: This prospective observational study was conducted at Bacha Khan College of Dentistry from January 2023 to January 2024, involving 95 patients requiring root canal treatment for teeth with curved canals. Clinical and radiographic data were collected to assess outcomes. Canals were shaped using rotary nickel-titanium instruments, irrigated with sodium hypochlorite and EDTA, and Obturated using warm vertical compaction with bioceramic sealers. Outcomes were assessed based on healing, post-operative pain, and procedural complications.