scholarly journals Analysis of root canal system of maxillary first and second molars and their correlations by cone beam computed tomography

2020 ◽  
Vol 119 (5) ◽  
pp. 968-973 ◽  
Author(s):  
Li-Ting Tzeng ◽  
Mei-Chi Chang ◽  
Shu-Hui Chang ◽  
Chih-Chia Huang ◽  
Yi-Jane Chen ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Francisco Gomez ◽  
Gisbeli Brea ◽  
Jose Francisco Gomez-Sosa

Abstract Background The purpose of this study was to determine the anatomical variations of the root canal system of mandibular second molars using cone-beam computed tomography (CBCT). Methods 190 mandibular second molars cone-beam computed tomography images were reviewed. The evaluation was performed by a radiologist with endodontic experience and two endodontists trained with CBCT technology. Tooth position, number of root and root canals, C-shaped root canal system configuration, presence of extra root (radix), and radicular grooves were assessed. Data was statistically analyzed using The Chi-square test (α = 0,05) to determine any significant difference between gender and the total number of root and root canals, and any significant difference between gender and root canal anatomical variation. Results Overall, 85.5% showed two separated roots, 12.1% a single root, 2.6% three roots or radix. 87.7% showed three root canals, 12.1% two root canals, 2.6% four root canals, and 1.6% a single root canal. 10% showed a single foramen, 75.3% two foramina, 13.6% three foramina and 1% showed four foramina.19.5% showed C-shaped anatomical variation, 51.4% in male patients, 48.6% in female patients. According to Fan classification: C1 13.6% in cervical third, C2 10% in the middle third, C3 17.3% in middle third, 15.5% in apical third, and C4 12.7% in the apical third. Root canals number in these samples were 5.4% a single canal, 21.6% two canals, 70.3% three canals, and 2.7% four canals. The root showed 46% with one foramen, 46% two foramina, and 8% three foramina. Radicular grooves 83.3% were found in the lingual area and 16.2% towards the buccal area. Conclusions The most prevalent anatomic presentation of the evaluated sample was a mandibular second molars with two roots, three root canals, and two apical foramina. Their variation was C-shaped root canals and Radix Paramolaris.


2020 ◽  
Vol 10 (14) ◽  
pp. 4914
Author(s):  
Silvia Herrero-Hernández ◽  
Nansi López-Valverde ◽  
Manuel Bravo ◽  
Óliver Valencia de Pablo ◽  
Manuel Peix-Sánchez ◽  
...  

Knowledge of dental anatomy through the assessment of the anatomic variations of each tooth’s root canal system is essential to undertake endodontic therapy. The aim of this systematic review was to analyze the different studies on the internal morphology of permanent mandibular incisors where Cone-Beam Computed Tomography (CBCT) X-ray imaging is used. Pubmed, CENTRAL, Wiley Library and Web of Science electronic databases were searched for scientific studies included until March 2020. The terms used in the search were: “permanent mandibular incisors”, “root canal morphology” and “cone-beam computed tomography”. The search was limited to studies whose aim was the analysis of the morphology of the root canal system evaluating the parameters of methodology, population, sample, number and configuration. A total of 19 studies met the inclusion criteria. There was a noticeable lack of unanimity in the setting adjustments of each of the CBCT devices used. The presence of two root canals varied from 0.4% to 45%. The most frequent configurations were Vertucci’s Types I, III, II, V, IV, VII and VI. Type VIII configuration was non-existent. CBCT revealed the existence of anatomical symmetry patterns, and there was no unanimity of criteria regarding the presence of a second root canal. Results concerning the presence of a second root canal in the mandibular incisors differ widely, with a possible influence of the geographic area where the study was conducted. The prevalence of a second canal is higher in mandibular lateral incisors than in mandibular central incisors. There was no direct relationship between voxel size (0.125–0.3 mm) and increased prevalence of a second canal.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Svetlana Razumova ◽  
Anzhela Brago ◽  
Lamara Khaskhanova ◽  
Ammar Howijieh ◽  
Haydar Barakat ◽  
...  

Background. Successful endodontic treatment requires a significant knowledge of root canal anatomy. The aim of this study was to evaluate the root and root canal number of permanent teeth among the Moscow population using cone-beam computed tomography (CBCT) scanning. Materials and methods. 300 CBCT images of subjects were analyzed to study the anatomy of roots and root canal system of each tooth. The collected data were analyzed using IBM SPSS statistics software 22.0 version. Results. The maxillary incisors and canines had one root with one canal in 100%. Maxillary premolars had one root with one or two canals and two roots with two canals, while mandibular premolars were single-rooted with one or two canals. Maxillary first and second molar had three separated roots, and the prevalence of four canals was more often in first molars. Mandibular molars had two roots with different number of canals. Conclusion. The root canal system varies greatly among populations and even in different individuals within the same population; thus, using CBCT scanning is an effective technique in investigating the root canal system.


reportaendo ◽  
2019 ◽  
Vol 1 (6) ◽  
Author(s):  
ESTEBAN ASTUDILLO ORTÍZ ◽  
MARTHA A. CORNEJO CÓRDOVA

Objetivo: Determinar mediante tomografía computarizada de haz cónico (CBCT), la prevalencia de segundos molares mandibulares que presentan sistema de conductos radiculares en C en la base de datos de un consultorio particular de especialidades odontoló-gicas de la ciudad de Cuenca en el período enero 2014 - diciem-bre 2016. Material y métodos: fueron evaluados 348 segundos molares mandibulares, se determinó la prevalencia de conducto radicular en forma de C de acuerdo con el sexo y a la localiza-ción. Resultados: la prevalencia de conducto radicular en forma de C en segundos molares mandibulares fue de 33,05%, esta prevalencia no cambió con respecto a la ubicación.De acuerdo con el sexo, la configuración en C fue más prevalente en mujeres (25,86%) que en varones (7,18%). Conclusiones: la prevalencia de segundos molares mandibulares con conducto radicular en forma de C es alta, fue mayor en el sexo femenino y no hubo variación con respecto a la ubicación. SUMMARYObjective: To determine through Cone Bean Computed Tomography (CBCT) the pre-valence of mandibular second molars that present a C-shaped root canal system in the database of a privatespecialtiesprac-tice dental office in the city of Cuenca in the period January 2014 - December 2016. Methods: 348 mandibular second molars were evaluated; the prevalence of C-sha-ped root canal was determined according to sex and location. Results: the prevalence of C-shaped root canal in mandibular second molars were 33.05%, this prevalence did not change with respect to location. According to sex, the C configuration was more preva-lent in women (25, 86%) than in men (7.18%). Conclusions: The prevalence of mandibular second molars with C-shaped root canal are high, was higher in the female sex and there was no variation with respect to the location.Keywords: Cone beam computed tomogra-phy, C-shaped canal, molar, root canal


2016 ◽  
Vol 1 (2) ◽  
pp. 90-92
Author(s):  
Swati Ishwar Wadekar ◽  
Dipali Yogesh Shah ◽  
Jimish Rajiv Shah ◽  
Kinjal Mahesh Gathani

ABSTRACT Introduction Taurodontism is a morpho-anatomic variation in tooth anatomy that rarely affects mandibular premolars. Literature is replete with mandibular first premolars presenting atypical additional root canals, but concurrent presence of three roots and taurodontism is exceptional. Materials and methods This case report describes the successful endodontic diagnosis and management of a rare case of taurodontism in a mandibular first premolar with chronic apical periodontitis. Cone beam computed tomography (CBCT) facilitated the diagnosis of three roots and root canals associated with concurrent taurodontism. The taurodont premolar required exceptional and diligent care in each segment of endodontic treatment for the complex root canal system. Results Taurodontism-affected premolars present with challenges in endodontic therapy as they have apically displaced pulp chambers with limited width. Cone beam computed tomography and dental operating microscope can facilitate evaluation for teeth with such complex anatomy and their successful endodontic management. How to cite this article Wadekar SI, Shah DY, Shah JR, Gathani KM. Endodontic Management of a Three-rooted Mandibular First Premolar associated with Taurodontism. J Oper Dent Endod 2016;1(2):90-92.


2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Adrianne Freire de Paula ◽  
Manoel Brito-Júnior ◽  
Alex Carvalho Quintino ◽  
Carla Cristina Camilo ◽  
Antônio Miranda Cruz-Filho ◽  
...  

Endodontic treatment of mandibular molars is challenging because of variable root canal morphology. The nonsurgical endodontic management of a mandibular first molar presenting an independent middle mesial canal is reported. After coronal access, additional clinical inspection of the mesial canals’ orifices and their interconnecting groove using an endodontic explorer and 4.5× loupes enabled the identification of the middle mesial canal orifice. All root canals were chemomechanically prepared and filled. The tooth was asymptomatic and functional after 4 years of followup. Cone beam computed tomography (CBCT) images revealed normal periapical status and three-dimensional (3D) anatomical aspects of the root canal system.


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