scholarly journals Cone Beam Computed Tomographic Evaluation and Diagnosis of Mandibular First Molar with 6 Canals

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Shiraz Pasha ◽  
Bathula Vimala Chaitanya ◽  
Kusum Valli Somisetty

Root canal treatment of tooth with aberrant root canal morphology is very challenging. So thorough knowledge of both the external and internal anatomy of teeth is an important aspect of root canal treatment. With the advancement in technology it is imperative to use modern diagnostic tools such as magnification devices, CBCT, microscopes, and RVG to confirm the presence of these aberrant configurations. However, in everyday endodontic practice, clinicians have to treat teeth with atypical configurations for root canal treatment to be successful. This case report presents the management of a mandibular first molar with six root canals, four in mesial and two in distal root, and also emphasizes the use and importance of Cone Beam Computed Tomography (CBCT) as a diagnostic tool in endodontics.

2015 ◽  
Vol 9 (1) ◽  
pp. 267-272 ◽  
Author(s):  
Georgia E. Nikoloudaki ◽  
Taxiarchis G. Kontogiannis ◽  
Nikolaos P. Kerezoudis

Objectives: Cone-Beam Computed Tomography is an alternative imaging technique which has been recently introduced in the field of Oral & Maxillofacial Radiology. It has rapidly gained great popularity among clinicians due to its ability to detect lesions and defects of the orofacial region and provide three-dimensional information about them. In the field of Endodontics, CBCT can be a useful tool to reveal tooth morphology irregularities, additional root canals and vertical root fractures. The objective of this study is to evaluate the root and root canal morphology of the maxillary permanent molars in Greek population using Cone-Beam Computed Tomography.Materials and Methods:273 cone-beam computed tomography (CBCT) images were examined. The number of roots and root canals of the first and second maxillary molars were evaluated. Root canal configuration was classified according to Weine’s classification by two independent examiners and statistical analysis was performed.Results:A total of 812 molars (410 first and 402 second ones) were evaluated. The vast majority of both first and second molars had three roots (89.26% and 85.07%, respectively). Most first molars had four canals, while most second molars had three. In the mesiobuccal roots, one foramen was recorded in 80.91% of all teeth. Other rare morphologic variations were also found, such as fusion of a maxillary second molar with a supernumerary tooth.Conclusion:Within the limitations of this study, it can be concluded that more attention should be given to the detection of additional canals during root canal treatment in maxillary permanent molars. Towards this effort, CBCT can provide the clinician with supplemental information about the different root canal configurations for successful Root Canal Treatment.


2021 ◽  
Vol 7 (2) ◽  
pp. 61-66
Author(s):  
Vasavi Santosh ◽  
Rhea Reji John ◽  
Mandavi Waghmare ◽  
Reema Manoj

The purpose of this study was to determine the variations in the number of canals and its morphology in permanent mandibular first molars using cone-beam computed tomography (CBCT) in a subset of Indian population. A total of 350 CBCT scans were collected and evaluated in all three orthogonal planes to determine the number of root canals and study their anatomic variations using Vertucci’s classification.: The total number of roots and root canals, the root canal configuration, the incidence, and the correlations between left- and right-side occurrences and between males and females were analysed. Statistically significant differences were evaluated using the chi-square test with SPSS 16.0 for Windows (SPSS, Chicago, IL), with significance set at p < 0.05.: The results of this study showed that predominantly, two thirds of the subjects had type VI mesial canal configuration and two-thirds had type I distal canal configuration. Also there was significant variance in the canal anatomy across gender and age of the subjects.: CBCT is a clinically useful tool in understanding the variations in root canal morphology, which guides in the assessment of the canal morphology aiding in successful root canal treatment.


Author(s):  
Musab Hamed Saeed ◽  
Karrar Mohammed Hassan Hadi ◽  
Sarmad Basil Al-Chalabi ◽  
Zaid Mohammed Hassan Hadi ◽  
Mawada Hassan

Background: The internal anatomy is a complex system and root canal morphology varies between teeth, especially in maxillary second premolars. Objective: The purpose of this present study is to identify the variations in root and root canal morphology of the upper second premolar. Methods: A retrospective study on 197 maxillary second premolars, which have had an endodontic treatment in Ajman University in the Academic Year 2018/2019. Intraoral periapical (IOPA) radiograph was reviewed for identifying the number of root canals. Results: The incidence of two canals in the maxillary second premolars was very high 78.7%, and the internal anatomy is complex and highly variable. Conclusion: A straightforward message to the clinicians to be careful in their evaluation and to take care whenever an upper maxillary second premolar is to be treated endodontically.


2015 ◽  
Vol 41 (2) ◽  
pp. 231-236 ◽  
Author(s):  
Carolina Filpo-Perez ◽  
Clovis Monteiro Bramante ◽  
Marcelo Haas Villas-Boas ◽  
Marco Antonio Húngaro Duarte ◽  
Marco Aurélio Versiani ◽  
...  

2020 ◽  
Vol 47 (1) ◽  
pp. 25-35
Author(s):  
Yoomin Choi ◽  
Seonmi Kim ◽  
Namki Choi

The purpose of this study is to evaluate the morphological characteristics of the roots and roots canals of primary molar teeth using Cone-Beam Computed Tomography (CBCT).<br/>A total of 68 CBCT images of children aged 4 - 5 years was used for this study. A total of 160 molar teeth were analyzed. Various parameters such as the number of roots and canals, length of root and root canal, and the angulation and shape of the roots were analyzed.<br/>All maxillary primary molars had 3 roots. The presence of 2 root canals in 1 root was only observed in the mesiobuccal root of maxillary primary second molars. Most mandibular primary molars had 2 roots, and most mesial roots had 2 root canals.<br/>Concerning the length of the roots, the palatal root of the maxillary primary molar was found to be longest whereas the distobuccal root was shortest. In mandibular primary molars, the mesial root was longer than the distal root. In maxillary primary molars, the palatal root had the greatest angulation whereas the distal root has the greatest in mandibular molars. The root and root canals of maxillary primary molars were more curved in shape whereas mandibular primary molars were straight.


2017 ◽  
Vol 2 (1) ◽  
pp. 4-7
Author(s):  
M Remya ◽  
VP Prabath Singh

ABSTRACT Aim To evaluate the root canal morphology of maxillary first premolar using Cone beam computed tomography (CBCT). Materials and methods A total of 125 teeth were selected and CBCT scans were taken and following factors were recorded – number of roots, number of root canals, anatomy, and configuration of canals. Results Overall 88% teeth had two roots. Most frequent canal configuration was type I in 93.6%; 94.4% teeth had single canal exiting in single apical foramen. Conclusion Within the limitation of the study, it was concluded that among the study population, there is a high incidence of two-rooted maxillary first bicuspid with two canals with type I Vertucci canal configuration. How to cite this article Remya M, Singh VPP. Cone Beam Computed Tomography a Noval Innovation for assessing the Canal Morphology of Maxillary First Bicuspid. Cons Dent Endod J 2017;2(1):4-7.


2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Aws Hashim Al-Kadhim ◽  
Zainul Ahmad Rajion ◽  
Normaliza AB Malik ◽  
Azlan Jaafar

Introduction: A few studies investigated the numerous potential endodontic uses of CBCT, including the examination of root canal morphology and presumed that CBCT was effective for the initial identification of such morphology; moreover CBCT is a reliable method for the detection of the MB2 canal when compared with the gold standard of physical sectioning of the specimen. The aim of this study was to identify the root and canal morphology of the maxillary first molars among Malaysians analysed by cone-beam computed tomography (CBCT) images. Materials and Methods: Maxillary first (n = 421) molars from Malaysian patients (n = 241) of Malay, Chinese and Indians inceptions were examined by two Endodontists using in vivo CBCT methods. The number and configuration of roots, the number of root canals, and the canal configuration according to Vertucci’s classification were determined. Results: Single roots were not found in maxillary first molars. The incidence of fused roots was 1.995% in the first molars between mesiobuccal and distobuccal roots. In (421) 3-rooted maxillary first molars, additional canals were found in 45.6% of the mesiobuccal (MB) roots and 0% of the distobuccal (DB) roots. Bilateral symmetry of the MB roots was found in 82.36% of the first molar. Only one tooth was found to have pulp stone inside the pulp chamber. Conclusions: The root and canal configuration of a Malaysian population showed different features from those of other populations. CBCT scans can enhance the understanding of root canal anatomy, with the potential of improving the outcome of endodontic treatment.


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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