scholarly journals Root Anatomy and Root Canal Morphology of Maxillary Second Permanent Molars in a Chongqing Population: A Cone-Beam Computed Tomography Study

2020 ◽  
Vol 26 ◽  
Author(s):  
Yu Xia ◽  
Xin Qiao ◽  
Ya-jing Huang ◽  
Yue-heng Li ◽  
Zhi Zhou
2020 ◽  
Vol 77 (5) ◽  
pp. 470-478
Author(s):  
Milica Popovic ◽  
Suzana Zivanovic ◽  
Tamara Vucicevic ◽  
Miona Grujovic ◽  
Milos Papic

Background/Aim. For successful endodontic therapy, it is necessary to know root morphology. Therefore, the aim of our study was to analyze root canal morphology and root canal length of permanent molars in a Serbian population, using cone-beam computed tomography (CBCT). Methods. The study included a total of 305 maxillary molars, and 280 mandibular molars receiving cone-beam computed tomography examination and determined root numbers, canal morphology according to Vertucci classification, and canal lengths. Results were correlated with sex and tooth location in the jaw. Results. The mesiobuccal roots of first maxillary molars showed Vertucci type I in 45.7%, followed by type II in 29% of cases. For the second molar, Vertucci type I was found in 60.5% of cases in mesiobuccal canals. Palatal and distobuccal canals mostly presented Vertucci type I configuration. The mesial roots of mandibular molars had the highest frequency of two canals with Vertucci type IV as the most frequent for the first molar, and Vertucci type II for the second molar. Distal roots most commonly had one canal in both molars. Palatal canal length was the highest in maxillary first molars, with the mean value of 20.62 mm, while in second molars, the highest length value was for the mesiobuccal canal (20.09 mm). In both mandibular molars the mesial root canal was the longest one. Differences were found according to sex and tooth location in the jaw. Conclusion. Mesiobuccal roots of maxillary first molars had two canals; it was more frequently compared to second molars. Mesial roots of mandibular molars showed same frequency of two canals, and diversity in Vertucci types. Male patients tended to have higher complexity of root canal morphology compared to that of females. CBCT can improve understanding of the root canal morphology.


2020 ◽  
Vol 9 (5) ◽  
pp. 439-443
Author(s):  
Caroline Mentor Andrade Galvão ◽  
Pedro José Targino Ribeiro ◽  
Gabriella de Vasconcelos Neves ◽  
Diego Filipe Bezerra Silva ◽  
Gustavo Araújo de Freitas ◽  
...  

Introdução: A tomografia computadorizada de feixe cônico (TCFC) consiste em um moderno sistema de imagens radiográficas criado especificamente para a análise do complexo maxilofacial. Devido às limitações apresentadas pelas radiografias convencionais, esse exame mostra-se de grande importância para o diagnóstico endodôntico, pois apresenta diversas vantagens como melhor qualidade de imagem, reconstrução tridimensional e as doses de radiação mais baixas. Objetivo: Enfatizar, por meio de um relato de caso, a importância da TCFC como método auxiliar de diagnóstico na localização de canais radiculares. Relato de caso: Paciente do sexo feminino, 25 anos de idade, procurou atendimento odontológico com queixa de dor à mastigação no dente 14, que já havia sido tratado endodonticamente há um ano e retratado há seis meses. Após realização de radiografia periapical, observou-se uma imagem radiolúcida envolvendo o ápice do dente 14. Diante disso, realizou-se uma TCFC, a qual revelou a presença de um canal não obturado. Com bases nos achados, optou-se por uma nova intervenção endodôntica em duas sessões, sendo que, na segunda sessão, a paciente encontrava-se assintomática e sem edema na região. Após um ano de proservação, a paciente não relatou sintomatologia dolorosa e nenhum sinal de infecção foi observado. Conclusão: Dessa forma, foi possível concluir que a TCFC constituiu-se como um método preciso para auxiliar no diagnóstico, pois permitiu a visualização de um canal radicular não instrumentado, além de permitir um melhor direcionamento do plano de tratamento.Descritores: Tomografia Computadorizada de Feixe Cônico; Endodontia; Complicações Intraoperatórias.ReferênciasDurack C, Patel S. Cone beam computed tomography in endodontics. Braz Dent J. 2012;23(3):179-91.Falcão CA, Albuquerque VC, Amorim NL, Freitas SA, Santos TC, Matos FT, Ferraz MA. Frequency of the mesiopalatal canal in upper first permanent molars viewed through computed tomography. Acta Odontol Latinoam. 2016;29(1):54-9.Dalili Kajan Z, Taramsari M, Khosravi Fard N, Kanani M. Accuracy of Cone-beam Computed Tomography in Comparison with Standard Method in Evaluating Root Canal Morphology: An In Vitro Study. Iran Endod J. 2018;  13(2):181-87. Cardona-Castro JA; Fernández-Grisaies R. Root anatomy, a view from the microsurgery endodontic: review. CES odontol. 2015;28(2):70-99.Aminoshariae A, Kulild JC, Syed A. Cone-beam computed tomography compared with intraoral radiographic lesions in endodontic outcome studies: a systematic review. J Endod. 2018;44(11):1626-31. Li YH, Bao SJ, Yang XW, Tian XM, Wei B, Zheng YL. Symmetry of root anatomy and root canal morphology in maxillary premolars analyzed using cone-beam computed tomography. Arch Oral Biol. 2018;94:84-92.Rajasekhara S, Sharath Chandra S, Parthasarathy LB. Cone beam computed tomography evaluation and endodontic management of permanent mandibular second molar with four roots: A rare case report and literature review. J Conserv Dent. 2014;17(4):385-88. Shetty A, Hegde MN, Tahiliani D, Shetty H, Bhat GT, Shetty S. A three-dimensional study of variations in root canal morphology using cone-beam computed tomography of mandibular premolars in a South Indian population. J Clin Diagn Res. 2014;8(8):ZC22-4. Ahmad IA, Alenezi MA. Root and Root Canal Morphology of Maxillary First Premolars: A Literature Review and Clinical Considerations. J Endod. 2016;42(6):861-72. Sagale AA, Ramugade MM, Ganga R. Endodontic Management of Mandibular Second Premolar with Type IX Canal Configuration Using Cone-Beam Computed Tomography as a Diagnostic Aid: A Rare Case Report. Contemp Clin Dent. 2018;9(Suppl 1):S180-84. Martins JNR, Gu Y, Marques D, Francisco H, Caramês J. Differences on the Root and Root Canal Morphologies between Asian and White Ethnic Groups Analyzed by Cone-beam Computed Tomography. J Endod. 2018; 44(7):1096-104. Balakasireddy K, Kumar KP, John G, Gagan C. Cone Beam Computed Tomography Assisted Endodontic Management of a Rare Case of Mandibular First Premolar with Three Roots. J Int Oral Health. 2015;7(6):107-9.Ugur Z, Akpinar KE, Altunbas D. Maxillary first premolars with three root canals: two case reports. J Istanb Univ Fac Dent. 2017;51(3):50-4.Razumova S, Brago A, Khaskhanova L, Howijieh A, Barakat H, Manvelyan A. A Cone-Beam Computed Tomography Scanning of the Root Canal System of Permanent Teeth among the Moscow Population. Int J Dent. 2018; 2018:2615746.Pan JYY, Parolia A, Chuah SR, Bhatia S, Mutalik S, Pau A. Root canal morphology of permanent teeth in a Malaysian subpopulation using cone-beam computed tomography. BMC Oral Health. 2019 Jan 14;19(1):14.Senan EM, Alhadainy HA, Genaid TM, Madfa AA. Root form and canal morphology of maxillary first premolars of a Yemeni population. BMC Oral Health. 2018;18(1):94.Fan L, Yuan K, Niu C, Ma R, Huang Z. A cone-beam computed tomography study of the mesial cervical concavity of maxillary first premolars. Arch Oral Biol. 2018;92:79-82. de Lima CO, de Souza LC, Devito KL, do Prado M, Campos CN. Evaluation of root canal morphology of maxillary premolars: a cone-beam computed tomography study. Aust Endod J. 2019;45(2):196-201. Ball RL, Barbizam JV, Cohenca N. Intraoperative endodontic applications of cone-beam computed tomography. J Endod. 2013;39(4):548-57. Kaur A, Logani A. Usefulness of cone beam computed tomography in perplexing endodontic cases. Endodontology. 2018;30:187-93.


2014 ◽  
Vol 08 (02) ◽  
pp. 154-159 ◽  
Author(s):  
Bilge Gulsum Nur ◽  
Evren Ok ◽  
Mustafa Altunsoy ◽  
Osman Sami Aglarci ◽  
Mehmet Colak ◽  
...  

ABSTRACT Objective: The aim of this retrospective study was to determine the root and canal morphology of the mandibular first and second permanent molars in a Turkish population using cone-beam computed tomography (CBCT). Materials and Methods: CBCT images of mandibular first (n = 966) and second molar (n = 1165) teeth from 850 Turkish patients were evaluated. The root canal configurations were classified according to the method of Vertucci. The data were analyzed by Pearson's Chi-square test. Results: The majority of mandibular molars were two rooted with three canals; however, three roots were identified in 0.05% of the first molars and 0.01% of the second molars, and 100% of the additional root canals were of type I configuration. Mesial roots had more complex canal systems with more than one canal, whereas most distal roots had a type I configuration. Conclusions: Within the limitations of this study, it can be concluded that CBCT scanning provides supplemental information about the root canal configurations of mandibular molars in a Turkish population. This study may help clinicians in the root canal treatment of mandibular molars.


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.


2015 ◽  
Vol 41 (8) ◽  
pp. 1241-1247 ◽  
Author(s):  
Francesc Abella ◽  
Luís Miguel Teixidó ◽  
Shanon Patel ◽  
Francisco Sosa ◽  
Fernando Duran-Sindreu ◽  
...  

2017 ◽  
Vol 45 (2) ◽  
pp. 830-842 ◽  
Author(s):  
Daming Wu ◽  
Guangdong Zhang ◽  
Ruizhen Liang ◽  
Guangchao Zhou ◽  
Younong Wu ◽  
...  

Objective To evaluate the root and root canal morphology of the maxillary second molars (MSMs) in a native Chinese population by cone-beam computed tomography. Methods Cone-beam computed tomography images of 2412 MSMs from 1294 Chinese patients were analyzed to determine the number and morphology of the roots, the root canal morphology, the bilateral symmetry, and the correlations of these parameters with sex and age. Results The percentage of fused roots increased with age, while the percentage of fused roots in women was higher than that in men. The percentage of second mesiobuccal (MB2) canals in MSMs with three separate roots was higher in men than women. Patients aged 31 to 40 years showed a higher prevalence of MB2 canals, while those aged ≥51 years showed the lowest prevalence of MB2 canals among both men and women. There was a significant difference in bilateral symmetry of MSMs between men and women. Conclusion Root fusion of MSMs increased with age, while the root canal morphology was more complex in patients of intermediate ages.


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