scholarly journals Midbuccal Canals of Maxillary Molars Evaluated by Cone-Beam Computed Tomography: Endodontic Management of Two Cases

2013 ◽  
Vol 24 (6) ◽  
pp. 575-579 ◽  
Author(s):  
Manoel Brito-Junior ◽  
Gil Moreira-Junior ◽  
Joao Americo Normanha ◽  
Andre Luis Faria-e-Silva ◽  
Carla Cristina Camilo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Anatomical Variations ◽  
Cone Beam ◽  
Precise Description ◽  
Radiographic Images ◽  
Second Molar ◽  
Root Canals ◽  
Maxillary Molars ◽  
Internal Configuration

Maxillary molars present variable root canal and root morphologies. This report describes the endodontic management of two cases of midbuccal canals found in maxillary molars. Midbuccal canals were present in a maxillary first molar with a single buccal root (Case 1), and in a maxillary second molar with three buccal roots (Case 2). An assessment of the internal configuration of these teeth was performed using cone-beam computed tomography (CBCT). Magnification with a dental operating microscope, surgical loupes, and the use of an endodontic explorer enabled the identification of the midbuccal canal orifices. The root canals in both cases were chemomechanically prepared and filled. Postobturation radiographic images revealed four (one midbuccal, two mesiobuccal and one palatal) and five (one midbuccal, two mesiobuccal, one distobuccal and one palatal) root canals, which were filled in Cases 1 and 2, respectively. Complex canal configurations of maxillary molars including the presence of midbuccal canals were presented. CBCT was a valuable tool in this diagnosis, as it provided a precise description of these unusual anatomical variations.

scholarly journals Endodontic Management of a Maxillary First Molar with Two Palatal Canals and a Single Buccal Canal: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Leila Atash biz Yeganeh ◽  
Mamak Adel ◽  
Reza Vahedi ◽  
Maryam Tofangchiha
Keyword(s):  
Computed Tomography ◽  
Treatment Outcome ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Root Canals ◽  
Type Iv ◽  
Maxillary Molars ◽  
Root Canal Morphology ◽  
Canal Morphology

Thorough knowledge of root canal morphology is essential for the endodontic therapy. There are rare variations in canal number and configuration in maxillary molars, which could affect treatment outcome. This paper presents the endodontic management of a maxillary first molar with two palatal canals in one root (Vertucci type IV) and a single buccal canal. In this paper cone-beam computed tomography was made to asses this morphology. This paper is intended to reinforce clinician’s awareness of the rare morphology of root canals.

scholarly journals Evaluation of the Root and Canal Morphology of Maxillary Permanent Molars and the Incidence of the Second Mesiobuccal Root Canal in Greek Population Using Cone-beam Computed Tomography

2015 ◽  
Vol 9 (1) ◽  
pp. 267-272 ◽  
Author(s):  
Georgia E. Nikoloudaki ◽  
Taxiarchis G. Kontogiannis ◽  
Nikolaos P. Kerezoudis
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Greek Population ◽  
Root Canal Treatment ◽  
Cone Beam ◽  
Second Molar ◽  
Root Canals ◽  
Permanent Molars ◽  
Canal Morphology

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.

scholarly journals Analysis of the internal anatomy of mandibular molars using different cone-beam computed tomography protocols

RSBO ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 12-20
Author(s):  
Flares Baratto-Filho ◽  
Nathaly Dias Morais ◽  
Kauhanna Vianna de Oliveira ◽  
Flávia Sens Fagundes Tomazinho ◽  
Carla Castiglia Gonzaga ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Anatomical Variations ◽  
Cone Beam ◽  
Type I ◽  
Root Canals ◽  
Mandibular Molars ◽  
Type V ◽  
Level Of Agreement

The aim of this study was to analyze the root canal anatomy variations of permanent mandibular molars using three different cone-beam computed tomography (CBCT) protocols. Material and methods: Thirty-five freshly extracted first and second mandibular molars were collected and subjected to three CBCT protocols: i-CAT Classic (ICC); i-CAT Next Generation (ICN), and PreXion 3D (PXD). Images were evaluated by two previously calibrated and experienced endodontists. The morphological root canal configurations were classified according to Vertucci. Data were analyzed for frequency, and the binomial and Kappa tests were then performed (α = 0.05). Results: ICC and ICN were able to diagnose a higher percentage of anatomical variations in the mesial roots. In this same root, Vertucci’s type V was the most prevalent, and in distal was the type I. In comparisons of CBCT techniques for agreement, significant differences in the mesial root canals were found in the following: ICC versus (vs) ICN; ICC vs PXD; and ICN vs PXD (p <0.001). However, there were no statistical differences in the distal root canals (p >0.05). The level of agreement in mesial roots was poor or absent, while in distal was moderate.

MANAGEMENT OF C-SHAPED CANAL IN MANDIBULAR SECOND MOLAR: A CASE REPORT

2021 ◽  
pp. 66-68
Author(s):  
Shivangi Shreya ◽  
C.K. Wang
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Unusual Case ◽  
Cone Beam ◽  
Second Molar ◽  
Root Canals ◽  
Canal Systems ◽  
Mandibular Second Molar

Variations of root canal systems need not always be in the form of extra canals. Clinicians should be aware that there is a possibility of existence of fewer numbers of roots and root canals than normal, which presents varied canal anatomy and poses a challenge to the clinician's expertise. This case report deals with the management of an unusual case of C-shaped canal in mandibular second molar. Cone-beam computed tomography (CBCT) was employed to conrm the extension of the unusual anatomy. 3-D Obturation done with the help of thermoplastic obturation unit.

Anatomic features of mandibular second molars root canals in a Yemeni population: cone-beam computed tomography

2019 ◽  
Author(s):  
Elham M. Senan ◽  
Hatem A. Alhadainy ◽  
Ahmed A. Madfa
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Type I ◽  
Type Ii ◽  
Second Molar ◽  
Root Canals ◽  
Canal Systems ◽  
Section Type ◽  
Molar Morphology

Abstract Background: This study aimed to identify and characterize root and canal morphology and the prevalence of C-shaped canals of mandibular second molars (MSMs) in a Yemeni population using cone-beam computed tomography (CBCT). Methods: CBCT images of 500 right and left MSMs with mature roots were taken from 250 Yemeni individuals and analyzed for the following features: number of roots, total number of canals orifices within the tooth and number of canals orifices in each root, type of roots, either fused or separated, shape of root in cross section, type of canal configuration in each root, presence of C-shaped canal, and primary variations in the morphology of root and canal systems. Results: Molars with separated two roots predominated (89.6%), fused two roots were 9%, separated three roots were 0.6% and one root MSMs were 0.8%. Molars with three canals orifices were the most common. Mesial root was mainly ribbon-shaped (60.5%) and distal root was mainly kidney-shaped (50.7%). Type II and Type I canal configurations were the most frequent in mesial root (56.9%) and distal root (91.3%), respectively. C-shaped canals were found in 9%. Six variants were found with variant 3 was the most common (71%). Conclusions: Yemeni permanent MSMs have mainly two separated roots. Mesial root is mostly ribbon-shaped and distal root is mainly kidney-shaped. Vertucci type II and I canal configurations showed the higher incidence in mesial and distal roots, respectively. C-shaped canals were found in 9%. Keywords: Cone-beam computed tomography, C-shaped canal, mandibular second molar, morphology, root canal, Yemen

scholarly journals Endodontic management of mandibular second molar with Vertucci II canal configuration using Cone Beam Computed Tomography

2017 ◽  
pp. 11-13
Author(s):  
Nagaveni NB ◽  
Meghna Bajaj ◽  
Sneha Yadav ◽  
Poornima P
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Three Dimensional ◽  
The Other ◽  
Cone Beam ◽  
Root Number ◽  
Second Molar ◽  
Root Canals ◽  
Mandibular Second Molar ◽  
Canal Morphology

Permanent mandibular second molars usually show two roots, one mesial and the other distal root with four root canals (two mesial and two distal canals). Variation in root number and canal morphology rarely occur in these teeth. Cone Beam Computed Tomography is a new advent in the diagnostic field which provides three dimensional clear picture of the root/canal. The present article describes the endodontic management of permanent mandibular left second molar with Vertucci II canal configuration using cone beam computed tomography.

scholarly journals Anatomic symmetry of root and root canal morphology of posterior teeth in Indian subpopulation using cone beam computed tomography: A retrospective study

2015 ◽  
Vol 09 (04) ◽  
pp. 500-507 ◽  
Author(s):  
Gnanasekaran Felsypremila ◽  
Thilla Sekar Vinothkumar ◽  
Deivanayagam Kandaswamy
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Posterior Teeth ◽  
Second Molar ◽  
Root Canals ◽  
Maxillary Premolars ◽  
Root Canal Morphology ◽  
Maxilla And Mandible ◽  
Canal Morphology

ABSTRACT Objective: To investigate the anatomic symmetry of maxillary and mandibular posteriors in Indian subpopulation using cone beam computed tomography (CBCT). Materials and Methods: CBCT images of 246 patients that had at least one noncarious, posterior tooth free of restorations in each quadrant were enrolled for retrospective analysis. A total of 3015 teeth (811 maxillary premolars, 845 mandibular premolars, 738 maxillary molars, and 621 mandibular molars) were analyzed for number of roots and root canals, canal morphology and anatomic symmetry, and concurrent types between the maxilla and mandible. Results: There was no difference in the percentage of symmetry for maxillary first (81.5%) and second (81.5%) premolars. Mandibular second premolars (98.3%) exhibited greater symmetry than mandibular first premolars (96.1%). First molars (77.5% and 82.1%) showed greater symmetry than second molars (70.8% and 78.6%), in both maxillary and mandibular arches, respectively. The most common anatomy observed were: maxillary first premolars – 2 roots with 2 canals, maxillary second premolars – 1 root with 2 canals, mandibular first and second premolars – 1 root with 1 canal, maxillary first and second molars – 3 roots with 4 canals, and mandibular first and second molars – 2 roots with 3 canals. When compared with any other teeth, maximum asymmetry was observed in maxillary second molar (29.2%). Conclusion: The percentage of symmetry observed in the present study varied from 70% to 98% with least percentage of symmetry in maxillary second molars. These data should alert the clinicians while treating homonymous teeth of the same patient.

scholarly journals Evaluation of Distolingual Canal/Roots in Mandibular Molars and Mesiobuccal Canals in Maxillary Molars by CBCT

2017 ◽  
Vol 11 (1) ◽  
pp. 360-366 ◽  
Author(s):  
Filiz Namdar Pekiner ◽  
M. Oğuz Borahan ◽  
Asım Dumlu
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Cone Beam ◽  
Patient Age ◽  
Root Canals ◽  
Mandibular Molars ◽  
Maxillary Molars ◽  
Distolingual Canal

Background/Purpose: The objectives of this study were to identify the bilateral distolingual (DL) canals / roots of the mandibular first molars and second mesiobuccal (MB2) canals of the maxillary first molars in the same Turkish individuals using cone-beam computed tomography (CBCT). Materials and Methods: A total of 150 CBCT images including all mandibular and maxillary first molars were retrospectively investigated in a Turkish subpopulation. The patient age, sex and presence of roots and root canals were assessed. The frequency, of bilateral DL canals, DL roots, and MB2 canals were reviewed. Data were analyzed using Fisher’sexact test and Chi-square test. Results: The prevalences of right DL canals, DL roots and MB2 canals were 31.3, 14.0 and 34.7%, respectively. The prevalences of left DL canals, DL roots and MB2 canals were 31.3, 4 and 27.3%, respectively. There was no statistically difference in the frequency of right and left DL canals, DL roots of mandibular first molars and MB2 canals of maxillary first molars according to gender. Conclusion: CBCT is a competent tool for the detection of additional distolingual canals/roots and second mesio buccal canals, and it is a valuable aid for dentists providing root canal treatment.

scholarly journals Cone Beam Computed Tomography Evaluation of Root Canal Anatomy in Primary Molars: An in vitro Study

2017 ◽  
Vol 1 (1) ◽  
pp. 15-19
Author(s):  
Neelam Joshi ◽  
Anshula Deshpande ◽  
KS Poonacha ◽  
Seema Bargale ◽  
Kishan Naik ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Primary Molars ◽  
Second Molar ◽  
Root Canals ◽  
Root Canal Anatomy ◽  
Canal Morphology

ABSTRACT Introduction Endodontic treatment requires knowledge of root canal morphology and its commonly occurring variation. The utility and relevance of cone beam computed tomography (CBCT) to the practice of endodontics is reported with increasing frequency in the field of endodontics for successful procedures. Therefore, the present study is undertaken to assess the variation in number and morphology of the root canals of primary molars. Materials and methods Extracted primary molars with at least two-thirds of intact root, and 7 to 12 mm length were cleaned in water and stored in 0.5% sodium hypochlorite for 1 week. Thereafter, the anatomy of the root canals of these primary molars was assessed through CBCT. Results In the present study, the majority of canals were ribbon shaped. Accessory canals were few and maximum number was found to be present in mesiobuccal root of maxillary first molar and the least in mesiobuccal root of mandibular second molar. Conclusion The CBCT proved to be as accurate as the gold standard in studying the presence of accessory canals with clinical applicability. This study highlights the usefulness of CBCT imaging for accurate diagnosis of the unusual canal morphology. How to cite this article Joshi N, Deshpande A, Poonacha KS, Bargale S, Naik K, Mehta D. Cone Beam Computed Tomography Evaluation of Root Canal Anatomy in Primary Molars: An in vitro Study. Int J Clin Dent Res 2017;1(1):15-19.

scholarly journals Use of CBCT in the Successful Management of Endodontic Cases

2012 ◽  
Vol 2 ◽  
pp. 50 ◽  
Author(s):  
Dax Abraham ◽  
Nikhil Bahuguna ◽  
Rishi Manan
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Case Reports ◽  
Anatomical Variations ◽  
Root Canal Treatment ◽  
Cone Beam ◽  
Successful Management ◽  
Maxillary Molars

The purpose of this article is to emphasize the use of Cone Beam Computed Tomography (CBCT) for root canal treatment. Two case reports are presented where CBCT has been used to locate and eventually treat extra canals in maxillary first molars. Dental clinicians should be aware of the anatomical variations in maxillary molars. CBCT should be an essential part of the diagnosis prior to initiating root canal treatment.

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