scholarly journals Root and canal specific features of maxillary first molars with fused roots

2021 ◽  
pp. 75-75
Author(s):  
Katarina Beljic-Ivanovic ◽  
Branislav Karadzic
Keyword(s):  
Ex Vivo ◽  
Cone Beam ◽  
Canal Wall ◽  
Pulp Chamber ◽  
Root Canals ◽  
Computed Tomographic ◽  
Shortest Distance ◽  
Microscopic Studies ◽  
Canal Morphology ◽  
Chamber Floor

Background / Aim. Maxillary first molars are one of the most challenging teeth for endodontic therapy. There are certain disparities in number of roots and canals, and canal inter-relationship within the same root, particularly in those with fused roots. The aim was to evaluate ex vivo features of roots, root canals and canal walls in maxillary first molars with fused roots. Methods. Sixty-four extracted maxillary first molars with fused roots were included for cone-beam computed tomographic and microscopic studies. Tooth dimensions at the level of pulp chamber floor, number, location and distance between orifices, number and canal morphology, canal wall thickness, and features of apical foramina were examined and measured. Results. Incidence of maxillary first molars with root fusion was 17.5%, of which 60.0% was palatal fused to disto-buccal root. At the level of pulp chamber floor bucco-palatal dimension was significantly larger with 10.4 mm than mesio-distal with 7.0 mm. Four canal orifices were detected in 65.6%, with the shortest distance of 1.95 mm between mb1 and mb2. In fused roots most frequently were two or three canals strongly correlating to the number of major apical foramina. No fusion of canals was found in fused roots. The thinnest canal wall in mesio-buccal and disto-buccal fused root was mesial with 1.25 mm, and distal with 1.31 mm, while for the palatal root the thinnest was palatal wall with 1.97 mm. Conclusion. The most frequent type of fusion was between palatal and disto-buccal root. Bucco-palatal dimension at the level of pulp chamber floor was significantly larger than mesio-distal, with the shortest inter-orifice distance between mb1 and mb2 orifice. Number of canals was either two or three, strongly coinciding with the number of major apical foramina. There was no fusion of the canals in fused roots. The thinnest canal wall was either mesial or distal.

scholarly journals Endodontic Retreatment of Maxillary Second Molar with Four Roots

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Gabriel Magnucki
Keyword(s):  
Root Canal ◽  
Cone Beam ◽  
Pulp Chamber ◽  
Second Molar ◽  
Root Canals ◽  
Gutta Percha ◽  
First Case ◽  
Pain Reaction ◽  
Endodontic Retreatment ◽  
Chamber Floor

The present communication describes the endodontic retreatment of a rare four-rooted maxillary second molar. A 25-year-old patient was referred to our dental practice requesting an apicoectomy because of continuous and permanent pain reaction six months after the first endodontic treatment. The sent radiograph demonstrated three filled root canals (one mesial, two distal) and four radiographically superimposing roots (two mesial, two distal). Due to the diagnosed chronic apical periodontitis and based on the visible untreated root canal, we decided to endodontically re-treat the quadrangular tooth against the referred apicoectomy. In the first session, only the previously untreated mesiopalatal root canal was mechanically prepared and filled with a corticosteroid- and tetracycline-containing paste. After two symptom-free weeks, the gutta-percha was removed from the other canals and calcium hydroxide was applied. Another two weeks later, the four root canals, whose orifices were “irregular quadrilateral” shaped on the pulp chamber floor representing Versiani Type A, were obturated. After the verification of this rare anatomy by cone beam computed tomography, the tooth was classified as Christie’s radicular type II. One characteristic of this type is parallel running buccal and palatal roots, which caused a radiographic superimposition and probably led to the endodontic mistreatment in the first case.

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
Keyword(s):  
Root Canal ◽  
Root Canal Treatment ◽  
Cone Beam ◽  
Diagnostic Tools ◽  
Internal Anatomy ◽  
Root Canals ◽  
Computed Tomographic ◽  
Root Canal Morphology ◽  
Mandibular First Molar ◽  
Canal Morphology

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.

Observation of the Pulp Chamber of Maxillary First Premolars: A Micro-computed Tomographic Study

2020 ◽  
Vol 16 (3) ◽  
pp. 224-230
Author(s):  
Gozde Serindere ◽  
Ceren Aktuna Belgin ◽  
Kaan Orhan
Keyword(s):  
Root Canal ◽  
Age Groups ◽  
Slice Thickness ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Pulp Chamber ◽  
Anatomical Structures ◽  
Computed Tomographic ◽  
The Mean ◽  
Chamber Floor

Background: There are a few studies about the evaluation of maxillary first premolars internal structure with micro-computed tomography (micro-CT). The aim of this study was to assess morphological features of the pulp chamber in maxillary first premolar teeth using micro- CT. Methods: Extracted 15 maxillary first premolar teeth were selected from the patients who were in different age groups. The distance between the pulp orifices, the diameter of the pulp and the width of the pulp chamber floor were measured on the micro-CT images with the slice thickness of 13.6 µm. The number of root canal orifices and the presence of isthmus were evaluated. Results: The mean diameter of orifices was 0.73 mm on the buccal side while it was 0.61 mm on palatinal side. The mean distance between pulp orifices was 2.84 mm. The mean angle between pulp orifices was -21.53°. The mean height of pulp orifices on the buccal side was 4.32 mm while the mean height of pulp orifices on the palatinal side was 3.56 mm. The most observed shape of root canal orifices was flattened ribbon. No isthmus was found in specimens. Conclusion: Minor anatomical structures can be evaluated in more detail with micro-CT. The observation of the pulp cavity was analyzed using micro-CT.

Dentin Thickness of Pulp Chamber Floor in Primary Molars: Evaluation by Cone-Beam Computed Tomography

2021 ◽  
Vol 21 ◽  
Author(s):  
Mariane Bovino ◽  
Larissa de Souza Santos ◽  
Larissa Lopes Freitas de Albuquerque Cavalcante ◽  
Cacilda Castelo Branco Lima ◽  
Marina de Deus Moura de Lima ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Primary Molars ◽  
Pulp Chamber ◽  
Dentin Thickness ◽  
Chamber Floor

Efficacy of Different Cone-beam Computed Tomographic Protocols in the Identification of Mesiobuccal Canals of Maxillary First Molars: A Tomographic and Ex Vivo Study

2017 ◽  
Vol 43 (5) ◽  
pp. 810-815 ◽  
Author(s):  
Jéssica Vavassori de Freitas ◽  
Flares Baratto-Filho ◽  
Beatriz Serrato Coelho ◽  
Flávia Sens Fagundes Tomazinho ◽  
Bruno Monguilhott Crozeta ◽  
...  
Keyword(s):  
Ex Vivo ◽  
Cone Beam ◽  
Computed Tomographic ◽  
Ex Vivo Study

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 Use of Cone Beam Computed Tomography to Identify the Morphology of Maxillary and Mandibular Premolars in Chennai Population

2019 ◽  
Vol 22 (1) ◽  
pp. Process
Author(s):  
Rajamohan Rajakeerthi ◽  
Malli Suresh Babu Nivedhitha
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Treatment Success ◽  
Cone Beam ◽  
Type I ◽  
Root Canals ◽  
Computed Tomographic ◽  
Root Canal Anatomy ◽  
Computed Tomography Scanning

Objective: The complex root canal anatomy is inherently colonised by microbial flora. Endodontic treatment success is always related to adequate disinfection of the root canal space, which ultimately affects the treatment outcome. A thorough understanding of the external and internal root canal anatomy by using adequately imaging modalities is essential before planning any treatment. The aim of this study was to investigate the number and morphology of the root canals of maxillary and mandibular premolars in Chennai population. Material and Methods: Full-size cone-beam computed tomographic images were randomly collected from 100 patients, resulting in a total of 200 first and 200 second maxillary premolars as well as 200 first and 200 second mandibular premolars. All the eight premolars were analysed in single patients, who underwent cone-beam computed tomography scanning during pre-operative assessment (before implant surgery, orthodontic treatment, diagnosis of dental-alveolar trauma or difficult root canal treatment). Total number of roots and root canals, frequency and correlations between men and women were recorded and statistically analysed by using chi-square tests. The root canal configurations were rated according to the Vertucci’s classification. Results: In the maxillary first premolar group (n = 200), 36.3% had 1 root, 56.7% had 2 roots and 7.0% had 3 roots, with most exhibiting a type IV canal configuration. In the maxillary second premolar group (n = 200), 60% had 1 root, 29.8% had 2 roots and 10.2% had 3 roots, with the majority of single-rooted second premolars exhibiting a type I canal configuration. In the mandibular first premolar group (n = 200), 80.5% had 1 root, 9.8% had 2 roots and 5% had 3 roots. In the mandibular second premolar group (n=200), 90.1% had 1 root, 6.4% had 2 roots and 3.5 % had 3 roots, with most exhibiting a type I canal configuration. No statistical correlation was found between number of roots, gender and tooth position. Conclusion: This cone-beam computed tomographic study confirmed previous anatomical and morphological investigations. Therefore, the possibility of additional root canals should be considered when treating premolars. Keywords: Cone-beam computed tomography; Mandibular; Maxillary; Premolar; Root canal; Morphology.

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.

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