scholarly journals Prevalence of Root Canal Configuration of Mandibular Second Molar Using Cone-Beam Computed Tomography in a Sample of Iraqi Patients

2021 ◽  
Vol 11 (1) ◽  
pp. 22-26
Author(s):  
Hiwa S. Khidir ◽  
Saud J. Dizayee ◽  
Sangar H. Ali

Introduction: The purpose of this study was to find out the prevalence of C-shaped canals configurations in mandibular 2nd molar and to investigate the gender prevalence. Materials and Methods: A sample of 1200 patients’ cone beam computed tomography (CBCT) scans were screened and evaluated by a maxillofacial radiologist assessed the axial, sagittal, and coronal sections. Inclusion criteria applied to 801 patients (452 females and 349 male) aged 14–75 years were included in this study with total of 1567 mandibular 2nd molar was evaluated. Inclusion criteria: Available CBCT images of mandibular posterior teeth with at least one mandibular 2nd molar in the scan, absence of root canal treatment, absence of coronal or post coronal restorations, absence of root resorption or periapical lesions, and high-quality images. Canal configuration was classified by criteria’s which described by Fan et al. (2004): (i) Fused roots, (ii) a longitudinal groove on the buccal or lingual surface of the root, and (iii) at least one cross-section of the canal belongs to the C1, C2, or C3 configuration. Results: Considering 801 patients, 97 (12.1%) patients females 57 (7.1%) and 40 (5%) males had a C-shaped canal with no statistical difference between females and males (P > 0.05). Conclusion: The occurrence of C- shaped canal mandibular 2nd molar is approximately 12.1% and no significant difference was found by gender.

2021 ◽  
pp. 66-68
Author(s):  
Shivangi Shreya ◽  
C.K. Wang

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.


Author(s):  
S. L. Kabak ◽  
N. A. Savrasova ◽  
Yu. M. Melnichenko ◽  
N. V. Zhuravleva ◽  
R. S. Mekhtiev

The aim of the study was to determine the range of maxillary sinus volume and linear dimensions in adults, taking into account the gender and the side of the location using cone-beam computed tomography (CBCT) images.This study used the CBCT images of 136 patients (263 maxillary sinuses), who were presented to Minsk health facilities, with dental and maxillary sinus pathologies, aged over 20 years with no history of upper jaw surgery and with the presence of upper posterior teeth (from the first premolar to the second molar inclusive). The height, depth and width of the sinus weremeasured manually on CBCT scans. The maxillary sinus volume (V) was calculated by the formula: V = height × depth × 1/3 width.The volume of the maxillary sinus was varied from 5.53 to 24.03 cm3. The mean values of the sinus width, height and depth were 27.13 ± 3.83 mm, 35.83 ± 4.36 mm, and 38.98 ± 3.38 mm respectively.Despite a high variability of the maxillary sinus volume values, we did not find a statistically significant difference between the right and left sides in both males and females. The maxillary sinus linear dimensions and volume in females were statistically significantly less than in males.


2017 ◽  
Vol 7 (1) ◽  
pp. 6 ◽  
Author(s):  
Ceren Aktuna Belgin ◽  
Ozkan Adiguzel ◽  
Marius Bud ◽  
Mehmet Colak ◽  
Zeki Akkus

Aim: Buccal bone thickness is an important factor in implant treatment, bone health after tooth extraction, apical surgery, and esthetic outcomes. We evaluated the distance from the mandibular premolar and molar teeth apices to the buccal cortical bone in southeastern Anatolian people using cone-beam computed tomography (CBCT). Methodology: This retrospective study was performed in 461 posterior teeth (220 premolars, 241 molars) of 133 patients (62 females, 64 males) at Dicle University, Faculty of Dentistry, Department of Oral and Maxillofacial Radiology. Data were analyzed using Student’s t-tests and Tukey HSD tests. Results: The mandibular buccal bone was thicker in men than in women, but the difference was not statistically significant (p>0.05). The thinnest point of the mandibular buccal bone was measured in women as 2.431 mm and in men as 2.491 mm in the first premolar teeth. The thickest point of the mandibular bone was measured in women as 7.940 mm and in men as 7.859 mm in the distal roots of mandibular second molar teeth. For the mandibular first and second premolars, there was no significant difference in buccal bone thickness among the 10–29-, 30–49-, and 50–69-year age groups. The difference between the first and second molar mesial and distal roots of the age groups was significant at the level of buccal root thickness (p<0.05). Conclusions: It is important to examine buccal bone thickness (with CBCT) before surgical dental procedures for appropriate implant planning and surgical endodontic treatment.  How to cite this article: Aktuna Belgin C, Adiguzel O, Bud M, Colak M, Akkus Z. Mandibular Buccal Bone Thickness In Southeastern Anatolian People: A Cone-Beam Computed Tomography Study. Int Dent Res 2017;7:6-12. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.


2012 ◽  
Vol 23 (5) ◽  
pp. 602-607 ◽  
Author(s):  
Karla de Faria Vasconcelos ◽  
Yuri Nejaim ◽  
Francisco Haiter Neto ◽  
Frab Norberto Bóscolo

A radiographic interpretation is essential to the diagnosis of invasive cervical resorption (ICR) and the difficulty in distinguishing this lesion from internal root resorption has been highlighted in the literature. This paper reports the use of cone beam computed tomography (CBCT) in the diagnosis of ICR. The cases reports describe how CBCT can be used to make a differential diagnosis and also show that the use of this technology can provide relevant information on the location and nature of root resorption, which conventional radiographs cannot. As a result, the root canal treatment was not initially considered. The patients will be monitored and will undergo a scan after a short period of time to detect any small changes. It was observed that both cases benefited from CBCT in the diagnosis of ICR, because this imaging modality determined the real extent of resorption and possible points of communication with the periodontal space.


2019 ◽  
Vol 9 ◽  
pp. 241-245
Author(s):  
Neeraj Eknath Kolge ◽  
Vivek J. Patni ◽  
Sheetal S. Potnis

Introduction: Buccal shelf bone screws have become increasingly popular as a preferred method of skeletal anchorage in the mandibular arch. Anatomic variations and clinical experience suggest that width and slope of the bone at buccal shelf vary in different population groups, with some individual variations. Aims and Objectives: The objective of this study was to evaluate angulation of the bone screw of mandibular buccal shelf area, total bone width, thickness of the cortical bone, and proximity to neurovascular structures. Materials and Methods: Cone-beam computed tomography scans were used to obtain measurements of the buccal shelf region of 35 patients (18 females, 17 males; mean age, 23.6 years). Measurements were taken at three locations (L1, L2, and L3) and total bone width was measured at two levels from the cementoenamel junction (CEJ, H1 and H2). Bone screws were virtually placed and their proximity evaluated from digitally traced inferior alveolar neurovascular bundle. Results: Permissible angulation for placement of buccal shelf bone screw considering the safety distance from the root and avoiding excessive buccal projection to minimize cheek irritation was found to be 74.48 (SD ± 4.26). Total bone width was maximum at the distobuccal cusp of mandibular second molar (L3H2; 6.40 ± 1.35) when measured at the level of 8 mm from the CEJ. Bone screws were well within the safety range from causing any iatrogenic damage to the inferior alveolar neurovascular bundle at all the three aforementioned locations. Conclusion: Thus, area buccal to the mandibular second molar region seems to be the most favorable site for placement of buccal shelf bone screws in Indian patients.


Author(s):  
Shirin Sakhdari ◽  
Sara Farahani ◽  
Ehsan Asnaashari ◽  
Sahel Marjani

Objective: This study sought to assess the frequency and severity of second molar external root resorption (ERR) due to the adjacent third molar and its correlation with the position of third molar and other related factors using cone-beam computed tomography (CBCT). Materials and Methods: This cross-sectional study evaluated 320 second molars and their adjacent impacted third molars on CBCT scans of patients over 16 years, retrieved from the archives of Azad University Radiology Department. Presence/absence of second molar ERR, its location and severity (if present), and position of adjacent third molar were determined on CBCT scans, and recorded in a checklist. Data were analyzed using a logistic regression model. Results: The frequency of second molar ERR was 33.4% in the mandible and 14% in the maxilla. The severity of ERR was significantly correlated with the involved jaw (P=0.001) but had no correlation with age, gender, or depth of impaction of adjacent third molar (P>0.05). The mesioangular and horizontal positions of impacted third molars had a significant correlation with the frequency of second molar ERR (P<0.006). Conclusion: According to the results of this study, ERR occurring in second molars adjacent to third molars is common, especially in the mandible. Mesially inclined third molars have a greater potential of being associated with ERR in second molars.


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.


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