scholarly journals Assessment of Mesial Root Morphology and Frequency of MB2 Canals in Maxillary Molars using Cone Beam Computed Tomography

2015 ◽  
Vol 33 (4) ◽  
pp. 1333-1337 ◽  
Author(s):  
J Abarca ◽  
B Gómez ◽  
C Zaror ◽  
H Monardes ◽  
L Bustos ◽  
...  
2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Leila Atash biz Yeganeh ◽  
Mamak Adel ◽  
Reza Vahedi ◽  
Maryam Tofangchiha

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.


2016 ◽  
Vol 10 (04) ◽  
pp. 454-458 ◽  
Author(s):  
Roberto Pippi ◽  
Marcello Santoro ◽  
Ferdinando D'Ambrosio

ABSTRACT Objective: Cone-beam computed tomography (CBCT) has been proposed in surgical planning of lower third molar extraction. The aim of the present study was to assess the reliability of CBCT in defining third molar root morphology and its spatial relationships with the inferior alveolar nerve (IAN). Materials and Methods: Intraoperative and radiographic variables of 74 lower third molars were retrospectively analyzed. Intraoperative variables included IAN exposure, number of roots, root morphology of extracted third molars, and presence/absence of IAN impression on the root surface. Radiographic variables included presence/absence of the cortex separating IAN from the third molar roots on CBCT examination, number of roots and root morphology on both orthopantomography (OPG) and CBCT. The statistical association between variables was evaluated using the Fisher's exact test. Results: In all cases of intraoperative IAN exposure, the cortex appeared discontinuous on CBCT images. All cases, in which the cortical bone was continuous on CBCT images, showed no association with nerve exposure. In all cases in which nerve impression was identified on the root surface, the IAN cortex showed interruptions on CBCT images. No nerve impression was identified in any of the cases, in which the cortex appeared continuous on CBCT images. CBCT also highlighted accessory roots and apical anomalies/curvatures, not visible on the OPG. Conclusions: CBCT seems to provide reliable and accurate information about the third molar root morphology and its relationship with the IAN.


2016 ◽  
Vol 10 (01) ◽  
pp. 097-102 ◽  
Author(s):  
Manjusha Rawtiya ◽  
Pavithra Somasundaram ◽  
Shefali Wadhwani ◽  
Swapna Munuga ◽  
Manish Agarwal ◽  
...  

ABSTRACT Objective: The aim of this study was to investigate the root and canal morphology of maxillary third molars in Central India population using cone-beam computed tomography (CBCT) analysis. Materials and Methods: CBCT images of 116 maxillary third molars were observed, and data regarding the number of roots, the number of canals, and Vertucci's Classification in each root was statistically evaluated. Results: Majority of Maxillary third molars had three roots (55.2%) and three canals (37.9%). Most MB root (43.8%), DB root (87.5%), and palatal root (100%) of maxillary third molars had Vertucci Type I. Mesiobuccal root of three-rooted maxillary third molars had Vertucci Type I (43.8%) and Type IV (40.6%) configuration. Overall prevalence of C-shaped canals in maxillary third molars was 3.4%. Conclusion: There was a high prevalence of three-rooted maxillary molars with three canals.


Author(s):  
Cristiane Martins Rodrigues Bernardes ◽  
Luiz Eduardo Gregoris Rabelo ◽  
Cyntia Rodrigues DE Araújo Estrela ◽  
Orlando Aguirre Guedes ◽  
Brunno Santos DE Freitas Silva ◽  
...  

Introduction: The prevalence of Apical Root Resorption (ARR) after orthodontic treatment is high. It is associated with several factors, such as tooth group, type and duration of treatment, applied force and root morphology. Aim: To evaluate the apical root morphology of maxillary incisors in a Brazilian subpopulation using Cone Beam Computed Tomography (CBCT) images. Materials and Methods: In this retrospective and cross-sectional study, 400 maxillary incisors from 167 patients registered in the data base of Dental Radiology Clinics between January 2012 and April 2017 were analysed. The apical root configuration was verified by navigating 0.1 mm/0.1 mm, in the three planes, axial, coronal, and sagittal sections on CBCT images, from the root canal entrance to the apical foramen, as well as from the apical direction to the crown. The standard reference for apical root form corresponded to the long axis of the tooth. The root forms and their frequency were characterised according to the classification proposed by Levander and Malmgren (1988). The qualitative variables were analysed by the Chi-square test. The level of significance was p-value <0.05. Results: A total of 400 maxillary anterior teeth (central and lateral incisors; n=200 each) from 167 patients (101 women; mean age was 41.8±16.20 years) were analysed. The most common apical root form presented in the central incisors was the blunt root {99 (49.5%)}, followed by pipette-shaped root {69 (34.5%)}. The less frequent was the short root {13 (6.5%)} (p-value <0.001). In the lateral incisors, the highest frequency presented was lacerated root {111 (55.5%)}, followed by blunt root {47 (23.5%)}, and pipette- shaped root {37 (18.5%)} (p-value <0.001). Conclusion: Maxillary central incisors had a higher frequency of rhomboid (blunt) root morphology, while lateral incisors had a higher frequency of curved (lacerated) root form.


2017 ◽  
Vol 18 (9) ◽  
pp. 745-749 ◽  
Author(s):  
Vahid Zand ◽  
Hadi Mokhtari ◽  
Hamid RM Zonouzi ◽  
Sahand N Shojaei

ABSTRACT Aim The aim of this study was to evaluate the accuracy of the results of cone beam computed tomography (CBCT) examinations, confirm the presence or absence of the second mesiobuccal (MB2) root canal in maxillary first and second molars, estimate the distance between the root canal orifices, observe the root types based on Vertucci classification system, and make comparisons between CBCT and periapical techniques in relation to the identification of the root canal form and the second root canal of the MB root. Materials and methods The CBCT and periapical radiographic data from the Department of Maxillofacial Radiology were used to select 156 individuals (78 females and 78 males) for the evaluation of the anatomy of maxillary first and second molars. Results The prevalence rate of the second root canal in the MB root in the maxillary first molars was 55.1%, with 44.1 and 63.3% in females and males respectively. The prevalence rate in maxillary second molars was 23.7%, with 15.7 and 30.2% in females and males respectively. In addition, the longest and shortest distances between the root canal orifices were 2.4 and 0.3 mm respectively, with a mean of 1.3 mm. Conclusion There was a significant difference between the results of periapical and CBCT radiographic techniques in relation to the presence or absence of the second root canal in the MB roots of maxillary first and second molars (p < 0.01), with better results being provided by the CBCT technique. Clinical significance The results of CBCT images about the existence of the second root canal in the MB roots of maxillary first and second molars are more reliable, and we can use this technique in the finding of additional canals in the clinic. How to cite this article Zand V, Mokhtari H, Zonouzi HRM, Shojaei SN. Root Canal Morphologies of Mesiobuccal Roots of Maxillary Molars using Cone beam Computed Tomography and Periapical Radiographic Techniques in an Iranian Population. J Contemp Dent Pract 2017;18(9):745-749.


2018 ◽  
Vol 6 (02/03) ◽  
pp. 076-079
Author(s):  
Aditi Soni ◽  
Anjali Oak

Abstract Aim The aim of this study was to compare the canal transportation and canal centric ability of One Shape (Micro Mega, Besançon, France) and Mani Silk (Mani Utsunomiya, Tochigi, Japan) nickel-titanium (NiTi) rotary files in curved canals with the help of cone beam computed tomography (CBCT). Materials and Methods Total 40 mesiobuccal canals of maxillary molars with an angle of curvature ranging between 25 and 45 degrees were divided according to the instrument used in canal preparation into two groups 20 samples each: One Shape (group 1) and Mani Silk (group 2). Pre- and post-instrumentation scans were performed using CBCT (Carestream CS 9300 scanner) to evaluate the transportation and centric ability at apical, middle, and coronal levels using unpaired Student's t-test. Results Mani Silk file showed significantly less canal transportation and better canal centric ability compared to One Shape system. Conclusion Mani Silk file maintained original canal curvature better than One Shape NiTi rotary file.


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