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

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.

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.


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.


2018 ◽  
Vol 45 (2) ◽  
pp. 196-201 ◽  
Author(s):  
Carolina Oliveira Lima ◽  
Laura Campos Souza ◽  
Karina Lopes Devito ◽  
Maíra Prado ◽  
Celso Neiva Campos

2017 ◽  
Vol 2 (1) ◽  
pp. 4-7
Author(s):  
M Remya ◽  
VP Prabath Singh

ABSTRACT Aim To evaluate the root canal morphology of maxillary first premolar using Cone beam computed tomography (CBCT). Materials and methods A total of 125 teeth were selected and CBCT scans were taken and following factors were recorded – number of roots, number of root canals, anatomy, and configuration of canals. Results Overall 88% teeth had two roots. Most frequent canal configuration was type I in 93.6%; 94.4% teeth had single canal exiting in single apical foramen. Conclusion Within the limitation of the study, it was concluded that among the study population, there is a high incidence of two-rooted maxillary first bicuspid with two canals with type I Vertucci canal configuration. How to cite this article Remya M, Singh VPP. Cone Beam Computed Tomography a Noval Innovation for assessing the Canal Morphology of Maxillary First Bicuspid. Cons Dent Endod J 2017;2(1):4-7.


2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Aws Hashim Al-Kadhim ◽  
Zainul Ahmad Rajion ◽  
Normaliza AB Malik ◽  
Azlan Jaafar

Introduction: A few studies investigated the numerous potential endodontic uses of CBCT, including the examination of root canal morphology and presumed that CBCT was effective for the initial identification of such morphology; moreover CBCT is a reliable method for the detection of the MB2 canal when compared with the gold standard of physical sectioning of the specimen. The aim of this study was to identify the root and canal morphology of the maxillary first molars among Malaysians analysed by cone-beam computed tomography (CBCT) images. Materials and Methods: Maxillary first (n = 421) molars from Malaysian patients (n = 241) of Malay, Chinese and Indians inceptions were examined by two Endodontists using in vivo CBCT methods. The number and configuration of roots, the number of root canals, and the canal configuration according to Vertucci’s classification were determined. Results: Single roots were not found in maxillary first molars. The incidence of fused roots was 1.995% in the first molars between mesiobuccal and distobuccal roots. In (421) 3-rooted maxillary first molars, additional canals were found in 45.6% of the mesiobuccal (MB) roots and 0% of the distobuccal (DB) roots. Bilateral symmetry of the MB roots was found in 82.36% of the first molar. Only one tooth was found to have pulp stone inside the pulp chamber. Conclusions: The root and canal configuration of a Malaysian population showed different features from those of other populations. CBCT scans can enhance the understanding of root canal anatomy, with the potential of improving the outcome of endodontic treatment.


2017 ◽  
pp. 11-13
Author(s):  
Nagaveni NB ◽  
Meghna Bajaj ◽  
Sneha Yadav ◽  
Poornima P

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.


2017 ◽  
Vol 1 (1) ◽  
pp. 15-19
Author(s):  
Neelam Joshi ◽  
Anshula Deshpande ◽  
KS Poonacha ◽  
Seema Bargale ◽  
Kishan Naik ◽  
...  

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.


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.


2017 ◽  
Vol 8 (2) ◽  
pp. 134-138
Author(s):  
Girish Pallippurath ◽  
Neeta Shetty ◽  
Rayapudi Phani Mohan ◽  
Manuel S Thomas ◽  
Arjun Tallada

ABSTRACT Aim The aim of this study was to investigate the root and canal morphology of maxillary first and second molars in Southern West Coastal Indian population using cone beam computed tomography (CBCT). Materials and methods Cone beam computed tomography images of (n = 143) maxillary first molar and (n = 139) maxillary second molar were obtained from Southern West Coastal Indian population. The number of roots, root canals, and presence of second mesiobuccal (MB2) canal were determined. Results Two roots were seen only in 1.4% of first molars and 8.6% of second molars. Three- rooted were the most common and seen in 98.6% of first molars and 89.9% of second molars. Single root was seen in 1.4% of second molars. The incidence of MB2 canal in the first molar is 64.1% and in second molar 23%. C-shaped canals were found in 1.4% of the second molars Conclusion Southern West Coastal Indian population showed features that were similar to other regions of Indian Population. The CBCT is a wonder tool for the study of root canal morphology and a reliable source of information for retrospective studies. How to cite this article Mohan RP, Thomas MS, Shetty N, Ahmed J, Pallippurath G, Tallada A. Evaluation of the Root and Canal Morphology of Maxillary First and Second Molar using Cone Beam Computed Tomography: A Retrospective Study. World J Dent 2017;8(2):134-138.


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