Quantitative Analysis of the Anatomy of Mesial Roots of Mandibular First Molars with Vertucci Type I Root Canal Configuration by Means of Micro-Computed Tomography

Aim: This study aimed to evaluate root canal morphology of Vertucci type I root canal configuration detected in mesial roots of mandibular first molar teeth using micro-computed tomography (Micro-CT). Methodology: Micro-CT datasets of 269 specimens were evaluated for the detection of specimens with Vertucci type I root canal configuration for further analysis. Major and minor diameter, area, perimeter and roundness of root canal cross-sections at the beginning and midline of each root thirds were measured and recorded. The presence of apical delta, accessory canals, and deviation of major apical foramen from anatomical apex were investigated. Data was analyzed using descriptive analysis, ANOVA-Tukey and Kruskal-Wallis H-Wilcoxon signed-rank tests. Results: Vertucci type I canal configuration was present in the 4.46% of the specimens. The specimens often showed accessory root canals (50%) and apical deltas (41,6%). From the visual analysis of the 3D and 2D images, significant differences were detected among coronal, middle and apical thirds of the specimens regarding major and minor diameter, area, perimeter and roundness (P < 0.05). Conclusion: Three- and two-dimensional analyses of mesial roots with Vertucci type I canal configuration indicated that this type of configuration presents large buccolingual diameters with long oval shape and has isthmus at coronal and middle thirds. At the apical third the root canals often terminate in an oval cross sectional shape. How to cite this article: Keles A, Keskin C. Quantitative analysis of the anatomy of mesial roots of mandibular first molars with Vertucci type I root canal configuration by means of micro-computed tomography. Int Dent Res 2020;10(1):17-21. https://doi.org/10.5577/intdentres.2020.vol10.no1.4 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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Adaptation of the single-cone in prepared long oval-shaped canals: a micro-computed tomography study

Research Society and Development ◽

10.33448/rsd-v10i15.23301 ◽

2021 ◽

Vol 10 (15) ◽

pp. e444101523301

Author(s):

Christianne Velozo ◽

Hugo Dantas ◽

Basílio Rodrigues Vieira ◽

Frederico Barbosa de Sousa ◽

Victor Felipe Farias do Prado ◽

...

Keyword(s):

Computed Tomography ◽

Root Canal ◽

Micro Ct ◽

Micro Computed Tomography ◽

Mean Values ◽

Root Canals ◽

Gutta Percha ◽

Working Length ◽

Single Cone ◽

Student’S T

The present study aimed to evaluate adaptation of the single gutta-percha cone on root canal walls prepared with the two systems, the XP-endo Shaper (XPS; FKG Dentaire, La Chaux-de-Fonds, Switzerland) and ProTaper Next systems (PTN; Dentsply Sirona, Ballaigues, Switzerland) by using micro-computed tomography (micro-CT) technology. Twenty long oval-shaped canals in mandibular incisors were scanned by micro-CT (Skyscan 1172; Bruker microCT, Kontich, Belgium). Two groups were divided into (n = 10) according to the canal preparation protocol: XPS group with an extra 45 s of instrumentation and PTN group. A gutta percha cone, with respect to the protocol used for each group (size 40, .04 taper, XPS and size 40, .06 taper, PTN) was adapted to the canal at the working length of all the samples, and all root canals were filled, using the single-cone technique. The mean values for volume of voids and percentage relative to the mentioned space were correspondingly higher in XPS group than they were PTN group, mean values for volume of voids (3.61 mm3 - 1.92 mm3) and for percentage of voids (39.25% - 23.28%), respectively, significant differences were recorded (p < 0.05) between the two groups (XPS and PTN, Student’s-t test for homogenous variances and Mann–Whitney test). The canals prepared with XPS, in the procedure performed with an extra 45 s of instrumentation, showed a higher volume of voids than those prepared with the PTN system, in obturation of the root canal with the single cone technique.

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Effectiveness of different rotary file systems in removing the root canal filling material: A micro-computed tomography study

Journal of Dental Research Dental Clinics Dental Prospects ◽

10.34172/joddd.2021.045 ◽

2021 ◽

Vol 15 (4) ◽

pp. 273-278

Author(s):

Esin Özlek ◽

Hüseyin Gündüz

Keyword(s):

Computed Tomography ◽

Root Canal ◽

File System ◽

File Systems ◽

Filling Material ◽

Micro Ct ◽

Micro Computed Tomography ◽

Root Canal Filling ◽

Root Canals ◽

Time Required

Background. This study aimed to examine the retreatment efficiency of four NiTi rotary file systems with micro-computed tomography (micro-CT). Methods. Forty premolar teeth were shaped up to F2 using the ProTaper Universal rotary file system and obturated with MTA Fillapex. The root canals were scanned with micro-CT to evaluate the volume of root canal filling before retreatment. The samples were randomly divided into four groups according to the file system used to remove root canal filling material (n=10): ProTaper Universal Retreatment, ProTaper NEXT, EdgeFile XR, and EdgeFile® X3 NiTi system. All the samples were scanned with a micro-CT device for the second time to evaluate the amount of residual filling material in the root canals. The percentages of filling material removed from root canals were calculated. Additionally, the time spent on the removal of the root canal filling material was recorded. The data were analyzed using the Shapiro-Wilk and Kruskal-Wallis tests. Results. There were no significant differences between the groups in the percentage of root canal filling material removal. However, a statistically significant difference was found between the groups in the time required to reach the apex and remove the entire filling material. The time required to remove the root canal filling material was higher in the EdgeFile® X3 group. Conclusion. NiTi files manufactured for root canal preparation can be used effectively and safely to remove root canal filling materials. EdgeFile XR produced for retreatment can be used as an alternative to ProTaper Universal Retreatment files.

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Micro-tomographic characterization of the root and canal system morphology of mandibular first premolars in a Chilean population

Scientific Reports ◽

10.1038/s41598-020-80046-1 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Alfredo Sierra-Cristancho ◽

Luis González-Osuna ◽

Daniela Poblete ◽

Emilio A. Cafferata ◽

Paola Carvajal ◽

...

Keyword(s):

Root Canal ◽

Multiple Root ◽

Root Anatomy ◽

Type I ◽

Micro Computed Tomography ◽

Canal System ◽

Root Canals ◽

Wide Range ◽

Root Canal System ◽

Chilean Population

AbstractThis study aimed to analyze the root anatomy and root canal system morphology of mandibular first premolars in a Chilean population. 186 teeth were scanned using micro-computed tomography and reconstructed three-dimensionally. The root canal system morphology was classified using both Vertucci’s and Ahmed’s criteria. The radicular grooves were categorized using the ASUDAS system, and the presence of Tomes’ anomalous root was associated with Ahmed’s score. A single root canal was identified in 65.05% of teeth, being configuration type I according to Vertucci’s criteria and code 1MP1 according to Ahmed’s criteria. Radicular grooves were observed in 39.25% of teeth. The ASUDAS scores for radicular grooves were 60.75%, 13.98%, 12.36%, 10.22%, 2.15%, and 0.54%, from grade 0 to grade 5, respectively. The presence of Tomes’ anomalous root was identified only in teeth with multiple root canals, and it was more frequently associated with code 1MP1–2 of Ahmed’s criteria. The root canal system morphology of mandibular first premolars showed a wide range of anatomical variations in the Chilean population. Teeth with multiple root canals had a higher incidence of radicular grooves, which were closely related to more complex internal anatomy. Only teeth with multiple root canals presented Tomes’ anomalous root.

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Micro-Computed Tomography (Micro-CT) Evaluation of Effects of Different Rotary Glide Path Techniques on Canal Transportation and Centering in Curved Root Canals

Medical Science Monitor ◽

10.12659/msm.916112 ◽

2019 ◽

Vol 25 ◽

pp. 6351-6358

Author(s):

Gabrielė Česaitienė ◽

Tadas Venskutonis ◽

Vita Mačiulskienė ◽

Vaidotas Cicėnas ◽

Vykintas Samaitis ◽

...

Keyword(s):

Computed Tomography ◽

Micro Ct ◽

Micro Computed Tomography ◽

Root Canals ◽

Glide Path ◽

Ct Evaluation ◽

Canal Transportation ◽

Curved Root Canals

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

Brazilian Dental Science ◽

10.14295/bds.2019.v22i1.1673 ◽

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.

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Comparison of Obturation Removal Efficiency from Straight Root Canals with ProTaper Gold or Reciproc Blue: A Micro-Computed Tomography Study

Journal of Clinical Medicine ◽

10.3390/jcm9041164 ◽

2020 ◽

Vol 9 (4) ◽

pp. 1164 ◽

Cited By ~ 1

Author(s):

Vicente Faus-Matoses ◽

Cristina Pasarín-Linares ◽

Ignacio Faus-Matoses ◽

Federico Foschi ◽

Salvatore Sauro ◽

...

Keyword(s):

Computed Tomography ◽

Removal Efficiency ◽

Continuous Wave ◽

Descriptive Analysis ◽

Nonparametric Tests ◽

Micro Computed Tomography ◽

Human Teeth ◽

Root Canals ◽

Before And After ◽

The Mean

Background: The objective was to evaluate the efficiency of ProTaper Gold (PTG) and Reciproc Blue (RB) NiTi files in obturation material removal from straight root canals assessed by micro-computed tomography. Methods: Fifty-two anterior human teeth were shaped with a PTG rotary system until F2 (25/.08). Specimens were obturated with a continuous wave of condensation technique. For retreatment, specimens were randomly distributed in two experimental groups: PTG group (F4 file) and RB (R40 file). Micro-CT scans were performed before and after retreatment procedures. The percentage of the remaining obturation material compared to the original volume was calculated, as well as the retreatment time. The presence of separated files was recorded. A descriptive analysis was carried out, and nonparametric tests were employed. Results: The mean percentages of remaining obturation material in the PTG group and the RB group were 4.14 ± 4.30% and 4.18 ± 4.29%, respectively. The mean retreatment times for the PTG and RB groups were 144 ± 51 and 163 ± 88 s, respectively. There were no statistically significant differences, neither in removal efficiency (p > 0.05) nor in retreatment time (p > 0.05), between the two groups. The coronal and middle thirds presented significantly more remaining obturation material than the apical third (p < 0.05). No file separation occurred. Conclusions: ProTaper Gold and Reciproc Blue present with comparable efficiency in removing the obturation material, with a similar mean retreatment time.

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

RSBO ◽

10.21726/rsbo.v17i1.275 ◽

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.

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Root Canal Anatomy of Maxillary First Premolar by Microscopic Computed Tomography in a Chinese Adolescent Subpopulation

BioMed Research International ◽

10.1155/2019/4327046 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Xiaojing Liu ◽

Meili Gao ◽

Jianping Ruan ◽

Qun Lu

Keyword(s):

Computed Tomography ◽

Wall Thickness ◽

Root Canal ◽

Micro Ct ◽

Canal Wall ◽

Cross Sectional ◽

Single Root ◽

Root Canal Anatomy ◽

Canal Diameter ◽

Chinese Adolescent

Objectives. To investigate the root morphology and root canal anatomy of maxillary first premolar using microscopic computed tomography (micro-CT). Methods. 324 maxillary first premolars were collected and scanned. The root and canal diameter, canal wall thickness, root taper, and cross-sectional shapes were determined in the single root with 1 canal (SR1C), single root with 2 canals (SR2C), and 2 roots with 2 canals (2R2C) by micro-CT. Results. The results showed that single-rooted maxillary premolars were more common than other types. The incidence of SR1C, SR2C, and 2R2C reached 25%, 26.39%, and 26.39%, respectively. Root and canal diameters and canal wall thickness were decreased from coronal third to apical foramen. The three parameters and canal taper showed increases from buccal and palatal (BP) to mesiodistal (MD) aspects. The root canal tapers were smallest of the middle third level. The findings showed the different variations in 2R2C teeth. The root canal cross-sectional morphology in maxillary first premolars is complicated, including round, oval, long oval, flat canal, and irregular canal shapes. The distribution varied in different aspects. Conclusion. Root canal morphology showed a wide variation and complicated structure. The single-rooted teeth were more common in the Chinese adolescent population, and the majority of maxillary first premolars have two canals.

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Micro-computed tomography: A novel diagnostic technique for the evaluation of gastrointestinal specimens

Endoscopy International Open ◽

10.1055/a-1546-8063 ◽

2021 ◽

Vol 09 (12) ◽

pp. E1886-E1889

Author(s):

Noboru Kawata ◽

Alexei Teplov ◽

Peter Ntiamoah ◽

Jinru Shia ◽

Meera Hameed ◽

...

Keyword(s):

Computed Tomography ◽

Three Dimensional ◽

Diagnostic Technique ◽

Human Colon ◽

Ffpe Tissue ◽

Micro Ct ◽

Micro Computed Tomography ◽

Cross Sectional ◽

Tissue Samples ◽

Formalin Fixed Paraffin Embedded

AbstractMicro-computed tomography (micro-CT) is a non-destructive modality that can be used to obtain high-resolution three-dimensional (3 D) images of the whole sample tissue; the usefulness of micro-CT has been reported for evaluation of breast cancer and lung cancer. However, this novel diagnostic technique has never been used for evaluating endoscopically resected gastrointestinal specimens. In the present study, we scanned 13 formalin-fixed paraffin-embedded (FFPE) tissue blocks of a normal human colon and gastric tissue samples using micro-CT. The evaluation comprised a comparison of the acquired whole block images with the images of the corresponding cross-sectional slice of the hematoxylin and eosin-stained slide. Micro-CT was able to produce images of the whole sample and clearly depict tissues such as glandular structures, muscularis mucosae, and blood vessels in the FFPE tissue blocks of normal gastrointestinal samples. Furthermore, the 3 D reconstructed could be used to create a cross-sectional image and reflected the surface structure of samples obtained from any site. Micro-CT has the potential to become a highly promising pathological diagnostic assistance tool for endoscopically resected gastrointestinal specimens in combination with conventional microscopic examination.

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Comparison of Two Techniques for Selection of Master Gutta-Percha Cone Using Micro-Computed Tomography

Brazilian Dental Journal ◽

10.1590/0103-6440201302330 ◽

2013 ◽

Vol 24 (4) ◽

pp. 367-370 ◽

Cited By ~ 2

Author(s):

Joao Manoel Silva-Filho ◽

Aline Evangelista Souza-Gabriel ◽

Graziela Bianchi Leoni ◽

Samuel Henrique Camara De-Bem ◽

Edson Alfredo ◽

...

Keyword(s):

Computed Tomography ◽

Conventional Technique ◽

Filling Material ◽

Micro Ct ◽

Micro Computed Tomography ◽

Root Canals ◽

Gutta Percha ◽

Working Length ◽

Significant Difference ◽

Material Volume

This study used micro-computed tomography (micro-CT) to evaluate the fit of the master gutta-percha cone at time of cone fit, gutta-percha volume in the filling material, and the filling material volume in relation to the canal at the apical limit of the working length. Root canals of 20 maxillary central incisors were prepared with rotary instruments and distributed into two groups (n=10). The gutta-percha cone tip was either plasticized (apical thermal impression technique - ATI) or not (conventional technique - CT), and its apical fit was checked. The apical 1 mm of working length was examined with a micro-CT, canals were filled with gutta-percha and sealer, and new micro-CT scans were obtained. In CT, gutta-percha filled 35.83 ± 15.05% of the canal at cone selection and 38.72 ± 11.64% after filling. In ATI, these values were 23.14 ± 7.74% and 26.98 ± 20.40%, respectively. Gutta-percha volume in the filling material, and filling material volume in relation to the canal were, respectively, 61.28 ± 11.64% and 87.76 ± 9.98% for CT, and 73.00 ± 20.41% and 89.96 ± 9.08% for ATI. No significant difference was found between cone selection and after canal filling, for either CT (p=0.593) or ATI (p=0.4975). The techniques did not differ significantly with respect to gutta-percha volume in the filling material (p=0.132) and filling material volume in relation to the canal (p=0.612). An ideal fit of the master gutta-percha cone at working length was not achieved regardless of the cone selection technique, and the material-filled area was similar for both techniques.

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