Root Canal Configuration of Burmese (Myanmar) Maxillary First Molar: A Micro-Computed Tomography Study

Aim. To investigate the root canal anatomy of Burmese (Myanmar) permanent maxillary first molar (BMFM) with micro-computed tomography. Methodology. One hundred and one extracted BMFMs were scanned by a SkyScan 1272 scanner (Bruker microCT, Belgium) and reconstructed with NRecon software (Bruker microCT). CTAn software (Bruker microCT) was used to create 3D models of root and internal canal anatomy, while CTVol software (Bruker microCT) was used to visualize 3D models. In each root, Vertucci’s canal types, incidence and location of the lateral canal, incidence, location, and type of isthmus, and number and position of foramina were examined. Results. In 101 specimens, 83 (82.18%) mesiobuccal roots had multiple canals. The most common canal type is type IV (45.5%), followed by type II (17.8%) and I (17.8%) canals. Type III, V, VI, VII, and VIII canals are less than 10% in total. Seven additional canal types were seen for 10% in total. Fourteen (13.86%) distobuccal roots had multiple canals, and the predominant canal type is type I (86.1%), followed by type II (5.9%) and V (4%) canals. Three additional canal types were observed for 4% in total. All palatal roots possessed the simplest type I canal. Apical ramification occurred in 69 mesiobuccal roots (68.3%), 36 distobuccal roots (35.6%), and 37 palatal roots (36.6%). A total of 240 lateral canals were observed in 101 specimens. Each specimen had 2.38 ± 2.22 lateral canals on average. The highest incidence, 136 (56.67%) lateral canals, occurred in the mesiobuccal root, followed by 57 (23.75%) and 47 (19.58%) lateral canals from the distobuccal root and the palatal root, respectively. Each specimen had 6.17 ± 2.42 foramina. Mesiobuccal root had the highest incidence of apical foramina compared to other roots. Seventy-two mesiobuccal roots (71.29%) had isthmus, while only 7 distobuccal roots (6.93%) had isthmus somewhere along the root. Conclusions. The root canal anatomy of BMFM was quite complex, especially in the mesiobuccal root. The predominant canal type was Vertucci type IV in the mesiobuccal root and type I in the distobuccal and palatal roots. In addition, this micro-computed tomography study disclosed complemented canal types and a higher prevalence of lateral canal than the previous studies.

An unusual case of maxillary permanent 1st molar with two pulp canals with pulp necrosis; diagnosis and endodontic management.

The present case report highlights the need to identify variations in root canal anatomy as a prerequisite for effective nonsurgical root canal therapy planning. As clinicians, we need to develop our observational and clinical abilities as well as amend our understanding of the complexities of the canal anatomy. Reports describing the structure of teeth and pulp canals rarely report the presence of two pulp canals in two permanent upper 1st molars. In this case, it describes the nonsurgical root canal therapy of the upper right 1st permanent molar with two pulp canals, which was confirmed by a cone beam.

Occurrence and Morphology of MB2 Canals in Maxillary First Molars in an Indian Subpopulation: A Cone Beam Computed Tomography Study

Introduction Molars have been known to display varied morphologies. Maxillary first molar is the tooth with the largest volume and most complex root and root canal anatomy; also, possibly the most treated and least understood posterior tooth. The present study aimed to investigate the occurrence and morphology of MB2 canals in maxillary first molars in an Indian subpopulation (Dakshina kannada) using cone beam CT (CBCT) imaging. Materials and Methods A total of 330 maxillary molars were placed on “U-” shaped modelling wax template, mimicking the natural arch and digitally scanned, of which 196 scans met the inclusion criteria and were analyzed for unusual root canal anatomy by CBCT. To analyze the occurrence and morphology of the canals, the acquired data was examined by two endodontists and discussed till an agreement was reached. Results The results were subjected to descriptive analysis. The majority of patients 103 (52.6%) teeth showed the presence of MB2 canals. As much as 83.5% of teeth depicted Vertucci's type II morphology, and 16.5% teeth presented with Vertucci's type IV morphology. Conclusion CBCT overcomes the limitations of conventional radiography. However, the decision to use CBCT in the management of endodontic problems must be based on a case-by-case basis and only when sufficient diagnostic information is not obtained from diagnostic tests.

Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation

Aim: The achievement of root canal treatment is influenced by the status of the root canals. The aim of this study was to investigate the frequency of second root canals in mandibular incisors and the prevalence of root canal separation in the cervical, middle and apical thirds of cases with 2 root canals. Methodology: Retrospective cone-beam computed tomography (CBCT) datas of 500 patients seen between 2016 and 2018 were evaluated. A total of 300 patients, 134 males and 166 females, aged 13-71 years (mean age 39.34±13.44) were included in this study. A total of 587 central mandibular incisors and 582 lateral mandibular incisors were examined. The number of roots and root canal morphology based on the Vertucci’s classification were analyzed. The effect of gender on the prevalence of root canal anatomy was also evaluated. Results: The occurence of more than 1 root canal in mandibular lateral and mandibular central was 41.2% and 40.4% respectively and all teeth had a single root. Type I (59.2%) was the most common type, followed by Type III (31.4%), Type II (5.8%), Type VII (2.1 %), Type VI (0.8%) and Type V (0.7%). Type IV and Type VIII were not observed. The root canal separation in two root canaI of central and lateral mandibular incisors was found in the middle third of the root in 65.4% and 74.6%, respectively. The incidence of Type III in males (39%) was higher than that of females (25.4%), while the incidences of Type I in females (67.7%) were significantly higher than that of males (48.3%). The prevalence of second canals in mandibular incisors were detected more frequently in men than in women. Conclusion: The prevalence of second canal in total mandibular incisors is 40.8% (Type III was observed the most frequently). CBCT is an appropriate method for identifying of canal morphologies of mandibular incisors. How to cite this article: Çoban Kanyılmaz AN, Okumuş Ö, Sunay H. Assessment of root canal anatomy of mandibular incisors using cone-beam computed tomography in a Turkish subpopulation. Int Dent Res 2021;11(1):46-53. https://doi.org/10.5577/intdentres.2021.vol11.no1.8 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Interpretation of Root Canal Anatomy of Maxillary and Mandibular Permanent Canines in Saudi Subpopulation: A Cone-Beam Computed Tomography (CBCT) Study

The objective of this investigation was to evaluate the root canal anatomy of permanent canines in a Saudi subpopulation utilizing CBCT. A total of 1328 CBCT images of maxillary (634) and mandibular (694) permanent canines were collected from Saudi patients who visited the College of Dentistry at King Saud University in Riyadh. The images were analyzed for root and canal numbers, canal configuration types, and symmetry between the bilateral canine teeth in each arch. Gender, age, and tooth position were recorded. The Kappa test was used for both inter- and intraexaminer reliabilities. Data were analyzed with the chi-square test at a P value ≤ 0.05 . There were no two-rooted teeth in maxillary canines, and 1.89% had two canals. Double roots and double canals in mandibular canines were found in 2.88% and 9.94% of the teeth, respectively. Type I canal configuration was more common in maxillary canines (97.94%) compared to mandibular canines (92.07%). Maxillary canines showed higher bilateral symmetries of root and canal numbers and canal configuration types (100%, 98.1%, and 97.9%, resp.) compared to mandibular canines (97.1%, 90.1%, and 92.1%, respectively). The majority of maxillary and mandibular canines had a single root with a single canal and type I canal configuration. Mandibular canines are characterized by having more than one root and canal and alterations in root canal configurations compared to maxillary canines.