Evaluation of root canal configuration of mandibular molars in a Brazilian population by using cone-beam computed tomography: an in vivo study.

Abstract:

INTRODUCTION:The aim of this study was to analyze and characterize root canal morphology of mandibular molars of the Brazilian population by using cone-beam computed tomography (CBCT). METHODS:Patients who required CBCT radiographic examinations as part of their routine examination, diagnosis, and treatment planning were enrolled in the study. A total of 460 healthy, untreated, fully developed mandibular first and second molars were included (234 first molars and 226 second molars). The following observations were recorded: (1) number of roots and their morphology, (2) number of canals per root, (3) C-shaped canals, and (4) primary variations in the morphology of the root canal systems. RESULTS:First molars showed a higher prevalence of 2 canals in the mesial root and 1 in the distal root with 2 separate roots (74%). In the mandibular second molars, the presence of 2 separate roots with 2 canals in the mesial root and 1 canal in the distal root represented 54% of the total. In 32% of the cases, 2 separate roots with 1 canal each in the mesial and distal roots were presented. The incidence of C-shaped canals was 1.7% of first molars and 3.5% of second molars. CONCLUSIONS:A higher prevalence of 2 separate roots with 2 canals in the mesial root and 1 canal in the distal root was observed in mandibular first and second molars (74% and 54%, respectively). Also, a lower incidence of C-shaped canals and 3-rooted teeth was observed in a Brazilian population. CBCT is a clinically useful tool for endodontic diagnosis and treatment.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Silva EJ,Nejaim Y,Silva AV,Haiter-Neto F,Cohenca N

doi

10.1016/j.joen.2013.04.030

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

849-52

issue

7

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(13)00342-7

journal_volume

39

pub_type

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