Incidence and position of the canal isthmus. Part 1. Mesiobuccal root of the maxillary first molar.

Abstract:

:The mesiobuccal roots of 50 randomly selected maxillary first molars were examined to assess the incidence and position of the canal isthmus. Transverse serial sections of the apical 6 mm of each root were prepared in 1-mm increments. The apical side of each section was stained with methylene blue dye, viewed with a surgical operating microscope, and videotaped. Forty percent of the roots had one canal, whereas 60% had two canals. None of the sections had more than two main canals. The incidence of an isthmus was highest in the apical 3- to 5-mm levels. In teeth that had two canals, the 4-mm sections contained a complete or partial isthmus 100% of the time. The concept of a partial isthmus was presented. Failure to deal with the isthmus may explain why some posterior teeth do not heal completely following endodontic surgery.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Weller RN,Niemczyk SP,Kim S

doi

10.1016/s0099-2399(06)80975-1

subject

Has Abstract

pub_date

1995-07-01 00:00:00

pages

380-3

issue

7

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(06)80975-1

journal_volume

21

pub_type

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