Morphological characteristics of the mesiobuccal root in the presence of a second mesiobuccal canal: a micro-CT study
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Objectives: This study investigated the internal morphology of mesiobuccal (MB) roots of maxillary molars with a second mesiobuccal (MB2) canal. Materials and methods: Forty-seven maxillary first or second molars from Brazilians were scanned using micro-computed tomography. The following measurements were obtained from the MB roots: root thickness, root width, and dentin thickness of the buccal aspect of the first mesiobuccal (MB1) canal, between the MB1 and MB2 canals, and the palatal aspect of the MB2 and MB1 canals at 3 mm from the root apex and in the furcation region. For statistical analysis, the Student's t-test and analysis of variance with the post-hoc Tukey test were used (α = 0.05). Results: In maxillary molars with an MB2 canal, MB roots were significantly thicker (p = 0.0014) and narrower (p = 0.0016) than in maxillary molars without an MB2 canal. The dentin thickness of the palatal aspect of the MB1 canal was also significantly greater than that of MB roots without an MB2 canal at 3 mm from the root apex (p = 0.0007) and in the furcation region (p < 0.0001). In the furcation region of maxillary molars with an MB2 canal, the dentin thickness between the MB1 and MB2 canals was significantly smaller than that in the buccal and palatal aspects (p < 0.0001). Conclusions: The internal morphology of MB roots of maxillary molars with an MB2 canal revealed differences in dentin thickness, root diameter, and distance between the canals when compared with maxillary molars without an MB2 canal.
Abstract
Objectives: This study investigated the internal morphology of mesiobuccal (MB) roots of maxillary molars with a second mesiobuccal (MB2) canal. Materials and methods: Forty-seven maxillary first or second molars from Brazilians were scanned using micro-computed tomography. The following measurements were obtained from the MB roots: root thickness, root width, and dentin thickness of the buccal aspect of the first mesiobuccal (MB1) canal, between the MB1 and MB2 canals, and the palatal aspect of the MB2 and MB1 canals at 3 mm from the root apex and in the furcation region. For statistical analysis, the Student's t-test and analysis of variance with the post-hoc Tukey test were used (α = 0.05). Results: In maxillary molars with an MB2 canal, MB roots were significantly thicker (p = 0.0014) and narrower (p = 0.0016) than in maxillary molars without an MB2 canal. The dentin thickness of the palatal aspect of the MB1 canal was also significantly greater than that of MB roots without an MB2 canal at 3 mm from the root apex (p = 0.0007) and in the furcation region (p < 0.0001). In the furcation region of maxillary molars with an MB2 canal, the dentin thickness between the MB1 and MB2 canals was significantly smaller than that in the buccal and palatal aspects (p < 0.0001). Conclusions: The internal morphology of MB roots of maxillary molars with an MB2 canal revealed differences in dentin thickness, root diameter, and distance between the canals when compared with maxillary molars without an MB2 canal.
참고문헌 (19)
- Karabucak B, "Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal: a cone-beam computed tomography study", J Endod, 42, pp.538~541 (2016)
- Nascimento EHL, "Prevalence of technical errors and periapical lesions in a sample of endodontically treated teeth: a CBCT analysis", Clin Oral Investig, 22, pp.2495~2503 (2018)
- do Carmo WD, "Missed canals in endodontically treated maxillary molars of a Brazilian subpopulation: prevalence and association with periapical lesion using cone-beam computed tomography", Clin Oral Investig, 25, pp.2317~2323 (2021)
- Tomaszewska IM, "An original microCT study and meta-analysis of the internal and external anatomy of maxillary molars-implications for endodontic treatment", Clin Anat, 31, pp.838~853 (2018)
- Martins JNR, "Worldwide analyses of maxillary first molar second mesiobuccal prevalence: a multicenter cone-beam computed tomographic study", J Endod, 44, pp.1641~1649.e1 (2018)
- Das S, "Frequency of second mesiobuccal canal in permanent maxillary first molars using the operating microscope and selective dentin removal: a clinical study", Contemp Clin Dent, 6, pp.74~78 (2015)
- Estrela C, "Characterization of successful root canal treatment", Braz Dent J, 25, pp.3~11 (2014)
- Sipavičiūtė E, "Pain and flare-up after endodontic treatment procedures", Stomatologija, 16, pp.25~30 (2014)
- Somma F, "Root canal morphology of the mesiobuccal root of maxillary first molars: a micro-computed tomographic analysis", Int Endod J, 42, pp.165~174 (2009)
- Verma P, "A Micro CT study of the mesiobuccal root canal morphology of the maxillary first molar tooth", Int Endod J, 44, pp.210~217 (2011)
- Degerness RA, "Dimension, anatomy and morphology of the mesiobuccal root canal system in maxillary molars", J Endod, 36, pp.985~989 (2010)
- Kim Y, "A microcomputed tomography study of canal configuration of multiple-canalled mesiobuccal root of maxillary first molar", Clin Oral Investig, 17, pp.1541~1546 (2013)
- Wolf TG, "Root canal morphology and configuration of 123 maxillary second molars by means of micro-CT", Int J Oral Sci, 9, pp.33~37 (2017)
- Ordinola-Zapata R, "Micro-CT analysis of danger zone thickness in the mesiobuccal roots of maxillary first molars", Int Endod J, 52, pp.524~529 (2019)
- Harris SP, "An anatomic investigation of the mandibular first molar using micro-computed tomography", J Endod, 39, pp.1374~1378 (2013)
- Hiebert BM, "Prevalence of second mesiobuccal canals in maxillary first molars detected using cone-beam computed tomography, direct occlusal access, and coronal plane grinding", J Endod, 43, pp.1711~1715 (2017)
- van der Vyver PJ, "Root canal shaping using nickel titanium, M-wire, and Gold wire: a micro-computed tomographic comparative study of one shape, ProTaper Next, and WaveOne gold instruments in maxillary first molars", J Endod, 45, pp.62~67 (2019)
- Zhang Y, "Analysis of second mesiobuccal root canal instrumentation in maxillary first molars with three nickel-titanium rotary instruments: a micro-computed tomographic study", Odontology, 109, pp.496~505 (2021)
- Reeh ES, "Reduction in tooth stiffness as a result of endodontic and restorative procedures", J Endod, 15, pp.512~516 (1989)
