Research Article
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Year 2019, Volume: 22 Issue: 4, 382 - 389, 29.12.2019
https://doi.org/10.7126/cumudj.615843

Abstract


References

  • Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984;58:589-599.
  • Goerig AC, Camp JH. Root canal treatment in primary teeth: A review. Pediatr Dent 1983;5:33-37.
  • Rimondini L, Baroni C. Morphologic criteria for root canal treatment of primary molars undergoing resorption. Endod Dent Traumatol 1995;11:136-141.
  • Camp JH, Fuks AB. Pediatric endodontics: endodontic treatment for the primary and young permanent dentition. In: Cohen S, Hargreaves KM, eds. Pathways of the pulp. 9th ed. St Louis: Mosby, 2006:822-882.
  • Sarkar S, Rao AP. Number of root canals, their shape, configuration, accessory root canals in radicular pulp morphology. A preliminary study. J Indian Soc Prev Dent 2002;20:93-97.
  • Fumes AC, Sousa-Neto MD, Leoni GB, Versiani MA, Da Silva RAB, Consolaro A. Root canal morphology of primary molars: a micro-computed tomography study. Eur Arch Paediatr Dent 2014;15:317-326.
  • Bagherian A, Kalhori KAM, Sadeghi M, Mirhosseini F, Parisay I. An in vitro study of root and canal morphology of human deciduous molars in an Iranian population. J Oral Sci 2010;52:397-403.
  • Moskovitz M, Tickotsky N. Pulpectomy and Root Canal Treatment (RCT) in Primary Teeth: Techniques and Materials. In: Fuks AB, Peretz B, eds. Pediatric Endodontics: Current Concepts in Pulp Therapy for Primary and Young Permanent Teeth. 1st ed. Switzerland: Springer International Publishing, 2016:71-101.
  • Nattress BR, Martin DM. Predictability of radiographic diagnosis of variations in root canal anatomy in mandibular incisor and premolar teeth. Int Endod J 1991;24:58-62.
  • Hibbard ED, Ireland RL. Morphology of the root canals of the primary molar teeth. ASDC J Dent Child 1957;24:250-257.
  • Rosentiel E. Transparent model teeth with pulps. Dent Dig 1957;3:154-157.
  • Simpson WJ. An examination of root canal anatomy of primary teeth. J Can Dent Assoc 1973;39:637-640.
  • Barker BCW, Parsons KC, Williams GL, Mills PR. Anatomy of root canals. IV deciduous teeth. Aust Dent J 1975;20:101-106.
  • Ringelstein D, Seow WK.The prevalence of furcation foramina in primary molars. Pediatr Dent 1989;11:198-202.
  • Poornima P, Subba Reddy VV. Comparison of digital radiography, decalcification, and histologic sectioning in the detection of accessory canals in furcation areas of human primary molars. J Indian Soc Pedod Prev Dent 2008;26:49-52.
  • Salama FS, Anderson RW, McKnight-Hanes C, Barenie JT, Myers DR. Anatomy of primary incisor and molar root canals. Pediatr Dent 1992;14:117-118.
  • Sarı Ş, Aras Ş. Süt molar dişlerin kök- kanal morfolojisi. AU Diş Hek Fak Derg 2004;31:157-167.
  • Gupta D, Grewal N. Root canal configuration of deciduous mandibular first molars-An in vitro study. J Indian Soc Pedod Prev Dent 2005;23:134-137.
  • Wrabas KT, Kielbassa AM, Hellwig E. Microscopic studies of accessory canals in primary molar furcations. ASDC J Dent Child 1997;64:118-122.
  • Ozcan G, Sekerci AE, Cantekin K, Aydınbelge M, Dogan S. Evaluation of root canal morphology of human primary molars by using CBCT and comprehensive review of the literature. Acta Odontol Scand 2016;74:250-258.
  • Wang YL, Chang HH, Kuo CI, Chen SK, Guo MK, Huang GF, Lin CP. A study on the root canal morphology of primary molars by high-resolution computed tomography. J Dent Sci 2013;8:321-327.
  • Hammad M, Qualtrough A, Silikas N. Evaluation of root canal obturation: a three-dimensional in vitro study. J Endod 2009;35:541-544.
  • Jung M, Lommel D, Klimek J. The imaging of root canal obturation using micro‐CT. Int Endod J 2005;38:617-626.
  • Zogheib C, Naaman A, Sigurdsson A, Medioni E, Bourbouze G, Arbab Chirani R. Comparative micro-computed tomographic evaluation of two carrier-based obturation systems. Clin Oral Invest 2013;17:1879-1883.
  • Villas-Boas MH, Bernardineli N, Cavenago BC, Marciano M, Del Carpio-Perochena A, De Moraes IG, Duarte MH, Bramante CM, Ordinola-Zapata R. Micro-computed tomography study of the internal anatomy of mesial root canals of mandibular molars. J Endod 2011;37:1682-1686.
  • Versiani MA, Pecora JD, De Sousa-Neto MD. Root and root canal morphology of four-rooted maxillary second molars: a micro-computed tomography study. J Endod 2012;38:977-982.
  • Gaurav V, Srivastana N, Rana V, Adlakha VK. A study of root canal morphology of human primary incisors and molars using cone beam computerized tomography: An in vitro study. J Indian Soc Pedod Prev Dent 2013;31:254-259.
  • Aminabadi NA, Farahani RM, Gajan EB. Study of root canal accessibility in human primary molars. J Oral Sci 2008;50:69-74.
  • Yang R, Yang C, Liu Y, Hu Y, Zou J. Evaluate root and canal morphology of primary mandibular second molars in Chinese individuals by using cone-beam computed tomography. J Formosan Med Assosciation 2013;112:390-395.
  • Chang SW, Lee JK, Lee Y, Kum KY. In-depth morphological study of mesiobuccal root canal systems in maxillary first molars: review. Restor Dent Endod 2013;38:2–10.

Root Canal Morphology of Mandibular Primary Molars: A Micro-CT Study

Year 2019, Volume: 22 Issue: 4, 382 - 389, 29.12.2019
https://doi.org/10.7126/cumudj.615843

Abstract

Objectives: Frequency of typical and non-typical root and canal
morphology of primary teeth,
which in clinical practice cannot
be detected using 2D radiographic images,

should be known by clinicians
to decrease failures arising
from complexity of root canal morphologies.
The
aim of this in vitro study was to evaluate morphologic variations in mandibular
primary molars’ root canal systems.



Materials and
Methods
: Primary mandibular 1st
(n=17) and 2nd (n=33) molars were scanned using micro-CT. 3D root
models were obtained and root canal morphologies were evaluated according to a
modified Vertucci classification.
Type 1 and Type
4 canal morphologies were evaluated as ‘normal’ and all other types and
‘non-typical’ canal morphology were evaluated as ‘abnormal’ root canal
morphology.



Results: Most common root canal morphology among mandibular
primary 1st molars were Vertucci Type 4 morphology for both mesial
and distal roots (47% and 41.2% respectively), and non-typical morphology for
both the mesial and distal roots (45.7% and 21.2% respectively) of mandibular
primary 2nd molars.



Conclusions: Wide range of morphologic variations and frequency of
non-typical morphology could be seen especially among mandibular primary 2nd
molars and
use of disinfectant irrigants and root canal
fillings with high antibacterial efficacies are important in order to decrease
failures arising from these inaccessible areas.

References

  • Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984;58:589-599.
  • Goerig AC, Camp JH. Root canal treatment in primary teeth: A review. Pediatr Dent 1983;5:33-37.
  • Rimondini L, Baroni C. Morphologic criteria for root canal treatment of primary molars undergoing resorption. Endod Dent Traumatol 1995;11:136-141.
  • Camp JH, Fuks AB. Pediatric endodontics: endodontic treatment for the primary and young permanent dentition. In: Cohen S, Hargreaves KM, eds. Pathways of the pulp. 9th ed. St Louis: Mosby, 2006:822-882.
  • Sarkar S, Rao AP. Number of root canals, their shape, configuration, accessory root canals in radicular pulp morphology. A preliminary study. J Indian Soc Prev Dent 2002;20:93-97.
  • Fumes AC, Sousa-Neto MD, Leoni GB, Versiani MA, Da Silva RAB, Consolaro A. Root canal morphology of primary molars: a micro-computed tomography study. Eur Arch Paediatr Dent 2014;15:317-326.
  • Bagherian A, Kalhori KAM, Sadeghi M, Mirhosseini F, Parisay I. An in vitro study of root and canal morphology of human deciduous molars in an Iranian population. J Oral Sci 2010;52:397-403.
  • Moskovitz M, Tickotsky N. Pulpectomy and Root Canal Treatment (RCT) in Primary Teeth: Techniques and Materials. In: Fuks AB, Peretz B, eds. Pediatric Endodontics: Current Concepts in Pulp Therapy for Primary and Young Permanent Teeth. 1st ed. Switzerland: Springer International Publishing, 2016:71-101.
  • Nattress BR, Martin DM. Predictability of radiographic diagnosis of variations in root canal anatomy in mandibular incisor and premolar teeth. Int Endod J 1991;24:58-62.
  • Hibbard ED, Ireland RL. Morphology of the root canals of the primary molar teeth. ASDC J Dent Child 1957;24:250-257.
  • Rosentiel E. Transparent model teeth with pulps. Dent Dig 1957;3:154-157.
  • Simpson WJ. An examination of root canal anatomy of primary teeth. J Can Dent Assoc 1973;39:637-640.
  • Barker BCW, Parsons KC, Williams GL, Mills PR. Anatomy of root canals. IV deciduous teeth. Aust Dent J 1975;20:101-106.
  • Ringelstein D, Seow WK.The prevalence of furcation foramina in primary molars. Pediatr Dent 1989;11:198-202.
  • Poornima P, Subba Reddy VV. Comparison of digital radiography, decalcification, and histologic sectioning in the detection of accessory canals in furcation areas of human primary molars. J Indian Soc Pedod Prev Dent 2008;26:49-52.
  • Salama FS, Anderson RW, McKnight-Hanes C, Barenie JT, Myers DR. Anatomy of primary incisor and molar root canals. Pediatr Dent 1992;14:117-118.
  • Sarı Ş, Aras Ş. Süt molar dişlerin kök- kanal morfolojisi. AU Diş Hek Fak Derg 2004;31:157-167.
  • Gupta D, Grewal N. Root canal configuration of deciduous mandibular first molars-An in vitro study. J Indian Soc Pedod Prev Dent 2005;23:134-137.
  • Wrabas KT, Kielbassa AM, Hellwig E. Microscopic studies of accessory canals in primary molar furcations. ASDC J Dent Child 1997;64:118-122.
  • Ozcan G, Sekerci AE, Cantekin K, Aydınbelge M, Dogan S. Evaluation of root canal morphology of human primary molars by using CBCT and comprehensive review of the literature. Acta Odontol Scand 2016;74:250-258.
  • Wang YL, Chang HH, Kuo CI, Chen SK, Guo MK, Huang GF, Lin CP. A study on the root canal morphology of primary molars by high-resolution computed tomography. J Dent Sci 2013;8:321-327.
  • Hammad M, Qualtrough A, Silikas N. Evaluation of root canal obturation: a three-dimensional in vitro study. J Endod 2009;35:541-544.
  • Jung M, Lommel D, Klimek J. The imaging of root canal obturation using micro‐CT. Int Endod J 2005;38:617-626.
  • Zogheib C, Naaman A, Sigurdsson A, Medioni E, Bourbouze G, Arbab Chirani R. Comparative micro-computed tomographic evaluation of two carrier-based obturation systems. Clin Oral Invest 2013;17:1879-1883.
  • Villas-Boas MH, Bernardineli N, Cavenago BC, Marciano M, Del Carpio-Perochena A, De Moraes IG, Duarte MH, Bramante CM, Ordinola-Zapata R. Micro-computed tomography study of the internal anatomy of mesial root canals of mandibular molars. J Endod 2011;37:1682-1686.
  • Versiani MA, Pecora JD, De Sousa-Neto MD. Root and root canal morphology of four-rooted maxillary second molars: a micro-computed tomography study. J Endod 2012;38:977-982.
  • Gaurav V, Srivastana N, Rana V, Adlakha VK. A study of root canal morphology of human primary incisors and molars using cone beam computerized tomography: An in vitro study. J Indian Soc Pedod Prev Dent 2013;31:254-259.
  • Aminabadi NA, Farahani RM, Gajan EB. Study of root canal accessibility in human primary molars. J Oral Sci 2008;50:69-74.
  • Yang R, Yang C, Liu Y, Hu Y, Zou J. Evaluate root and canal morphology of primary mandibular second molars in Chinese individuals by using cone-beam computed tomography. J Formosan Med Assosciation 2013;112:390-395.
  • Chang SW, Lee JK, Lee Y, Kum KY. In-depth morphological study of mesiobuccal root canal systems in maxillary first molars: review. Restor Dent Endod 2013;38:2–10.
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Meryem Ziya 0000-0003-4756-3348

Burcu Nihan Yüksel 0000-0002-8133-6627

Şaziye Sarı 0000-0003-2202-5148

Publication Date December 29, 2019
Submission Date September 5, 2019
Published in Issue Year 2019Volume: 22 Issue: 4

Cite

EndNote Ziya M, Yüksel BN, Sarı Ş (December 1, 2019) Root Canal Morphology of Mandibular Primary Molars: A Micro-CT Study. Cumhuriyet Dental Journal 22 4 382–389.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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