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EVALUATION OF THE APICAL SEALING ASSOCIATED WITH MAXILLARY FIRST MOLARS RADICULAR MORPHOLOGY USING CONE BEAM COMPUTED TOMOGRAPHY

Year 2020, Volume: 23 Issue: 3, 174 - 180, 05.10.2020
https://doi.org/10.7126/cumudj.706647

Abstract

Objectives: To evaluate the grade of apical sealing associated with the root morphology of‬ maxillary ‬first ‬molars with ‬conventional endo-treatments ‬using cone bean computed tomography (‬CBCT).‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬

Materials and Methods: The sample included 47 CBCTs. Evaluations were performed independently by one previously trained and‬‬‬‬‬ calibrated examiner. The ‬grade of apical ‬sealing ‬ ‬‬‬was evaluated ‬(total sealing, less than 2 mm of sealing, greater than 2 mm unsealed, unsealed and oversealed). Molar angulation according to the palatal plane and the longitudinal axis (vertical, vestibular‬ ‬and‬ ‬palatal),‬ ‬the‬ ‬number‬ ‬of‬ ‬canals‬,‬ ‬the‬ ‬presence‬ ‬or‬ ‬absence‬ ‬of‬ ‬a‬ ‬second mesiobuccal canal (MB2) and root shape (straight, curved, bayonet, angled, merged, bifurcated) were also assessed. Statistical analysis was performed using the ‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬Chi-square test.‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬

Results: There were no differences in apical sealing ‬according ‬to root morphology, ‬ shape and‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬ molar root inclination (p>0.05).‬‬ ‬‬A ‬significant‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬ association was reported between ‬ the presence of MB2 and a buccal inclination of the maxillary first molar (p = 0.048).‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬

Conclusions: ‬Root ‬ ‬morphology ‬ ‬and ‬ ‬molar ‬ ‬angulation did not affect the apical sealing of maxillary first molars. However, the presence of the MB2 was associated with a buccal inclination of the maxillary first molar. ‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬‬

Supporting Institution

Universidad Científica del Sur

Project Number

000261

References

  • 1. Smaïl-Faugeron V, Glenny A-M, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 31 de 2018;5:CD003220.
  • 2. Sundqvist G, Figdor D, Persson S, Sjögren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. enero de 1998;85(1):86–93.
  • 3. Baratto Filho F, Zaitter S, Haragushiku GA, de Campos EA, Abuabara A, Correr GM. Analysis of the internal anatomy of maxillary first molars by using different methods. J Endod. marzo de 2009;35(3):337–42.
  • 4. Pécora JD, Woelfel JB, Sousa Neto MD, Issa EP. Morphologic study of the maxillary molars. Part II: Internal anatomy. Braz Dent J. 1992;3(1):53–7.
  • 5. Portell FR, Bernier WE, Lorton L, Peters DD. The effect of immediate versus delayed dowel space preparation on the integrity of the apical seal. J Endod. abril de 1982;8(4):154–60.
  • 6. Kustarci A, Kaya B, Arslan D, Akpinar K. Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques. Cumhuriyet Dent J. 2011;14(1):24–32.
  • 7. Mărgărit R, Andrei OC. Anatomical variations of mandibular first molar and their implications in endodontic treatment. Romanian J Morphol Embryol Rev Roum Morphol Embryol. 2011;52(4):1389–92.
  • 8. Nallapati S. Three canal mandibular first and second premolars: a treatment approach. J Endod. junio de 2005;31(6):474–6.
  • 9. Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of cone-beam volumetric tomography. J Endod. septiembre de 2007;33(9):1121–32.
  • 10. Saunders WP, Saunders EM. Coronal leakage as a cause of failure in root-canal therapy: a review. Endod Dent Traumatol. junio de 1994;10(3):105–8.
  • 11. Saunders WP, Saunders EM, Sadiq J, Cruickshank E. Technical standard of root canal treatment in an adult Scottish sub-population. Br Dent J. 24 de mayo de 1997;182(10):382–6.
  • 12. Huang XX, Fu M, Yan GQ, Hou BX. [Study on the incidence of lateral canals and sealing quality in the apical third roots of permanent teeth with failed endodontic treatments]. Zhonghua Kou Qiang Yi Xue Za Zhi Zhonghua Kouqiang Yixue Zazhi Chin J Stomatol. 9 de abril de 2018;53(4):243–7.
  • 13. European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J. diciembre de 2006;39(12):921–30.
  • 14. Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. octubre de 1990;16(10):498–504.
  • 15. Al-Fouzan KS, Ounis HF, Merdad K, Al-Hezaimi K. Incidence of canal systems in the mesio-buccal roots of maxillary first and second molars in Saudi Arabian population. Aust Endod J J Aust Soc Endodontology Inc. diciembre de 2013;39(3):98–101.
  • 16. Stropko JJ. Canal morphology of maxillary molars: clinical observations of canal configurations. J Endod. junio de 1999;25(6):446–50.
  • 17. Cleghorn BM, Christie WH, Dong CCS. Root and root canal morphology of the human permanent maxillary first molar: a literature review. J Endod. septiembre de 2006;32(9):813–21.
  • 18. Abuabara A, Baratto-Filho F, Aguiar Anele J, Leonardi DP, Sousa-Neto MD. Efficacy of clinical and radiological methods to identify second mesiobuccal canals in maxillary first molars. Acta Odontol Scand. enero de 2013;71(1):205–9.
  • 19. Neelakantan P, Subbarao C, Ahuja R, Subbarao CV, Gutmann JL. Cone-beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod. octubre de 2010;36(10):1622–7.
  • 20. Zheng Q, Wang Y, Zhou X, Wang Q, Zheng G, Huang D. A cone-beam computed tomography study of maxillary first permanent molar root and canal morphology in a Chinese population. J Endod. septiembre de 2010;36(9):1480–4.
  • 21. Zhang R, Yang H, Yu X, Wang H, Hu T, Dummer PMH. Use of CBCT to identify the morphology of maxillary permanent molar teeth in a Chinese subpopulation. Int Endod J. febrero de 2011;44(2):162–9.
  • 22. Blattner TC, George N, Lee CC, Kumar V, Yelton CDJ. Efficacy of cone-beam computed tomography as a modality to accurately identify the presence of second mesiobuccal canals in maxillary first and second molars: a pilot study. J Endod. mayo de 2010;36(5):867–70.
  • 23. Michetti J, Maret D, Mallet J-P, Diemer F. Validation of cone beam computed tomography as a tool to explore root canal anatomy. J Endod. julio de 2010;36(7):1187–90.
  • 24. Shenoi RP, Ghule HM. CBVT analysis of canal configuration of the mesio-buccal root of maxillary first permanent molar teeth: An in vitro study. Contemp Clin Dent. julio de 2012;3(3):277–81.
Year 2020, Volume: 23 Issue: 3, 174 - 180, 05.10.2020
https://doi.org/10.7126/cumudj.706647

Abstract

Project Number

000261

References

  • 1. Smaïl-Faugeron V, Glenny A-M, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 31 de 2018;5:CD003220.
  • 2. Sundqvist G, Figdor D, Persson S, Sjögren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. enero de 1998;85(1):86–93.
  • 3. Baratto Filho F, Zaitter S, Haragushiku GA, de Campos EA, Abuabara A, Correr GM. Analysis of the internal anatomy of maxillary first molars by using different methods. J Endod. marzo de 2009;35(3):337–42.
  • 4. Pécora JD, Woelfel JB, Sousa Neto MD, Issa EP. Morphologic study of the maxillary molars. Part II: Internal anatomy. Braz Dent J. 1992;3(1):53–7.
  • 5. Portell FR, Bernier WE, Lorton L, Peters DD. The effect of immediate versus delayed dowel space preparation on the integrity of the apical seal. J Endod. abril de 1982;8(4):154–60.
  • 6. Kustarci A, Kaya B, Arslan D, Akpinar K. Evaluation of the influence of smear layer removal on the sealing ability of two different obturation techniques. Cumhuriyet Dent J. 2011;14(1):24–32.
  • 7. Mărgărit R, Andrei OC. Anatomical variations of mandibular first molar and their implications in endodontic treatment. Romanian J Morphol Embryol Rev Roum Morphol Embryol. 2011;52(4):1389–92.
  • 8. Nallapati S. Three canal mandibular first and second premolars: a treatment approach. J Endod. junio de 2005;31(6):474–6.
  • 9. Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of cone-beam volumetric tomography. J Endod. septiembre de 2007;33(9):1121–32.
  • 10. Saunders WP, Saunders EM. Coronal leakage as a cause of failure in root-canal therapy: a review. Endod Dent Traumatol. junio de 1994;10(3):105–8.
  • 11. Saunders WP, Saunders EM, Sadiq J, Cruickshank E. Technical standard of root canal treatment in an adult Scottish sub-population. Br Dent J. 24 de mayo de 1997;182(10):382–6.
  • 12. Huang XX, Fu M, Yan GQ, Hou BX. [Study on the incidence of lateral canals and sealing quality in the apical third roots of permanent teeth with failed endodontic treatments]. Zhonghua Kou Qiang Yi Xue Za Zhi Zhonghua Kouqiang Yixue Zazhi Chin J Stomatol. 9 de abril de 2018;53(4):243–7.
  • 13. European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J. diciembre de 2006;39(12):921–30.
  • 14. Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. octubre de 1990;16(10):498–504.
  • 15. Al-Fouzan KS, Ounis HF, Merdad K, Al-Hezaimi K. Incidence of canal systems in the mesio-buccal roots of maxillary first and second molars in Saudi Arabian population. Aust Endod J J Aust Soc Endodontology Inc. diciembre de 2013;39(3):98–101.
  • 16. Stropko JJ. Canal morphology of maxillary molars: clinical observations of canal configurations. J Endod. junio de 1999;25(6):446–50.
  • 17. Cleghorn BM, Christie WH, Dong CCS. Root and root canal morphology of the human permanent maxillary first molar: a literature review. J Endod. septiembre de 2006;32(9):813–21.
  • 18. Abuabara A, Baratto-Filho F, Aguiar Anele J, Leonardi DP, Sousa-Neto MD. Efficacy of clinical and radiological methods to identify second mesiobuccal canals in maxillary first molars. Acta Odontol Scand. enero de 2013;71(1):205–9.
  • 19. Neelakantan P, Subbarao C, Ahuja R, Subbarao CV, Gutmann JL. Cone-beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod. octubre de 2010;36(10):1622–7.
  • 20. Zheng Q, Wang Y, Zhou X, Wang Q, Zheng G, Huang D. A cone-beam computed tomography study of maxillary first permanent molar root and canal morphology in a Chinese population. J Endod. septiembre de 2010;36(9):1480–4.
  • 21. Zhang R, Yang H, Yu X, Wang H, Hu T, Dummer PMH. Use of CBCT to identify the morphology of maxillary permanent molar teeth in a Chinese subpopulation. Int Endod J. febrero de 2011;44(2):162–9.
  • 22. Blattner TC, George N, Lee CC, Kumar V, Yelton CDJ. Efficacy of cone-beam computed tomography as a modality to accurately identify the presence of second mesiobuccal canals in maxillary first and second molars: a pilot study. J Endod. mayo de 2010;36(5):867–70.
  • 23. Michetti J, Maret D, Mallet J-P, Diemer F. Validation of cone beam computed tomography as a tool to explore root canal anatomy. J Endod. julio de 2010;36(7):1187–90.
  • 24. Shenoi RP, Ghule HM. CBVT analysis of canal configuration of the mesio-buccal root of maxillary first permanent molar teeth: An in vitro study. Contemp Clin Dent. julio de 2012;3(3):277–81.
There are 24 citations in total.

Details

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

Jesus Antonio Pescador-alvarez 0000-0001-7956-2660

Luis Arriola-guillén 0000-0003-0010-5948

Yalil Rodriguez 0000-0002-3107-3013

Gustavo Armando Ruız-mora 0000-0002-9954-1047

Oscar Enrique Almeda

Maria Eugenia Guerrero 0000-0001-5425-870X

Project Number 000261
Publication Date October 5, 2020
Submission Date March 20, 2020
Published in Issue Year 2020Volume: 23 Issue: 3

Cite

EndNote Pescador-alvarez JA, Arriola-guillén L, Rodriguez Y, Ruız-mora GA, Almeda OE, Guerrero ME (October 1, 2020) EVALUATION OF THE APICAL SEALING ASSOCIATED WITH MAXILLARY FIRST MOLARS RADICULAR MORPHOLOGY USING CONE BEAM COMPUTED TOMOGRAPHY. Cumhuriyet Dental Journal 23 3 174–180.

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