Araştırma Makalesi
Examination of the Missing Canals of Maxillary First Premolars with Root Canal Treatment by Cone Beam Computed Tomography
Öz
Aim: The present study aimed to evaluate endodontically treated two-rooted maxillary first premolar teeth in terms of missing canal.
Material and Methods: In this retrospective study, 336 cone-beam computed tomography images were analyzed by two endodontists for the presence of missing canals. The presence of missing canals was first evaluated in the axial plane and then confirmed in other planes. For each tooth, the gender, age, tooth number and localization of the missing canal were recorded. The data obtained from the study were given by frequency and percentage analysis for categorical variables. The chi-square test was used to evaluate proportional differences, with a significance level of p value <0.05.
Results: In 41 (12.2%) of the examined teeth, there were missing canals. There was no statistical difference between the position of the teeth in the oral cavity and the buccal or palatal root in terms of the presence of missing canals in the maxillary first premolars (p>0.05). Missing canals were mostly on the palatal side in women and on the buccal side in men.
Conclusion: There is no relationship between the presence of a missing canal in the maxillary first premolar teeth and its presence in the buccal or palatal root and its location in the oral cavity.
Anahtar Kelimeler
Proje Numarası
yok
Kaynakça
- 1. Baruwa AO, Martins JNR, Meirinhos J, Pereira B, Go-uveia J, Quaresma SA, et al. The ınfluence of missed canals on the prevalence of periapical lesions in en-dodontically treated teeth: a cross-sectional study. J Endod. 2020;46:34-9
- 2. Karabucak B, Bunes A, Chehoud C, Kohli MR, Setzer F. Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal: a cone-beam computed tomography study. J Endod. 2016;42:538-41.
- 3. Lin LM, Rosenberg PA, Lin J. Do procedural errors cause endodontic treatment failure? J Am Dent Assoc. 2005;136:187-93.
- 4. Siqueira Junior JF, Rôças IDN, Marceliano-Alves MF, Pérez AR, Ricucci D. Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies. Braz Oral Res. 2018;32:65.
- 5. Wolcott J, Ishley D, Kennedy W, Johnson S, Minnich S, Meyers J. A 5 yr clinical investigation of second me-siobuccal canals in endodontically treated and retrea-ted maxillary molars. J Endod. 2005;31:262-4.
- 6. Hoen MM, Pink FE. Contemporary endodontic retre-atments: an analysis based on clinical treatment fin-dings. J Endod. 2002;28:834-6.
- 7. Ricucci D, Siqueira JF, Jr., Bate AL, Pitt Ford TR. His-tologic investigation of root canal-treated teeth with apical periodontitis: a retrospective study from twenty-four patients. J Endod. 2009;35:493-502.
- 8. Costa F, Pacheco-Yanes J, Siqueira JF, Jr., Oliveira ACS, Gazzaneo I, Amorim CA, et al. Association between missed canals and apical periodontitis. Int Endod J. 2019;52:400-6.
- 9. von Arx T. Failed root canals: the case for apicoec-tomy (periradicular surgery). J Oral Maxillofac Surg. 2005;63:832-7.
- 10. Nair P. On the causes of persistent apical periodonti-tis: a review. Int Endod J. 2006;39:249-81.
- 11. Siqueira Jr J, Rôças I. Exploiting molecular methods to explore endodontic infections: part 2—redefining the endodontic microbiota. J Endod. 2005;31:488-98.
- 12. Rotstein I, Ingle JI. Ingle's endodontics: PMPH USA; 2019.
- 13. Allen RK, Newton CW, Brown CE, Jr. A statistical analysis of surgical and nonsurgical endodontic ret-reatment cases. J Endod. 1989;15:261-6.
- 14. Bonfanti E, Maddalone M, Pellegatta A, Citterio CL, Baldoni M. Digital orthopantomography vs cone beam computed tomography-part 2: a cbct analysis of factors ınfluencing the prevalence of periapical lesi-ons. J Contemp Dent Pract. 2019;20:664-9.
- 15. Seidberg BH, Altman M, Guttuso J, Suson M. Frequ-ency of two mesiobuccal root canals in maxillary permanent first molars. J Am Dent As-soc.1973;87:852-6.
- 16. Kulid JC, Peters DD. Incidence and configuration of canal systems in the mesiobuccal root of maxillary first and second molars. J Endod. 1990;16:311-7.
- 17. Baldassari-Cruz LA, Lilly JP, Rivera EM. The influen-ce of dental operating microscope in locating the me-siolingual canal orifice. Oral Surg Oral Med Oral Pat-hol Oral Radiol Endod. 2002;93:190-4.
- 18. Yoshioka T, Kikuchi I, Fukumoto Y, Kobayashi C, Su-da H. Detection of the second mesiobuccal canal in mesiobuccal roots of maxillary molar teeth ex vivo. Int Endod J. 2005;38:124-8.
- 19. de Carvalho MC, Zuolo ML. Orifice locating with a microscope. J Endod. 2000;26:532-4.
- 20. Buhrley LJ, Barrows MJ, BeGole EA, Wenckus CS. Ef-fect of magnification on locating the MB2 canal in maxillary molars. J Endod. 2002;28:324-7.
- 21. 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. 2009;35:337-42.
- 22. Slowey RR. Root canal anatomy road map to success-ful endodontics. Dent Clin North Am.1979;23:555-73.
- 23. Martínez-Lozano MA, Forner-Navarro L, Sánchez-Cortés JL. Analysis of radiologic factors in determi-ning premolar root canal systems. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88:719-22.
- 24. Hildebolt CF, Vannier MW, Pilgram TK, Shrout MK. Quantitative evaluation of digital dental radiograph imaging systems. Oral Surg Oral Med Oral Pathol. 1990;70:661-8.
- 25. Vizzotto M, Silveira P, Arús N, Montagner F, Gomes B, Silveira Hd. CBCT for the assessment of second me-siobuccal (MB 2) canals in maxillary molar teeth: ef-fect of voxel size and presence of root filling. Int En-dod J. 2013;46:870-6.
- 26. Mashyakhy M, Hadi FA, Alhazmi HA, Alfaifi RA, Alabsi FS, Bajawi H, et al. Prevalence of missed ca-nals and their association with apical periodontitis in posterior endodontically treated teeth: a CBCT study. Int J Dent. 2021;2021.
- 27. do Carmo WD, Verner FS, Aguiar LM, Visconti MA, Ferreira MD, Lacerda M, et al. Missed canals in endo-dontically treated maxillary molars of a Brazilian subpopulation: prevalence and association with peri-apical lesion using cone-beam computed tomography. Clin Oral Investig. 2021;25:2317-23.
- 28. Studebaker B, Hollender L, Mancl L, Johnson JD, Pa-ranjpe A. The ıncidence of second mesiobuccal canals located in maxillary molars with the aid of cone-beam computed tomography. J Endod. 2018;44:565-70.
- 29. Vertucci FJ. Root canal anatomy of the human perma-nent teeth. Oral Surg Oral Med Oral Pathol. 1984;58:589-99.
- 30. Sert S, Bayirli GS. Evaluation of the root canal confi-gurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod. 2004;30:391-8.
- 31. Bürklein S, Heck R, Schäfer E. Evaluation of the root canal anatomy of maxillary and mandibular premo-lars in a selected German population using cone-beam computed tomographic data. J Endod. 2017;43:1448-52.
- 32. Alnowailaty Y, Alghamdi F. Prevalence of endodonti-cally treated premolars and molars with untreated canals and their association with apical periodontitis using cone-beam computed tomography. Cureus. 2022;14.
- 33. Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod. 2004;30:559-67.
- 34. Byers MR, Närhi MV, Mecifi KB. Acute and chronic reactions of dental sensory nerve fibers to cavities and desiccation in rat molars. Anat Rec. 1988;221:872-83.
- 35. Gustafson G. Age determinations on teeth. J Am Dent Assoc. 1950;41:45-54.
- 36. Cantatore G, Berutti E, Castellucci A. Missed anatomy: frequency and clinical impact. Endod Topics. 2006;15:3-31.
- 37. Krasner P, Rankow HJ. Anatomy of the pulp-chamber floor. J Endod. 2004;30:5-16.
- 38. Kvist T. The outcome of endodontic treatment. The guidebook to molar endodontics. 2017:207-32.
- 39. Pigg M, Duncan HF, Nagendrababu V, Abbott P, Fouad AF, Kruse C, et al. Preferred reporting ıtems for diag-nostic accuracy studies in endodontics (pridase): guidance to improve manuscripts assessing the diag-nostic accuracy of procedures, techniques and devi-ces. Int Endod J. 2021;54:1005-7.
- 40. Pope O, Sathorn C, Parashos P. A comparative inves-tigation of cone-beam computed tomography and pe-riapical radiography in the diagnosis of a healthy pe-riapex. J Endod. 2014;40:360-5.
- 41. Kruse C, Spin‐Neto R, Evar Kraft D, Vaeth M, Kir-kevang LL. Diagnostic accuracy of cone beam compu-ted tomography used for assessment of apical perio-dontitis: an ex vivo histopathological study on hu-man cadavers. Int Endod J. 2019;52:439-50.
- 42. Patel S, Brown J, Pimentel T, Kelly R, Abella F, Durack C. Cone beam computed tomography in Endodontics–a review of the literature. Int Endod J. 2019;52:1138-52.
Kanal Tedavisi Görmüş Maksiller Birinci Premolar Dişlerde Bulunamayan Kanalların Konik Işınlı Bilgisayarlı Tomografi ile İncelenmesi
Öz
Amaç: Mevcut çalışma, endodontik tedavi görmüş iki köklü maksiller birinci premolar dişleri bulunamayan kanal açısından değerlendirmeyi hedefledi.
Gereç ve Yöntemler: Bu retrospektif çalışmada 336 konik ışınlı bilgisayarlı tomografi görüntüsü iki endodonti uzmanı tarafından bulunamayan kanal varlığı yönünden ilk önce aksiyal düzlemde değerlendirildi ve sonra diğer düzlemlerde doğrulandı. Her bir diş için, dişin ait olduğu kişinin cinsiyeti, yaşı, diş numarası ve bulunamayan kanalın lokalizasyonu kaydedildi. Çalışmadan elde edilen veriler kategorik değişkenler için frekans ve yüzde analizi ile verildi. Anlamlılık seviyesi p değeri <0.05 olarak belirlenerek orantısal farklılıkları değerlendirmek için ki-kare testi kullanıldı.
Bulgular: İncelenen dişlerin 41 tanesinde (%12.2) bulunamayan kanal vardı. Maksiller birinci premolar dişlerde, bulunamayan kanal varlığı açısından dişlerin ağız içindeki konumu ve bukkal veya palatal kök arasında istatistiksel bir fark bulunmadı (p>0.05). Bulunamayan kanallar daha çok kadınlarda palatinal ve erkeklerde bukkal taraftaydı.
Sonuç: Maksiller birinci premolar dişlerde bulunamayan kanal varlığı ile bukkal veya palatal kökte olması veya ağızdaki yerleşimi arasında bir ilişki bulunamadı.
Anahtar Kelimeler
Destekleyen Kurum
yok
Proje Numarası
yok
Teşekkür
yok
Kaynakça
- 1. Baruwa AO, Martins JNR, Meirinhos J, Pereira B, Go-uveia J, Quaresma SA, et al. The ınfluence of missed canals on the prevalence of periapical lesions in en-dodontically treated teeth: a cross-sectional study. J Endod. 2020;46:34-9
- 2. Karabucak B, Bunes A, Chehoud C, Kohli MR, Setzer F. Prevalence of apical periodontitis in endodontically treated premolars and molars with untreated canal: a cone-beam computed tomography study. J Endod. 2016;42:538-41.
- 3. Lin LM, Rosenberg PA, Lin J. Do procedural errors cause endodontic treatment failure? J Am Dent Assoc. 2005;136:187-93.
- 4. Siqueira Junior JF, Rôças IDN, Marceliano-Alves MF, Pérez AR, Ricucci D. Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies. Braz Oral Res. 2018;32:65.
- 5. Wolcott J, Ishley D, Kennedy W, Johnson S, Minnich S, Meyers J. A 5 yr clinical investigation of second me-siobuccal canals in endodontically treated and retrea-ted maxillary molars. J Endod. 2005;31:262-4.
- 6. Hoen MM, Pink FE. Contemporary endodontic retre-atments: an analysis based on clinical treatment fin-dings. J Endod. 2002;28:834-6.
- 7. Ricucci D, Siqueira JF, Jr., Bate AL, Pitt Ford TR. His-tologic investigation of root canal-treated teeth with apical periodontitis: a retrospective study from twenty-four patients. J Endod. 2009;35:493-502.
- 8. Costa F, Pacheco-Yanes J, Siqueira JF, Jr., Oliveira ACS, Gazzaneo I, Amorim CA, et al. Association between missed canals and apical periodontitis. Int Endod J. 2019;52:400-6.
- 9. von Arx T. Failed root canals: the case for apicoec-tomy (periradicular surgery). J Oral Maxillofac Surg. 2005;63:832-7.
- 10. Nair P. On the causes of persistent apical periodonti-tis: a review. Int Endod J. 2006;39:249-81.
- 11. Siqueira Jr J, Rôças I. Exploiting molecular methods to explore endodontic infections: part 2—redefining the endodontic microbiota. J Endod. 2005;31:488-98.
- 12. Rotstein I, Ingle JI. Ingle's endodontics: PMPH USA; 2019.
- 13. Allen RK, Newton CW, Brown CE, Jr. A statistical analysis of surgical and nonsurgical endodontic ret-reatment cases. J Endod. 1989;15:261-6.
- 14. Bonfanti E, Maddalone M, Pellegatta A, Citterio CL, Baldoni M. Digital orthopantomography vs cone beam computed tomography-part 2: a cbct analysis of factors ınfluencing the prevalence of periapical lesi-ons. J Contemp Dent Pract. 2019;20:664-9.
- 15. Seidberg BH, Altman M, Guttuso J, Suson M. Frequ-ency of two mesiobuccal root canals in maxillary permanent first molars. J Am Dent As-soc.1973;87:852-6.
- 16. Kulid JC, Peters DD. Incidence and configuration of canal systems in the mesiobuccal root of maxillary first and second molars. J Endod. 1990;16:311-7.
- 17. Baldassari-Cruz LA, Lilly JP, Rivera EM. The influen-ce of dental operating microscope in locating the me-siolingual canal orifice. Oral Surg Oral Med Oral Pat-hol Oral Radiol Endod. 2002;93:190-4.
- 18. Yoshioka T, Kikuchi I, Fukumoto Y, Kobayashi C, Su-da H. Detection of the second mesiobuccal canal in mesiobuccal roots of maxillary molar teeth ex vivo. Int Endod J. 2005;38:124-8.
- 19. de Carvalho MC, Zuolo ML. Orifice locating with a microscope. J Endod. 2000;26:532-4.
- 20. Buhrley LJ, Barrows MJ, BeGole EA, Wenckus CS. Ef-fect of magnification on locating the MB2 canal in maxillary molars. J Endod. 2002;28:324-7.
- 21. 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. 2009;35:337-42.
- 22. Slowey RR. Root canal anatomy road map to success-ful endodontics. Dent Clin North Am.1979;23:555-73.
- 23. Martínez-Lozano MA, Forner-Navarro L, Sánchez-Cortés JL. Analysis of radiologic factors in determi-ning premolar root canal systems. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88:719-22.
- 24. Hildebolt CF, Vannier MW, Pilgram TK, Shrout MK. Quantitative evaluation of digital dental radiograph imaging systems. Oral Surg Oral Med Oral Pathol. 1990;70:661-8.
- 25. Vizzotto M, Silveira P, Arús N, Montagner F, Gomes B, Silveira Hd. CBCT for the assessment of second me-siobuccal (MB 2) canals in maxillary molar teeth: ef-fect of voxel size and presence of root filling. Int En-dod J. 2013;46:870-6.
- 26. Mashyakhy M, Hadi FA, Alhazmi HA, Alfaifi RA, Alabsi FS, Bajawi H, et al. Prevalence of missed ca-nals and their association with apical periodontitis in posterior endodontically treated teeth: a CBCT study. Int J Dent. 2021;2021.
- 27. do Carmo WD, Verner FS, Aguiar LM, Visconti MA, Ferreira MD, Lacerda M, et al. Missed canals in endo-dontically treated maxillary molars of a Brazilian subpopulation: prevalence and association with peri-apical lesion using cone-beam computed tomography. Clin Oral Investig. 2021;25:2317-23.
- 28. Studebaker B, Hollender L, Mancl L, Johnson JD, Pa-ranjpe A. The ıncidence of second mesiobuccal canals located in maxillary molars with the aid of cone-beam computed tomography. J Endod. 2018;44:565-70.
- 29. Vertucci FJ. Root canal anatomy of the human perma-nent teeth. Oral Surg Oral Med Oral Pathol. 1984;58:589-99.
- 30. Sert S, Bayirli GS. Evaluation of the root canal confi-gurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod. 2004;30:391-8.
- 31. Bürklein S, Heck R, Schäfer E. Evaluation of the root canal anatomy of maxillary and mandibular premo-lars in a selected German population using cone-beam computed tomographic data. J Endod. 2017;43:1448-52.
- 32. Alnowailaty Y, Alghamdi F. Prevalence of endodonti-cally treated premolars and molars with untreated canals and their association with apical periodontitis using cone-beam computed tomography. Cureus. 2022;14.
- 33. Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod. 2004;30:559-67.
- 34. Byers MR, Närhi MV, Mecifi KB. Acute and chronic reactions of dental sensory nerve fibers to cavities and desiccation in rat molars. Anat Rec. 1988;221:872-83.
- 35. Gustafson G. Age determinations on teeth. J Am Dent Assoc. 1950;41:45-54.
- 36. Cantatore G, Berutti E, Castellucci A. Missed anatomy: frequency and clinical impact. Endod Topics. 2006;15:3-31.
- 37. Krasner P, Rankow HJ. Anatomy of the pulp-chamber floor. J Endod. 2004;30:5-16.
- 38. Kvist T. The outcome of endodontic treatment. The guidebook to molar endodontics. 2017:207-32.
- 39. Pigg M, Duncan HF, Nagendrababu V, Abbott P, Fouad AF, Kruse C, et al. Preferred reporting ıtems for diag-nostic accuracy studies in endodontics (pridase): guidance to improve manuscripts assessing the diag-nostic accuracy of procedures, techniques and devi-ces. Int Endod J. 2021;54:1005-7.
- 40. Pope O, Sathorn C, Parashos P. A comparative inves-tigation of cone-beam computed tomography and pe-riapical radiography in the diagnosis of a healthy pe-riapex. J Endod. 2014;40:360-5.
- 41. Kruse C, Spin‐Neto R, Evar Kraft D, Vaeth M, Kir-kevang LL. Diagnostic accuracy of cone beam compu-ted tomography used for assessment of apical perio-dontitis: an ex vivo histopathological study on hu-man cadavers. Int Endod J. 2019;52:439-50.
- 42. Patel S, Brown J, Pimentel T, Kelly R, Abella F, Durack C. Cone beam computed tomography in Endodontics–a review of the literature. Int Endod J. 2019;52:1138-52.
Toplam 42 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Diş Hekimliği |
| Bölüm | ARAŞTIRMA MAKALESİ |
| Yazarlar | |
| Proje Numarası | yok |
| Yayımlanma Tarihi | 27 Aralık 2023 |
| Gönderilme Tarihi | 22 Nisan 2023 |
| Kabul Tarihi | 26 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 5 Sayı: 3 |
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