EVALUATION OF THE APICAL SEALING ASSOCIATED WITH MAXILLARY FIRST MOLARS RADICULAR MORPHOLOGY USING CONE BEAM COMPUTED TOMOGRAPHY
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
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- 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.
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- 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.
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- 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.
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.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Project Number | 000261 |
| Publication Date | October 5, 2020 |
| Submission Date | March 20, 2020 |
| Published in Issue | Year 2020Volume: 23 Issue: 3 |
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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