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Coincidence between radiographs and clearing samples on the root canal systems of single rooted premolars

Coincidence between radiographs and clearing samples on the root canal systems of single rooted premolars

Article information

Restor Dent Endod. 2005;30(6):461-469
Publication date (electronic) : 2005 November 30
doi : https://doi.org/10.5395/JKACD.2005.30.6.461
Department of Conservative Dentistry, College of Dentistry, Chosun University, Korea.
Corresponding Author: Ho-Keel Hwang. Department of Conservative Dentistry, College of Dentistry, Chosun University, 375 Seosuk-dong, Dong-gu, Gwangju, Korea, 501-759. Tel: 82-62-220-3846, Fax: 82-62-232-9064, rootcanal@hanmail.net
Received 2005 June 26; Revised 2005 August 25; Accepted 2005 September 01.

Abstract

The aim of this study was to compare the root canal systems of maxillary and mandibular premolars that had a single root using radiographs and clearing samples. 142 single rooted premolars were selected and mesio-distal and bucco-lingual views were radiographed using intra-oral dental standard films. Four equally trained examiners classify the root canal types from the developed radiographs. After opening the tooth for access, it was stored in 5% NaOCl to dissolve the pulp tissue. Indian ink was then injected into the pulp cavity to stain the pulp tissue. It was cleared in methyl salicylate after being decalcified with 5% nitric acid for 48 hours, and the root canal type was evaluated at a magnification of × 20 using a stereomicroscope.

The results are as follows;

There were statistically significant differences between the radiographs and clearing samples of the root canal types among examiners (p < 0.05). There might be differences in the root canal types among examiners when the same radiograph is used. Therefore, considering the difficulty in estimating the root canal types, clinicians need to be careful when interpreting radiographs before root canal therapy.

References

1. Weine FS. Endodontic Therapy 1982. 3rd edth ed. Mosby; 210–211.
2. Ingle JI, Bakland LK. Endodontics 2002. 5th edth ed. BC Decker Inc; 405–408.
3. Lim SS. Clinical Endodontics 1999. 2nd edth ed. Dental & Medical Publishing Co; 42–76.
4. Cohen S, Burns RC. Pathways of the pulp 2002. 8th edth ed. St. Louis: CV Mosby; 194–209.
5. Hession RW. Endodontic morphology, II. A radiographic analysis. Oral Surg 1977. 44610–620.
6. Pineda F, Kuttler Y. Mesiodistal and buccolingual roentgenographic investigation of 7,275 root canals. Oral Surg 1972. 33101–110.
7. Pineda F. Roentgenographic investigations of the mesiobuccal root of the maxillary first molar. Oral Surg 1973. 36253–260.
8. Slowey RR. Radigoraphic aids in the detection of extra root canals. Oral Surg 1974. 37762–772.
9. Green D. Double canals in single roots. Oral Surg 1973. 35689–696.
10. Hsu YY, Kim S. The receted root surface: The issue of canal isthmus. Dent Clin North Am 1997. 41529–540.
11. Weller RN, Niemczyk SP, Kim S. Incidence and position of the canal isthmus. Part 1. Mesiobuccal oot of the maxillary first molar. J Endod 1995. 21380–383.
12. Kartal N, Ozcelik B, Cimilli H. Root canal morphology of maxillary premolars. J Endod 1998. 24417–419.
13. Robertson D, Leeb IJ, McKee M, Brewer E. A clearing technique for the study of root canal systems. J Endod 1980. 6421–424.
14. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg 1984. 58589–599.
15. Vertucci F, Seelig A, Gillis R. Root canal morphology of the human maxillary second premolar. Oral Surg Oral Med Oral Pathol 1974. 38456–464.
16. Gilles J, Reader A. An SEM investigation of the mesiolingual canal in human maxillary first and second molars. Oral Surg Oral Med Oral Pathol 1990. 70638–643.
17. Baumann MA, Doll GM. Spatial reproduction of the root canal system by magnetic resonance microscopy. J Endod 1997. 2349–51.
18. Goldman M, Pearson AH, Darzenta ND. Endodontic success-Who's reading the radiograph? Oral Surg 1972. 33432–437.
19. Gelfand M, Sunderman EJ, Goldman M. Reliability of radiographical interpretations. J Endod 1983. 971–75.
20. Zakariasen KL, Scott DA, Jensen JR. Endodontic recall radiographs: How reliable is our interpretation of endodontic success or failure and what factors affect our reliability? Oral Surg 1984. 57343–347.
21. Senia ES, Marshall FJ, Rosen S. The solvent action of sodium hypochlorite on pulp tissue of extracted teeth. Oral Surg 1971. 3196–103.
22. Pollard BK, Weller RN, Kulid JC. Standardized technique for linear dye leakage studies: Immediate versus delayed immersion times. Int Endod J 1990. 23250–253.
23. Tamse A, Katz A, Kablan F. Comparison of apical leakage shown by four different dyes with two evaluating methods. Int Endod J 1998. 31333–337.
24. Friedman S, Lustman J, Shaharabany V. Treatment results of apical surgery in premolar and molar teeth. J Endod 1991. 1730–33.
25. Omer OE, Al Shalabi RM, Jennings M, Glennon J, Claffey NM. A comparison between clearing and radiographic techniques in the study of the root-canal anatomy of maxillary first and second molars. Int Endod J 2004. 37291–296.

Article information Continued

Figure 1

A paralleling device.

Figure 2

A double exposed radiograph.

Figure 3

Classification of root canal types on radiographs.

Figure 4

Classification of root canal types on clearing samples.

Table 1

Root canal types by interpreted radiographs (%)

Table 1

*: Significantly different at p < 0.05 (χ2 test)

Table 2

A comparison of root canal types between radiographs and clearing samples

Table 2

*: Significantly different at p < 0.05 (χ2 test)

Table 3

Coincidence of root canal types between radiographs and clearing samples (%)

Table 3

Table 4

Coincidence according to the root canal types (%)

Table 4

○: Correct, ×: Incorrect

Table 5

Coincidence ratio among examiners

Table 5