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Research Article
C-shaped root canals of mandibular second molars in a Korean population: a CBCT analysis
Hee-Sun Kim, Daun Jung, Ho Lee, Yoon-Sic Han, Sohee Oh, Hye-Young Sim
Restor Dent Endod 2018;43(4):e42.   Published online November 1, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e42
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to investigate the C-shaped root canal anatomy of mandibular second molars in a Korean population.

Materials and Methods

A total of 542 teeth were evaluated using cone-beam computed tomography (CBCT). The canal shapes were classified according to a modified version of Melton's method at the level where the pulp chamber floor became discernible.

Results

Of the 542 mandibular second molars, 215 (39.8%) had C-shaped canals, 330 (53%) had 3 canals, 17 (3.3%) had 2 canals, 12 (2.2%) had 4 canals, and 8 (1.7%) had 1 canal. The prevalence of C-shaped canals was 47.8% in females and 28.4% in males. Seventy-seven percent of the C-shaped canals showed a bilateral appearance. The prevalence of C-shaped canals showed no difference according to age or tooth position. Most teeth with a C-shaped canal system presented Melton's type II (45.6%) and type III (32.1%) configurations.

Conclusions

There was a high prevalence of C-shaped canals in the mandibular second molars of the Korean population studied. CBCT is expected to be useful for endodontic diagnosis and treatment planning of mandibular second molars.

Citations

Citations to this article as recorded by  
  • Evaluation of mandibular and maxillary second molar root canal anatomy in a Turkish subpopulation using CBCT: comparison of Briseno-Marroquin and Vertucci classifications
    Hüseyin Gürkan Güneç, İpek Öreroğlu, Kemal Çağlar, Kader Cesur Aydin
    BMC Medical Imaging.2025;[Epub]     CrossRef
  • Frequency of C-Shaped Root Canals in Permanent Mandibular Second Molars in a Sample of Pakistani Population using Cone Beam Computed Tomography
    Syed Nabeel Ahmed, Muhammad Mansoor Majeed, Sakina Kazmi, Muhammad Omar Ansari
    Pakistan Journal of Health Sciences.2024; : 109.     CrossRef
  • ANÁLISE DAS VARIAÇÕES ANATÔMICAS DE CANAIS C-SHAPED NOS MOLARES INFERIORES: UMA REVISÃO INTEGRATIVA DA LITERATURA
    Larissa Eulália Pereira, Thayana Karla Guerra Lira dos Santos
    Revista Contemporânea.2024; 4(5): e4264.     CrossRef
  • External Validation of the Effect of the Combined Use of Object Detection for the Classification of the C-Shaped Canal Configuration of the Mandibular Second Molar in Panoramic Radiographs: A Multicenter Study
    Sujin Yang, Kee-Deog Kim, Yoshitaka Kise, Michihito Nozawa, Mizuho Mori, Natsuho Takata, Akitoshi Katsumata, Yoshiko Ariji, Wonse Park, Eiichiro Ariji
    Journal of Endodontics.2024; 50(5): 627.     CrossRef
  • A Cone‐Beam Computed Tomography Evaluation of C‐Shaped Canal Configuration in Maxillary Molars Among an Iranian Population
    Nafiseh Nikkerdar, Mohammad Moslehi, Amin Golshah, Mario Dioguardi
    International Journal of Dentistry.2024;[Epub]     CrossRef
  • Root and canal morphology of mandibular second molars in an Egyptian subpopulation: a cone-beam computed tomography study
    Shehabeldin Mohamed Saber, Mohammed abou El Seoud, Shaimaa Mohamed Abu el Sadat, Nawar Naguib Nawar
    BMC Oral Health.2023;[Epub]     CrossRef
  • Comprehensive evaluation of root and root canal morphology of mandibular second molars in a Saudi subpopulation evaluated by cone-beam computed tomography
    Moazzy I. Almansour, Saad M. Al‑Zubaidi, Abdulmjeed S. Enizy, Ahmed A. Madfa
    BMC Oral Health.2022;[Epub]     CrossRef
  • Assessment of C-Shaped Canal Morphology in Mandibular and Maxillary Second Molars in an Iraqi Subpopulation Using Cone-Beam Computed Tomography
    Kazhan Abdalrahman, Ranjdar Talabani, Sara Kazzaz, Dlsoz Babarasul, Berndt Koslowski
    Scanning.2022; 2022: 1.     CrossRef
  • Cone-beam computed tomography evaluation of C-shaped root canal system in mandibular second molars in kuwaiti sub-population
    AbdullahJassim Alenezi, Saad Al-Nazhan, Nassr Al-Maflehi, MazenA Aldosimani
    Saudi Endodontic Journal.2022; 12(3): 283.     CrossRef
  • Prevalence and morphology of C‐shaped and non‐C‐shaped root canal systems in mandibular second molars
    T Fenelon, P Parashos
    Australian Dental Journal.2022;[Epub]     CrossRef
  • Evaluation of C-shaped canals in mandibular second molars of a selected patient group using cone beam computed tomography: prevalence, configuration and radicular groove types
    Sema Sönmez Kaplan, Tuna Kaplan, Güzide Pelin Sezgin
    Odontology.2021; 109(4): 949.     CrossRef
  • Prevalência estimada de canais “C- Shaped”: Uma revisão sistemática e meta-análise
    Natália Pereira da Silva Falcão, Sandro Junio de Oliveira Tavares, Ludmila Silva Guimarães, Katherine Azevedo Batistela Rodrigues Thuller, Leonardo dos Santos Antunes, Estefano Borgo Sarmento, Fellipe Navarro Azevedo de Azevedo, Cinthya Cristina Gomes, Ca
    Revista Científica Multidisciplinar Núcleo do Conhecimento.2020; : 91.     CrossRef
  • Preferred Reporting Items for Epidemiologic Cross-sectional Studies on Root and Root Canal Anatomy Using Cone-beam Computed Tomographic Technology: A Systematized Assessment
    Jorge N.R. Martins, Anil Kishen, Duarte Marques, Emmanuel João Nogueira Leal Silva, João Caramês, António Mata, Marco A. Versiani
    Journal of Endodontics.2020; 46(7): 915.     CrossRef
  • Clinical and radiological assessment of the anatomical and topographic structure of the root canals of teeth in patients of different age groups
    N.B. Petrukhina, O.A. Zorina, O.A. Boriskina, I.S. Berkutova, V.A. Venediktova, R.R. Saltovets
    Stomatologiya.2020; 99(5): 32.     CrossRef
  • 278 View
  • 5 Download
  • 14 Crossref
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Case Reports
Endodontic treatment of a C-shaped mandibular second premolar with four root canals and three apical foramina: a case report
Thikamphaa Bertrand, Sahng Gyoon Kim
Restor Dent Endod 2016;41(1):68-73.   Published online January 19, 2016
DOI: https://doi.org/10.5395/rde.2016.41.1.68
AbstractAbstract PDFPubReaderePub

This case report describes a unique C-shaped mandibular second premolar with four canals and three apical foramina and its endodontic management with the aid of cone-beam computer tomography (CBCT). C-shaped root canal morphology with four canals was identified under a dental operating microscope. A CBCT scan was taken to evaluate the aberrant root canal anatomy and devise a better instrumentation strategy based on the anatomy. All canals were instrumented to have a 0.05 taper using 1.0 mm step-back filing with appropriate apical sizes determined from the CBCT scan images and filled using a warm vertical compaction technique. A C-shaped mandibular second premolar with multiple canals is an anatomically rare case for clinicians, yet its endodontic treatment may require a careful instrumentation strategy due to the difficulty in disinfecting the canals in the thin root area without compromising the root structure.

Citations

Citations to this article as recorded by  
  • Unique root anatomy of mandibular second premolars: clinical strategies for effective disinfection and preservation of dentine structure in root canal treatment—a case report
    Ji Wook Jeong, Erika Silguero Gonzalez, Scott R. Makins, Timothy Kirkpatrick
    Frontiers in Dental Medicine.2024;[Epub]     CrossRef
  • PRICE 2020 guidelines for reporting case reports in Endodontics: explanation and elaboration
    V. Nagendrababu, B. S. Chong, P. McCabe, P. K. Shah, E. Priya, J. Jayaraman, S. J. Pulikkotil, P. M. H. Dummer
    International Endodontic Journal.2020; 53(7): 922.     CrossRef
  • A cone-beam computed tomography study of C-shaped root canal systems in mandibular second premolars in a Taiwan Chinese subpopulation
    Yi-Chin Chen, Chia-Lun Tsai, Yi-Chen Chen, Gin Chen, Shue-Fen Yang
    Journal of the Formosan Medical Association.2018; 117(12): 1086.     CrossRef
  • Anatomic Comparison of Contralateral Premolars
    Gaute Floer Johnsen, Sazan Dara, Sameenah Asjad, Pia Titterud Sunde, Håvard Jostein Haugen
    Journal of Endodontics.2017; 43(6): 956.     CrossRef
  • Endodontic Management of Dilacerated Maxillary Central Incisor fused to a Supernumerary Tooth using Cone Beam Computed Tomography: An Unusual Clinical Presentation
    Thilla S Vinothkumar, Deivanayagam Kandaswamy, Ganesh Arathi, Sathishkumar Ramkumar, Gnanasekaran Felsypremila
    The Journal of Contemporary Dental Practice.2017; 18(6): 522.     CrossRef
  • 293 View
  • 1 Download
  • 5 Crossref
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Endodontic treatment of maxillary lateral incisors with anatomical variations
Moon-Hwan Lee, Jung-Hong Ha, Myoung-Uk Jin, Young-Kyung Kim, Sung-Kyo Kim
Restor Dent Endod 2013;38(4):253-257.   Published online November 12, 2013
DOI: https://doi.org/10.5395/rde.2013.38.4.253
AbstractAbstract PDFPubReaderePub

Maxillary lateral incisors usually exhibit a single root with a single canal. However, maxillary lateral incisor teeth with unusual morphology of root canal system are frequently reported. These cases of variable root canal anatomy can be treated well by nonsurgical endodontic methods. A detailed description of root canal morphology is fundamental for successful endodontic treatment. Treatment using an operating microscope, radiographs from different angles, and cone-beam computerized tomography (CBCT) can produce more predictable endodontic outcomes.

Citations

Citations to this article as recorded by  
  • Endodnontic Management of a Maxillary Lateral Incisor with Two Roots
    Pujan Kranti Kayastha, Merina Shakya, Laxman Poudel
    Journal of Interdisciplinary Dentistry.2022; 12(1): 32.     CrossRef
  • Non-surgical management of dens invaginatus type IIIB in maxillary lateral incisor with three root canals and 6-year follow-up: A case report and review of literature
    Suraj Arora, Gurdeep Singh Gill, Shahabe Abullais Saquib, Priyanka Saluja, Suheel M Baba, Shafait Ullah Khateeb, Anshad M Abdulla, Shashit Shetty Bavabeedu, Ahmed Babiker Mohamed Ali, Mohamed Fadul A Elagib
    World Journal of Clinical Cases.2022; 10(33): 12240.     CrossRef
  • Endodontic management and follow-up of two rooted maxillary lateral incisor with open apex – A case report
    R AnithaKumari, Sneha Jeetendra, Siddharth Rai, Sudhanva Eregowda
    IP Indian Journal of Conservative and Endodontics.2020; 5(4): 200.     CrossRef
  • Geminated Maxillary Lateral Incisor with Two Root Canals
    Nayara Romano, Luis Eduardo Souza-Flamini, Isabela Lima Mendonça, Ricardo Gariba Silva, Antonio Miranda Cruz-Filho
    Case Reports in Dentistry.2016; 2016: 1.     CrossRef
  • Surgical management with intentional replantation on a tooth with palato-radicular groove
    Jorge Forero-López, Luis Gamboa-Martínez, Laura Pico-Porras, Javier Laureano Niño-Barrera
    Restorative Dentistry & Endodontics.2015; 40(2): 166.     CrossRef
  • Use of cone-beam computed tomography and three-dimensional modeling for assessment of anomalous pulp canal configuration: a case report
    Alper Sinanoglu, Dilek Helvacioglu-Yigit, Ibrahim Mutlu
    Restorative Dentistry & Endodontics.2015; 40(2): 161.     CrossRef
  • Endodontic management of a mandibular second molar with radix entomolaris: a case report
    Rosaline Hannah, Deivanayagam Kandaswamy, Nachimuthu Jayaprakash
    Restorative Dentistry & Endodontics.2014; 39(2): 132.     CrossRef
  • 503 View
  • 14 Download
  • 7 Crossref
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Endodontic management of a C-shaped maxillary first molar with three independent buccal root canals by using cone-beam computed tomography
Lorena Karanxha, Hee-Jin Kim, Sung-Ok Hong, Wan Lee, Pyung-Sik Kim, Kyung-San Min
Restor Dent Endod 2012;37(3):175-179.   Published online August 29, 2012
DOI: https://doi.org/10.5395/rde.2012.37.3.175
AbstractAbstract PDFPubReaderePub

The aim of this study was to present a method for endodontic management of a maxillary first molar with unusual C-shaped morphology of the buccal root verified by cone-beam computed tomography (CBCT) images. This rare anatomical variation was confirmed using CBCT, and nonsurgical endodontic treatment was performed by meticulous evaluation of the pulpal floor. Posttreatment image revealed 3 independent canals in the buccal root obturated efficiently to the accepted lengths in all 3 canals. Our study describes a unique C-shaped variation of the root canal system in a maxillary first molar, involving the 3 buccal canals. In addition, our study highlights the usefulness of CBCT imaging for accurate diagnosis and management of this unusual canal morphology.

Citations

Citations to this article as recorded by  
  • Nonsurgical endodontic retreatment of C-shaped maxillary molars: case reports and review of literature
    Ming Liu, Yanling Huang, Yixuan Wu, Yi Zhang, Zhisheng Zhang, Qianju Wu
    BMC Oral Health.2024;[Epub]     CrossRef
  • Analysis of Fused Rooted Maxillary First and Second Molars with Merged and C-shaped Canal Configurations: Prevalence, Characteristics, and Correlations in a Saudi Arabian Population
    Mohammed Mashyakhy, Hemant Ramesh Chourasia, Ahmad Jabali, Abdulmajeed Almutairi, Gianluca Gambarini
    Journal of Endodontics.2019; 45(10): 1209.     CrossRef
  • C-shaped root canals of mandibular second molars in a Korean population: a CBCT analysis
    Hee-Sun Kim, Daun Jung, Ho Lee, Yoon-Sic Han, Sohee Oh, Hye-Young Sim
    Restorative Dentistry & Endodontics.2018;[Epub]     CrossRef
  • Prevalence and Characteristics of the Maxillary C-shaped Molar
    Jorge N.R. Martins, António Mata, Duarte Marques, Craig Anderson, João Caramês
    Journal of Endodontics.2016; 42(3): 383.     CrossRef
  • Use of cone-beam computed tomography and three-dimensional modeling for assessment of anomalous pulp canal configuration: a case report
    Alper Sinanoglu, Dilek Helvacioglu-Yigit, Ibrahim Mutlu
    Restorative Dentistry & Endodontics.2015; 40(2): 161.     CrossRef
  • Endodontic management of a mandibular second molar with radix entomolaris: a case report
    Rosaline Hannah, Deivanayagam Kandaswamy, Nachimuthu Jayaprakash
    Restorative Dentistry & Endodontics.2014; 39(2): 132.     CrossRef
  • 189 View
  • 2 Download
  • 6 Crossref
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