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Research Articles
Assessment of mechanical allodynia in healthy teeth adjacent and contralateral to endodontically diseased teeth: a clinical study
Vaishnavi Ratnakar Patankar, Ashish K Jain, Rahul D Rao, Prajakta R Rao
Restor Dent Endod 2024;49(3):e31.   Published online July 29, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e31
AbstractAbstract PDFPubReaderePub
Objectives

The present study investigated the prevalence of mechanical allodynia (MA) in healthy teeth adjacent and contralateral to endodontically diseased teeth.

Materials and Methods

This cross-sectional study included 114 patients with symptomatic irreversible pulpitis and apical periodontitis in permanent mandibular first molars who possessed healthy teeth adjacent and contralateral to the endodontically diseased tooth. The mechanical sensitivity of the teeth was determined by percussion testing. The presence or absence of pain on percussion in the teeth adjacent and contralateral to the endodontically diseased tooth and the tooth distal to the contralateral symmetrical tooth was recorded according to coding criteria. The prevalence of MA was computed as a percentage, and binary logistic regression analysis was done. The Fisher exact test and Mann-Whitney U test were used for binary and ordinal data.

Results

Age and sex did not influence the prevalence of MA. An increased prevalence of MA was found in patients with higher levels of spontaneous pain (p < 0.001). The prevalence of allodynia was 57% in teeth adjacent to endodontically diseased teeth and 10.5% in teeth contralateral to endodontically diseased teeth. In addition, on the ipsilateral side, there were more painful sensations distal to the diseased tooth than mesially.

Conclusions

Despite being disease-free, teeth adjacent and contralateral to endodontically diseased teeth exhibited pain on percussion. There was a direct association between the severity of the patient’s pain and the presence of MA.

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Predictor factors of 1-rooted mandibular second molars on complicated root and canal anatomies of other mandibular teeth
Hakan Aydın, Hatice Harorlı
Restor Dent Endod 2024;49(1):e2.   Published online January 3, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e2
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to determine the effects of 1-rooted mandibular second molar (MnSM) teeth on root canal anatomy complexities of the mandibular central incisor (MnCI), mandibular lateral incisor (MnLI), mandibular canine (MnCn), mandibular first premolar (MnFP), mandibular second premolar (MnSP), and mandibular first molar (MnFM) teeth.

Materials and Methods

Cone-beam computed tomography images of 600 patients with full lower dentition were examined. Individuals with 1-rooted MnSMs were determined, and the complexity of root canal anatomy of other teeth was compared with individuals without 1-rooted MnSMs (Group-1; subjects with at least one 1-rooted MnSM, Group-2; subjects with more than a single root in both MnSMs). A second canal in MnCIs, MnLIs, MnCns, MnFPs, and MnSPs indicated a complicated root canal. The presence of a third root in MnFMs was recorded as complicated.

Results

The prevalence of 1-rooted MnSMs was 12.2%, with the C-shaped root type being the most prevalent (9%). There were fewer complicated root canals in MnCIs (p = 0.02), MnLIs (p < 0.001), and MnFPs (p < 0.001) in Group 1. The other teeth showed no difference between the groups (p > 0.05). According to logistic regression analysis, 1-rooted right MnSMs had a negative effect on having complex canal systems of MnLIs and MnFPs. Left MnSMs were explanatory variables on left MnLIs and both MnFPs.

Conclusions

In individuals with single-rooted MnSMs, a less complicated root canal system was observed in all teeth except the MnFMs.

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The clinical success of ART restorations and Hall technique in primary molars: a randomized 18-month follow-up study
Esra Oz, Zuhal Kırzıoglu, Canan Kale
Restor Dent Endod 2023;48(2):e19.   Published online May 1, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e19
AbstractAbstract PDFPubReaderePub
Objectives

The aim of the study was to evaluate the clinical and radiographic success of the Hall technique (HT) and atraumatic restorative treatment (ART) restorations using high-viscosity glass-ionomer cement for the management of occlusal carious lesions in primary molars.

Materials and Methods

This randomized clinical study observed 40 children (aged 5–6 years). For each child, one tooth was treated with HT and one with ART. The primary outcome measures for HT restorations were successful, minor, and major failure rates. Clinical evaluations of ART restorations were performed according to the modified United States Public Health Service criteria during 18-month follow-up. McNemar test was used for statistical analysis.

Results

Thirty of 40 (75%) participants returned for 18 months of follow-up. In the clinical evaluations of teeth that were treated with HT, the patients did not have complaints of pain or other symptoms, all crowns remained in the oral cavity, the gums were healthy, and the teeth were functional in all evaluations. At the end of the 18-month follow-up, the surface texture and marginal integrity criteria of ART restorations were recorded as 26.7% and 33.3%, respectively. In the radiographic evaluation of 30 patients treated with ART and HT, all restorations were considered successful.

Conclusions

The 18-month clinical and radiographic results after treatments applied to single-surface cavities in anxious children showed that both treatment methods were successful.

Citations

Citations to this article as recorded by  
  • Success rate of Hall Technique for restoring carious primary molars - systematic review and meta-analysis
    Tamara Kerber Tedesco, Nicola Patricia Innes, Claudia Lopez Gallegos, Gabriela Seabra Silva, Thais Gimenez, Mariana Minatel Braga, Mariana Pinheiro Araujo, Jayakumar Jayaraman, Waraf Al-yaseen, Daniela Prócida Raggio
    Evidence-Based Dentistry.2025; 26(1): 65.     CrossRef
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Proximity of maxillary molar apexes to the cortical bone surface and the maxillary sinus
Han Shin Lee, Dokyung Kim, Sung Kyo Kim
Restor Dent Endod 2022;47(3):e33.   Published online August 8, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e33
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to analyze the proximity of maxillary molar roots to their overlying cortical bone surfaces and the maxillary sinus.

Materials and Methods

Cone-beam computed tomographic images of 151 patients with completely erupted upper molars that had 3 separate roots were studied. The following distances were measured: from the root apex to the cortical plate and maxillary sinus floor, and from the apical 3-mm level of the root to the cortical plate. Differences between groups were analyzed with 1-way analysis of variance and the Scheffé post hoc test, the significance of differences between cone-beam computed tomography views with the paired t-test, and the significance of differences among age groups with linear regression analysis. The significance level was set at p < 0.05.

Results

The mesiobuccal and distobuccal root apexes of maxillary second molars were more distant from the buccal cortical plate than the maxillary first molars (p < 0.05). The apical 3-mm level of the mesiobuccal root of the first molar was closer to the buccal cortical bone than the second molar (p < 0.05). In the maxillary first molars, the thickness of the buccal cortical bone decreased in all roots with age (p < 0.05). In all root apexes of both molars, the difference in the vertical level between the maxillary sinus floor and the root apex increased with age (p < 0.05).

Conclusions

Awareness of the anatomical profile of maxillary molar apices in relation to the cortical bones and maxillary sinus will be beneficial for apical surgery.

Citations

Citations to this article as recorded by  
  • Proximity of maxillary molar palatal roots to adjacent structures for endodontic microsurgery: a cone-beam computed tomography study
    Xiaoxiang Huang, Jun Xu, Benxiang Hou, Ying Wang
    BMC Oral Health.2025;[Epub]     CrossRef
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Morphotypes of the apical constriction of maxillary molars: a micro-computed tomographic evaluation
Jeffrey Wen-Wei Chang, Kuzhanchinathan Manigandan, Lakshman Samaranayake, Chellapandian NandhaKumar, Pazhamalai AdhityaVasun, Johny Diji, Angambakkam Rajasekharan PradeepKumar
Restor Dent Endod 2022;47(2):e19.   Published online March 24, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e19
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to evaluate and compare the apical constriction (AC) and apical canal morphology of maxillary first and second molars, using micro-computed tomography (micro-CT).

Materials and Methods

The anatomical features of 313 root canals from 41 maxillary first molars and 57 maxillary second molars of patients with known age and sex were evaluated using micro-CT, with a resolution of 26.7 µm. The factors evaluated were the presence or absence of AC, the morphotypes, bucco-lingual dimension, mesio-distal dimension, and the profile (shape) of AC and the apical root canal. The apical root canal dimensions, location of the apical foramen (AF), AC to AF distance, and presence of accessory canals in the apical 5 mm were also assessed. Descriptive and analytical statistics were used for data evaluation.

Results

AC was present in all 313 root canals. Patients’ age and sex did not significantly impact either AC or the apical canal dimensions. The most common AC morphotype detected was the traditional (single) constriction (52%), followed by the parallel (29%) morphotype. The mean AC dimensions in maxillary first molars were not significantly different from those in maxillary second molars. Sixty percent of AF were located within 0.5 mm from the anatomic apex.

Conclusions

The most common morphotype of AC detected was the traditional constriction. Neither patients’ age nor sex had a significant impact on the dimensions of the AC or the apical root canal. The majority of AF (60%) were located within 0.5 mm from the anatomic apex.

Citations

Citations to this article as recorded by  
  • Effect of Coronal Flaring on Initial Apical File Size Estimation in Curved Canals Using Three Distinct Rotary Instruments: A Comparative In Vitro Study
    Vinodhini Varatharajan, Muhammed Abdul Rahman Thazhathveedan, Mohammed Salman Kuttikkodan, Ismail Puzhangaraillath Mundanatayil, Amrutha Ravindran Thazhe Mangool, Ashraf Karumbil
    Cureus.2024;[Epub]     CrossRef
  • In Vitro Evaluation of the Accuracy of Three Electronic Apex Locators Using Different Sodium Hypochlorite Concentrations
    Sanda Ileana Cîmpean, Radu Marcel Chisnoiu, Adela Loredana Colceriu Burtea, Rareș Rotaru, Marius Gheorghe Bud, Ada Gabriela Delean, Ioana-Sofia Pop-Ciutrilă
    Medicina.2023; 59(5): 918.     CrossRef
  • Cone beam computed tomography analysis of the root and canal morphology of the maxillary second molars in a Hail province of the Saudi population
    Ahmed A. Madfa, Moazzy I. Almansour, Saad M. Al-Zubaidi, Albandari H. Alghurayes, Safanah D. AlDAkhayel, Fatemah I. Alzoori, Taif F. Alshammari, Abrar M. Aldakhil
    Heliyon.2023; 9(9): e19477.     CrossRef
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Morphological characteristics of the mesiobuccal root in the presence of a second mesiobuccal canal: a micro-CT study
Lucas P. Lopes Rosado, Matheus Lima Oliveira, Karla Rovaris, Deborah Queiroz Freitas, Frederico Sampaio Neves
Restor Dent Endod 2022;47(1):e6.   Published online January 18, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e6
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the internal morphology of mesiobuccal (MB) roots of maxillary molars with a second mesiobuccal (MB2) canal.

Materials and Methods

Forty-seven maxillary first or second molars from Brazilians were scanned using micro-computed tomography. The following measurements were obtained from the MB roots: root thickness, root width, and dentin thickness of the buccal aspect of the first mesiobuccal (MB1) canal, between the MB1 and MB2 canals, and the palatal aspect of the MB2 and MB1 canals at 3 mm from the root apex and in the furcation region. For statistical analysis, the Student’s t-test and analysis of variance with the post-hoc Tukey test were used (α = 0.05).

Results

In maxillary molars with an MB2 canal, MB roots were significantly thicker (p = 0.0014) and narrower (p = 0.0016) than in maxillary molars without an MB2 canal. The dentin thickness of the palatal aspect of the MB1 canal was also significantly greater than that of MB roots without an MB2 canal at 3 mm from the root apex (p = 0.0007) and in the furcation region (p < 0.0001). In the furcation region of maxillary molars with an MB2 canal, the dentin thickness between the MB1 and MB2 canals was significantly smaller than that in the buccal and palatal aspects (p < 0.0001).

Conclusions

The internal morphology of MB roots of maxillary molars with an MB2 canal revealed differences in dentin thickness, root diameter, and distance between the canals when compared with maxillary molars without an MB2 canal.

Citations

Citations to this article as recorded by  
  • Effectiveness and safety of three NiTi systems in endodontic retreatment of MB1 and MB2 root canals: a micro-CT and CBCT combined analysis
    Airton Oliveira Santos-Junior, Rocharles Cavalcante Fontenele, Karina Ines Medina Carita Tavares, Fernanda Ferrari Esteves Torres, Jáder Camilo Pinto, Pedro Luis Busto Rosim, Andréa Gonçalves, Marco Antonio Hungaro Duarte, Juliane Maria Guerreiro-Tanomaru
    Clinical Oral Investigations.2025;[Epub]     CrossRef
  • Can maxillary molar dimensions predict the presence of the second mesiobuccal canal?
    Lucas P. Lopes Rosado, Deborah Queiroz Freitas, Karla Rovaris, Matheus L. Oliveira, Frederico Sampaio Neves
    Oral Radiology.2023; 39(3): 482.     CrossRef
  • Can the detection of second mesiobuccal canals be enhanced based on the volume of adjacent canals?
    Lucas P. Lopes Rosado, Deborah Q. Freitas, Karla Rovaris, Matheus L. Oliveira, Frederico S. Neves
    Archives of Oral Biology.2023; 146: 105604.     CrossRef
  • Assessment of the coronal root canal morphology of permanent maxillary first molars using digital 3D-reconstruction technology based on micro-computed tomography data
    Mudan Wang, Yuxuan Gao, Qi Deng, Yuan Gao, Dongzhe Song, Dingming Huang
    Journal of Dental Sciences.2023; 18(2): 586.     CrossRef
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Shape and anatomical relationship of the mental foramen to the mandibular premolars in an Indian sub-population: a retrospective CBCT analysis
Komal Sheth, Kulvinder Singh Banga, Ajinkya M. Pawar, James L. Gutmann, Hyeon-Cheol Kim
Restor Dent Endod 2022;47(1):e1.   Published online December 13, 2021
DOI: https://doi.org/10.5395/rde.2022.47.e1
AbstractAbstract PDFPubReaderePub
Objectives

This study assessed the shape and anatomical relationship of the mental foramen (MF) to mandibular posterior teeth in an Indian sub-population.

Materials and Methods

In total, 475 existing cone-beam computed tomography records exhibiting 950 MFs and including the bilateral presence of mandibular premolars and first molars were assessed. Images were evaluated 3-dimensionally to ascertain the position, shape, and anatomical proximity of MFs to mandibular teeth. The position and shape of MFs were measured and calculated. The Pythagorean theorem was used to calculate the distance between the root apex of the mandibular teeth and the MF.

Results

MFs exhibited a predominantly round shape (left: 67% and right: 65%) followed by oval (left: 30% and right: 31%) in both males and females and in different age groups. The root apices of mandibular second premolars (left: 71% and right: 62%) were closest to the MF, followed by distal to the first premolars and mesial to the second premolars. The mean vertical distance between the MF and the nearest tooth apex calculated on sagittal sections was 2.20 mm on the right side and 2.32 mm on the left side; no significant difference was found according to sex or age. The distance between the apices of the teeth and the MF was ≥ 4 mm (left; 4.09 ± 1.27 mm and right; 4.01 ± 1.15 mm).

Conclusions

These findings highlight the need for clinicians to be aware of the location of the MF in treatment planning and while performing non-surgical and surgical endodontic procedures.

Citations

Citations to this article as recorded by  
  • Optimising Treatment Strategies: Labial versus Labio-inferior Plating Using Three-dimensional Miniplates for Mandibular Symphysis and Parasymphysis Fractures
    Akash P Muralidharan, Kalyani Bhate, K Mithun Nilgiri, Sumithra S Nair, Lakshmi Shetty, Rose Johnson
    Advances in Human Biology.2025;[Epub]     CrossRef
  • Radiographic Recognition of Mental Nerve for Secured Dental Implant Placement by Cone-Beam Computed Tomography in Mosul City Population
    Asmaa B. Al-Saffar, Mekdad H. Alrigbo, Rawaa Y. Al-Rawee
    Journal of Craniofacial Surgery.2024; 35(7): 2049.     CrossRef
  • Accuracy of Implant Size Prediction Based on Edentulous Ridge Dimension on Cone-beam Computed Tomography - A Retrospective Study
    Hunter R. Jolicoeur, Gerard A. Camargo, Tamara G. Stephenson, Wenjian Zhang
    Annals of Maxillofacial Surgery.2024; 14(2): 187.     CrossRef
  • Mental Foramenin Panoramik Radyografi ve Konik Işınlı Bilgisayarlı Tomografi Görüntüleri Üzerinde Morfolojik Analizi
    Ezgi UZUN, Burak Kerem APAYDIN, Ayşen TİL
    Selcuk Dental Journal.2023; 10(3): 540.     CrossRef
  • Evaluation of the Possible Relationship between the Curvature and Horizontal Course of the Inferior Alveolar Canal
    Cansu G. Koca, M. Fatih Çiçek, Sanaz Sadry, Ozan Yenidünya, Fatma Akkoca Kaplan, Aras Erdil
    Current Medical Imaging Formerly Current Medical Imaging Reviews.2023;[Epub]     CrossRef
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A cone-beam computed tomography study of the prevalence and location of the second mesiobuccal root canal in maxillary molars
Seong-Ju Lee, Eun-Hye Lee, Se-Hee Park, Kyung-Mo Cho, Jin-Woo Kim
Restor Dent Endod 2020;45(4):e46.   Published online September 3, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e46
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to investigate the incidence and location of the second mesiobuccal root (MB2) canal in maxillary molars with the aid of various measuring points and lines using cone-beam computed tomography (CT).

Materials and Methods

A total of 205 images of patients who underwent cone-beam CT examinations between 2011 and 2015 as part of their dental diagnosis and treatment were included. There were 76 images of the maxillary first molar and 135 images of the maxillary second molar. Canal orifices were detected at −1 mm from the top of the pulpal floor on cone-beam CT images. Image assessment was performed by 2 observers in reformatted image planes using software. Assessments included measurement of the distance between the MB1 and MB2 canals, and the angles between the lines connecting the MB1-MB2 and distobuccal (DB)-palatal (P) canals. The data were analyzed using the student's t-test.

Results

The prevalence of the MB2 canal was 86.8% in the first molar and 28.9% in the second molar. The angle between the lines connecting the MB1-MB2 and DB-P canals was 2.3° ± 5.7° in the first molar and −3.95° ± 7.73° in the second molar. The distance between the MB1 and MB2 canals was 2.1 ± 0.44 mm in the first molar and 1.98 ± 0.42 mm in the second molar.

Conclusions

The angles between the lines connecting the MB1-MB2 and DB-P canals was almost parallel. These findings may aid in the prediction of the location of the MB2 canal orifice.

Citations

Citations to this article as recorded by  
  • Position of Second Mesiobuccal Canal Relative to Distobuccal and Palatal Canals of Maxillary Molars in an Iranian Population
    Sina Mosadeghian, Azadeh Torkzadeh, Parisa Ranjbarian, Roya Asaadi
    Journal of Research in Dental and Maxillofacial Sciences.2025; 10(1): 34.     CrossRef
  • Machine Learning Models in the Detection of MB2 Canal Orifice in CBCT Images
    Shishir Shetty, Meliz Yuvali, Ilker Ozsahin, Saad Al-Bayatti, Sangeetha Narasimhan, Mohammed Alsaegh, Hiba Al-Daghestani, Raghavendra Shetty, Renita Castelino, Leena R David, Dilber Uzun Ozsahin
    International Dental Journal.2025; 75(3): 1640.     CrossRef
  • The Correlation between Intraorifice Distance and the Anatomical Characteristics of the Second Mesiobuccal Canal of Maxillary Molars: A CBCT Study
    Isabella Perondi, Silvio Taschieri, Martino Baruffaldi, Roberto Fornara, Luca Francetti, Stefano Corbella, Deepa Gurunathan
    International Journal of Dentistry.2024;[Epub]     CrossRef
  • Endodontic management of type I maxillary first molar with two palatal roots using cone-beam computed tomography
    Nuha Alghamdi
    Dental Journal.2024; 57(1): 1.     CrossRef
  • 3D geometric analysis of second mesiobuccal canal in permanent maxillary first molar tooth
    Indrani Khadilkar, Divya Nangia, Amrita Chawla, Sidhartha Sharma, Vijay Kumar, Shalini Gupta, Ajay Logani
    Australian Endodontic Journal.2023; 49(1): 140.     CrossRef
  • Prevalence of mesiobuccal-2 canals in maxillary first and second molars among the Bruneian population—CBCT analysis
    Hui Yi Onn, Malissa Siao Yun Abdullah Sikun, Hanif Abdul Rahman, Jagjit Singh Dhaliwal
    BDJ Open.2022;[Epub]     CrossRef
  • Location angle of second mesio-buccal canal in maxillary molars of an Indian population: an in vivo retrospective CBCT evaluation and proposal of a new classification
    Kishor Vhorkate, Kulvinder Banga, Ajinkya M. Pawar, Shugufta Mir, Suraj Arora, Dian Agustin Wahjuningrum, Anuj Bhardwaj, Alexander Maniangat Luke
    PeerJ.2022; 10: e14234.     CrossRef
  • Maxillary molar root and canal morphology of Neolithic and modern Chinese
    H.Y. Ren, K.Y. Kum, Y.S. Zhao, Y.J. Yoo, J.S. Jeong, Hiran Perinpanayagam, X.Y. Wang, G.J. Li, F. Wang, H. Fang, Y. Gu
    Archives of Oral Biology.2021; 131: 105272.     CrossRef
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The prevalence of radix molaris in the mandibular first molars of a Saudi subpopulation based on cone-beam computed tomography
Hassan AL-Alawi, Saad Al-Nazhan, Nassr Al-Maflehi, Mazen A. Aldosimani, Mohammed Nabil Zahid, Ghadeer N. Shihabi
Restor Dent Endod 2020;45(1):e1.   Published online November 14, 2019
DOI: https://doi.org/10.5395/rde.2020.45.e1
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to determine the incidence of radix molaris (RM) (entomolaris and paramolaris) in the mandibular first permanent molars of a sample Saudi Arabian subpopulation using cone-beam computed tomography (CBCT).

Materials and Methods

A total of 884 CBCT images of 427 male and 457 female Saudi citizens (age 16 to 70 years) were collected from the radiology department archives of 4 dental centers. A total of 450 CBCT images of 741 mature mandibular first molars that met the inclusion criteria were reviewed. The images were viewed at high resolution by 3 examiners and were analyzed with Planmeca Romexis software (version 5.2).

Results

Thirty-three (4.5%) mandibular first permanent molars had RM, mostly on the distal side. The incidence of radix entomolaris (EM) was 4.3%, while that of radix paramolaris was 0.3%. The RM roots had one canal and occurred more unilaterally. No significant difference in root configuration was found between males and females (p > 0.05). Types I and III EM root canal configurations were most common, while type B was the only RP configuration observed.

Conclusions

The incidence of RM in the mandibular first molars of this Saudi subpopulation was 4.5%. Identification of the supernumerary root can avoid missing the canal associated with the root during root canal treatment.

Citations

Citations to this article as recorded by  
  • Evaluation of the variations of mandibular molars and the distance from root apex to the inferior alveolar nerve in Saudi Sub-population: Three-dimensional radiographic evaluation
    Tariq Mohammed Aqili, Esam Sami Almuzaini, Abdulbari Saleh Aljohani, Ahmed Khaled Al Saeedi, Hassan Abdulmuti Hammudah, Muath Alassaf, Muhannad M. Hakeem, Mohmed Isaqali Karobari
    PLOS ONE.2025; 20(2): e0317053.     CrossRef
  • Assessment of the root and canal morphology in the permanent dentition of Saudi Arabian population using cone beam computed and micro-computed tomography – a systematic review
    Mohammed Mustafa, Rumesa Batul, Mohmed Isaqali Karobari, Hadi Mohammed Alamri, Abdulaziz Abdulwahed, Ahmed A. Almokhatieb, Qamar Hashem, Abdullah Alsakaker, Mohammad Khursheed Alam, Hany Mohamed Aly Ahmed
    BMC Oral Health.2024;[Epub]     CrossRef
  • Prevalence of radix accesoria dentis in a northern Peruvian population evaluated by cone-beam tomography
    Karla Renata León-Almanza, Anthony Adrián Jaramillo-Nuñez, Catherin Angélica Ruiz-Cisneros, Paul Martín Herrera-Plasencia
    Heliyon.2024; 10(16): e35919.     CrossRef
  • Radix molaris is a hidden truth of mandibular first permanent molars: A descriptive- analytic study using cone beam computed tomography
    Mohammed A. Alobaid, Saurabh Chaturvedi, Ebtihal Mobarak S. Alshahrani, Ebtsam M. Alshehri, Amal S. Shaiban, Mohamed Khaled Addas, Giuseppe Minervini
    Technology and Health Care.2023; 31(5): 1957.     CrossRef
  • Prevalence of Radix Entomolaris in Mandibular Permanent Molars Analyzed by Cone-Beam CT in the Saudi Population of Ha'il Province
    Moazzy I Almansour, Ahmed A Madfa, Adhwaa F Algharbi, Reem Almuslumani, Noeer K Alshammari, Ghufran M Al Hussain
    Cureus.2023;[Epub]     CrossRef
  • Prevalence of radix entomolaris in India and its comparison with the rest of the world
    Sumit MOHAN, Jyoti THAKUR
    Minerva Dental and Oral Science.2022;[Epub]     CrossRef
  • Radix Paramolaris an Endodontic Challenge: A Case Report
    Ashwini B Prasad, Deepak Raisingani, Ridhima Gupta, Rimjhim Jain
    Journal of Mahatma Gandhi University of Medical Sciences and Technology.2022; 7(1): 32.     CrossRef
  • Evaluation of Radix Entomolaris and Middle Mesial Canal in Mandibular Permanent First Molars in an Iraqi Subpopulation Using Cone‐Beam Computed Tomography
    Ranjdar Mahmood Talabani, Kazhan Omer Abdalrahman, Rawa Jamal Abdul, Dlsoz Omer Babarasul, Sara Hilmi Kazzaz, Heng Bo Jiang
    BioMed Research International.2022;[Epub]     CrossRef
  • Evaluation of Root Canal Configuration of Maxillary and Mandibular First Molar by CBCT: A Retrospective Cross-Sectional Study
    Rakan Rafdan Alhujhuj, Rizwan Jouhar, Muhammad Adeel Ahmed, Abdullatif Abdulrahman Almujhim, Mohammed Tariq Albutayh, Necdet Adanir
    Diagnostics.2022; 12(9): 2121.     CrossRef
  • Ethnical Anatomical Differences in Mandibular First Permanent Molars between Indian and Saudi Arabian Subpopulations: A Retrospective Cross-sectional Study
    Abdulwahab Alamir, Mohammed Mashyakhy, Apathsakayan Renugalakshmi, Thilla S Vinothkumar, Anandhi S Arthisri, Ahmed Juraybi
    The Journal of Contemporary Dental Practice.2021; 22(5): 484.     CrossRef
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Fused roots of maxillary molars: characterization and prevalence in a Latin American sub-population: a cone beam computed tomography study
Maytté Marcano-Caldera, Jose Luis Mejia-Cardona, María del Pilar Blanco-Uribe, Elena Carolina Chaverra-Mesa, Didier Rodríguez-Lezama, Jose Hernán Parra-Sánchez
Restor Dent Endod 2019;44(2):e16.   Published online April 22, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e16
AbstractAbstract PDFPubReaderePub
Objectives

The upper molars generally have three roots; therefore, different combinations of fusion can occur, increasing the possibility of finding more complex root canal systems. The purpose of this study was to evaluate the prevalence and characterization of fused roots in first and second maxillary molars using cone-beam computed tomography (CBCT) in a Colombian population.

Materials and Methods

A total of 1274 teeth were evaluated, of which 534 were maxillary first molars and 740 were maxillary second molars. Axial sections were made at the cervical, middle, and apical levels to determine the prevalence of root fusion and the types of fusion.

Results

Overall, 43% of the molars (n = 551) presented some type of fused root. Root fusion was present in 23.4% of the maxillary first molars. The most frequent type of fused root was type 3 (distobuccal-palatal; DB-P) (58.9%). Root fusion was observed in 57.6% of the maxillary second molars, and the most prevalent type of fused root was type 6 (cone-shaped) (45.2%). Of the maxillary molars, 12.5% were classified as C-shaped.

Conclusion

Within the limitations of this study, there was a high prevalence of fused roots in maxillary molars in the Colombian population, mainly in the maxillary second molars. In first molars, the most common type of fused root was type 3 (DB-P) and in second molars, the most common type was type 6 (cone-shaped). Additionally, molars with root fusion presented variation at different levels of the radicular portion, with implications for treatment quality.

Citations

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    Maria Eduarda Nunis Locks, Erika Calvano Küchler, Leonardo Santos Antunes, Alice Corrêa Silva-Sousa, Natanael Henrique Ribeiro Mattos, Camila Paiva Perin, Paulo Henrique Condeixa França, Peter Proff, Christian Kirschneck, Flares Baratto-Filho
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    Kristin Linder, Scott MacGee, Loren Schultz
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    Katarina Beljic-Ivanovic, Branislav Karadzic
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    Cangül KESKİN, Özgür ÖZDEMİR, Ali KELEŞ
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  • Assessment of C-Shaped Canal Morphology in Mandibular and Maxillary Second Molars in an Iraqi Subpopulation Using Cone-Beam Computed Tomography
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    Scanning.2022; 2022: 1.     CrossRef
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    H Aydin
    Nigerian Journal of Clinical Practice.2021; 24(3): 435.     CrossRef
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    Jehan ALHumaid, Maryam Buholayka, Arishiya Thapasum, Muhanad Alhareky, Maha Abdelsalam, Amr Bughsan
    Saudi Journal of Biological Sciences.2021; 28(5): 2900.     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
  • Second mesiobuccal root canal in maxillary molars—A systematic review and meta-analysis of prevalence studies using cone beam computed tomography
    Jorge N.R. Martins, Duarte Marques, Emmanuel João Nogueira Leal Silva, João Caramês, António Mata, Marco A. Versiani
    Archives of Oral Biology.2020; 113: 104589.     CrossRef
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Close layer
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

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  • 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
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  • 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
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    Nafiseh Nikkerdar, Mohammad Moslehi, Amin Golshah, Mario Dioguardi
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  • 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
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    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
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    T Fenelon, P Parashos
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  • 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
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  • 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
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Anatomical analysis of the resected roots of mandibular first molars after failed non-surgical retreatment
Jiyoung Yoon, Byeong-Hoon Cho, Jihyun Bae, Yonghoon Choi
Restor Dent Endod 2018;43(2):e16.   Published online March 5, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e16
AbstractAbstract PDFPubReaderePub
Objectives

Understanding the reason for an unsuccessful non-surgical endodontic treatment outcome, as well as the complex anatomy of the root canal system, is very important. This study examined the cross-sectional root canal structure of mandibular first molars confirmed to have failed non-surgical root canal treatment using digital images obtained during intentional replantation surgery, as well as the causative factors of the failed conventional endodontic treatments.

Materials and Methods

This study evaluated 115 mandibular first molars. Digital photographic images of the resected surface were taken at the apical 3 mm level and examined. The discolored dentin area around the root canal was investigated by measuring the total surface area, the treated areas as determined by the endodontic filling material, and the discolored dentin area.

Results

Forty 2-rooted teeth showed discolored root dentin in both the mesial and distal roots. Compared to the original filled area, significant expansion of root dentin discoloration was observed. Moreover, the mesial roots were significantly more discolored than the distal roots. Of the 115 molars, 92 had 2 roots. Among the mesial roots of the 2-rooted teeth, 95.7% of the roots had 2 canals and 79.4% had partial/complete isthmuses and/or accessory canals.

Conclusions

Dentin discoloration that was not visible on periapical radiographs and cone-beam computed tomography was frequently found in mandibular first molars that failed endodontic treatment. The complex anatomy of the mesial roots of the mandibular first molars is another reason for the failure of conventional endodontic treatment.

Citations

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    Xu Dong, Qian Xie, Xin Xu
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    Sofian Youssef, Phillip Tomson, Amir Reza Akbari, Natalie Archer, Fayjel Shah, Jasmeet Heran, Sunmeet Kandhari, Sandeep Pai, Shivakar Mehrotra, Joanna M Batt
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    M. A. Postnikov, A. M. Golovachev, S. E. Chigarina, D. N. Kudryashov, I. A. Zakharova, S. A. Burakshaev
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  • Evaluation of interorifice distance in permanent mandibular first molar with middle mesial canal in Bengaluru city, Karnataka: A cone-beam computed tomography study
    Shruthika Mahajan, N. Meena, Anithakumari Rangappa, Ali Mohammed Mashood, Chethana Murthy, M. Lokapriya
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    Gul Ipek Gundogan, Sare Durmus, Gulgun Cansu Ozturk, Nazmi Kucukyesil, Yasin Talat Acar, Rumeysa Balaban, Cenk Kig
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    MukeshKumar Hasija, Babita Meena, Deepti Wadhwa, KulvinderKaur Wadhwani, Virender Yadav
    Journal of the International Clinical Dental Research Organization.2020; 12(1): 27.     CrossRef
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Case Reports
Management of large class II lesions in molars: how to restore and when to perform surgical crown lengthening?
Ana Belén Dablanca-Blanco, Juan Blanco-Carrión, Benjamín Martín-Biedma, Purificación Varela-Patiño, Alba Bello-Castro, Pablo Castelo-Baz
Restor Dent Endod 2017;42(3):240-252.   Published online August 3, 2017
DOI: https://doi.org/10.5395/rde.2017.42.3.240
AbstractAbstract PDFPubReaderePub

The restoration of endodontic tooth is always a challenge for the clinician, not only due to excessive loss of tooth structure but also invasion of the biological width due to large decayed lesions. In this paper, the 7 most common clinical scenarios in molars with class II lesions ever deeper were examined. This includes both the type of restoration (direct or indirect) and the management of the cavity margin, such as the need for deep margin elevation (DME) or crown lengthening. It is necessary to have the DME when the healthy tooth remnant is in the sulcus or at the epithelium level. For caries that reaches the connective tissue or the bone crest, crown lengthening is required. Endocrowns are a good treatment option in the endodontically treated tooth when the loss of structure is advanced.

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    Pascal Magne
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    Zeineb Riahi, Belhassen Harzallah, Mounir Cherif, Dalenda Hadyaoui, Imen Kalghoum, Oumayma Mejri
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    Avantika Rani, Shiva Shankar Gummaluri, Hirak S. Bhattacharya, Preeti Bhattacharya, Sumbul Saifi, saummya singh
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Close layer
Maxillary first molar with 7 root canals diagnosed using cone-beam computed tomography
Evaldo Rodrigues, Antônio Henrique Braitt, Bruno Ferraz Galvão, Emmanuel João Nogueira Leal da Silva
Restor Dent Endod 2017;42(1):60-64.   Published online August 29, 2016
DOI: https://doi.org/10.5395/rde.2017.42.1.60
AbstractAbstract PDFPubReaderePub

Root canal anatomy is complex, and the recognition of anatomic variations could be a challenge for clinicians. This case report describes the importance of cone beam computed tomographyic (CBCT) imaging during endodontic treatment. A 23 year old woman was referred by her general dental practitioner with the chief complaint of spontaneous pain in her right posterior maxilla. From the clinical and radiographic findings, a diagnosis of symptomatic irreversible pulpitis was made and endodontic treatment was suggested to the patient. The patient underwent CBCT examination, and CBCT scan slices revealed seven canals: three mesiobuccal (MB1, MB2, and MB3), two distobuccal (DB1 and DB2), and two palatal (P1 and P2). Canals were successfully treated with reciprocating files and filled using single-cone filling technique. Precise knowledge of root canal morphology and its variation is important during root canal treatment. CBCT examination is an excellent tool for identifying and managing these complex root canal systems.

Citations

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  • KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DOĞRULANMIŞ OLAĞANDIŞI ÜST BİRİNCİ BÜYÜK AZI DİŞİN ENDODONTİK TEDAVİSİ
    Didem Seda Gültekin, Funda Kont Çobankara
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    Chengshi Wei, Keyi Li, Lili Shen, Guangliang Bai, Xiufen Tian
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    Juhász Kincső-Réka, Kovács Mónika, Pop Mihai, Pop Silvia, Kerekes-Máthé Bernadette
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    Ravindranath Megha, Venkatachalam Prakash
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    Prateeksha Chowdhry, Pallavi Reddy, Mamta Kaushik
    Restorative Dentistry & Endodontics.2018;[Epub]     CrossRef
  • Usefulness of cone beam computed tomography in perplexing endodontic cases
    Amandeep Kaur, Ajay Logani
    Endodontology.2018; 30(2): 187.     CrossRef
  • Endodontic management of a maxillary first molar with seven root canal systems evaluated using cone-beam computed tomography scanning
    VijayReddy Venumuddala, Sridhar Moturi, SV Satish, BKalyan Chakravarthy, Sudhakar Malapati
    Journal of International Society of Preventive and Community Dentistry.2017; 7(5): 297.     CrossRef
  • 286 View
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  • 11 Crossref
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Research Article
Healing outcomes of root canal treatment for C-shaped mandibular second molars: a retrospective analysis
Hye-Ra Ahn, Young-Mi Moon, Sung-Ok Hong, Min-Seock Seo
Restor Dent Endod 2016;41(4):262-270.   Published online August 29, 2016
DOI: https://doi.org/10.5395/rde.2016.41.4.262
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to evaluate the healing rate of non-surgical endodontic treatment between C-shaped and non-C-shaped mandibular second molars.

Materials and Methods

Clinical records and radiological images of patients who had undergone endodontic treatment on mandibular second molars between 2007 and 2014 were screened. The periapical index scoring system was applied to compare healing outcomes. Information about preoperative and postoperative factors as well as the demographic data of the patients was acquired and evaluated using chi-square and multinomial logistic regression tests.

Results

The total healing rate was 68.4%. Healing rates for the mandibular second molar were 70.9% in C-shaped canals (n = 79) and 66.6% in non-C-shaped ones (n = 117). The difference was not statistically significant.

Conclusions

The presence of a C-shaped canal in the mandibular second molar did not have a significantly negative effect on healing after treatment. Instead, proper pulpal diagnosis and final restoration were indicated as having significantly greater influence on the healing outcomes of C-shaped and non-C-shaped canals, respectively.

Citations

Citations to this article as recorded by  
  • Predicting early endodontic treatment failure following primary root canal treatment
    Young-Eun Jang, Yemi Kim, Sin-Young Kim, Bom Sahn Kim
    BMC Oral Health.2024;[Epub]     CrossRef
  • Factors Influencing Non-Surgical Root Canal Treatment Outcomes in Mandibular Second Molars: A Retrospective Cone-Beam Computed Tomography Analysis
    Da-Min Park, Woo-Hyun Seok, Ji-Young Yoon
    Journal of Clinical Medicine.2024; 13(10): 2931.     CrossRef
  • Retrospective Assessment of Healing Outcome of Endodontic Treatment for Mandibular Molars with C-shaped Root Canal
    Kishore Kumar Majety, Basanta Kumar Choudhury, Anika Bansal, Achla Sethi, Jaina Panjabi
    The Journal of Contemporary Dental Practice.2017; 18(7): 591.     CrossRef
  • 215 View
  • 4 Download
  • 3 Crossref
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Case Report
Radix mesiolingualis and radix distolingualis: a case report of a tooth with an unusual morphology
Gurudutt Nayak, Himanshu Aeran, Inderpreet Singh
Restor Dent Endod 2016;41(4):322-331.   Published online July 14, 2016
DOI: https://doi.org/10.5395/rde.2016.41.4.322
AbstractAbstract PDFPubReaderePub

Variation in the root and canal morphology of the maxillary first molars is quite common. The most common configuration is 3 roots and 3 or 4 canals. Nonetheless, other possibilities still exist. The presence of an additional palatal root is rather uncommon and has been reported to have an incidence of 0.06 - 1.6% in varying populations studied. Whenever two palatal roots exist, one of them is the normal palatal root, the other is a supernumerary structure which can be located either mesiolingually (radix mesiolingualis) or distolingually (radix distolingualis). This case report describes successful endodontic treatment of a maxillary first molar with radix mesiolingualis and radix distolingualis. Identification of this variation was done through clinical examination along with the aid of multiangled radiographs, and an accurate assessment of this morphology was made with the help of a cone-beam computed tomography imaging. In addition to the literature review, this article also discusses the epidemiology, classifications, morphometric features, guidelines for diagnosis, and endodontic management of a maxillary first molar with extra-palatal root.

Citations

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  • Four-Rooted Maxillary First Molars: A Systematic Review and Meta-Analysis
    Gabriel Magnucki, Sven V. K. Mietling, Sreekanth Kumar Mallineni
    International Journal of Dentistry.2021; 2021: 1.     CrossRef
  • 258 View
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  • 1 Crossref
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Research Articles
Proximity of the mandibular molar root apex from the buccal bone surface: a cone-beam computed tomographic study
Dokyung Kim, Jung-Hong Ha, Myoung-Uk Jin, Young-Kyung Kim, Sung Kyo Kim
Restor Dent Endod 2016;41(3):182-188.   Published online July 14, 2016
DOI: https://doi.org/10.5395/rde.2016.41.3.182
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the proximity of the mandibular molar apex to the buccal bone surface in order to provide anatomic information for apical surgery.

Materials and Methods

Cone-beam computed tomography (CBCT) images of 127 mandibular first molars and 153 mandibular second molars were analyzed from 160 patients' records. The distance was measured from the buccal bone surface to the root apex and the apical 3.0 mm on the cross-sectional view of CBCT.

Results

The second molar apex and apical 3 mm were located significantly deeper relative to the buccal bone surface compared with the first molar (p < 0.01). For the mandibular second molars, the distance from the buccal bone surface to the root apex was significantly shorter in patients over 70 years of age (p < 0.05). Furthermore, this distance was significantly shorter when the first molar was missing compared to nonmissing cases (p < 0.05). For the mandibular first molars, the distance to the distal root apex of one distal-rooted tooth was significantly greater than the distance to the disto-buccal root apex (p < 0.01). In mandibular second molar, the distance to the apex of C-shaped roots was significantly greater than the distance to the mesial root apex of non-C-shaped roots (p < 0.01).

Conclusions

For apical surgery in mandibular molars, the distance from the buccal bone surface to the apex and apical 3 mm is significantly affected by the location, patient age, an adjacent missing anterior tooth, and root configuration.

Citations

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  • Expert consensus on intentional tooth replantation
    Zhengmei Lin, Dingming Huang, Shuheng Huang, Zhi Chen, Qing Yu, Benxiang Hou, Lihong Qiu, Wenxia Chen, Jiyao Li, Xiaoyan Wang, Zhengwei Huang, Jinhua Yu, Jin Zhao, Yihuai Pan, Shuang Pan, Deqin Yang, Weidong Niu, Qi Zhang, Shuli Deng, Jingzhi Ma, Xiuping
    International Journal of Oral Science.2025;[Epub]     CrossRef
  • Outcome of intentional replantation of endodontically treated teeth with periapical pathosis: A systematic review and meta‐analysis
    Faizan Javed, Kamil Zafar, Farhan R. Khan
    Australian Endodontic Journal.2023; 49(S1): 494.     CrossRef
  • Proximity of maxillary molar apexes to the cortical bone surface and the maxillary sinus
    Han Shin Lee, Dokyung Kim, Sung Kyo Kim
    Restorative Dentistry & Endodontics.2022;[Epub]     CrossRef
  • Alveolar bone thickness overlying healthy maxillary and mandibular teeth: A systematic review and meta-analysis
    Marziyeh Shafizadeh, Azita Tehranchi, Armin Shirvani, Saeed Reza Motamedian
    International Orthodontics.2021; 19(3): 389.     CrossRef
  • Relationship between the anatomic structures and mandibular posterior teeth for endodontic surgery in a Turkish population: a cone-beam computed tomographic analysis
    Zeliha Uğur Aydın, Duygu Göller Bulut
    Clinical Oral Investigations.2019; 23(9): 3637.     CrossRef
  • 243 View
  • 2 Download
  • 5 Crossref
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Analysis of C-shaped root canal configuration in maxillary molars in a Korean population using cone-beam computed tomography
Hyoung-Hoon Jo, Jeong-Bum Min, Ho-Keel Hwang
Restor Dent Endod 2016;41(1):55-62.   Published online January 29, 2016
DOI: https://doi.org/10.5395/rde.2016.41.1.55
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to investigate the incidence of root fusion and C-shaped root canals in maxillary molars, and to classify the types of C-shaped canal by analyzing cone-beam computed tomography (CBCT) in a Korean population.

Materials and Methods

Digitized CBCT images from 911 subjects were obtained in Chosun University Dental Hospital between February 2010 and July 2012 for orthodontic treatment. Among them, a total of selected 3,553 data of maxillary molars were analyzed retrospectively. Tomography sections in the axial, coronal, and sagittal planes were displayed by PiViewstar and Rapidia MPR software (Infinitt Co.). The incidence and types of root fusion and C-shaped root canals were evaluated and the incidence between the first and the second molar was compared using Chi-square test.

Results

Root fusion was present in 3.2% of the first molars and 19.5% of the second molars, and fusion of mesiobuccal and palatal root was dominant. C-shaped root canals were present in 0.8% of the first molars and 2.7% of the second molars. The frequency of root fusion and C-shaped canal was significantly higher in the second molar than the first molar (p < 0.001).

Conclusions

In a Korean population, maxillary molars showed total 11.3% of root fusion and 1.8% of C-shaped root canals. Furthermore, root fusion and C-shaped root canals were seen more frequently in the maxillary second molars.

Citations

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  • 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
  • Endodontic treatment of a C‐shaped mandibular second molar with narrow dentinal thickness: A case report
    Mina Mehrjouei, Hamid Jafarzadeh, Pourya Esmaeelpour, Maryam Khorasanchi
    Clinical Case Reports.2024;[Epub]     CrossRef
  • Evaluation of 2- and 3-dimensional anatomic parameters of C-shaped root canals with cone beam computed tomography, microcomputed tomography, and nanocomputed tomography
    Miguel Angel Ventura Molina, Giovane Oliveira Silva, Amanda Pelegrin Candemil, Rafael Verardino de Camargo, Ruben Pauwels, Reinhilde Jacobs, Manoel Damião Sousa-Neto, Jardel Francisco Mazzi-Chaves
    Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology.2023; 136(6): 759.     CrossRef
  • Cone-Beam Computed Tomography (CBCT) Analysis of an Unusual Configuration of the Upper First Molar With a C-shaped Canal With Apically Fused Roots: A Case Report
    Kapil D Wahane, Anand V Bansod, Sudha mattigatti, Rushikesh Mahaparale, Yuvraj B Rote, Mayur B Wanjari
    Cureus.2023;[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
  • Root and canal-specific features of maxillary first molars with fused roots
    Katarina Beljic-Ivanovic, Branislav Karadzic
    Vojnosanitetski pregled.2022; 79(11): 1092.     CrossRef
  • Diagnosis and treatment of maxillary molar with abnormality
    Kkot-Byeol Bae, Bin-Na Lee, Hoon-Sang Chang, In-Nam Hwang, Won-Mann Oh, Yun-Chan Hwang
    Oral Biology Research.2022; 46(4): 195.     CrossRef
  • Endodontic treatment of the maxillary first molar with palatal canal variations: A case report and review of literature
    Kai Chen, Xing Ran, Yan Wang
    World Journal of Clinical Cases.2022; 10(32): 12036.     CrossRef
  • Evaluation of C-shaped canals in maxillary molars in a Chinese population using CBCT
    Yuyan Qian, Yamei Li, Jukun Song, Ping Zhang, Zhu Chen
    BMC Medical Imaging.2022;[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
  • Evaluation of C-shaped canal configuration in maxillary molars: A retrospective cone-beam computed tomography study
    Emre KÖSE, Rüya AK
    Clinical and Experimental Health Sciences.2021; 11(3): 444.     CrossRef
  • Maxillary First Molars with Two Palatal Root Canals
    Kun-Hwa Sung, Ho-Keel Hwang, Hyoung-Hoon Jo, Konstantinos Michalakis
    Case Reports in Dentistry.2021; 2021: 1.     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
  • Evaluation of root and root canal morphology of elderly Korean patients maxillary molars using cone-beam computed tomography
    Tae-Yong Lee, Mi-Yeon Kim, Sun-Ho Kim, Jeong-Hee Kim
    The Journal of Korean Academy of Prosthodontics.2020; 58(2): 95.     CrossRef
  • Second mesiobuccal root canal in maxillary molars—A systematic review and meta-analysis of prevalence studies using cone beam computed tomography
    Jorge N.R. Martins, Duarte Marques, Emmanuel João Nogueira Leal Silva, João Caramês, António Mata, Marco A. Versiani
    Archives of Oral Biology.2020; 113: 104589.     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
  • Evaluation of the internal anatomy of paramolar tubercles using cone-beam computed tomography
    G. Colakoglu, I. Kaya Buyukbayram, M. A. Elcin, M. Kazak, H. Sezer
    Surgical and Radiologic Anatomy.2020; 42(1): 15.     CrossRef
  • Analysis of Prevalence of Pyramidal Molars in Adolescent
    Woojin Kwon, Hyung-Jun Choi, Jaeho Lee, Je Seon Song
    THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY.2020; 47(4): 389.     CrossRef
  • Prevalence Studies on Root Canal Anatomy Using Cone-beam Computed Tomographic Imaging: A Systematic Review
    Jorge N.R. Martins, Duarte Marques, Emmanuel João Nogueira Leal Silva, João Caramês, Marco A. Versiani
    Journal of Endodontics.2019; 45(4): 372.     CrossRef
  • Fused roots of maxillary molars: characterization and prevalence in a Latin American sub-population: a cone beam computed tomography study
    Maytté Marcano-Caldera, Jose Luis Mejia-Cardona, María del Pilar Blanco-Uribe, Elena Carolina Chaverra-Mesa, Didier Rodríguez-Lezama, Jose Hernán Parra-Sánchez
    Restorative Dentistry & Endodontics.2019;[Epub]     CrossRef
  • An original micro‐CT study and meta‐analysis of the internal and external anatomy of maxillary molars—implications for endodontic treatment
    Iwona M. Tomaszewska, Anna Jarzębska, Bendik Skinningsrud, Przemysław A. Pękala, Sebastian Wroński, Joe Iwanaga
    Clinical Anatomy.2018; 31(6): 838.     CrossRef
  • A Cone-beam Computed Tomographic Study of Root and Canal Morphology of Maxillary First and Second Permanent Molars in a Thai Population
    Roserin Ratanajirasut, Anchana Panichuttra, Soontra Panmekiate
    Journal of Endodontics.2018; 44(1): 56.     CrossRef
  • Retrospective Assessment of Healing Outcome of Endodontic Treatment for Mandibular Molars with C-shaped Root Canal
    Kishore Kumar Majety, Basanta Kumar Choudhury, Anika Bansal, Achla Sethi, Jaina Panjabi
    The Journal of Contemporary Dental Practice.2017; 18(7): 591.     CrossRef
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    Katarzyna Olczak, Halina Pawlicka
    BMC Medical Imaging.2017;[Epub]     CrossRef
  • 224 View
  • 3 Download
  • 24 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
  • 269 View
  • 1 Download
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Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography
Gurudutt Nayak, Kamal Krishan Singh, Rhitu Shekhar
Restor Dent Endod 2015;40(3):241-248.   Published online June 3, 2015
DOI: https://doi.org/10.5395/rde.2015.40.3.241
AbstractAbstract PDFPubReaderePub

Variation in root canal morphology, especially in maxillary first molar presents a constant challenge for a clinician in their detection and management. This case report describes the successful root canal treatment of a three rooted right maxillary first molar presenting with three canals each in the mesiobuccal and distobuccal roots and one canal in the palatal root. The clinical detection of this morphologic aberration was made using a dental operating microscope, and the canal configuration was established after correlating and computing the clinical, radiographic and cone-beam computed tomography (CBCT) scan findings. CBCT images confirmed the configuration of the canals in the mesiobuccal and distobuccal roots to be Al-Qudah and Awawdeh type (3-2) and type (3-2-1), respectively, whereas the palatal root had a Vertucci type I canal pattern. This report reaffirms the importance of careful examination of the floor of the pulp chamber with a dental operating microscope and the use of multiangled preoperative radiographs along with advanced diagnostic aids such as CBCT in identification and successful management of aberrant canal morphologies.

Citations

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  • Endodontic Management of Maxillary First Molar with Seven Root Canals Diagnosed Using Cone-beam Computed Tomography: A Case Report
    Ravindranath Megha, Venkatachalam Prakash
    World Journal of Dentistry.2021; 12(1): 89.     CrossRef
  • The MB3 canal in maxillary molars: a micro-CT study
    Ronald Ordinola-Zapata, Jorge N. R. Martins, Hugo Plascencia, Marco A. Versiani, Clovis M. Bramante
    Clinical Oral Investigations.2020; 24(11): 4109.     CrossRef
  • Maxillary first molar with 7 root canals diagnosed using cone-beam computed tomography
    Evaldo Rodrigues, Antônio Henrique Braitt, Bruno Ferraz Galvão, Emmanuel João Nogueira Leal da Silva
    Restorative Dentistry & Endodontics.2017; 42(1): 60.     CrossRef
  • Endodontic management of a maxillary first molar with seven root canal systems evaluated using cone-beam computed tomography scanning
    VijayReddy Venumuddala, Sridhar Moturi, SV Satish, BKalyan Chakravarthy, Sudhakar Malapati
    Journal of International Society of Preventive and Community Dentistry.2017; 7(5): 297.     CrossRef
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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
Restor Dent Endod 2015;40(2):161-165.   Published online December 4, 2014
DOI: https://doi.org/10.5395/rde.2015.40.2.161
AbstractAbstract PDFPubReaderePub

Three-dimensional (3D) reconstruction of cone-beam computed tomography (CBCT) scans appears to be a valuable method for assessing pulp canal configuration. The aim of this report is to describe endodontic treatment of a mandibular second premolar with aberrant pulp canal morphology detected by CBCT and confirmed by 3D modeling. An accessory canal was suspected during endodontic treatment of the mandibular left second premolar in a 21 year old woman with a chief complaint of pulsating pain. Axial cross-sectional CBCT scans revealed that the pulp canal divided into mesiobuccal, lingual, and buccal canals in the middle third and ended as four separate foramina. 3D modeling confirmed the anomalous configuration of the fused root with a deep lingual groove. Endodontic treatment of the tooth was completed in two appointments. The root canals were obturated using lateral compaction of gutta-percha and root canal sealer. The tooth remained asymptomatic and did not develop periapical pathology until 12 months postoperatively. CBCT and 3D modeling enable preoperative evaluation of aberrant root canal systems and facilitate endodontic treatment.

Citations

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  • Exploring Technological Progress in Three-Dimensional Imaging for Root Canal Treatments: A Systematic Review
    Kanwalpreet Kaur, Ravinder S. Saini, Sunil Kumar Vaddamanu, Shashit Shetty Bavabeedu, Vishwanath Gurumurthy, Shan Sainudeen, Vinod Babu Mathew, Shafait Ullah Khateeb, Aida Mokhlesi, Seyed Ali Mosaddad, Artak Heboyan
    International Dental Journal.2024;[Epub]     CrossRef
  • Root Canal Treatment of Oehlers Type III Dens Invaginatus in Maxillary Lateral Incisor and Remote Sinus Tract Using Dental Surgical Microscope and Cone-Beam Computed Tomography
    Rie Fujii, Tomohiro Asai, Masashi Yamada, Ryo Sako, Yoshiki Tamiya, Masahiro Furusawa
    The Bulletin of Tokyo Dental College.2023; 64(2): 67.     CrossRef
  • CBCT and Micro-CT analysis of the mandibular first premolars with C-shaped canal system in a Chinese population author
    Yimeng Zhang, Xunben Weng, Yu Fu, Xuekai Qi, Yihuai Pan, Yu Zhao
    BMC Oral Health.2023;[Epub]     CrossRef
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Endodontic treatment of a mandibular first molar with 8 canals: a case report
Ankit Arora, Shashi Rashmi Acharya, Padmaja Sharma
Restor Dent Endod 2015;40(1):75-78.   Published online October 13, 2014
DOI: https://doi.org/10.5395/rde.2015.40.1.75
AbstractAbstract PDFPubReaderePub

Presented here is a case where 8 canals were located in a mandibular first molar. A patient with continuing pain in mandibular left first molar even after completion of biomechanical preparation was referred by a dentist. Following basic laws of the pulp chamber floor anatomy, 8 canals were located in three steps with 4 canals in each root. In both of the roots, 4 separate canals commenced which joined into two canals and exited as two separate foramina. At 6 mon follow-up visit, the tooth was found to be asymptomatic and revealed normal radiographic periapical area. The case stresses on the fact that understanding the laws of pulp chamber anatomy and complying with them while attempting to locate additional canals can prevent missing canals.

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  • How Do Different Image Modules Impact the Accuracy of Working Length Measurements in Digital Periapical Radiography? An In Vitro Study
    Vahide Hazal Abat, Rabia Figen Kaptan
    Diagnostics.2025; 15(3): 305.     CrossRef
  • Determinants of the Number of Main Canals in a Tooth: Deciphering Potential Mechanisms
    Andrea Alejandra Moreno Robalino, José Luis Álvarez Vásquez
    Universitas Odontologica.2023;[Epub]     CrossRef
  • Application Of Cone-Beam Computed Tomography In Diagnosis And Treatment Of Multiple Canals– A Case Report
    Gyanendra Pratap Singh, Shruthi H Attavar, Sivaji Kavuri
    Annals of Dental Specialty.2022; 10(2): 15.     CrossRef
  • Four distal root canals in a two-rooted permanent mandibular first molar
    Urvashi M. Ujariya, Foram H. Patel, Rajendra P. Bharatiya, Anjali K. Kothari
    Endodontology.2022; 34(3): 212.     CrossRef
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Endodontic management of a mandibular second molar with radix entomolaris: a case report
Rosaline Hannah, Deivanayagam Kandaswamy, Nachimuthu Jayaprakash
Restor Dent Endod 2014;39(2):132-136.   Published online March 21, 2014
DOI: https://doi.org/10.5395/rde.2014.39.2.132
AbstractAbstract PDFPubReaderePub

The presence of radix entomolaris (RE) in a mandibular first molar is a common occurrence in certain ethnic groups, but the presence of RE in a mandibular second molar is a rare occurrence. In the present case, RE was identified from preoperative radiographs and confirmed using cone-beam computed tomography (CBCT). The access cavity was modified to locate the RE. Cleaning and shaping were performed with nickel-titanium rotary instruments. Obturation was completed with gutta-percha cones using AH Plus (Dentsply Detrey GmbH) as sealer. From the CBCT axial images, the RE was determined to have a Type III curvature by the De Moor classification, Type B separate RE by the Carlsen and Alexandersen classification, and radiographically, a Type i image by the Wang classification. The presence of RE in the mandibular second molar makes it essential to anticipate and treat the distolingual root canal. This case report highlights the usefulness of CBCT for assessing RE in the mandibular second molar, which can help the clinician in making a confirmatory diagnosis and assessing the morphology of the root canal.

Citations

Citations to this article as recorded by  
  • Endodontic Treatment of a Mandibular Second Molar Featuring Vertucci Type V Configuration in the Distal Root: A Case Report
    He Liu, Ya Shen
    Cureus.2024;[Epub]     CrossRef
  • Endodontic management of a case of radix entomolaris: A case report
    Priyanka Shorey, Kitty Sidhu
    IP Indian Journal of Conservative and Endodontics.2022; 7(1): 39.     CrossRef
  • Endodontic treatment of tooth with morphological anomalies using cone-beam computed tomography
    Sung-Hyeon Choi, Na-Kyung Yoon, Ji-Hyun Jang, Young-Hoon Kim, Hoon-Sang Chang, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh, Bin-Na Lee
    Oral Biology Research.2018; 42(1): 53.     CrossRef
  • Unusual root morphology in second mandibular molar with a radix entomolaris, and comparison between cone-beam computed tomography and digital periapical radiography: a case report
    Elisardo López-Rosales, Pablo Castelo-Baz, Roland De Moor, Manuel Ruíz-Piñón, Benjamín Martín-Biedma, Purificación Varela-Patiño
    Journal of Medical Case Reports.2015;[Epub]     CrossRef
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Asymmetry in mesial root number and morphology in mandibular second molars: a case report
Gurudutt Nayak, Shashit Shetty, Rhitu Shekhar
Restor Dent Endod 2014;39(1):45-50.   Published online January 20, 2014
DOI: https://doi.org/10.5395/rde.2014.39.1.45
AbstractAbstract PDFPubReaderePub

Ambiguity in the root morphology of the mandibular second molars is quite common. The most common root canal configuration is 2 roots and 3 canals, nonetheless other possibilities may still exist. The presence of accessory roots is an interesting example of anatomic root variation. While the presence of radix entomolaris or radix paramolaris is regarded as a typical clinical finding of a three-rooted mandibular second permanent molar, the occurrence of an additional mesial root is rather uncommon and represents a possibility of deviation from the regular norms. This case report describes successful endodontic management of a three-rooted mandibular second molar presenting with an unusual accessory mesial root, which was identified with the aid of multiangled radiographs and cone-beam computed tomography imaging. This article also discusses the prevalence, etiology, morphological variations, clinical approach to diagnosis, and significance of supernumerary roots in contemporary clinical dentistry.

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Dilemmas pertaining to three canals in the mesiobuccal root of a maxillary second molar: a case report
Ankit Arora, Shashi Rashmi Acharya, Muliya Vidya Saraswathi, Padmaja Sharma, Amber Ather
Restor Dent Endod 2013;38(3):172-177.   Published online August 23, 2013
DOI: https://doi.org/10.5395/rde.2013.38.3.172
AbstractAbstract PDFPubReaderePub

The mesiobuccal root of the maxillary molars is well known to pose a hindrance during endodontic therapy. Presented here is a case of a maxillary left second molar where three canals were located in its mesiobuccal root with the use of visual and diagnostic aids. Difficulties encountered during the process of unveiling the tooth's internal anatomy were discussed. The dilemmas encountered pertained to the root canal configuration, the nomenclature of the extra canals, and the justification for the presence of a third canal. The root canal configuration of 3-2-1 was confirmed for the mesiobuccal root using information gained from clinical, radiographic, and multi-detector computed tomography (MDCT) scan findings. This case demonstrates the need for efforts to locate extra canals in the mesiobuccal root of the maxillary molars as their internal anatomy remains a mystery.

Citations

Citations to this article as recorded by  
  • A case report on endodontic management of the rarest Vertucci's Type VIII configuration in maxillary second molar with three mesiobuccal canals
    ShrustiAjay Govil, Geeta Asthana, Shikha Kanodia, Abhishek Parmar
    Journal of Conservative Dentistry.2021; 24(4): 404.     CrossRef
  • The MB3 canal in maxillary molars: a micro-CT study
    Ronald Ordinola-Zapata, Jorge N. R. Martins, Hugo Plascencia, Marco A. Versiani, Clovis M. Bramante
    Clinical Oral Investigations.2020; 24(11): 4109.     CrossRef
  • Three Root Canals in the Mesiobuccal Root of Maxillary Molars: Case Reports and Literature Review
    Ibrahim Ali Ahmad, Anas Al-Jadaa
    Journal of Endodontics.2014; 40(12): 2087.     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
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Research Article
An evaluation of canal curvature at the apical one third in type II mesial canals of mandibular molars
Hye-Rim Yun, Dong-Kyun Lee, Ho-Keel Hwang
Restor Dent Endod 2012;37(2):104-109.   Published online May 18, 2012
DOI: https://doi.org/10.5395/rde.2012.37.2.104
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the buccolingual curvature at the apical one third in type II mesial canals of mandibular molars using the radius and angle of curvature.

Materials and Methods

Total 100 mandibular molars were selected. Following an endodontic access in the teeth, their distal roots were removed. #15 H- or K-files (Dentsply Maillefer) were inserted into the mesiobuccal and mesiolingual canals of the teeth. Radiographs of the teeth were taken for the proximal view. Among them, type II canals were selected and divided into two subgroups, IIa and IIb. In type IIa, two separate canals merged into one canal before reaching the apex and in type IIb, two separate canals merged into one canal within the apical foramen. The radius and angle of curvature of specimens were examined.

Results

In type II, mean radius of curvature in mesiolingual and mesiobuccal canals were 2.82 mm and 3.58 mm, respectively. The radius of the curvature of mesiolingual canals were significantly smaller than that of mesiobuccal canals in type II, and especially in type IIa. However, there were no statistically significant differences in radius of curvature between mesiobuccal and mesiolingual canals in type IIb and there were no significant differences in angle of curvature between type IIa and IIb.

Conclusion

In this study, type II mesial canals of mandibular molars showed severe curvature in the proximal view. Especially, mesiolingual canals of type IIa had more abrupt curvature than mesiobuccal canals at the apical one third.

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Basic Research
A retrospective study of the intentionally replanted mandibular second molars with C-shaped root canal configurations
Won-Jun Shon, Kee-Yeon Kum, Seung-Ho Baek, Woo-Cheol Lee
J Korean Acad Conserv Dent 2011;36(1):19-25.   Published online January 31, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.1.19
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this retrospective study was to evaluate the success rate of intentionally replanted mandibular second molar with C-shaped canal configurations and to access the impact of preoperative periapical lesion on the success of intentional replantation procedure.

Materials and Methods

This retrospective chart review study evaluated 52 intentionally replanted mandibular second molar teeth treated at Seoul National University Dental Hospital Department of Conservative Dentistry from January 2005 to December 2007. Seventeen teeth were lost for the follow-up, and another 6 teeth did not meet inclusion criteria of C-shaped root canal configurations. Healing outcome such as success, uncertain healing, and failure after follow-up was evaluated by clinical criteria and radiographs.

Results

The overall success rate was 72.4% for the 29 intentionally replanted C-shaped mandibular second molars. The success rate of replanted teeth with preoperative periapical lesions was similar to that of replanted teeth which have no periapical lesions.

Conclusions

Therefore, root canal treatment failure on C-shaped mandibular second molar can be predictably treated by intentional replantation regardless of the presence of periapical lesion.

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Clinical Research
Study of endodontic working length of Korean posterior teeth
Jeong-Yeob Kim, Sang-Hoon Lee, Gwang-Hee Lee, Sang-Hyuk Park
J Korean Acad Conserv Dent 2010;35(6):429-435.   Published online November 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.6.429
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to investigate average working lengths of Korean posterior teeth and evaluate validity of endodontic file length.

Materials and Methods

The endodontic working length of the posterior teeth of 670 Korean patients were measured than each mean value and standard deviation were investigated than the frequency deviation and standard deviation per each length were calculated.

Results

Among the canals of premolar, 66.5% of canal length was marked under 20 mm by endodontic working length and 95.4% could be measured under 22 mm and Among the canals of molars, 95.5% of canal length was marked under 20 mm endodontic working length.

Conclusions

With the result of measurement of endodontic working length of premolars of Korean, it suggested that 23 mm endodontic file is more proper than the 21 mm and 25 mm file on the market.

Citations

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  • A Rare Case of Nonsyndromic Generalized Radiculomegaly with a Literature Review
    Mohammad Al-Obaida
    Case Reports in Dentistry.2020; 2020: 1.     CrossRef
  • Fluoride Release and Recharge Properties of Several Fluoride-Containing Restorative Materials
    Dongyun Lee, Jongsoo Kim, Miran Han, Jisun Shin
    THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY.2020; 47(2): 196.     CrossRef
  • Comparison of Microhardness and Compressive Strength of Alkasite and Conventional Restorative Materials
    Kunho Lee, Jongsoo Kim, Jisun Shin, Miran Han
    THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY.2020; 47(3): 320.     CrossRef
  • Fluoride Release of Giomer and Compomer Through the Dental Adhesive Layer
    Minseon Hwang, Howon Park, Juhyun Lee, Hyunwoo Seo
    THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY.2017; 44(2): 180.     CrossRef
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Case Report
Root canal treatment of a mandibular second premolar with three separate root canals
Seok-Ryun Lee, Seol-Hee Shin, Sung-Ok Hong, Chang-Kyu Song, Hoon-Sang Chang, Kyung-San Min
J Korean Acad Conserv Dent 2010;35(4):302-305.   Published online July 31, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.4.302
AbstractAbstract PDFPubReaderePub

Mandibular premolars show a wide variety of root canal anatomy. Especially, the occurrence of three canals with three separate foramina in mandibular second premolars is very rare. This case report describes the root canal treatment of an unusual morphological configuration of the root canal system and supplements previous reports of the existence of such configuration in mandibular second premolar.

Citations

Citations to this article as recorded by  
  • Effective management of mandibular second premolar with root anomalies
    Ashwaq Faia Asiri
    Saudi Endodontic Journal.2023; 13(1): 28.     CrossRef
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