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Endodontic anatomy ct

Lei Dou, Duojiao Li, Tingting Xu, Yin Tang, Deqin Yang
This study was to investigate root anatomy and root canal morphology of mandibular first premolars in a Chinese population. 178 human permanent mandibular first premolars extracted from a native Chinese population were collected, scanned using micro-computed tomography and reconstructed three-dimensionally. The number of roots and canals, canal configuration and radicular grooves were investigated. The root canal morphology was categorized according to Vertucci's criteria. The radicular grooves were scored according to the Arizona State University dental anthropology scoring system (ASUDAS), and the correlation between scores for radicular grooves and root canal morphology was analyzed...
April 7, 2017: Scientific Reports
Jaya Pamboo, Manoj Kumar Hans, Subhas Chander, Kapil Sharma
The success of endodontic therapy is based on having sufficient endodontic access, correct cleaning and shaping, and adequate root canal obturation. However, endodontic treatment is also dependent on having a sound knowledge of the internal anatomy of human teeth, especially when anatomic variations are present. Reporting these alterations is important for improving the understanding and expertise of endodontists. The aim of this case report is to describe a unique case of maxillary first molar with 2 palatal canals within a single root, as confirmed by cone-beam computed tomography (CBCT) scans...
April 2017: Compendium of Continuing Education in Dentistry
Sabrina Strobel, Evelyn Lenhart, Johann P Woelber, Jonathan Fleiner, Christian Hannig, Karl-Thomas Wrbas
An important part of endodontic diagnosis and treatment is the adequate visualization of root canal anatomy. The objective of the present study was to compare two different three-dimensional cone-beam computed tomography (CBCT) systems, Scanora 3D and 3D Accuitomo 170, with respect to their visualization of endodontic canal systems and potential pathological alterations. Seventy extracted human teeth were investigated with regard to the radiographic detection of number of root canals, lateral canals, root canal fillings and posts, vertical root fractures, and the occurrence of image artifacts...
2017: Swiss Dental Journal
Evaldo Rodrigues, Antônio Henrique Braitt, Bruno Ferraz Galvão, Emmanuel João Nogueira Leal da Silva
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...
February 2017: Restorative Dentistry & Endodontics
Saeed Rahimi, Hadi Mokhtari, Bahram Ranjkesh, Masoomeh Johari, Mohammad Frough Reyhani, Shahriar Shahi, Sina Seif Reyhani
INTRODUCTION: Having knowledge about the anatomy of root canal system is essential for success of endodontic treatment. The present study used cone-beam computed tomography (CBCT), to evaluate the prevalence of third root in mandibular first molars in a selected Iranian population. METHODS AND MATERIALS: A total of 386 CBCT images from subjects referred to oral and maxillofacial radiology department of dental faculty of Tabriz University of Medical Sciences from 2011 to 2013 were selected and evaluated for this study and the cases with well-developed permanent mandibular first molars were included...
2017: Iranian Endodontic Journal
Heeresh Shetty, Subodh Sontakke, Freny Karjodkar, Pankaj Gupta, Ashish Mandwe, K S Banga
BACKGROUND: Current technological advances have allowed application of different study designs and techniques for investigation of dental anatomy. Some clinical studies have provided evidence that Cone Beam computed tomography (CBCT) scanning is an important resource in assessment of root canal systems notably to identify MB2 canals in maxillary molars as CBCT scans allow in vivo dental investigation in axial, sagittal and coronal planes simultaneously. The current study was undertaken to detect and evaluate filled/unfilled MB2 canals in endodontically treated, asymptomatic maxillary molars utilizing cone beam computed tomography (CBCT)...
January 2017: Journal of Clinical and Experimental Dentistry
Mutasim Elnour, Abdul Khabeer, Emad AlShwaimi
AIM: To investigate the root canal morphology of maxillary second premolars in a Saudi Arabian subpopulation using microcomputed tomography (micro-CT). METHODOLOGY: Micro-CT analysis was performed on 100 maxillary second premolars. The anatomy of each tooth (number of roots, canals, orifices, and apical foramina, and the presence of apical deltas and accessory canals) was analyzed from reconstructed three-dimensional images. RESULTS: The most common morphology was a single root (67%), followed by two roots (30%), and three roots (3%)...
October 2016: Saudi Dental Journal
Daniela Siqueira Lopes, Mariana Albuquerque Veiga Pessoa, Carlos Menezes Aguiar
OBJECTIVE: Apical deviations are important factors in endodontic therapy, since they can cause the treatment failure. The aim of the present study was to determine the centering capacity of ProTaper Universal™, Twisted File™ and Revo-S(®) rotary systems using cone beam computed tomography analysis before and after the instrumentation of root canals. MATERIALS AND METHODS: Thirty mesiobuccal roots from human lower first molars were divided into three groups of ten: Group 1 - ProTaper Universal™ Rotary System; Group 2 - Twisted File™ Rotary System; and Group 3 - Revo-S(®) Rotary System...
September 2016: Acta Stomatologica Croatica
Paul Monsarrat, Bertrand Arcaute, Ove A Peters, Elisabeth Maury, Norbert Telmon, Marie Georgelin-Gurgel, Delphine Maret
OBJECTIVES: In endodontic practice, clinicians should be aware of possible root canal anatomic variations. The aim of this study was to assess using CBCT acquisitions regarding whether one root canal anatomy of a tooth is associated with a specific anatomy of another tooth. METHODS: A total of 106 CBCT acquisitions were obtained using a CBCT scanner with 200μm voxel size. Numbers of roots and canals of the entire dentition were described. Bivariate analyses and logistic regressions were conducted to explore root canal anatomy on one tooth according to age, gender, jaw, side and the others teeth...
2016: PloS One
Bruno Vieira Caputo, Gilberto Araújo Noro Filho, Daniela Miranda Richarte de Andrade Salgado, Cacio Moura-Netto, Elcio Magdalena Giovani, Claudio Costa
INTRODUCTION: One of the factors influencing the success of endodontic treatment is anatomic knowledge of the root canal system. Because of the difficulties of using conventional radiographic methods to evaluate root canals, cone-beam computed tomography (CBCT) has been very useful for evaluating the morphology of root canals. The purpose of this study was to use CBCT to evaluate differences in the anatomy of the mandibular first molars with respect to the patient's sex and the location of the tooth in a Brazilian population...
November 2016: Journal of Endodontics
H M A Ahmed, M A Versiani, G De-Deus, P M H Dummer
Knowledge of root and root canal morphology is a prerequisite for effective nonsurgical and surgical endodontic treatments. The external and internal morphological features of roots are variable and complex, and several classifications have been proposed to define the various types of canal configurations that occur commonly. More recently, improvements in nondestructive digital image systems, such as cone-beam and micro-computed tomography, as well as the use of magnification in clinical practice, have increased the number of reports on complex root canal anatomy...
August 31, 2016: International Endodontic Journal
Zahed Mohammadi, Saeed Asgary, Sousan Shalavi, Paul V Abbott
One of the main causes of endodontic treatment failure is the clinician's inability to localize all the root canals. Due to the complex anatomy of the root canal system, missed canals are not uncommon. There are several strategies to decrease the possibility of missed root canals starting with good pre-operative radiographies. In order to overcome the limitations of conventional radiographies, cone-beam computed tomography (CBCT) can be considered. A correct access cavity preparation is of pivotal importance in localizing the orifices of the root canals...
2016: Iranian Endodontic Journal
S K Al-Salehi, K Horner
OBJECTIVES: The aim of this study was to evaluate the impact of limited volume CBCT upon diagnosis as part of endodontic management of posterior teeth. The null hypothesis that CBCT does not make any difference in endodontic diagnosis was tested. METHODS: A single-centre "before-after" study was conducted in a secondary healthcare establishment. Eligible patients were all adults aged 18 years or over who were referred to a specialist endodontic unit. Further inclusion criteria were that the cases were either re-treatment or de novo root canal treatment where the anatomy was judged to be complex...
October 2016: Journal of Dentistry
Ankur Mahesh Banode, Vandana Gade, Sanjay Patil, Jaykumar Gade
The endodontic treatment of a mandibular molar with aberrant canal configuration can be diagnostically and clinically challenging. Successful endodontic therapy thus depends on the clinician's ability to anticipate and look for these aberrant variations. A mandibular first molar with seven canals represents a rare anatomical variant, particularly when four canals are found in distal root. Based on in vitro studies, its incidence is reported to be between 0.2% and 3%. With the advent of cone-beam computed tomography (CBCT) as an adjunctive diagnostic aid, the determination of root canal anatomy in teeth with complex canal configurations has become more precise...
April 2016: Contemporary Clinical Dentistry
Hiroyuki Matsuda, Ali Borzabadi-Farahani, Bach T Le
PURPOSE: To retrospectively evaluate alveolar dimensions of healthy maxillary first molars (MFMs), which have implications for (immediate) implant placement and endodontic therapy. MATERIALS AND METHODS: Cone-beam computed tomographic records of 95 patients (150 MFMs) were used [32 men and 63 men, aged 37.2 (14.9) years]. The vertical distance from sinus floor (SF) and MFM apexes (mesio-buccal [MB] and disto-buccal [DB]) and also distance between root apexes (spreading of the roots, MB to palatal and DB to palatal, representing bone width) were measured...
June 2016: Implant Dentistry
Sanaz A Lavasani, Cynthia Tyler, Samantha H Roach, Scott B McClanahan, Mansur Ahmad, Walter R Bowles
INTRODUCTION: It is imperative that the endodontic surgeon be knowledgeable of the anatomic dimensions of the surgical site. If cone-beam computed tomography is not available because of location/cost, it is prudent for the clinician to consult a knowledge base for the surgical site. An understanding of the root thickness of maxillary premolars and molars at the preferred level for root resection (3.0-3.6 mm), bone thickness over these roots, and the proximity of each root apex to the maxillary sinus will help the surgeon before and during the surgical procedure...
June 2016: Journal of Endodontics
Jaya Ranganathan, Mohan Kumar Rangarajan Sundaresan, Srinivasan Ramasamy
Dens Invaginatus is a dental malformation that poses diagnostic difficulties in the clinical context. This anomaly may increase the risk of pulp disease and can potentially complicate endodontic procedure due to the aberrant root canal anatomy. Compared to conventional radiographs, three-dimensional images obtained with Cone Beam Computed Tomography (CBCT) are invaluable in the diagnosis of the extent of this anomaly and in the appropriate treatment planning. Oehler's classification (1957) for Dens Invaginatus (DI) into three types depending on the depth of the invagination has been used for treatment planning...
2016: Case Reports in Dentistry
Ruchi Juneja, Varun Kumar
Teeth with aberrant anatomy present a challenge to the endodontist. Advanced tools like cone beam computed tomography aid in exploring the details of endodontic architecture in such cases. The aim of this case report is to highlight the advantage of CBCT in endodontic management of teeth with multiple dental anomalies. A mandibular lateral incisor associated with an extraoral sinus tract revealed unusual clinical anatomy. A provisional diagnosis of type III dens in dente was made based on radiographic findings...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
Oana Carmen Drăgan, Alexandru Ştefan Fărcăşanu, Radu Septimiu Câmpian, Romulus Valeriu Flaviu Turcu
BACKGROUND AND AIMS: Visualization of the internal and external root canal morphology is very important for a successful endodontic treatment; however, it seems to be difficult considering the small size of the tooth and the complexity of the root canal system. Film-based or digital conventional radiographic techniques as well as cone beam computed tomography provide limited information on the dental pulp anatomy or have harmful effects. A new non-invasive diagnosis tool is magnetic resonance imaging, due to its ability of imaging both hard and soft tissues...
2016: Clujul Medical (1957)
Duygu Goller Bulut, Emre Kose, Gozde Ozcan, Ahmet Ercan Sekerci, Emin Murat Canger, Yıldıray Sisman
OBJECTIVE: The aim of the present study is to assess the root and root canal morphology of maxillary and mandibular premolars in a Turkish population by using cone beam computed tomography (CBCT). MATERIALS AND METHODS: In this study, CBCT images of 2134 premolars (987 maxillary, 1147 mandibular) were obtained from 404 patients. Details of gender, age, number of roots and canals, and canal configuration in each root were recorded. The canal configuration was classified and evaluated according to Vertucci's criteria...
October 2015: European Journal of Dentistry
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