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Endodontic anatomy ct

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...
September 10, 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
Shiraz Pasha, Bathula Vimala Chaitanya, Kusum Valli Somisetty
Root canal treatment of tooth with aberrant root canal morphology is very challenging. So thorough knowledge of both the external and internal anatomy of teeth is an important aspect of root canal treatment. With the advancement in technology it is imperative to use modern diagnostic tools such as magnification devices, CBCT, microscopes, and RVG to confirm the presence of these aberrant configurations. However, in everyday endodontic practice, clinicians have to treat teeth with atypical configurations for root canal treatment to be successful...
2016: Case Reports in Dentistry
Thikamphaa Bertrand, Sahng Gyoon Kim
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...
February 2016: Restorative Dentistry & Endodontics
Pritesh Kisanlal Agrawal, Jyoti Wankhade, Manjusha Warhadpande
Invaginated teeth present technical difficulties in clinical management because of their abnormal anatomic configuration. Endodontic clinical management of type III dens invaginatus can be greatly enhanced by newer techniques and materials such as cone-beam computed tomography (CBCT), mineral trioxide aggregate, and platelet-rich fibrin. This case report presents a 13-year-old male patient with type III dens invaginatus (DI) in left mandibular second premolar with history of recurrent swelling. Pulp testing revealed no response with the tooth...
April 2016: Journal of Endodontics
Milad Altaii, Marita Broberg, Peter Cathro, Lindsay Richards
OBJECTIVE: Different endodontic regeneration/revitalisation protocols have been suggested for the treatment of immature permanent teeth with pulp necrosis. Many aspects of these protocols require further investigating necessitating a suitable standardised animal model for research purposes. The focus of this study was to examine the anatomy and histology of sheep teeth at different stages of development to find an appropriate dental age for endodontic regeneration/revitalisation research...
May 2016: Archives of Oral Biology
Berkan Celikten, Pelin Tufenkci, Umut Aksoy, Atakan Kalender, Fatma Kermeoglu, Pervin Dabaj, Kaan Orhan
OBJECTIVES: Microorganisms in untreated or overlooked root canals can cause endodontic failure or infection and inflammation. Therefore, clinicians should familiarize themselves with patient's root canal anatomy and morphology. The objective of this retrospective study was to analyze and characterize mandibular root canal morphology using cone beam computed tomography (CBCT) in a Turkish Cypriot population. MATERIALS AND METHODS: This cross-sectional study consisted of retrospective evaluation of CBCT scans from 272 adult patients (aged 16-80 years)...
February 6, 2016: Clinical Oral Investigations
Noemi Bonessio, Ana Arias, Guiseppe Lomiento, Ove A Peters
The aim of this study was to investigate and compare, via finite element analysis (FEA), the effects of endodontic access and canal preparation on stress distribution under functional loading of a mandibular molar treated with novel (TRUShape) and conventional (Vortex) rotary root canal preparation instruments. Identical plastic mandibular molars with natural anatomy had all 4 canals shaped with either TRUShape or a conventional rotary, Vortex (#20 and #30, both by Dentsply Tulsa Dental). Finite element analysis was used to evaluate stress distribution in untreated and treated models...
February 5, 2016: Odontology
Jerome Michetti, Adrian Basarab, Michel Tran, Franck Diemer, Denis Kouame
Validation of image processing techniques such as endodontic segmentations in cone-beam computed tomography (CBCT) is a challenging issue because of the lack of ground truth in in vivo experiments. The purpose of our study was to design an artificial surrounding tissues phantom able to provide CBCT image quality of real extracted teeth, similar to in vivo conditions. Note that these extracted teeth could be previously scanned using micro computed tomography (μCT) to access true quantitative measurements of the root canal anatomy...
2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Deenadhayalan Gogulnath, Rajendran Mathan Rajan, Ganesh Arathy, Deivanayagam Kandaswamy
BACKGROUND: During endodontic retreatment, relative difficulty exists in removing the filling material and maintaining the canal anatomy. Usage of nickel-titanium (NiTi) rotary retreatment instruments is widely accepted, but there is a lack of adequate literature evidence about their canal centering ability. AIM: To compare the canal centering ability of rotary NiTi retreatment systems. MATERIALS AND METHODS: Mandibular first molars with mesiobuccal canals with canal access angle of 20-40° were used...
July 2015: Journal of Conservative Dentistry: JCD
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