A Cone Beam Computed Tomography (CBCT) evaluation of MB2 canals in endodontically treated permanent maxillary molars. A retrospective study in Indian population

Abstract

BackgroundCurrent 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).Material and MethodsA retrospective study of 100 CBCTs of patients were underwent scanning for various treatment modalities, with asymptomatic endodontically treated permanent first and second maxillary molars were selected. History of root canal treatment varied from minimum of 1 year to a maximum of 10 years. Axial and paraxial images obtained were used to assess the presence of MB2 canal. Paraxial images were used to assess the periapical status.ResultsOf the 100 scans, 66 were of permanent maxillary first molar and 34 were of permanent maxillary second molar. The incidence of MB2 canal was 86.36% in maxillary first molars and 29.4% in maxillary second molars. 77.19 % of maxillary first molars and 90% of maxillary second molars had an unfilled MB2 canal. 72.7% of maxillary first molars and 88.8% of maxillary second molars showed significant periapical radiolucencies in unfilled MB2 canals.ConclusionsMB2 canals were present in majority of cases and most of the unfilled MB2 canals showed evidence of periapical radiolucencies. Key words:MB2 Canals, Cone Beam computed Tomography (CBCT), Filled /Unfilled canals, Endodontically treated teeth.

The morphology of maxillary first and second molars analyzed by cone-beam computed tomography in a polish population

“…The need to identify and treat the MB2 canal has a huge impact on the outcome of endodontic therapy [ 35 , 36 ]. This root canal is often undetected and consequently becomes a cause of inflammatory lesions in the periapical tissues [ 36 ].…”

“…The need to identify and treat the MB2 canal has a huge impact on the outcome of endodontic therapy [ 35 , 36 ]. This root canal is often undetected and consequently becomes a cause of inflammatory lesions in the periapical tissues [ 36 ]. Shetty et al [ 36 ] report the incidence of the MB2 canal as over 80% in maxillary first molars and almost 30% in maxillary second molars.…”

“…This root canal is often undetected and consequently becomes a cause of inflammatory lesions in the periapical tissues [ 36 ]. Shetty et al [ 36 ] report the incidence of the MB2 canal as over 80% in maxillary first molars and almost 30% in maxillary second molars. The majority of maxillary first molars (77.19%) and maxillary second molars (90%) had an unfilled MB2 canal.…”

“…The majority of maxillary first molars (77.19%) and maxillary second molars (90%) had an unfilled MB2 canal. Periapical radiolucencies were found in unfilled MB2 canals in 72.7% of maxillary first molars and 88.8% of maxillary second molars [ 36 ].…”

Cone beam computed tomographic survey of the mesiobuccal root canal anatomy in the maxillary first and second molar teeth of an Iranian population

“…[ 3 ] Due to the more complex anatomy and common morphological variations, especially the presence of second mesiobuccal (MB2) canal and its various forms, attempts have been made in various studies to focus more on the MB root of maxillary molars. [ 2 4 5 6 7 8 9 10 11 12 ] The high incidence of endodontic treatment failure in maxillary first molars is probably due to the inability to find and fill the MB2 canal. Finding the location of MB2 is therefore the most important aspect of treatment of these canals.…”