Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography

Alnassar, Faisal; Al-Dahman, Yousef; Altuwalah, Ahmed; Aldafaas, Abdullah; Al‐Sadhan, Ra’ed; Alnassar, Waleed; Alroomy, Riyadh; Almulhim, Basim; Alshammari, Badar; Al-Nazhan, Saad

doi:10.1016/j.sdentj.2021.12.004

Cited by 4 publications

(1 citation statement)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Occurrence of longitudinal groove was higher on the lingual surface of roots. [ 72 ] Alnassar, F., et al 2022 145 Mandibular first and second molars Planmeca ProMax 3D (PLANMECA, Roselle, IL, USA). 90–300 μm Pomeranz et al classification Retrospective data from database Study discovered that out of all the teeth only one extra MD canal was found in first mandibular molar (0.7%) which was confluent with the DL canal whereas mandibular second molar had no extra MD canal.…”

Section: Resultsmentioning

confidence: 99%

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

Mustafa,

Batul,

Karobari

et al. 2024

BMC Oral Health

View full text Add to dashboard Cite

Introduction Root canal treatment procedures require a thorough understanding of root and canal anatomy. The purpose of this systematic review was to examine the morphological differences of teeth root and their canals assessed using cone-beam computed and micro-computed tomography in Saudi Arabian population. Methodology An electronic search was conducted in PubMed / Medline, Scopus, Google Scholar, and Web of Science databases until January 2023 to retrieve related studies. “Root canal morphology,” “Saudi Arabia,” “Micro-CT,” and “cone-beam computed tomography” were used as keywords. A modified version of previously published risk of bias assessment tool was used to determine the quality assessment of included studies. Results The literature search revealed 47 studies that matched the criteria for inclusion, out of which 44 studies used cone beam computed tomography (CBCT) and three were micro-computed tomography (micro-CT) studies. According to the modified version of risk of bias assessment tool, the studies were categorized as low, moderate, and high risk of bias. A total of 47,612 samples were included which comprised of either maxillary teeth (5,412), or mandibular teeth (20,572), and mixed teeth (21,327). 265 samples were used in micro-CT studies while 47,347 teeth samples were used in CBCT studies. Among the CBCT studies, except for three, all the studies were retrospective studies. Frequently used imaging machine and software were 3D Accuitomo 170 and Morita’s i-Dixel 3D imaging software respectively. Minimum and maximum voxel sizes were 75 and 300 μm, Vertucci’s classification was mostly used to classify the root canal morphology of the teeth. The included micro-CT studies were in-vitro studies where SkyScan 1172 X-ray scanner was the imaging machine with pixel size ranging between 13.4 and 27.4 μm. Vertucci, Ahmed et al. and Pomeranz et al. classifications were applied to classify the root canal morphology. Conclusion This systematic review revealed wide variations in root and canal morphology of Saudi population using high resolution imaging techniques. Clinicians should be aware of the common and unusual root and canal anatomy before commencing root canal treatment. Future micro-CT studies are needed to provide additional qualitative and quantitative data presentations.

show abstract

Section: Resultsmentioning

confidence: 99%

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

Mustafa,

Batul,

Karobari

et al. 2024

BMC Oral Health

View full text Add to dashboard Cite

show abstract

Literature review and case study: unveiling the complexities of mandibular second molar with three distal canals

Yadav,

Arora,

Shetty

et al. 2024

BMC Oral Health

View full text Add to dashboard Cite

The occurrence of morphological deviations in root canal anatomy is challenging and can influence treatment outcomes. While mandibular second molars typically have 2 roots and 3 canals, a unique case emerged in a 23-year-old Indian male with a symptomatic permanent left mandibular second molar showing three distal, two mesial canals, and two roots. The tooth presented as non-mobile but tender on percussion. The patient was diagnosed with symptomatic irreversible pulpitis with symptomatic apical periodontitis. The presence of mid distal canal was radiographically and visually confirmed with the aid of limited FOV cone-beam computed tomography and the dental operating microscope. Successful nonsurgical root canal treatment with 6-month follow-up has been documented in this case report. Supplementary Information The online version contains supplementary material available at 10.1186/s12903-024-05145-1.

show abstract

Effective management of mandibular second premolar with root anomalies

Asiri

2023

Saudi Endodontic Journal

View full text Add to dashboard Cite

The enigma of successful treatment of mandibular second premolars with taurodontism has been explored for very long due to its rarity of occurrence. This case report aimed to enumerate the successful nonsurgical endodontic management of left mandibular second premolar #35 with three roots and taurodontism. A 34-year-old Saudi male patient with a noncontributory medical history was referred from the prosthodontic department for nonsurgical root canal treatment of tooth #35. Clinical examination revealed rotated clinical crown with caries related to tooth #35. Pulp sensibility cold test of the tooth showed no response, with the absence of pain on percussion and/or visible pocket depth. Radiographic examination showed long and deep pulp chamber and rotated and curved roots with broken apical lamina dura. The tooth was diagnosed with necrotic pulp and asymptomatic apical periodontitis. After making an access to the pulp chamber, two orifices were easily detected while the third one was found by the aid of surgical microscope. The canals were cleaned and shaped using ProTaper Gold file and then obturated with BioCeram Sealer and Gutta-Percha points, using hydraulic bonded obturation technique. Tooth immediately received the final crown. Clinical and radiographical examination after a 3-month follow-up revealed successful peri-apical healing with no symptoms. A literature search was organized to review the past publications about management of mandibular second premolar with taurodontism or anomalies in the root canal system. The search was focused on cases reported in Medline, Scopus, and Google Scholar databases. The conclusion of the seven selected studies and reported cases revealed that proper visualization with advanced microscopes or computer imaging radiographs, negotiation of the root canals, and efficient instrumentation and obturation enhance endodontic success.

show abstract

Assessment of the prevalence and configuration of middle distal canals in the mandibular molars in a Saudi subpopulation using Cone-Beam computed tomography

Cited by 4 publications

References 31 publications

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

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

Literature review and case study: unveiling the complexities of mandibular second molar with three distal canals

Effective management of mandibular second premolar with root anomalies

Contact Info

Product

Resources

About