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CC BY-NC-ND 4.0 · Eur J Dent 2015; 09(01): 133-144
DOI: 10.4103/1305-7456.149662
Original Article
Dental Investigation Society

Root canal morphology of South Asian Indian maxillary molar teeth

Shishir Singh
1   Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, St. George Hospital compound, D Mello Road, Near GPO, Fort. Mumbai, Maharashtra, India
,
Mansing Pawar
1   Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, St. George Hospital compound, D Mello Road, Near GPO, Fort. Mumbai, Maharashtra, India
› Author Affiliations
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Publication History

Publication Date:
04 September 2019 (online)

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ABSTRACT

Objective: The objective was to study the root canal morphology of South Asian Indian Maxillary molars using a tooth clearing technique. Materials and Methods: Hundred teeth each comprising of first, second, and third molars collected from different dental schools and clinics in India were subjected to standard dye penetration, decalcification and clearing procedure before being studied. Results: The first molar mesiobuccal roots exhibited 69% Type I, 24% Type II, 4% Type IV, 2% Type V, and 1% exhibited a Vertuccis Type VIII canal anatomy. In the group with three separate roots the second molar mesiobuccal roots in exhibited 80.6% Type I, 15.3% Type II, 2.7% Type IV, and 1.4% Type V canal anatomy while the third molars mesiobuccal roots exhibited 57.4% Type I, 32% Type II, 2.1% Type III, 8.5% Type IV, 1% had a Type V canal anatomy in the similar group. Conclusion: A varied root canal anatomy was seen in the mesiobuccal root canal of the maxillary molars.

Key words:

Clearing - India ink - maxillary molars - morphology - root canal - Vertucci
 

  • REFERENCES

  • 1 Hess W. The Anatomy of the Root Canals of the Teeth of the Permanent and Deciduous Dentition. New York: William Wood and Co.; 1925: 1-39
    Google Scholar
  • 2 Okumura T. Anatomy of the root canals. J Am Dent Assoc 1927; 14: 632-6
    Google Scholar
  • 3 Weine FS, Pasiewicz RA, Rice RT. Canal configuration of the mandibular second molar using a clinically oriented in vitro method. J Endod 1988; 14: 207-13
    CrossrefPubMedGoogle Scholar
  • 4 Weine FS, Healey HJ, Gerstein H, Evanson L. Canal configuration in the mesiobuccal root of the maxillary first molar and its endodontic significance. Oral Surg Oral Med Oral Pathol 1969; 28: 419-25
    CrossrefPubMedGoogle Scholar
  • 5 Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984; 58: 589-99
    CrossrefPubMedGoogle Scholar
  • 6 Neelakantan P, Subbarao C, Subbarao CV. Comparative evaluation of modified canal staining and clearing technique, cone-beam computed tomography, peripheral quantitative computed tomography, spiral computed tomography, and plain and contrast medium-enhanced digital radiography in studying root canal morphology. J Endod 2010; 36: 1547-51
    CrossrefPubMedGoogle Scholar
  • 7 Lee KW, Kim Y, Perinpanayagam H, Lee JK, Yoo YJ, Lim SM. et al. Comparison of alternative image reformatting techniques in micro-computed tomography and tooth clearing for detailed canal morphology. J Endod 2014; 40: 417-22
    CrossrefPubMedGoogle Scholar
  • 8 Pineda F, Kuttler Y. Mesiodistal and buccolingual roentgenographic investigation of 7,275 root canals. Oral Surg Oral Med Oral Pathol 1972; 33: 101-10
    CrossrefPubMedGoogle Scholar
  • 9 Pomeranz HH, Fishelberg G. The secondary mesiobuccal canal of maxillary molars. J Am Dent Assoc 1974; 88: 119-24
    CrossrefPubMedGoogle Scholar
  • 10 Weller RN, Hartwell GR. The impact of improved access and searching techniques on detection of the mesiolingual canal in maxillary molars. J Endod 1989; 15: 82-3
    CrossrefPubMedGoogle Scholar
  • 11 Pécora JD, Woelfel JB, Sousa NetoMD, Issa EP. Morphologic study of the maxillary molars. Part II: Internal anatomy. Braz Dent J 1992; 3: 53-7
    PubMedGoogle Scholar
  • 12 Zaatar EI, al-Kandari AM, Alhomaidah S, al-Yasin IM. Frequency of endodontic treatment in Kuwait: Radiographic evaluation of 846 endodontically treated teeth. J Endod 1997; 23: 453-6
    CrossrefPubMedGoogle Scholar
  • 13 Stropko JJ. Canal morphology of maxillary molars: Clinical observations of canal configurations. J Endod 1999; 25: 446-50
    CrossrefPubMedGoogle Scholar
  • 14 Sempira HN, Hartwell GR. Frequency of second mesiobuccal canals in maxillary molars as determined by use of an operating microscope: A clinical study. J Endod 2000; 26: 673-4
    CrossrefPubMedGoogle Scholar
  • 15 Rwenyonyi CM, Kutesa AM, Muwazi LM, Buwembo W. Root and canal morphology of maxillary first and second permanent molar teeth in a Ugandan population. Int Endod J 2007; 40: 679-83
    CrossrefPubMedGoogle Scholar
  • 16 Pattanshetti N, Gaidhane M, Al Kandari AM. Root and canal morphology of the mesiobuccal and distal roots of permanent first molars in a Kuwait population – a clinical study. Int Endod J 2008; 41: 755-62
    CrossrefPubMedGoogle Scholar
  • 17 Caliskan MK, Pehlivan Y, Sepetçioglu F, Türkün M, Tuncer SS. Root canal morphology of human permanent teeth in a Turkish population. J Endod 1995; 21: 200-4
    CrossrefPubMedGoogle Scholar
  • 18 Weine FS, Hayami S, Hata G, Toda T. Canal configuration of the mesiobuccal root of the maxillary first molar of a Japanese sub-population. Int Endod J 1999; 32: 79-87
    CrossrefPubMedGoogle Scholar
  • 19 Al Shalabi RM, Omer OE, Glennon J, Jennings M, Claffey NM. Root canal anatomy of maxillary first and second permanent molars. Int Endod J 2000; 33: 405-14
    CrossrefPubMedGoogle Scholar
  • 20 Wasti F, Shearer AC, Wilson NH. Root canal systems of the mandibular and maxillary first permanent molar teeth of south Asian Pakistanis. Int Endod J 2001; 34: 263-6
    CrossrefPubMedGoogle Scholar
  • 21 Alavi AM, Opasanon A, Ng YL, Gulabivala K. Root and canal morphology of Thai maxillary molars. Int Endod J 2002; 35: 478-85
    CrossrefPubMedGoogle Scholar
  • 22 Sert S, Bayirli GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 2004; 30: 391-8
    CrossrefPubMedGoogle Scholar
  • 23 Sert S, Sahinkesen G, Topçu FT, Eroglu SE, Oktay EA. Root canal configurations of third molar teeth. A comparison with first and second molars in the Turkish population. Aust Endod J 2011; 37: 109-17
    CrossrefPubMedGoogle Scholar
  • 24 Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics 2005; 10: 3-29
    CrossrefGoogle Scholar
  • 25 Moral H. ‘Veber Pulpaaüsgusse.’. Deutsche Monatsschrift für Zahnheilkunde 1914; 32: 617-624
    Google Scholar
  • 26 Zurcher E. The Anatomy of the Root Canals of the Teeth of the Deciduous Dentition and of the First Permanent Molars, Part 2. New York: William Wood and Co.; 1925
    Google Scholar
  • 27 Sykaras S, Economou P. Root canal morphology of the mesiobuccal root of the maxillary first molar. Odontostomatol Proodos 1970; 24: 99-108
    PubMedGoogle Scholar
  • 28 Seidberg BH, Altman M, Guttuso J, Suson M. Frequency of two mesiobuccal root canals in maxillary permanent first molars. J Am Dent Assoc 1973; 87: 852-6
    CrossrefPubMedGoogle Scholar
  • 29 Nosonowitz DM, Brenner MR. The major canals of the mesiobuccal root of the maxillary 1st and 2nd molars. N Y J Dent 1973; 43: 12-5
    PubMedGoogle Scholar
  • 30 Slowey RR. Radiographic aids in the detection of extra root canals. Oral Surg Oral Med Oral Pathol 1974; 37: 762-72
    CrossrefPubMedGoogle Scholar
  • 31 Acosta VigourouxSA, Trugeda BosaansSA. Anatomy of the pulp chamber floor of the permanent maxillary first molar. J Endod 1978; 4: 214-9
    CrossrefPubMedGoogle Scholar
  • 32 Evenot M. Contribution a la connaisance des systemes endodontiques complexes la racine mesio vestibulaire de la premiere molaire maxillaire, approche, instrumentale, Clinique at pedagogique. PhD thesis. Academie de paris. Universite Rene Descartes; Paris, France: 347
    Google Scholar
  • 33 Hartwell G, Bellizzi R. Clinical investigation of in vivo endodontically treated mandibular and maxillary molars. J Endod 1982; 8: 555-7
    CrossrefPubMedGoogle Scholar
  • 34 Gray R. The maxillary first molar. In: Bjorndal AM, Skidmore AE. editors. Anatomy and Morphology of Permanent Teeth. Iowa City: University of Iowa College of Dentistry; 1983
    Google Scholar
  • 35 Neaverth EJ, Kotler LM, Kaltenbach RF. Clinical investigation (in vivo) of endodontically treated maxillary first molars. J Endod 1987; 13: 506-12
    CrossrefPubMedGoogle Scholar
  • 36 Gilles J, Reader A. An SEM investigation of the mesiolingual canal in human maxillary first and second molars. Oral Surg Oral Med Oral Pathol 1990; 70: 638-43
    CrossrefPubMedGoogle Scholar
  • 37 Kulild JC, Peters DD. Incidence and configuration of canal systems in the mesiobuccal root of maxillary first and second molars. J Endod 1990; 16: 311-7
    CrossrefPubMedGoogle Scholar
  • 38 Thomas RP, Moule AJ, Bryant R. Root canal morphology of maxillary permanent first molar teeth at various ages. Int Endod J 1993; 26: 257-67
    CrossrefPubMedGoogle Scholar
  • 39 Fogel HM, Peikoff MD, Christie WH. Canal configuration in the mesiobuccal root of the maxillary first molar: A clinical study. J Endod 1994; 20: 135-7
    CrossrefPubMedGoogle Scholar
  • 40 Imura N, Hata GI, Toda T, Otani SM, Fagundes MI. Two canals in mesiobuccal roots of maxillary molars. Int Endod J 1998; 31: 410-4
    PubMedGoogle Scholar
  • 41 Buhrley LJ, Barrows MJ, BeGole EA, Wenckus CS. Effect of magnification on locating the MB2 canal in maxillary molars. J Endod 2002; 28: 324-7
    CrossrefPubMedGoogle Scholar
  • 42 Wolcott J, Ishley D, Kennedy W, Johnson S, Minnich S. Clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars. J Endod 2002; 28: 477-9
    CrossrefPubMedGoogle Scholar
  • 43 Villegas JC, Yoshioka T, Kobayashi C, Suda H. Frequency of transverse anastomoses with and without apical communication in Japanese population teeth. Aust Endod J 2004; 30: 50-2
    CrossrefPubMedGoogle Scholar
  • 44 Yoshioka T, Kikuchi I, Fukumoto Y, Kobayashi C, Suda H. Detection of the second mesiobuccal canal in mesiobuccal roots of maxillary molar teeth ex vivo . Int Endod J 2005; 38: 124-8
    CrossrefPubMedGoogle Scholar
  • 45 Wu DM, Wu YN, Guo W, Sameer S. Accuracy of direct digital radiography in the study of the root canal type. Dentomaxillofac Radiol 2006; 35: 263-5
    CrossrefPubMedGoogle Scholar
  • 46 Eder A, Kantor M, Nell A, Moser T, Gahleitner A, Schedle A. et al. Root canal system in the mesiobuccal root of the maxillary first molar: An in vitro comparison study of computed tomography and histology. Dentomaxillofac Radiol 2006; 35: 175-7
    CrossrefPubMedGoogle Scholar
  • 47 Shahi S, Yavari HR, Rahimi S, Ahmadi A. Root canal configuration of maxillary first permanent molars in an Iranian population. J Dent Res Dent Clin Dent Prospects 2007; 1: 1-5
    PubMedGoogle Scholar
  • 48 Ameen RM, Hassan RM. A study on the external and internal root anatomy of Egyptian maxillary first permanent molar. Cairo Dent J 2008; 24: 29-36
    Google Scholar
  • 49 Degerness RA, Bowles WR. Dimension, anatomy and morphology of the mesiobuccal root canal system in maxillary molars. J Endod 2010; 36: 985-9
    CrossrefPubMedGoogle Scholar
  • 50 Yu X, Guo B, Li KZ, Zhang R, Tian YY, Wang H. et al. Cone-beam computed tomography study of root and canal morphology of mandibular premolars in a western Chinese population. BMC Med Imaging 2012; 12: 18
    CrossrefPubMedGoogle Scholar
  • 51 Silva EJ, Nejaim Y, Silva AI, Haiter-Neto F, Zaia AA, Cohenca N. Evaluation of root canal configuration of maxillary molars in a Brazilian population using cone-beam computed tomographic imaging: An in vivo study. J Endod 2014; 40: 173-6
    CrossrefPubMedGoogle Scholar
  • 52 Guo J, Vahidnia A, Sedghizadeh P, Enciso R. Evaluation of root and canal morphology of maxillary permanent first molars in a North American population by cone-beam computed tomography. J Endod 2014; 40: 635-9
    CrossrefPubMedGoogle Scholar
  • 53 Robertson D, Leeb IJ, McKee M, Brewer E. A clearing technique for the study of root canal systems. J Endod 1980; 6: 421-4
    CrossrefPubMedGoogle Scholar
  • 54 Robertson DC, Leeb IJ. The evaluation of a transparent tooth model system for the evaluation of endodontically filled teeth. J Endod 1982; 8: 317-21
    CrossrefPubMedGoogle Scholar
  • 55 Omer OE, Al Shalabi RM, Jennings M, Glennon J, Claffey NM. A comparison between clearing and radiographic techniques in the study of the root-canal anatomy of maxillary first and second molars. Int Endod J 2004; 37: 291-6
    CrossrefPubMedGoogle Scholar
  • 56 Singh S, Pawar M. Root canal morphology of South asian Indian mandibular premolar teeth. J Endod 2014; 40: 1338-41
    CrossrefPubMedGoogle Scholar
  • 57 Nur BG, Ok E, Altunsoy M, Aglarci OS, Colak M, Gungor E. Evaluation of the root and canal morphology of mandibular permanent molars in a south-eastern Turkish population using cone-beam computed tomography. Eur J Dent 2014; 8: 154-9
    Article in Thieme ConnectPubMedGoogle Scholar
  • 58 Altunsoy M, Ok E, Nur BG, Aglarci OS, Gungor E, Colak M. A cone-beam computed tomography study of the root canal morphology of anterior teeth in a Turkish population. Eur J Dent 2014; 8: 302-6
    Article in Thieme ConnectPubMedGoogle Scholar