CC BY-NC-ND 4.0 · Eur J Dent 2018; 12(03): 422-427
DOI: 10.4103/ejd.ejd_60_18
Original Article
Dental Investigation Society

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

Negar Khosravifard
1   Dental Sciences Research Center, Department of Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
,
Zahra Dalili Kajan
1   Dental Sciences Research Center, Department of Maxillofacial Radiology, Faculty of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
,
Homayoon Hasanpoor
2   Faculty of Dentistry, Guilan University of Medical Sciences, Rasht, Iran
› Author Affiliations
Further Information

Publication History

Publication Date:
16 September 2019 (online)

ABSTRACT

Objective: The objective of this study was to evaluate the mesiobuccal (MB) root canal(s) anatomy of the maxillary first and second molar teeth in an Iranian population. Materials and Methods: Cone beam computed tomography images of 280 teeth (145 maxillary first molars and 135 maxillary second molars) were analyzed to determine the number and types of the MB root canals. Chi-square test was used to examine the relationship between the number of MB canals and sex and Mann–Whitney analysis was used to define the relationship between the number of canals and the buccopalatal dimension of the MB roots. The level of interobservers' agreement was assessed with Kappa test. Results: Nearly 44.8% of the first molar and 18.5% of the second molar teeth had an additional MB canal (MB2). Types I and III of root canals had the highest frequencies. There was no significant relationship between the number of MB root canals of maxillary first and second molars and sex (P = 0.829). The relationship between the buccopalatal dimension of the MB roots and the number of root canals was shown to be statistically significant (P = 0.001). Conclusion: Presence of MB2 had a relatively high frequency, especially in the maxillary first molars. The mean buccopalatal dimension of the MB roots showed to be interrelated with the number of root canals.

 
  • REFERENCES

  • 1 Baratto Filho F, Zaitter S, Haragushiku GA, de Campos EA, Abuabara A, Correr GM. et al. Analysis of the internal anatomy of maxillary first molars by using different methods. J Endod 2009; 35: 337-42
  • 2 Lee JH, Kim KD, Lee JK, Park W, Jeong JS, Lee Y. et al. Mesiobuccal root canal anatomy of korean maxillary first and second molars by cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 111: 785-91
  • 3 Neelakantan P, Subbarao C, Ahuja R, Subbarao CV, Gutmann JL. Cone-beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod 2010; 36: 1622-7
  • 4 Lin YH, Lin HN, Chen CC, Chen MS. Evaluation of the root and canal systems of maxillary molars in Taiwanese patients: A cone beam computed tomography study. Biomed J 2017; 40: 232-8
  • 5 Rezaeian M, Rouhani Tonekaboni M, Iranmanesh F. Evaluating the root canal morphology of permanent maxillary first molars in Iranian population. Iran Endod J 2018; 13: 78-82
  • 6 Celikten B, Tufenkci P, Aksoy U, Kalender A, Kermeoglu F, Dabaj P. et al. Cone beam CT evaluation of mandibular molar root canal morphology in a Turkish Cypriot population. Clin Oral Investig 2016; 20: 2221-6
  • 7 Rouhani A, Bagherpour A, Akbari M, Azizi M, Nejat A, Naghavi N. et al. Cone-beam computed tomography evaluation of maxillary first and second molars in Iranian population: A morphological study. Iran Endod J 2014; 9: 190-4
  • 8 Khademi A, Zamani Naser A, Bahreinian Z, Mehdizadeh M, Najarian M, Khazaei S. et al. Root morphology and canal configuration of first and second maxillary molars in a selected Iranian population: A cone-beam computed tomography evaluation. Iran Endod J 2017; 12: 288-92
  • 9 Gomes Alves CR, Martins Marques M, Stella Moreira M, Harumi Miyagi de Cara SP, Silveira Bueno CE, Lascala CÂ. et al. Second mesiobuccal root canal of maxillary first molars in a Brazilian population in high-resolution cone-beam computed tomography. Iran Endod J 2018; 13: 71-7
  • 10 Shetty H, Sontakke S, Karjodkar F, Gupta P, Mandwe A, Banga KS. et al. A cone beam computed tomography (CBCT) evaluation of MB2 canals in endodontically treated permanent maxillary molars. A retrospective study in Indian population. J Clin Exp Dent 2017; 9: e51-5
  • 11 Alrahabi M, Sohail Zafar M. Evaluation of root canal morphology of maxillary molars using cone beam computed tomography. Pak J Med Sci 2015; 31: 426-30
  • 12 Nikoloudaki GE, Kontogiannis TG, Kerezoudis NP. Evaluation of the root and canal morphology of maxillary permanent molars and the incidence of the second mesiobuccal root canal in Greek population using cone-beam computed tomography. Open Dent J 2015; 9: 267-72
  • 13 Blattner TC, George N, Lee CC, Kumar V, Yelton CD. Efficacy of cone-beam computed tomography as a modality to accurately identify the presence of second mesiobuccal canals in maxillary first and second molars: A pilot study. J Endod 2010; 36: 867-70
  • 14 Yang H, Tian C, Li G, Yang L, Han X, Wang Y. et al. A cone-beam computed tomography study of the root canal morphology of mandibular first premolars and the location of root canal orifices and apical foramina in a Chinese subpopulation. J Endod 2013; 39: 435-8
  • 15 Zheng QH, Wang Y, Zhou XD, Wang Q, Zheng GN, Huang DM. et al. A cone-beam computed tomography study of maxillary first permanent molar root and canal morphology in a Chinese population. J Endod 2010; 36: 1480-4
  • 16 Pauwels R, Araki K, Siewerdsen JH, Thongvigitmanee SS. Technical aspects of dental CBCT: State of the art. Dentomaxillofac Radiol 2015; 44: 20140224
  • 17 Naseri M, Safi Y, Akbarzadeh Baghban A, Khayat A, Eftekhar L. Survey of anatomy and root canal morphology of maxillary first molars regarding age and gender in an Iranian population using cone-beam computed tomography. Iran Endod J 2016; 11: 298-303
  • 18 Mohammadzadeh Akhlaghi N, Ravandoust Y, Najafi M, Dadresanfar B. An in vitro study of mesiobuccal root thickness of maxillary first molars. Iran Endod J 2012; 7: 31-5
  • 19 Weine FS. Endodontic Therapy. 5th ed. St. Louis: Mosby; 1996
  • 20 Berman LH, Hargreaves KM, Cohen SR. Cohen's Pathways of the Pulp Expert Consult. 10th ed. St. Louis: Mosby; 2011: 138
  • 21 Gulabivala K, Opasanon A, Ng YL, Alavi A. Root and canal morphology of Thai mandibular molars. Int Endod J 2002; 35: 56-62
  • 22 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
  • 23 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
  • 24 Silva EJ, Nejaim Y, Silva AI, Haiter-Neto F, Zaia AA, Cohenca N. et al. 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
  • 25 Kim Y, Lee SJ, Woo J. Morphology of maxillary first and second molars analyzed by cone-beam computed tomography in a Korean population: Variations in the number of roots and canals and the incidence of fusion. J Endod 2012; 38: 1063-8