PREVALENCE AND ANATOMICAL PARTICULARITIES OF THE SECOND MESIOBUCCAL CANAL OF THE PERMANENT UPPER FIRST MOLAR IN THE ROMANIAN POPULATION IN A CLINICAL ENVIRONMENT USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGING- IN VIVO STUDY

One of the most common causes of endodontic treatment failure is inadequate diagnosis and treatment planning of the treated tooth, including lack of comprehensive knowledge about the morphological characteristics and their frequent variations of the entire root canal system. Therefore, a successful...

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Main Authors: Cezar Tiberiu Diaconu, Anca Elena Diaconu, Mihaela Jana Tuculina, Oana Andreea Diaconu, Ruxandra Voinea-Georgescu, Maria Cristina Munteanu, Lelia Mihaela Gheorghiță, Cristian Niky Cumpătă, Bogdan Dimitriu, Mihaela Raescu, Mircea Gheorghiță
Format: Article
Language:English
Published: Romanian Society of Oral Rehabilitation 2023-10-01
Series:Romanian Journal of Oral Rehabilitation
Subjects:
Online Access:https://rjor.ro/prevalence-and-anatomical-particularities-of-the-second-mesiobuccal-canal-of-the-permanent-upper-first-molar-in-the-romanian-population-in-a-clinical-environment-using-cone-beam-computed-tomographic-i/
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author Cezar Tiberiu Diaconu
Anca Elena Diaconu
Mihaela Jana Tuculina
Oana Andreea Diaconu
Ruxandra Voinea-Georgescu
Maria Cristina Munteanu
Lelia Mihaela Gheorghiță
Cristian Niky Cumpătă
Bogdan Dimitriu
Mihaela Raescu
Mircea Gheorghiță
author_facet Cezar Tiberiu Diaconu
Anca Elena Diaconu
Mihaela Jana Tuculina
Oana Andreea Diaconu
Ruxandra Voinea-Georgescu
Maria Cristina Munteanu
Lelia Mihaela Gheorghiță
Cristian Niky Cumpătă
Bogdan Dimitriu
Mihaela Raescu
Mircea Gheorghiță
author_sort Cezar Tiberiu Diaconu
collection DOAJ
description One of the most common causes of endodontic treatment failure is inadequate diagnosis and treatment planning of the treated tooth, including lack of comprehensive knowledge about the morphological characteristics and their frequent variations of the entire root canal system. Therefore, a successful root canal treatment depends on a clinician’s ability to locate, clean, shape, and fill the entire canal system in all dimensions. The permanent upper first molar (MFM) is the earliest permanent tooth that appears in the oral cavity and that makes it vulnerable to caries and further to the need of endodontic treatment.Permanent maxillary first molars (MFM) generally have three roots with additional canal located in the mesiobuccal root (MB) which are called first mesiobuccal (MB1) and second mesiobuccal (MB2) and loops, intercanal connections, auxiliary canals, and apical ramifications are all common anatomical features. In maxillary molars, a conventional intraoral periapical radiograph provides a 2D view of the root canal system (RCS); as a result, the prevalence of undetected MB2 canal is high; the need for a 3D view of the RCS can be satisfactorily fulfilled by cone-beam CT (CBCT). The prevalence of MB2 has been assessed in several in vitro and in vivo studies, presenting variations according to the methodology applied, along with the population of interest. As a novelty this study aims to analyze the MB2 canal prevalence, anatomy and working length in MFM in the Romanian population using CBCT imaging and clinical notes. In addition, the data obtained will contribute to the currently available evidence in the literature from other parts of the world as well as increase the general dental practitioners (GDP) awareness about the anatomical complexities and variations of the permanent upper first molar. In this retrospective study, CBCT images and clinical notes of 289 patients with ages between 14 and 78 years old presenting 336 upper first molar pathology were reviewed in this study, which was conducted at the Endodontology Department of the Faculty of Dentistry, University of Medicine and Pharmacy Craiova. According to this retrospective study, the romanian people have a high prevalence of the MB2 canal in permanent maxillary first molar regardless of gender. The overall prevalence of the MB2 canal was 75%, with a type II morphology according to Vertucci classification in 69% of cases and an average length of 14.7mm for type II respectively 18.3 mm for type IV canal type.
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spelling doaj.art-0ce6dcc3f76047d587ecba999d2b9e792023-10-09T12:55:46ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612023-10-01153411423PREVALENCE AND ANATOMICAL PARTICULARITIES OF THE SECOND MESIOBUCCAL CANAL OF THE PERMANENT UPPER FIRST MOLAR IN THE ROMANIAN POPULATION IN A CLINICAL ENVIRONMENT USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGING- IN VIVO STUDYCezar Tiberiu Diaconu0Anca Elena Diaconu1Mihaela Jana Tuculina2Oana Andreea Diaconu3Ruxandra Voinea-Georgescu4Maria Cristina Munteanu5Lelia Mihaela Gheorghiță6Cristian Niky Cumpătă7Bogdan Dimitriu8Mihaela Raescu9Mircea Gheorghiță10Faculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Department of Endodontics, Craiova, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Department of Endodontics, Craiova, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Department of Endodontics, Craiova, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Department of Endodontics, Craiova, RomaniaFaculty of Dental Medicine, University Titu Maiorescu of Bucharest, 67A Gheorghe Petrascu Str., 031593, Bucharest, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Department of Oral and Maxillofacial Surgery, Craiova, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Department of Endodontics, Craiova, RomaniaFaculty of Dental Medicine, University Titu Maiorescu of Bucharest, 67A Gheorghe Petrascu Str., 031593, Bucharest, RomaniaDepartment of Endodontics, Faculty of Dentistry, University of Medicine and Pharmacy Carol Davila Bucharest, 050474, Bucharest, Romania;Faculty of Dental Medicine, University Titu Maiorescu of Bucharest, 67A Gheorghe Petrascu Str., 031593, Bucharest, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy of Craiova, Department of Oral and Maxillofacial Surgery, Craiova, RomaniaOne of the most common causes of endodontic treatment failure is inadequate diagnosis and treatment planning of the treated tooth, including lack of comprehensive knowledge about the morphological characteristics and their frequent variations of the entire root canal system. Therefore, a successful root canal treatment depends on a clinician’s ability to locate, clean, shape, and fill the entire canal system in all dimensions. The permanent upper first molar (MFM) is the earliest permanent tooth that appears in the oral cavity and that makes it vulnerable to caries and further to the need of endodontic treatment.Permanent maxillary first molars (MFM) generally have three roots with additional canal located in the mesiobuccal root (MB) which are called first mesiobuccal (MB1) and second mesiobuccal (MB2) and loops, intercanal connections, auxiliary canals, and apical ramifications are all common anatomical features. In maxillary molars, a conventional intraoral periapical radiograph provides a 2D view of the root canal system (RCS); as a result, the prevalence of undetected MB2 canal is high; the need for a 3D view of the RCS can be satisfactorily fulfilled by cone-beam CT (CBCT). The prevalence of MB2 has been assessed in several in vitro and in vivo studies, presenting variations according to the methodology applied, along with the population of interest. As a novelty this study aims to analyze the MB2 canal prevalence, anatomy and working length in MFM in the Romanian population using CBCT imaging and clinical notes. In addition, the data obtained will contribute to the currently available evidence in the literature from other parts of the world as well as increase the general dental practitioners (GDP) awareness about the anatomical complexities and variations of the permanent upper first molar. In this retrospective study, CBCT images and clinical notes of 289 patients with ages between 14 and 78 years old presenting 336 upper first molar pathology were reviewed in this study, which was conducted at the Endodontology Department of the Faculty of Dentistry, University of Medicine and Pharmacy Craiova. According to this retrospective study, the romanian people have a high prevalence of the MB2 canal in permanent maxillary first molar regardless of gender. The overall prevalence of the MB2 canal was 75%, with a type II morphology according to Vertucci classification in 69% of cases and an average length of 14.7mm for type II respectively 18.3 mm for type IV canal type.https://rjor.ro/prevalence-and-anatomical-particularities-of-the-second-mesiobuccal-canal-of-the-permanent-upper-first-molar-in-the-romanian-population-in-a-clinical-environment-using-cone-beam-computed-tomographic-i/maxillary first molarsecond mesiobuccal canalprevalenceaverage lengthromanian population
spellingShingle Cezar Tiberiu Diaconu
Anca Elena Diaconu
Mihaela Jana Tuculina
Oana Andreea Diaconu
Ruxandra Voinea-Georgescu
Maria Cristina Munteanu
Lelia Mihaela Gheorghiță
Cristian Niky Cumpătă
Bogdan Dimitriu
Mihaela Raescu
Mircea Gheorghiță
PREVALENCE AND ANATOMICAL PARTICULARITIES OF THE SECOND MESIOBUCCAL CANAL OF THE PERMANENT UPPER FIRST MOLAR IN THE ROMANIAN POPULATION IN A CLINICAL ENVIRONMENT USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGING- IN VIVO STUDY
Romanian Journal of Oral Rehabilitation
maxillary first molar
second mesiobuccal canal
prevalence
average length
romanian population
title PREVALENCE AND ANATOMICAL PARTICULARITIES OF THE SECOND MESIOBUCCAL CANAL OF THE PERMANENT UPPER FIRST MOLAR IN THE ROMANIAN POPULATION IN A CLINICAL ENVIRONMENT USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGING- IN VIVO STUDY
title_full PREVALENCE AND ANATOMICAL PARTICULARITIES OF THE SECOND MESIOBUCCAL CANAL OF THE PERMANENT UPPER FIRST MOLAR IN THE ROMANIAN POPULATION IN A CLINICAL ENVIRONMENT USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGING- IN VIVO STUDY
title_fullStr PREVALENCE AND ANATOMICAL PARTICULARITIES OF THE SECOND MESIOBUCCAL CANAL OF THE PERMANENT UPPER FIRST MOLAR IN THE ROMANIAN POPULATION IN A CLINICAL ENVIRONMENT USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGING- IN VIVO STUDY
title_full_unstemmed PREVALENCE AND ANATOMICAL PARTICULARITIES OF THE SECOND MESIOBUCCAL CANAL OF THE PERMANENT UPPER FIRST MOLAR IN THE ROMANIAN POPULATION IN A CLINICAL ENVIRONMENT USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGING- IN VIVO STUDY
title_short PREVALENCE AND ANATOMICAL PARTICULARITIES OF THE SECOND MESIOBUCCAL CANAL OF THE PERMANENT UPPER FIRST MOLAR IN THE ROMANIAN POPULATION IN A CLINICAL ENVIRONMENT USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGING- IN VIVO STUDY
title_sort prevalence and anatomical particularities of the second mesiobuccal canal of the permanent upper first molar in the romanian population in a clinical environment using cone beam computed tomographic imaging in vivo study
topic maxillary first molar
second mesiobuccal canal
prevalence
average length
romanian population
url https://rjor.ro/prevalence-and-anatomical-particularities-of-the-second-mesiobuccal-canal-of-the-permanent-upper-first-molar-in-the-romanian-population-in-a-clinical-environment-using-cone-beam-computed-tomographic-i/
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