A New Methodology to Determine the Orifice for Root Canal Configurations in First Permanent Molar Root and Canal Morphologies Using Micro-Computed Tomography
Background: The distinction between where the pulp chamber ends and the root canal system begins is poorly defined within the existing literature. Methods: This paper aimed to describe a range of accurate methods to define the transition from pulp chamber to root canal in different first molar root...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/1/71 |
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| author | Casper Hendrik Jonker Guy Lambourn Anna Catherina Oettlé Federico Foschi Charlotte Theye Ericka Noelle L’Abbé |
| author_facet | Casper Hendrik Jonker Guy Lambourn Anna Catherina Oettlé Federico Foschi Charlotte Theye Ericka Noelle L’Abbé |
| author_sort | Casper Hendrik Jonker |
| collection | DOAJ |
| description | Background: The distinction between where the pulp chamber ends and the root canal system begins is poorly defined within the existing literature. Methods: This paper aimed to describe a range of accurate methods to define the transition from pulp chamber to root canal in different first molar root morphologies using micro-focus computed tomography (micro-CT). Methods: The sample consisted of 86 mandibular and 101 maxillary first molars from the skeletal collections housed in the Department of Anatomy and Histology of the Sefako Makgatho Health Sciences University and the Pretoria Bone Collection. A stepwise approach using the cemento–enamel junction (CEJ) and dedicated landmarks was followed to create an automated cross-sectional slice. Results: Transition from pulp chamber to root canal could be accurately determined on maxillary and mandibular teeth. The occurrence of two separate roots in mandibular molars was 97.7%, with the remaining 2.3% having an additional disto-lingual root, with no mandibular molars displaying fused roots. In the maxillary molars, 92.1% had three separate roots and 7.9% displayed root fusion. Within this group, one tooth displayed a C-shaped root canal configuration and one a mesotaurodont-type morphology. Conclusion: The suggested methodology to determine orifice location was found to be appropriate in all morphological types. |
| first_indexed | 2024-03-08T15:04:04Z |
| format | Article |
| id | doaj.art-3e46218422c1496b81a08711be58f1eb |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T15:04:04Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3e46218422c1496b81a08711be58f1eb2024-01-10T15:00:54ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011317110.3390/jcm13010071A New Methodology to Determine the Orifice for Root Canal Configurations in First Permanent Molar Root and Canal Morphologies Using Micro-Computed TomographyCasper Hendrik Jonker0Guy Lambourn1Anna Catherina Oettlé2Federico Foschi3Charlotte Theye4Ericka Noelle L’Abbé5Faculty of Health, Peninsula Dental School, University of Plymouth Ground, Plymouth PL6 8BT, UKFaculty of Health, Peninsula Dental School, University of Plymouth Ground, Plymouth PL6 8BT, UKAnatomy and Histology Department, School of Medicine, Sefako Makgatho Health Sciences University, Pretoria 0204, South AfricaFaculty of Health, Peninsula Dental School, University of Plymouth Ground, Plymouth PL6 8BT, UKForensic Anthropology Research Centre, Department of Anatomy, Faculty of Health Sciences, University of Pretoria, Pretoria 0031, South AfricaForensic Anthropology Research Centre, Department of Anatomy, Faculty of Health Sciences, University of Pretoria, Pretoria 0031, South AfricaBackground: The distinction between where the pulp chamber ends and the root canal system begins is poorly defined within the existing literature. Methods: This paper aimed to describe a range of accurate methods to define the transition from pulp chamber to root canal in different first molar root morphologies using micro-focus computed tomography (micro-CT). Methods: The sample consisted of 86 mandibular and 101 maxillary first molars from the skeletal collections housed in the Department of Anatomy and Histology of the Sefako Makgatho Health Sciences University and the Pretoria Bone Collection. A stepwise approach using the cemento–enamel junction (CEJ) and dedicated landmarks was followed to create an automated cross-sectional slice. Results: Transition from pulp chamber to root canal could be accurately determined on maxillary and mandibular teeth. The occurrence of two separate roots in mandibular molars was 97.7%, with the remaining 2.3% having an additional disto-lingual root, with no mandibular molars displaying fused roots. In the maxillary molars, 92.1% had three separate roots and 7.9% displayed root fusion. Within this group, one tooth displayed a C-shaped root canal configuration and one a mesotaurodont-type morphology. Conclusion: The suggested methodology to determine orifice location was found to be appropriate in all morphological types.https://www.mdpi.com/2077-0383/13/1/71micro-CTcemento–enamel junctionRadix EntomolarisC-shaped canalmesotaurodontfused roots |
| spellingShingle | Casper Hendrik Jonker Guy Lambourn Anna Catherina Oettlé Federico Foschi Charlotte Theye Ericka Noelle L’Abbé A New Methodology to Determine the Orifice for Root Canal Configurations in First Permanent Molar Root and Canal Morphologies Using Micro-Computed Tomography Journal of Clinical Medicine micro-CT cemento–enamel junction Radix Entomolaris C-shaped canal mesotaurodont fused roots |
| title | A New Methodology to Determine the Orifice for Root Canal Configurations in First Permanent Molar Root and Canal Morphologies Using Micro-Computed Tomography |
| title_full | A New Methodology to Determine the Orifice for Root Canal Configurations in First Permanent Molar Root and Canal Morphologies Using Micro-Computed Tomography |
| title_fullStr | A New Methodology to Determine the Orifice for Root Canal Configurations in First Permanent Molar Root and Canal Morphologies Using Micro-Computed Tomography |
| title_full_unstemmed | A New Methodology to Determine the Orifice for Root Canal Configurations in First Permanent Molar Root and Canal Morphologies Using Micro-Computed Tomography |
| title_short | A New Methodology to Determine the Orifice for Root Canal Configurations in First Permanent Molar Root and Canal Morphologies Using Micro-Computed Tomography |
| title_sort | new methodology to determine the orifice for root canal configurations in first permanent molar root and canal morphologies using micro computed tomography |
| topic | micro-CT cemento–enamel junction Radix Entomolaris C-shaped canal mesotaurodont fused roots |
| url | https://www.mdpi.com/2077-0383/13/1/71 |
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