Dentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)

Introduction The aim of this work was to check the average thickness of dentinal wall of the mesio-buccal root of the first lower molar using CBCT axial sections of intact teeth. Material and method In this cross-sectional study, 100 CBCT images of mandibular first molars from the Promax 3Dent radio...

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Main Authors: Đeri Aleksandra, Radman-Kuzmanović Irena, Moravac Nikola, Tejić Milan, Josipović Renata, Arbutina Adriana, Marin Saša, Trtić Nataša, Veselinović Valentina
Format: Article
Language:English
Published: Serbian Medical Society - Dental Section, Belgrade 2023-01-01
Series:Stomatološki glasnik Srbije
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/0039-1743/2023/0039-17432302069Q.pdf
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author Đeri Aleksandra
Radman-Kuzmanović Irena
Moravac Nikola
Tejić Milan
Josipović Renata
Arbutina Adriana
Marin Saša
Trtić Nataša
Veselinović Valentina
author_facet Đeri Aleksandra
Radman-Kuzmanović Irena
Moravac Nikola
Tejić Milan
Josipović Renata
Arbutina Adriana
Marin Saša
Trtić Nataša
Veselinović Valentina
author_sort Đeri Aleksandra
collection DOAJ
description Introduction The aim of this work was to check the average thickness of dentinal wall of the mesio-buccal root of the first lower molar using CBCT axial sections of intact teeth. Material and method In this cross-sectional study, 100 CBCT images of mandibular first molars from the Promax 3Dent radiology center in Banja Luka, Bosnia and Herzegovina were evaluated. A Planmeca Promax3D Max apparatus (Planmeca, Helsinki, Finland) was used, with a field of view (FOV) of 8 × 8 cm and a resolution of 0.1 mm. Analysis was performed using Romexis Viewer software version 3.1.1 (Planmeca, Helsinki, Finland). At an axial thickness of 0.1 mm, transverse sections with a distance of 1 mm were made below the furcation area (at a magnification ×10) at a distance of 1, 2, 3, 4, 5 mm from the furcation. The data were then analyzed by paired t-test. Results The thickness of dentinal wall of the mesio-buccal root of the lower first molar was significantly smaller at 2 mm and 3 mm than when measured at 1, 4 and 5 mm (p < 0.05). There was no significant difference between measurements at 1, 4 and 5 mm below the furcation area (p = 0.001). Conclusion Due to the small thickness of dentinal wall at 2-3 mm below the furcation in the root canal, caution is required when instrumenting mesio-buccal canal of the lower first molar and correct selection of the instrumentation technique in order to avoid transportation or stripping perforation that may lead to root fracture.
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spelling doaj.art-46d85969e8ca460a918f500ac69a9cad2023-08-14T09:50:13ZengSerbian Medical Society - Dental Section, BelgradeStomatološki glasnik Srbije0039-17431452-37012023-01-0170269760039-17432302069QDentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)Đeri Aleksandra0Radman-Kuzmanović Irena1Moravac Nikola2Tejić Milan3Josipović Renata4Arbutina Adriana5Marin Saša6Trtić Nataša7Veselinović Valentina8University of Banja Luka, Faculty of Medicine, Department of Dental Medicine, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Department of Dental Medicine, Bosnia and HerzegovinaZU "Simić", Banja Luka, Bosnia and HerzegovinaZU "Institute of Dentistry", Banja Luka, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Department of Dental Medicine, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Department of Dental Medicine, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Department of Dental Medicine, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Department of Dental Medicine, Bosnia and HerzegovinaUniversity of Banja Luka, Faculty of Medicine, Department of Dental Medicine, Bosnia and HerzegovinaIntroduction The aim of this work was to check the average thickness of dentinal wall of the mesio-buccal root of the first lower molar using CBCT axial sections of intact teeth. Material and method In this cross-sectional study, 100 CBCT images of mandibular first molars from the Promax 3Dent radiology center in Banja Luka, Bosnia and Herzegovina were evaluated. A Planmeca Promax3D Max apparatus (Planmeca, Helsinki, Finland) was used, with a field of view (FOV) of 8 × 8 cm and a resolution of 0.1 mm. Analysis was performed using Romexis Viewer software version 3.1.1 (Planmeca, Helsinki, Finland). At an axial thickness of 0.1 mm, transverse sections with a distance of 1 mm were made below the furcation area (at a magnification ×10) at a distance of 1, 2, 3, 4, 5 mm from the furcation. The data were then analyzed by paired t-test. Results The thickness of dentinal wall of the mesio-buccal root of the lower first molar was significantly smaller at 2 mm and 3 mm than when measured at 1, 4 and 5 mm (p < 0.05). There was no significant difference between measurements at 1, 4 and 5 mm below the furcation area (p = 0.001). Conclusion Due to the small thickness of dentinal wall at 2-3 mm below the furcation in the root canal, caution is required when instrumenting mesio-buccal canal of the lower first molar and correct selection of the instrumentation technique in order to avoid transportation or stripping perforation that may lead to root fracture.https://scindeks-clanci.ceon.rs/data/pdf/0039-1743/2023/0039-17432302069Q.pdfcone beam computerized tomographymandibular molarsdentin thickness
spellingShingle Đeri Aleksandra
Radman-Kuzmanović Irena
Moravac Nikola
Tejić Milan
Josipović Renata
Arbutina Adriana
Marin Saša
Trtić Nataša
Veselinović Valentina
Dentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)
Stomatološki glasnik Srbije
cone beam computerized tomography
mandibular molars
dentin thickness
title Dentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)
title_full Dentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)
title_fullStr Dentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)
title_full_unstemmed Dentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)
title_short Dentin thickness of the mesio-buccal root wall of the lower first molar using cone beam computerized tomography (CBCT)
title_sort dentin thickness of the mesio buccal root wall of the lower first molar using cone beam computerized tomography cbct
topic cone beam computerized tomography
mandibular molars
dentin thickness
url https://scindeks-clanci.ceon.rs/data/pdf/0039-1743/2023/0039-17432302069Q.pdf
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