Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed Tomography

Objectives: This study sought to assess the root morphology and root canal anatomy of the maxillary first and second molars in an Iranian population using cone-beam computed tomography (CBCT). Materials and Methods: Sound fully-developed maxillary first (n=345) and second (n=423) molars were evaluat...

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Main Authors: Zahra Ghoncheh, Behrang Moghaddam Zade, Mohammad Javad Kharazi fard
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2017-10-01
Series:Frontiers in Dentistry
Subjects:
Online Access:https://jdt.tums.ac.ir/index.php/jdt/article/view/1282
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author Zahra Ghoncheh
Behrang Moghaddam Zade
Mohammad Javad Kharazi fard
author_facet Zahra Ghoncheh
Behrang Moghaddam Zade
Mohammad Javad Kharazi fard
author_sort Zahra Ghoncheh
collection DOAJ
description Objectives: This study sought to assess the root morphology and root canal anatomy of the maxillary first and second molars in an Iranian population using cone-beam computed tomography (CBCT). Materials and Methods: Sound fully-developed maxillary first (n=345) and second (n=423) molars were evaluated on 450 CBCT scans ordered for pre-operative assessment for implant placement. The (I) number of roots and their morphology (II) number of canals per root, (III) canal configuration and presence of a second mesiobuccal canal according to the Vertucci’s classification and (IV) unilateral or bilateral occurrence of a second mesiobuccal canal (MB2) were evaluated. Results: Single roots were found in 1.1% of the first and 11.3% of the second molars. Four separate roots were identified in 0.5% of the first molars; none of the second molars had four separate roots. First and second molars showed a higher prevalence of three separate roots of mesiobuccal, distobuccal and palatal with one canal in each root (54% and 86 %, respectively). The most common anatomical variation in the maxillary first molars was related to the configuration of the MB root; the root canal system of the maxillary second molars showed more anatomical variations. Conclusions: Mesiobuccal roots of the maxillary molars had more variations in their canal system than the distobuccal or palatal roots. The root canal configuration of the maxillary second molars was more diverse than that of first molars; CBCT enhances mapping of the mesiobuccal root canal system with the potential to improve the quality of root canal treatment.
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spelling doaj.art-51a66e4fa7c743e58880e1a429328c862022-12-22T01:11:33ZengTehran University of Medical SciencesFrontiers in Dentistry2676-296X2017-10-01143916Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed TomographyZahra Ghoncheh0Behrang Moghaddam Zade1Mohammad Javad Kharazi fard2Assistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, International Campus, Tehran, IranAdjunct Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Tehran University of Medical Sciences, International Campus, Tehran, IranEpidemiologist, Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, IranObjectives: This study sought to assess the root morphology and root canal anatomy of the maxillary first and second molars in an Iranian population using cone-beam computed tomography (CBCT). Materials and Methods: Sound fully-developed maxillary first (n=345) and second (n=423) molars were evaluated on 450 CBCT scans ordered for pre-operative assessment for implant placement. The (I) number of roots and their morphology (II) number of canals per root, (III) canal configuration and presence of a second mesiobuccal canal according to the Vertucci’s classification and (IV) unilateral or bilateral occurrence of a second mesiobuccal canal (MB2) were evaluated. Results: Single roots were found in 1.1% of the first and 11.3% of the second molars. Four separate roots were identified in 0.5% of the first molars; none of the second molars had four separate roots. First and second molars showed a higher prevalence of three separate roots of mesiobuccal, distobuccal and palatal with one canal in each root (54% and 86 %, respectively). The most common anatomical variation in the maxillary first molars was related to the configuration of the MB root; the root canal system of the maxillary second molars showed more anatomical variations. Conclusions: Mesiobuccal roots of the maxillary molars had more variations in their canal system than the distobuccal or palatal roots. The root canal configuration of the maxillary second molars was more diverse than that of first molars; CBCT enhances mapping of the mesiobuccal root canal system with the potential to improve the quality of root canal treatment.https://jdt.tums.ac.ir/index.php/jdt/article/view/1282Tooth RootCone-Beam Computed TomographyMaxillaMolarPopulation
spellingShingle Zahra Ghoncheh
Behrang Moghaddam Zade
Mohammad Javad Kharazi fard
Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed Tomography
Frontiers in Dentistry
Tooth Root
Cone-Beam Computed Tomography
Maxilla
Molar
Population
title Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed Tomography
title_full Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed Tomography
title_fullStr Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed Tomography
title_full_unstemmed Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed Tomography
title_short Root Morphology of the Maxillary First and Second Molars in an Iranian Population Using Cone Beam Computed Tomography
title_sort root morphology of the maxillary first and second molars in an iranian population using cone beam computed tomography
topic Tooth Root
Cone-Beam Computed Tomography
Maxilla
Molar
Population
url https://jdt.tums.ac.ir/index.php/jdt/article/view/1282
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AT behrangmoghaddamzade rootmorphologyofthemaxillaryfirstandsecondmolarsinaniranianpopulationusingconebeamcomputedtomography
AT mohammadjavadkharazifard rootmorphologyofthemaxillaryfirstandsecondmolarsinaniranianpopulationusingconebeamcomputedtomography