Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone Beam Computed Tomography Study

(1) The possibility of knowing information about the anatomy in advance, in particular the arrangement of the endodontic system, is crucial for successful treatment and for avoiding complications during endodontic therapy; the aim was to find a correlation between a minimally invasive and less stres...

Full description

Bibliographic Details
Main Authors: Rodolfo Reda, Dario Di Nardo, Alessio Zanza, Valentina Bellanova, Rosemary Abbagnale, Francesco Pagnoni, Maurilio D’Angelo, Ajinkya M. Pawar, Massimo Galli, Luca Testarelli
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Journal of Imaging
Subjects:
Online Access:https://www.mdpi.com/2313-433X/10/1/9
_version_ 1797343345307025408
author Rodolfo Reda
Dario Di Nardo
Alessio Zanza
Valentina Bellanova
Rosemary Abbagnale
Francesco Pagnoni
Maurilio D’Angelo
Ajinkya M. Pawar
Massimo Galli
Luca Testarelli
author_facet Rodolfo Reda
Dario Di Nardo
Alessio Zanza
Valentina Bellanova
Rosemary Abbagnale
Francesco Pagnoni
Maurilio D’Angelo
Ajinkya M. Pawar
Massimo Galli
Luca Testarelli
author_sort Rodolfo Reda
collection DOAJ
description (1) The possibility of knowing information about the anatomy in advance, in particular the arrangement of the endodontic system, is crucial for successful treatment and for avoiding complications during endodontic therapy; the aim was to find a correlation between a minimally invasive and less stressful endodontic access on Ni-Ti rotary instruments, but which allows correct vision and identification of anatomical reference points, simplifying the typologies based on the shape of the pulp chamber in coronal three-dimensional exam views. (2) Based on the inclusion criteria, 104 maxillary molars (52 maxillary first molars and 52 maxillary second molars) were included in the study after 26 Cone Beam Computed Tomography (CBCT) acquisitions (from 15 males and 11 females). And linear measurements were taken with the CBCT-dedicated software for subsequent analysis. (3) The results of the present study show data similar to those already published about this topic. Pawar and Singh’s simplified classification actually seems to offer a schematic way of classification that includes almost all of the cases that have been analyzed. (4) The use of a diagnostic examination with a wide Field of View (FOV) and low radiation dose represents an exam capable of obtaining a lot of clinical information for endodontic treatment. Nevertheless, the endodontic anatomy of the upper second molar represents a major challenge for the clinician due to its complexity both in canal shape and in ramification.
first_indexed 2024-03-08T10:46:17Z
format Article
id doaj.art-67ec2cfd50454bb9830d314e84907196
institution Directory Open Access Journal
issn 2313-433X
language English
last_indexed 2024-03-08T10:46:17Z
publishDate 2023-12-01
publisher MDPI AG
record_format Article
series Journal of Imaging
spelling doaj.art-67ec2cfd50454bb9830d314e849071962024-01-26T17:11:01ZengMDPI AGJournal of Imaging2313-433X2023-12-01101910.3390/jimaging10010009Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone Beam Computed Tomography StudyRodolfo Reda0Dario Di Nardo1Alessio Zanza2Valentina Bellanova3Rosemary Abbagnale4Francesco Pagnoni5Maurilio D’Angelo6Ajinkya M. Pawar7Massimo Galli8Luca Testarelli9Department of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyOperative Research Unit of Dentistry, Policlinico Universitario Campus Bio-Medico Foundation, Via Alvaro del Portillo 200, 00128 Rome, ItalyDepartment of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai 400008, IndiaDepartment of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillo Facial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy(1) The possibility of knowing information about the anatomy in advance, in particular the arrangement of the endodontic system, is crucial for successful treatment and for avoiding complications during endodontic therapy; the aim was to find a correlation between a minimally invasive and less stressful endodontic access on Ni-Ti rotary instruments, but which allows correct vision and identification of anatomical reference points, simplifying the typologies based on the shape of the pulp chamber in coronal three-dimensional exam views. (2) Based on the inclusion criteria, 104 maxillary molars (52 maxillary first molars and 52 maxillary second molars) were included in the study after 26 Cone Beam Computed Tomography (CBCT) acquisitions (from 15 males and 11 females). And linear measurements were taken with the CBCT-dedicated software for subsequent analysis. (3) The results of the present study show data similar to those already published about this topic. Pawar and Singh’s simplified classification actually seems to offer a schematic way of classification that includes almost all of the cases that have been analyzed. (4) The use of a diagnostic examination with a wide Field of View (FOV) and low radiation dose represents an exam capable of obtaining a lot of clinical information for endodontic treatment. Nevertheless, the endodontic anatomy of the upper second molar represents a major challenge for the clinician due to its complexity both in canal shape and in ramification.https://www.mdpi.com/2313-433X/10/1/9upper first molarupper second molarCBCTpulp floorclassification
spellingShingle Rodolfo Reda
Dario Di Nardo
Alessio Zanza
Valentina Bellanova
Rosemary Abbagnale
Francesco Pagnoni
Maurilio D’Angelo
Ajinkya M. Pawar
Massimo Galli
Luca Testarelli
Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone Beam Computed Tomography Study
Journal of Imaging
upper first molar
upper second molar
CBCT
pulp floor
classification
title Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone Beam Computed Tomography Study
title_full Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone Beam Computed Tomography Study
title_fullStr Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone Beam Computed Tomography Study
title_full_unstemmed Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone Beam Computed Tomography Study
title_short Upper First and Second Molar Pulp Chamber Endodontic Anatomy Evaluation According to a Recent Classification: A Cone Beam Computed Tomography Study
title_sort upper first and second molar pulp chamber endodontic anatomy evaluation according to a recent classification a cone beam computed tomography study
topic upper first molar
upper second molar
CBCT
pulp floor
classification
url https://www.mdpi.com/2313-433X/10/1/9
work_keys_str_mv AT rodolforeda upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT dariodinardo upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT alessiozanza upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT valentinabellanova upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT rosemaryabbagnale upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT francescopagnoni upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT mauriliodangelo upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT ajinkyampawar upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT massimogalli upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy
AT lucatestarelli upperfirstandsecondmolarpulpchamberendodonticanatomyevaluationaccordingtoarecentclassificationaconebeamcomputedtomographystudy