The intercuspal and interorifice distances of maxillary molars: A cone-beam computed tomography study

AbstractObjective: Proper and conservative endodontic access cavity preparation is a crucial step in performing a successful root canal treatment that ensures a long-term prognosis. This study aimed to evaluate the intercuspal and interorifice length of maxillary first and second molars using cone b...

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Main Authors: Levent Akinci, Hasan Öztürk, Numan Dedeoğlu
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2024-03-01
Series:Journal of Dental Materials and Techniques
Subjects:
Online Access:https://jdmt.mums.ac.ir/article_24038_286933a80900645ebc690ea13e863526.pdf
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author Levent Akinci
Hasan Öztürk
Numan Dedeoğlu
author_facet Levent Akinci
Hasan Öztürk
Numan Dedeoğlu
author_sort Levent Akinci
collection DOAJ
description AbstractObjective: Proper and conservative endodontic access cavity preparation is a crucial step in performing a successful root canal treatment that ensures a long-term prognosis. This study aimed to evaluate the intercuspal and interorifice length of maxillary first and second molars using cone beam computed tomography (CBCT).Methods: The CBCT scans of 400 mature and intact maxillary first and second molars (16, 17, 26, and 27) were evaluated. The measured variables included the distances between the buccal cusps (intercuspal distance) and buccal orifices (interorifice distance), the interorifice/intercuspal ratio, and the angle at the intersection of interorifice and intercuspal lines. The variables were compared between different teeth and between male and female patients.Results: The interorifice and intercuspal distances were significantly greater in males compared to females (P<0.05), except for the intercuspal distance in the left maxillary second molar (P=0.056). There was a statistically significant difference concerning the angle formed between the interorifice and intercuspal lines among tooth numbers 26 and 27 (P=0.044). The interorifice/intercuspal ratio was significantly different between the maxillary first and second molars on the right (P=0.006) and left sides (P<0.001).Conclusions: The angle formed between the intercuspal and interorifice distances and the interorifice/ intercuspal ratio was greater in the maxillary first molars compared to the second molars. Moreover, males generally had larger internal and external anatomical features than females. Hence, when preparing a conservative access cavity in maxillary molars, clinicians are advised to consider both the external tooth anatomy and the patient's gender as important factors
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spelling doaj.art-a4c046273a80493fafc40956ad63bfb42024-04-07T06:49:56ZengMashhad University of Medical SciencesJournal of Dental Materials and Techniques2322-41502252-03172024-03-0113181310.22038/jdmt.2024.74082.158024038The intercuspal and interorifice distances of maxillary molars: A cone-beam computed tomography studyLevent Akinci0Hasan Öztürk1Numan Dedeoğlu2Department of Endodontics, School of Dentistry, Inonu University Malatya, TurkeyPrivate Dental Clinic, Antalya, Turkey.Department of Oral and Maxillofacial Radiology, School of Dentistry, Inonu University, Malatya, Turkey.AbstractObjective: Proper and conservative endodontic access cavity preparation is a crucial step in performing a successful root canal treatment that ensures a long-term prognosis. This study aimed to evaluate the intercuspal and interorifice length of maxillary first and second molars using cone beam computed tomography (CBCT).Methods: The CBCT scans of 400 mature and intact maxillary first and second molars (16, 17, 26, and 27) were evaluated. The measured variables included the distances between the buccal cusps (intercuspal distance) and buccal orifices (interorifice distance), the interorifice/intercuspal ratio, and the angle at the intersection of interorifice and intercuspal lines. The variables were compared between different teeth and between male and female patients.Results: The interorifice and intercuspal distances were significantly greater in males compared to females (P<0.05), except for the intercuspal distance in the left maxillary second molar (P=0.056). There was a statistically significant difference concerning the angle formed between the interorifice and intercuspal lines among tooth numbers 26 and 27 (P=0.044). The interorifice/intercuspal ratio was significantly different between the maxillary first and second molars on the right (P=0.006) and left sides (P<0.001).Conclusions: The angle formed between the intercuspal and interorifice distances and the interorifice/ intercuspal ratio was greater in the maxillary first molars compared to the second molars. Moreover, males generally had larger internal and external anatomical features than females. Hence, when preparing a conservative access cavity in maxillary molars, clinicians are advised to consider both the external tooth anatomy and the patient's gender as important factorshttps://jdmt.mums.ac.ir/article_24038_286933a80900645ebc690ea13e863526.pdfaccess cavity preparationcone-beam computed tomographyconservative treatmentendodonticsmaxillary molarroot canal therapy
spellingShingle Levent Akinci
Hasan Öztürk
Numan Dedeoğlu
The intercuspal and interorifice distances of maxillary molars: A cone-beam computed tomography study
Journal of Dental Materials and Techniques
access cavity preparation
cone-beam computed tomography
conservative treatment
endodontics
maxillary molar
root canal therapy
title The intercuspal and interorifice distances of maxillary molars: A cone-beam computed tomography study
title_full The intercuspal and interorifice distances of maxillary molars: A cone-beam computed tomography study
title_fullStr The intercuspal and interorifice distances of maxillary molars: A cone-beam computed tomography study
title_full_unstemmed The intercuspal and interorifice distances of maxillary molars: A cone-beam computed tomography study
title_short The intercuspal and interorifice distances of maxillary molars: A cone-beam computed tomography study
title_sort intercuspal and interorifice distances of maxillary molars a cone beam computed tomography study
topic access cavity preparation
cone-beam computed tomography
conservative treatment
endodontics
maxillary molar
root canal therapy
url https://jdmt.mums.ac.ir/article_24038_286933a80900645ebc690ea13e863526.pdf
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