Analysis of the middle mesial canals incidence of mandibular first molars using Cone Beam computed tomography

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.26822

Keywords:

Cone-beam computed tomography; Endodontics; Molar teeth; Root canal.

Abstract

Introduction: Numerous studies have evaluated the incidence of the middle-mesial canal in the mesial root of mandibular first molars. However, the available data is varied due to numerous factors related to study methodologies.Aim: To evaluate the incidence of the middle-mesial canal in mandibular first molars through tomographic image analysis. Methodology: A sample of 81 tomographic images of 133 mandibular first molars (acquired with the Orthopantomograph OP300 and the OnDemand 3D Dental system), were observed in mandibular axial section to investigate the presence of the middle-mesial canal and its anatomical configuration. Results: The incidence rate of the middle-mesial canal was 23.30% in the included samples. According to Vertucci's classification: 66.6% type II; 3.33% type VI; and 30% type VIII. According to Versiani et al., 30% ended in an independent foramen, 3.33% in four independent conduits, and 66.6% with confluence for the mesiobuccal or mesiolingual canals. Conclusion: The incidence of the middle-mesial canal corresponded to 23.30% of the total sample as evaluated by tomographic analysis.

References

Aminsobhani, M., Bolhari, B., Shokouhinejad, N., Ghorbanzadeh, A., Ghabraei, S., & Rahmani, M. B. (2010). Mandibular first and second molars with three mesial canals: a case series. Iranian Endodotic Journal., 5(1), 36-39. https://doi.org/10.22037/IEJ/V5I1.1605.

Chavda, S. M., & Garg, S. A. (2016). Advanced methods for identification of middle mesial canal in mandibular molars: An in vitro study. Endodontology, 28(2), 92-96. https://doi.org/10.4103/0970-7212.195425.

Cotton, T. P., Geisler, T. M., Holden, D. T., Schwartz, S. A., & Schindler, W. G. (2007). Endodontic applications of cone-beam volumetric tomography. Journal of Endodontics, 33(9), 1121-32. https://doi.org/10.1016/j.joen.2007.06.011.

Honap, M. N., Devadiga, D., & Hedge, M. N. (2020). To assess the occurrence of middle mesial canal using cone-beam computed tomography and dental operating microscope: An in vitro study. Journal of Conservative Dentistry, 23(1), 51-56. https://doi.org/10.4103/JCD.JCD_462_19.

Huang, C.C., Chang, Y. C., Chuang, M. C., Lai, T. M., Lai, J. Y., Lee, B. S., & Lin, C. P. (2010). Evaluation of root and canal systems of mandibular first molars in Taiwanese individuals using cone beam computed tomography. Journal of the Formosan Medical Association, 109(4), 303-308. https://doi.org/ 10.1016/S0929-6646(10)60056-3.

Karapinar-Kazandag, M., Basrani, B. R., & Friedman, S. (2010). The operating microscope enhances detection and negotiaion of accessory mesial canals in mandibular molars. Journal of Endodontics, 36(8), 1289-94. https://doi.org/10.1016/j.joen.2010.04.005.

Kuzekanani, M., Walsh, L. J., & Amiri, M. (2020). Prevalence and distribution of the middle mesial canal in mandibular first molar teeth of the Kerman population: A CBCT study. Int J Dent., 1-6. https://doi.org/10.1155/2020/8851984.eCollection2020.

La, S. H., Jung, D. H., Kim, E. C., & Min, K. S. (2010). Identification of independent middle mesial canal in mandibular first molar using cone-beam computed tomography imaging. Journal of Endodontics, 36(3), 542-5. https://doi.org/10.1016/j.joen.2009.11.008.

Nosrat, A., Deschenes, R. J., Tordik, P. A., Hicks, M. L., & Fouad, A. F. (2015). Middle Mesial Canals in Mandibular Molars: Incidence and Related Factors. Journal of endodontics, 41(1), 28-32. https://doi.org/10.1016/j.joen.2014.08.004.

Patel, S., Dawood, A., Ford, T. P., & Whaites, E. (2007). The potential applications of cone beam computed tomography in the management of endodontic problems. International Endodontic Journal, 40(10), 818-30. https://doi.org/10.1111/j.1365-2591.2007.01299.x.

Patel, S., Brown, J., Semper, M., Abella, F., & Mannocci, F. (2019). European Society of Endodontology position statement: Use of cone beam computed tomography in Endodontics. International Endodontic Journal, 52(12), 1675-78. https://doi.org/10.1111/iej.13187.

Pomeranz, H. H., Eidelman, D. L., & Goldberg, M. G. (1981). Treatment considerations of the middle mesial canal of mandibular first and second molars. J Endod., 7(12), 565-8. https://doi.org/10.1016/S0099-2399(81)80216-6.

de Toubes, K. M. P. S., Côrtes, M. I. S., Valadares, M. A. A., Fonseca, L. C, Nunes, E., & Silveira, F. F. (2012). Comparative analysis of accessory mesial canal identification in mandibular first molars by using four different diagnostic methods. Journal of Endodontics, 38(4), 436-441. https://doi.org/10.1016/j.joen.2011.12.035.

Srivastava, S., Alrogaibah, N. A., & Aljarbou, G. (2018). Cone-beam computed tomographic analysis of middle mesial canals and isthmus in mesial roots of mandibular first molars-prevalence and related factors. Journal of Conservative Dentistry, 21(5), 526-30. https://doi.org/10.4103/JCD.JCD_205_18.

Tahmasbi, M., Jalali, P., Nair, M. K., Barghan, S., & Nair, U. P. (2017). Prevalence of Middle Mesial Canals and Isthmi in the Mesial Root of Mandibular Molars: an In Vivo Cone-beam Computed Tomographic Study. Journal of Endodontics, 43(7), 1080-3. https://doi:10.1016/j.joen.2017.02.008.

Tomaszewska, M. I., Skinningsrud, B., Jarzebska, A., Pekala, J. R., Tarasiuk, J., & Iwanaga, J. (2018). Internal and External Morphology of Mandibular Molars: An Original Micro-CT Study and Meta-Analysis with Review of Implications for Endodontic Therapy. Clinical Anatomy, 31(6), 797-811. https://doi.org/10.1002/ca.23080.

Versiani, M., Zapata, R. O., Keles, A., Alcin, H., Bramante, C. M., Pécora, J. D., & Souza-Neto, M. D. (2016). Middle mesial canals in mandibular first molars: A micro-CT study in different populations. Archives of Oral Biology, 61, 130-137. https://doi.org/10.1016/j.archoralbio.2015.10.020.

Vertucci, J. F. (1984). Root canal anatomy of the human permanent teeth. Oral Surgery, Oral Medicine and Oral Pathology, 58(5), 589-99. https://doi.org/10.1016/0030-4220(84)90085-9.

Weinberg, E. M., Pereda, A. E., Khurana, S., Lotlikar, P. P., Falcon, C., & Hirschberg, C. (2020). Incidence of Middle Mesial Canals Based on Distance between Mesial Canal Orifices in Mandibular Molars: A Clinical and Cone-beam Computed Tomographic Analysis. Journal of Endodontics, 46(1), 40-43. https://doi.org/10.1016/j.joen.2019.10.017.

Xu, S., Dao, J., Liu, Z., Zhang, Z., Lu, Y.U., & Zeng, X. (2020). Cone-beam computed tomography investigation of middle mesial canals and isthmuses in mandibular first molars in a Chinese population. BMC Oral Health, 20, 135. https://doi.org/10.1186/s12903-020-01126-2.

Yang, Y., Wu, B., Zeng, J., & Chen, M. (2020). Classification and morphology of middle mesial canals of mandibular first molars in a Southern chinesesubpopulatio: a cone-beam computed tomographic study. BMC Oral Health., 20(1), 358. https://doi.org/10.1186/s12903-020-01339-5.

Published

05/03/2022

How to Cite

MADEIRA, L.; LIMA, P. L. W. de .; GERÔNIMO, T.; CRUZ, G. V.; TOMAZINHO, F.; BARATTO FILHO, F. Analysis of the middle mesial canals incidence of mandibular first molars using Cone Beam computed tomography. Research, Society and Development, [S. l.], v. 11, n. 3, p. e50711326822, 2022. DOI: 10.33448/rsd-v11i3.26822. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26822. Acesso em: 20 apr. 2024.

Issue

Section

Health Sciences