Journal of Endodontics
Volume 36, Issue 10 , Pages 1622-1627 , October 2010

Cone-Beam Computed Tomography Study of Root and Canal Morphology of Maxillary First and Second Molars in an Indian Population

  • Prasanna Neelakantan, MDS

      Affiliations

    • Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India
    • Corresponding Author InformationAddress requests for reprints to Dr Prasanna Neelakantan, Senior Lecturer, Department of Conservative Dentistry and Endodontics, Saveetha University, Plot 1500, 16th Main Rd, Anna Nagar West, Chennai, Tamil Nadu, India.
  • ,
  • Chandana Subbarao, BDS

      Affiliations

    • Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India
  • ,
  • Roshni Ahuja, MDS

      Affiliations

    • Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India
  • ,
  • Chandragiri Venkata Subbarao, MDS

      Affiliations

    • Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha University, Chennai, Tamil Nadu, India
  • ,
  • James L. Gutmann, DDS, PhD

      Affiliations

    • Baylor College of Dentistry, Texas A&M Health Science Center, Dallas, Texas

References 

  1. Ng YL, Aung TH, Alavi A, Gulabivala K. Root and canal morphology of Burmese maxillary molars. Int Endod J. 2001;34:620–630
  2. Sperber GH. The phylogeny and odontogeny of dental morphology. In:  Sperber GH editors. From apes to angels. New York: Wiley–Liss; 1999;p. 215–219
  3. Vertucci FJ. Root canal morphology of mandibular premolars. J Am Dent Assoc. 1978;97:47–50
  4. Alavi AM, Opasanon A, Ng YL, Gulabivala K. Root and canal morphology of Thai maxillary molars. Int Endod J. 2002;35:478–485
  5. Awawdeh L, Abdullah H, Al-Qudah A. Root form and canal morphology of Jordanian maxillary first premolars. J Endod. 2008;34:956–961
  6. Pineda F, Kuttler Y. Mesiodistal and buccolingual roentgenographic investigation of 7275 root canals. Oral Surg Oral Med Oral Pathol. 1972;33:101–110
  7. Weine FS, Hayami S, Hata G, Toda T. Canal configuration of the mesiobuccal root of the maxillary first molar of a Japanese sub-population. Int Endod J. 1999;32:79–87
  8. Pattanshetti N, Gaidhane M, Al Kandari AM. Root and canal morphology of the mesiobuccal and distal roots of permanent first molars in a Kuwait population: a clinical study. Int Endod J. 2008;41:755–762
  9. Fan W, Fan B, Gutmann JL, Fan M. Identification of a C-shaped canal system in mandibular second molars: part III–anatomic features revealed by digital subtraction radiography. J Endod. 2008;34:1187–1190
  10. Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: part 1—conventional and alternative radiographic systems. Int Endod J. 2009;42:447–462
  11. de Oliveira SH, de Moraes LC, Faig-Leite H, Camargo SE, Camargo CH. In vitro incidence of root canal bifurcation in mandibular incisors by radiovisiography. J Appl Oral Sci. 2009;17:234–239
  12. Scarfe WC, Fana CR, Farman AG. Radiographic detection of accessory/lateral canals: use of RadioVisioGraphy and hypaque. J Endod. 1995;21:185–190
  13. Thomas RP, Moule AJ, Bryant R. Root canal morphology of maxillary permanent first molar teeth at various ages. Int Endod J. 1993;26:257–267
  14. Plotino G, Grande NM, Pecci R, Bedini R, Pameijer CH, Somma F. Three dimensional imaging using microcomputed tomography for studying tooth macromorphology. J Am Dent Assoc. 2006;137:1555–1561
  15. Sberna MT, Rizzo G, Zacchi E, Capparè P, Rubinacci A. A preliminary study of the use of peripheral quantitative computed tomography for investigating root canal anatomy. Int Endod J. 2009;42:66–75
  16. Weng XL, Yu SB, Zhao SL, et al. Root canal morphology of permanent maxillary teeth in the Han nationality in Chinese Guanzhong area: a new modified root canal staining technique. J Endod. 2009;35:651–656
  17. Tachibana H, Matsumoto K. Applicability of x-ray computerized tomography in endodontics. Endod Dent Traumatol. 1990;6:16–20
  18. Patel S, Horner K. The use of cone beam computed tomography in endodontics. Int Endod J. 2009;42:755–756
  19. La SH, Jung DH, Kim EC, Min KS. Identification of independent middle mesial canal in mandibular first molar using cone-beam computed tomography imaging. J Endod. 2010;36:542–545
  20. Bornstein MM, Wölner-Hanssen AB, Sendi P, von Arx T. Comparison of intraoral radiography and limited cone beam computed tomography for the assessment of root-fractured permanent teeth. Dent Traumatol. 2009;25:571–577
  21. Peters OA, Laib A, Ruegsegger P, Barbakow F. Three-dimensional analysis of root canal geometry using high-resolution computed tomography. J Dent Res. 2000;79:1405–1409
  22. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998;8:1558–1564
  23. Matherne RP, Angelopoulos C, Kulilid JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod. 2008;34:87–89
  24. Reich D, Thangaraj K, Patterson N, Price AL, Singh L. Reconstructing Indian population history. Nature. 2009;24:489–494
  25. Reuben J, Velmurugan N, Kandaswamy D. The evaluation of root canal morphology of the mandibular first molar in an Indian population using spiral computed tomography scan: an in vitro study. J Endod. 2008;34:212–215
  26. Velmurugan N, Sandhya R. Root canal morphology of mandibular first premolars in an Indian population: a laboratory study. Int Endod J. 2009;42:54–58
  27. Neelakantan P, Chandana S, Subbarao CV. Comparative evaluation of modified canal staining and clearing technique, cone beam computed tomography, peripheral quantitative computed tomography, spiral computed tomography, plain and contrast medium enhanced digital radiography in studying root canal morphology [published online ahead of print July 13, 2010]. J Endod doi: 10.1016/j.joen.2010.05.008.
  28. Gopikrishna V, Bhargavi N, Kandaswamy D. Endodontic management of a maxillary first molar with a single root and a single canal diagnosed with the aid of spiral CT: a case report. J Endod. 2006;32:687–691
  29. Adanir N. An unusual maxillary first molar with four roots and six canals: a case report. Aust Dent J. 2007;52:333–335
  30. Poorni S, Kumar A, Indira R. Maxillary first molar with aberrant canal configuration: a report of 3 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:e53–e55
  31. Gopikrishna V, Reuben J, Kandaswamy D. Endodontic management of a maxillary first molar with two palatal roots and a single fused buccal root diagnosed with spiral computed tomography: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:e74–e78
  32. Singh C, Sikri VK, Arora R. Study of root canals and their configuration in maxillary second permanent molar. Indian J Dent Res. 1994;5:3–8
  33. Neaverth EJ, Kotler LM, Kaltenbach RF. Clinical investigation (in vivo) of endodontically treated maxillary first molars. J Endod. 1987;13:506–512
  34. Wong R. Conventional endodontic failure and retreatment. Dent Clin North Am. 2004;48:265–289
  35. Barrett M. The internal anatomy of the teeth with special reference to the pulp and its branches. Dent Cosmos. 1925;67:581–592
  36. Gray R. The maxillary first molar. In:  Bjorndal AM,  Skidmore AE editor. Anatomy and morphology of permanent teeth. Iowa City: University of Iowa College of Dentistry; 1983;
  37. al Shalabi RM, Omer OE, Glennon J, Jennings M, Claffey NM. Root canal anatomy of maxillary first and second permanent molars. Int Endod J. 2000;33:405–414
  38. Fahid A, Taintor JF. Maxillary second molar with three buccal roots. J Endod. 1988;14:181–183
  39. Zmener O, Peirano A. Endodontic therapy in a maxillary second molar with three buccal roots. J Endod. 1998;24:376–377
  40. Jafarzadeh H, Javidi M, Zarei M. Endodontic retreatment of a maxillary second molar with three separate buccal roots. Aust Endod J. 2006;32:129–132
  41. Kottoor J, Hemamalathi S, Sudha R, Velmurugan N. Maxillary second molar with 5 roots and 5 canals evaluated using cone beam computerized tomography: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109:e162–e165
  42. Pecora JD, Woefel JB, Sousa Neto MD. Morphological study of the maxillary molars: part III—internal anatomy. Braz Dent J. 1992;3:53–57
  43. Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1984;58:589–599

PII: S0099-2399(10)00593-5

doi: 10.1016/j.joen.2010.07.006

Journal of Endodontics
Volume 36, Issue 10 , Pages 1622-1627 , October 2010