The incidence of unfilled second mesiobuccal canals and periapical lesions in maxillary molars by cone-beam computed tomography E-VOL DX software

Authors

DOI:

https://doi.org/10.14393/BJ-v40n0a2024-69090

Keywords:

CBCT, e-Vol DX, Maxillary molar, MB2 canal, Mesiobuccal canal, Mesiopalatal canal.

Abstract

This study evaluated the incidence of unfilled second mesiobuccal (MB2) canals and periapical lesions in first maxillary molars using CBCT e-Vol DX software. Hence, 326 CBCT images of first maxillary molars of patients undergoing endodontic treatment were selected. The e-Vol DX software performed a retrospective review of these images, recording the presence or absence of MB2 canals, filling, and periapical lesions in first maxillary molars. Specific statistical analysis was performed at a 5% significance level. Unfilled MB2 canals were highly frequent in first maxillary molars and significantly associated with periapical lesions in the mesiobuccal root of these teeth (p<0.05). The CBCT e-Vol DX software effectively detected MB2 canals, and unfilled canals may be associated with periapical lesions.

Downloads

Download data is not yet available.

References

ALAÇAM, T., et al. Second mesiobuccal canal detection in maxillary first molars using microscopy and ultrasonics. Australian Endodontic Journal. 2008, 34, 106-109. https://doi.org/10.1111/j.1747-4477.2007.00090.x

AMERICAN ASSOCIATION OF ENDODONTISTS, AMERICAN ACADEMY OF ORAL AND MAXILLOFACIAL RADIOLOGY. Use of cone-beam computed tomography in endodontics Joint position statement of the American Association of Endodontists and the American Academy of Oral and Maxillofacial Radiology. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology. 2011, 111, 234-237. https://doi.org/10.1016/j.tripleo.2010.11.012

BENDER, I.B., SELTZER, S. Roentgenographic and direct observation of experimental lesions in bone I. The Journal of American Dental Association. 1961, 62,152–60.

BENSON, B.W., PRIHODA, T.J. and GLASS, B.J. Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology. 1991, 71, 349-356. https://doi.org/10.1016/0030-4220(91)90314-3

BETANCOURT, P., et al. Cone-beam computed tomography study of prevalence and location of MB2 canal in the mesiobuccal root of the maxillary second molar. International Journal of Clinical and Experimental Medicine. 2015, 8, 9128-9134.

BETANCOURT, P., et al. Prevalence and location of the secondary mesiobuccal canal in 1,100 maxillary molars using cone beam computed tomography. BMC Medical Imaging. 2016, 16, 1-8. https://doi.org/10.1186/s12880-016-0168-2

BLATTNER, T., et al. Efficacy of cone-beam computed tomography as a modality to accurately identify the presence of second mesiobuccal canals in maxillary first and second molars: A pilot study. Journal of Endodontics. 2010, 36, 867-870. https://doi.org/10.1016/j.joen.2009.12.023

BUENO, M.R., et al. Development of a new cone-beam computed tomography software for endodontic diagnosis. Brazilian Dental Journal. 2018, 29, 517-529. https://doi.org/10.1590/0103-6440201802455

BYSTRÖM, A. and SUNDQVIST, G. Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy. Scandinavian Journal of Dental Research. 1981, 89, 321-328. https://doi.org/10.1111/j.1600-0722.1981.tb01689.x

DEGERNESS, R.A. and BOWLES, W.R. Dimension, anatomy and morphology of the mesiobuccal root canal system in maxillary molars. Journal of Endodontics. 2010, 36, 985-989. https://doi.org/10.1016/j.joen.2010.02.017

ESTRELA, C., et al. Accuracy of cone beam computed tomography and panoramic and periapical radiography for detection of apical periodontitis. Journal of Endodontics. 2008, 34, 273-279. https://doi.org/10.1016/j.joen.2007.11.023

FOGEL, H.M., PEIKOFF, M.D. and CHRISTIE, W.H. Canal configuration in the mesiobuccal root of the maxillary first molar: A clinical study. Journal of Endodontics. 1994, 20, 135-137. https://doi.org/10.1016/S0099-2399(06)80059-2

HALSE, A., MOLVEN, O., FRISTAD, I. Diagnosing periapical lesions: disagreement and borderline cases. International Endodontic Journal. 2002, 35, 703–9.

HILDEBOLT, C.F. Osteoporosis and oral bone loss. Dentomaxillofacial Radiology. 1997, 26, 3-15. https://doi.org/10.1038/sj.dmfr.4600226

KIM, Y., LEE, S.J. and WOO, J. Morphology of maxillary first and second molars analyzed by cone beam computed tomography in a Korean population: Variations in the number of roots and canals and the incidence of fusion. Journal of Endodontics. 2012, 38,1063-1068. https://doi.org/10.1016/j.joen.2012.04.025

LEE, J., et al. Mesiobuccal root canal anatomy of Korean maxillary first and second molars by cone-beam computed tomography. Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology. 2011, 111, 785-791. https://doi.org/10.1016/j.tripleo.2010.11.026

LIN, L.M., ROSENBERG, P.A. and LIN, J. Do procedural errors cause endodontic treatment failure? Journal of the American Dental Association. 2005, 136, 187-193. https://doi.org/10.14219/jada.archive.2005.0140

MATHERNE, R.P., et al. Use of cone-beam computed tomography to identify root canal systems in vitro. Journal of Endodontics. 2008, 34, 87-89. https://doi.org/10.1016/j.joen.2007.10.016

NAIR, P.N., et al. Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy resistant periapical lesions: A long-term light and electron microscopic follow-up study. Journal of Endodontics. 1990, 16, 580-588. https://doi.org/10.1016/S0099-2399(07)80201-9

PATEL, S., DAWOOD, A. and WHAITES, E. The potential applications of cone beam computed tomography in the management of endodontic problems. International Endodontic Journal. 2007, 40, 818-830. https://doi.org/10.1111/j.1365-2591.2007.01299.x

QUALTROUGH, A.J. and MANOCCI, F. Endodontics and the older patient. Dental Update. 2011, 38, 559-562. https://doi.org/10.12968/denu.2011.38.8.559

RAN, S., et al. Assessment of dentinal tubule invasion capacity of Enterococcus faecalis under stress conditions ex vivo. International Endodontic Journal. 2015, 48, 362-372. https://doi.org/10.1111/iej.12322

SCARFE, W.C., FARMAN, A.G. and SUKOVIC, P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Ass. 2007, 72, 75-80.

SHAH, M., et al. Anatomical aberrations in root canals of maxillary first and second molar teeth: An endodontic challenge. BMJ Case Reports. 2014, 20, bcr2013201310. https://doi.org/10.1136/bcr-2013-201310

SHOVELTON, D.S. The presence and distribution of microorganisms within non vital teeth. Brazilian Dental Journal. 1964, 117, 101-107.

SILVA, E.J.N.L., et al. Push-out bond strength of injectable pozzolan-based root canal sealer. Journal of Endodontics. 2016, 42, 1656-1659. https://doi.org/10.1016/j.joen.2016.08.009

SOUZA, M.A., et al. Antimicrobial activity of hypochlorite solutions and reciprocating instrumentation associated with photodynamic therapy on root canals infected with Enterococcus faecalis - An in vitro study. Photodiagnosis and Photodynamic Therapy. 2018, 23, 347-352. https://doi.org/10.1016/j.pdpdt.2018.07.015

VAUDT, J., BITTER, K., NEUMANN, K., KIELBASSA, A.M. Ex vivo study on root canal instrumentation of two rotary nickel-titanium systems in comparison to stainless steel hand instruments. International Endodontic Journal. 2009, 42, 22-33. https://doi.org/10.1111/j.1365-2591.2008.01489.x

WEISSMAN, J., et al. Association between the presence of apical periodontitis and clinical symptoms in endodontic patients using cone-beam computed tomography and periapical radiographs. Journal of Endodontics. 2015, 41, 1824-1829. https://doi.org/10.1016/j.joen.2015.06.004

ZHANG, R., et al. Use of CBCT to identify the morphology of maxillary permanent molar teeth in a Chinese subpopulation. International Endodontic Journal. 2011, 44, 162-169. https://doi.org/10.1111/j.1365-2591.2010.01826.x

ZHENG, Q., et al. A cone-beam computed tomography study of maxillary first permanent molar root and canal morphology in a Chinese population. Journal of Endodontics. 2010, 36, 1480-1484. https://doi.org/10.1016/j.joen.2010.06.018

Downloads

Published

2024-01-31

How to Cite

SOUZA, M.A., CASTRO, D.M.M. de, RIZZON FERREIRA, E., GOMES DALLEPIANE, F., PASQUALOTTO, F., BIZZI, S. dos S., VANIN, G.N., ZANELLA, M.L., BISCHOFF, K.F., SALVADOR, N., RICCI, R., PALHANO, H.S., DE CARLI, J.P. and BERVIAN, J., 2024. The incidence of unfilled second mesiobuccal canals and periapical lesions in maxillary molars by cone-beam computed tomography E-VOL DX software. Bioscience Journal [online], vol. 40, pp. e40010. [Accessed29 October 2024]. DOI 10.14393/BJ-v40n0a2024-69090. Available from: https://seer.ufu.br/index.php/biosciencejournal/article/view/69090.

Issue

Section

Health Sciences