Root Canal Morphology and Configuration of 179 Maxillary First Molars by Means of Micro–computed Tomography: AnEx VivoStudy

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Abstract

Introduction:

The objective of this study was to propose a root canal configuration description method and to investigate the root canal system morphology of the maxillary first molar by means of micro–computed tomographic imaging.

Methods:

The root canal configuration, foramina, and accessory canal frequency of 179 maxillary first molars were investigated by means of micro–computed tomographic imaging and 3-dimensional software imaging. The root canal configuration and main foramina number are described from coronal to apical with a 4-digit system.

Results:

The most frequent root canal configurations were 1–1–1/1 (45.8%), 2–2–2/2 (25.1%) and 2–2–1/1 (10.1%) in mesiobuccal roots and 1–1–1/1 in distobuccal (97.2%) and palatal (98.9%) roots. The first mesiobuccal (MB1) root canal had 1 accessory canal in 26.3% of the teeth, the distobuccal root canal had 12.3%, and the palatal root canal had 9.5%; in the second mesiobuccal root canal, there was rarely 1 accessory canal. There was 1 accessory canal in 26.3%, 12.3%, and 9.5% in the MB1, distobuccal, and palatal root canals, respectively. The MB1, distobuccal, and palatal root canals had 1 main foramen. The MB2 had 1 main foramen in 39.0% of the teeth and no main foramen in 61.0%.

Conclusions:

The root canal configuration of maxillary first molars is quite diversified. Contrary to our expectations in this research, the mesiobuccal root has predominantly 1 root canal entrance and only 1 main foramen. Anatomic variations including connecting and accessory canals occur in any third of root.

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