Open Access
CC BY-NC-ND 4.0 · European Journal of General Dentistry 2020; 9(02): 84-89
DOI: 10.4103/ejgd.ejgd_167_19
Original Article

Analysis of root and canal morphology of maxillaryfirst and second molars among malay ethnic in the malaysian population with the aid of cone-beam computed tomography: A retrospective study

Nadzirah Abd Rahman
1   Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia
2   Hospital Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
,
Mohamad Syahrizal Halim
1   Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia
2   Hospital Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
,
Mohd. Fadhli Khamis
2   Hospital Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
3   Forensic Odontology and Oral Biology Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
,
Huwaina Abd Ghani
1   Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia
2   Hospital Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
› Author Affiliations
Preview

Abstract

Aim: This study aimed to investigate the root and canal morphology of permanent maxillaryfirst and second molars using cone-beam computed tomography (CBCT) imaging. Materials and Methods: This study evaluated the CBCT images of 480 maxillaryfirst molars and 536 maxillary second molars from 268 patients who received CBCT scanning for various procedures. The number of roots, prevalence of the second mesiobuccal (MB2) canal in the mesiobuccal root, its association with gender, and the prevalence of bilateral MB2 canals were evaluated. Descriptive statistics was used to evaluate the prevalence, while Chi-square test was used to assess the association between the prevalence of MB2 canal and gender with a significance level set at P < 0.05 and P < 0.001. Results:Majority of maxillaryfirst (97.7%) and second molars (80.0%) were presented with three roots. MB2 canals were found in 59.9% and 35.2% of maxillaryfirst and second molars, respectively. The prevalence of MB2 canals among male patients was significantly higher in both maxillaryfirst (P < 0.05) and second molars (P < 0.001). Bilateral MB2 canals were seen in 76.2% and 58.3% of maxillaryfirst and second molars, respectively. Conclusions: MB2 canal was common among Malay ethnic with the prevalence of approximately 60% and 35% in maxillaryfirst and second molars, respectively. Our findings will increase the knowledge and awareness of dental clinicians to be more vigilant in identifying the MB2 canal to ensure complete cleaning and obturation of all root canals during root canal treatment.

Financial support and sponsorship

Nil.




Publication History

Article published online:
01 November 2021

© 2020. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Betancourt P, Navarro P, Muñoz G, Fuentes R. Prevalence and location of the secondary mesiobuccal canal in 1,100 maxillary molars using cone beam computed tomography. BMC Med Imaging 2016;16:66.
  • 2 Witherspoon DE, Small JC, Regan JD. Missed canal systems are the most likely basis for endodontic retreatment of molars. Tex Dent J 2013;130:127-39.
  • 3 Kim Y, Lee SJ, 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. J Endod 2012;38:1063-8.
  • 4 Special Committee to Revise the Joint AAE/AAOMR Position Statement on use of CBCT in Endodontics. AAE and AAOMR Joint Position Statement: Use of Cone Beam Computed Tomography in Endodontics 2015 Update. Oral Surg Oral Med Oral Pathol Oral Radiol 2015;120:508-12.
  • 5 Witherspoon DE, Small JC, Regan JD. Missed canal systems are the most likely basis for endodontic retreatment of molars. Tex Dent J 2013;130:127-39.
  • 6 Ratanajirasut R, Panichuttra A, Panmekiate S. A cone-beam computed tomographic study of root and canal morphology of maxillary first and second permanent molars in a Thai population. J Endod 2018;44:56-61.
  • 7 Vertucci FJ. Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol 1984;58:589-99.
  • 8 Kim SY, Kim BS, Woo J, Kim Y. Morphology of mandibular first molars analyzed by cone-beam computed tomography in a Korean population: Variations in the number of roots and canals. J Endod 2013;39:1516-21.
  • 9 McHugh ML. Interrater reliability: The kappa statistic. Biochem Med (Zagreb) 2012;22:276-82.
  • 10 Gulabivala K, Opasanon A, Ng YL, Alavi A. Root and canal morphology of Thai mandibular molars. Int Endod J 2002;35:56-62.
  • 11 Sert S, Bayirli GS. Evaluation of the root canal configurations of the mandibular and maxillary permanent teeth by gender in the Turkish population. J Endod 2004;30:391-8.
  • 12 Weine FS, Healey HJ, Gerstein H, Evanson L. Canal configuration in the mesiobuccal root of the maxillary first molar and its endodontic significance. 1969. J Endod 2012;38:1305-8.
  • 13 Imura N, Hata GI, Toda T, Otani SM, Fagundes MI. Two canals in mesiobuccal roots of maxillary molars. Int Endod J 1998;31:410-4.
  • 14 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.
  • 15 Alavi AM, Opasanon A, Ng YL, Gulabivala K. Root and canal morphology of Thai maxillary molars. Int Endod J 2002;35:478-85.
  • 16 Ng YL, Aung TH, Alavi A, Gulabivala K. Root and canal morphology of Burmese maxillary molars. Int Endod J 2001;34:620-30.
  • 17 Sempira HN, Hartwell GR. Frequency of second mesiobuccal canals in maxillary molars as determined by use of an operating microscope: A clinical study. J Endod 2000;26:673-4.
  • 18 Thomas RP, Moule AJ, Bryant R. Root canal morphology of maxillary permanent first molar teeth at various ages. Int Endod J 1993;26:257-67.
  • 19 Wolf TG, Paqué F, Woop AC, Willershausen B, Briseño-Marroquín B. Root canal morphology and configuration of 123 maxillary second molars by means of micro-CT. Int J Oral Sci 2017;9:33-7.
  • 20 Yamada M, Ide Y, Matsunaga S, Kato H, Nakagawa K. Three-dimensional analysis of mesiobuccal root canal of Japanese maxillary first molar using Micro-CT. Bull Tokyo Dent Coll 2011;52:77-84.
  • 21 Al-Kadhim AH, Rajion ZA, Malik NA, Bin Jaafar A. Morphology of maxillary first molars analyzed by cone-beam computed tomography among malaysian: Variations in the number of roots and canals and the incidence of fusion. Int Med J Malays 2017;16:2:33-9.
  • 22 Al-Shehri S, Al-Nazhan S, Shoukry S, Al-Shwaimi E, Al-Shemmery B. Root and canal configuration of the maxillary first molar in a Saudi subpopulation: A cone-beam computed tomography study. Saudi Endod J 2017;7:69.
  • 23 Blattner TC, George N, Lee CC, Kumar V, Yelton CD. 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. J Endod 2010;36:867-70.
  • 24 Deng PU, Halim MS, Masudi SM, Al-Shehadat S, Ahmad B. Cone-beam computed tomography analysis on root and canal morphology of mandibular first permanent molar among multiracial population in East Coast Malaysian population. Eur J Dent 2018;12:410-6.
  • 25 Domark JD, Hatton JF, Benison RP, Hildebolt CF. An ex vivocomparison of digital radiography and cone-beam and micro computed tomography in the detection of the number of canals in the mesiobuccal roots of maxillary molars. J Endod 2013;39:901-5.
  • 26 Lee JH, Kim KD, Lee JK, Park W, Jeong JS, Lee Y, et al. Mesiobuccal root canal anatomy of Korean maxillary first and second molars by cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:785-91.
  • 27 Lin YH, Lin HN, Chen CC, Chen MS. Evaluation of the root and canal systems of maxillary molars in Taiwanese patients: A cone beam computed tomography study. Biomed J 2017;40:232-8.
  • 28 Mohan RP, Thomas MS, Shetty N, Ahmed J, Pallippurath G, Tallada AK. Evaluation of the root and canal morphology of maxillary first and second molar using cone beam computed tomography: A retrospective study. World J Dent 2017;8:134-8.
  • 29 Neelakantan P, Subbarao C, Ahuja R, Subbarao CV, Gutmann JL. Cone-beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population. J Endod 2010;36:1622-7.
  • 30 Plotino G, Tocci L, Grande NM, Testarelli L, Messineo D, Ciotti M, et al. Symmetry of root and root canal morphology of maxillary and mandibular molars in a white population: A cone-beam computed tomography study in vivo. J Endod 2013;39:1545-8.
  • 31 Tian XM, Yang XW, Qian L, Wei B, Gong Y. Analysis of the root and canal morphologies in maxillary first and second molars in a Chinese population using cone-beam computed tomography. J Endod 2016;42:696-701.
  • 32 Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod 2008;34:87-9.
  • 33 Singh S, Pawar M. Root canal morphology of South Asian Indian maxillary molar teeth. Eur J Dent 2015;9:133-44.
  • 34 Peeters HH, Suardita K, Setijanto D. Prevalence of a second canal in the mesiobuccal root of permanent maxillary first molars from an Indonesian population. J Oral Sci 2011;53:489-94.
  • 35 Zhang R, Yang H, Yu X, Wang H, Hu T, Dummer PM. Use of CBCT to identify the morphology of maxillary permanent molar teeth in a Chinese subpopulation. Int Endod J 2011;44:162-9.
  • 36 Zheng QH, Wang Y, Zhou XD, Wang Q, Zheng GN, Huang DM. A cone-beam computed tomography study of maxillary first permanent molar root and canal morphology in a Chinese population. J Endod 2010;36:1480-4.