DOI QR코드

DOI QR Code

THE CANAL SYSTEM IN THE MESIOBUCCAL ROOT OF THE MAXILLARY FIRST MOLAR

상악 제1대구치 근심협측 치근의 근관계에 관한 연구

  • Cho, Dong-Hyun (Department of Conservative Dentistry, College of Dentistry, KyungHee University) ;
  • Choi, Ho-Young (Department of Conservative Dentistry, College of Dentistry, KyungHee University) ;
  • Park, Sang-Hyuk (Department of Conservative Dentistry, College of Dentistry, KyungHee University) ;
  • Choi, Gi-Woon (Department of Conservative Dentistry, College of Dentistry, KyungHee University)
  • 조동현 (경희대학교 대학원 치의학과 치과보존학 전공) ;
  • 최호영 (경희대학교 대학원 치의학과 치과보존학 전공) ;
  • 박상혁 (경희대학교 대학원 치의학과 치과보존학 전공) ;
  • 최기운 (경희대학교 대학원 치의학과 치과보존학 전공)
  • Published : 2003.05.01

Abstract

This study is to investigate the canal system in the mesiobuccal root of the maxillary first molar. 61 maxillary first molars were randomly selected. Serial transverse sections were made perpendicular to the long axis of the mesiobuccal root. Each section was placed in 3% sodium hypochlorite for 24 hours and rinsed in water and dried. The resected surface was stained with 2% methylene blue dye and examined with stereomicroscope. 1 Canal configuration analysis showed that 36.1% of the specimen classified as type I, 16.4% as type II , 37.7% as type III and 9.8% as type IV. 2. Type II canal was merged in one canal within 1 to 4mm of the apex. 40% of type II canal converged at 2mm of the apex. 3. Type IV canal was divided into two canal within 2 to 4mm of the apex. 66.6% of type IV canal branched off at 2mm of the apex. 4. None of the sections had more than two main root canal. 5. 48.4% of the sections in 3mm with two canals contained an isthmusand more than 70% with two canals has isthmus at 4 to 5mm sections. 63.9% of the mesiobuccal root of maxillary first molar had two canaland 76.5% of sections with two canals in 5 MM had an isthmus. Because of this complexity the clinician should always search for extra canal carefullyand root canal system, including an isthmus, should be cleaned and shaped completelyand obturated three dimensionally for successful endodontic treatment.

Keywords

References

  1. Schilder H : Filling root canals in three dimensions. Dent Clin North Am : 723-744, 1967
  2. Beer R. Baumann MA and Kim S : Endodontology. 1st ed. New York, Thieme, 47-50. 2000
  3. Ingle JI and Barkland LK : Endodontics, 4th ed. Malvern, Williams & Wilkins, 95-96. 1994
  4. Cohen S. Burns RC and Herbranson EJ : Pathways of the pulp. 8th ed. St. Louis. Mosby, 196-197, 2002
  5. Weine FS : Endodontic therapy. 5th ed. St. Louis, Mosby, 266-278. 1996
  6. Hess W : The anatomy of the root canals of the teeth of permanent dentition, John Bale, Sons & Danielsson Ltd. 1925
  7. Okumura T : Anatomy of the root canals. J Am Dent Assac 14 : 632-636. 1927
  8. Weine FS, Healey HJ. Gerstein H and Evanson L : Canal configuration in the mesiobuccal root of the maxillary first molar and its endodontic significance. Oral Surg 28(3) : 419-425, 1969 https://doi.org/10.1016/0030-4220(69)90237-0
  9. Seidberg BH : Frequency of two mesiobuccal root canals in maxillary permanent first molars. J Am Dent Assac 87(4) : 852-856, 1973 https://doi.org/10.14219/jada.archive.1973.0489
  10. Hartwell G and Bellizzi R : Clinical investigation of in vivo endodontically treated mandibular and maxillary molars. J Endodon 8(12) : 555-557, 1982 https://doi.org/10.1016/S0099-2399(82)80016-2
  11. Neaverth EJ, Kotler LM and Kaltenbach RF : Clinical investigation (in vivo) of endodontically treated maxillary first molars. J Endodon 13(10) : 506-512. 1987 https://doi.org/10.1016/S0099-2399(87)80018-3
  12. Weller RN, Niemczyk SP and Kim S : Incidence and position of the canal isthmus. Part 1. Mesiobuccal root of the maxillary first molar. J Endodon 21(7) : 380-383. 1995 https://doi.org/10.1016/S0099-2399(06)80975-1
  13. Pineda F : Roentgenographic investigation of the mesiobuccal root of the maxillary first molar. Oral Surg 36(2) : 253-260, 1973 https://doi.org/10.1016/0030-4220(73)90247-8
  14. Green D : Double canals in single roots. Oral Surg 35(5) : 689-696, 1973 https://doi.org/10.1016/0030-4220(73)90037-6
  15. Wheeler RC : A Textbook of dental anatomy and physiology. 4th ed. 228-245. 1965
  16. Vertucci F : Root canal anatomy of human permanent teeth. Oral Surg 25(5) : 589-599. 1984 https://doi.org/10.1016/0030-4220(84)90085-9
  17. Weine FS : Endodontic therapy. 5th ed. St. Louis. Mosby, 242-246. 1996
  18. Cohen S. Burns RC and Herbranson EJ : Pathways of the pulp. 8th ed. St. Louis, Mosby. 710-711. 2002
  19. Peak JD, Hayes SJ. Bryant ST and Dummer PM : The outcome of root canal treatment. A retrospective study within the armed forces (Royal Air Force). Br Dent J 190(3) : 140- 144. 2001 https://doi.org/10.1038/sj.bdj.4800907a
  20. Harty FJ. Parkins BJ and Wengraf AM : Success rate in root canal therapy. A retrospective study of conventional cases. Br Dent J 128(2) : 65-70. 1970 https://doi.org/10.1038/sj.bdj.4802429
  21. Nordenram A and Svardstrom G : Results of apiocoectomy. Swed Dent J 63(9) : 593-604. 1970
  22. Hession RW : Endodontic Morphology II - A radiographic analysis. Oral Surg 44(4), 610-620. 1977 https://doi.org/10.1016/0030-4220(77)90306-1
  23. Horiuchi H : Determining the internal morphology of root canal. lnt Endad J 26(1). 12-13, 1993 https://doi.org/10.1111/j.1365-2591.1993.tb00534.x
  24. Robertson D, Leeb J. McKee M and Brewer E : A clearing technique for the study of root canal system. J Endodon 6(1). 421-424, 1980 https://doi.org/10.1016/S0099-2399(80)80218-4
  25. Wolcott J. Ishley D. Kennedy W. Johnson Sand Minnich S : Clinical investigation of second mesiobuccal canals in endodontically treated and retreated maxillary molars. J Endodon 28(6). 477-479. 2002 https://doi.org/10.1097/00004770-200206000-00016
  26. Alavi AM, Opasanon A. Ng YL and Gulabivala K : Root and canal morphology of Thai maxillary molars. Int Endod J 35(5), 478-485. 2002 https://doi.org/10.1046/j.1365-2591.2002.00511.x
  27. Tam A and Yu DC : Location of canal isthmus and accessory canals in the mesiobuccal root of maxillary first permanent molars. J Can Dent Assoc 68(1). 28-33. 2002
  28. al Shalabi RM. Omer OE. Glennon J, Jennings M and Claffey NM : Root canal anatomy of maxillary first and second permanent molars. Int Endod J 33(5), 405-414. 2000 https://doi.org/10.1046/j.1365-2591.2000.00221.x
  29. Kulild JC and Peters DD : Incidence and configuration of canal systems in the mesiobuccal root of maxillary first and second molars. J Endodon 16(7) : 311-317, 1990 https://doi.org/10.1016/S0099-2399(06)81940-0
  30. Hsu YY and Kim S : The resected root surface: The issue of canal isthmus. Dent Clin North Am 41(3). 529-540, 1997
  31. Yang SF, Rivera EM. Baumgardner KR, Walton RE and Stanford C : Anaerobic tissue-dissolving abilities of calcium hydroxide and sodium hypochlorite. J Endodon 21(12). 613-616. 1995 https://doi.org/10.1016/S0099-2399(06)81114-3