• Restorative Dentistry and Endodontics
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• v.23 no.1
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• pp.515-524
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• 1998

The purposes of this study were to observe the cavity wall morphology and to evaluate the degree of cavity cleanliness when root-end retrograde cavity preparation was done with ultrasonic diamond instruments. To observe the morphology of retrocavity and to evaluate the degree of cavity cleanliness. root-end resections were done on 20 palatal roots of extracted maxillary first molars after canal filling with gutta-percha. Retrocavities were prepared using either ultrasonic diamond instruments or stainless steel ones of medium power setting of level 6 ($Miniendo^{TM}$, EIE, CA, U.S.A.). Morphology of the cavity. degrees of the remaining canal debris and smear layer were evaluated under the scanning electron microscope. The results were as follows: Cavities prepared with ultrasonic diamond instruments showed scratched appearance of wall, while ultrasonic stainless steel preparation showed hatcheted appearance. Ultrasonic diamond instruments induced more smear layer than stainless steel ones did (p<0.01) in the cavity. However, there was no significant difference in canal debris (p>0.05).

• The Journal of the Korean dental association
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• v.56 no.2
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• pp.84-93
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• 2018

Purpose: This study evaluated the apical root canal system of maxillary second molars, in which conventional endodontic treatment had failed. Materials and Methods: One hundred eighteen extracted endodontically failed maxillary second molars were examined to investigate the root canal morphology using clinical photographs. High-resolution cross-sectional images at the 3mm level from the root apices were taken to evaluate the anatomic variations and canal cleanliness. The incidence of anatomic variations and canals containing debris were evaluated statistically. Results: One (0.85%) maxillary second molar had four separate roots, while 52 (44.07%) had three separate roots. The remaining 65 (55.08%) showed 6 different types of fusion in their roots. As the number of fused roots increased from none to three, the incidence of isthmuses in the cross-sectional images increased significantly from 43.40% to 76.92% in 2-root fusion and 88.46% in 3-root fusion. In addition, the occurrence of less-cleansed canals increased from 22.64% to 38.46% and 53.85%, respectively (p<0.05). Sixty four teeth (54.24%) had 3 canals while 38(32.2%) had additional canals; most of them were located in the MB roots (81.58%). Seventy six (64.41%) had isthmuses in the apical region and 58 out of 76 were located in MB roots. Condlusions: Logistic analysis indicated that the less division of roots was associated significantly with the occurrence of insufficient cleaning during endodontic treatment (OR=1.765, p<0.05), while the presence of an additional canal showed no association.

• The Journal of the Korean dental association
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• v.38 no.3 s.370
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• pp.288-292
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• 2000

Perhaps the most frustrating scenario in dentistry lies in the apparently well-instrumented and well-obturated tooth that, becomes symptomatic after treatment of shows a periapical lesion on recall examination. Conventional root canal treatment demands stringent adherence to asepsis, awareness of canal morphology, and mastery of a variety of clinical techniques. But the risk of endodontic failure does not end with canal obturation. The quality of the coronal restoration may have a greater bearing on the ultimate success of a case than the quality of the root canal treatment itself. This review of the endodontic literature will define coronal leakage, describe its influence on endodontic treatment failures, and make specific recommendations on prevention.

• The Journal of the Korean dental association
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• v.16 no.12 s.115
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• pp.929-933
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• 1978

Sixty six mandibular incisor were injected with China ink, decalcified, cleared and used to study the number of root canals, the frequency and location of lateral canals, the location of apical foramens, the frequency of apical deltas, and the curvature of root canals. The results were as follows: 1. Most of the teeth demonstrated single canal, but 19.7% of the teeth were found to have bifurcated canals. 2. 12% of the teeth were found to have lateral canals and these ramifications were located in the apical third of the root. 3. 25 apical foramens were located directly on the root apex and 41 foramens laterally. 4. 43 canals showed straight, 7 canals distal curvature, 7 labial curvature, 3 mesial curvature.

• Restorative Dentistry and Endodontics
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• v.9 no.1
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• pp.121-125
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• 1983

Thirty eight mandibular second premolars were injected with china ink, decalcified, cleared and used in an in vitro study to determine the number of root canals, the frequency and location of lateral canals, the location of apical foramens, the frequency of apical deltas, and the curvature of root canals. The results were as follows: 1. Most of the teeth demonstrated single canal, but 5.3% of the teeth were found to have bifurcated or trifurcated canals. 2. Of the 40 canals studied, 52.5% of the canals were found to have lateral canals and these ramifications were usually located in the apical third of the root. 3. 7 apical foramens were located directly on the root apex and 31 foramens laterally. 4. 4 canals showed mesial curvature, 20 canals distal curvature, 11 canals buccal curvature, and 8 canals lingual curvature.

• Restorative Dentistry and Endodontics
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• v.2 no.1
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• pp.27-31
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• 1976

Eighty mandibular first premolars were injected with china ink, decalcified, cleared and used in an in vitro study to determine the number of root canals, the frequency and location of lateral canals, the location of apical foramens, the frequency of apical deltas, and the curvature of root canals. The results were as follows: 1. Most of the teeth demonstrated single canal, but 22.5% of the teeth were found to have bifurcated or trifurcated canals. 2. Of the 99 canals studied, 37.3% of the canals were found to have lateral canals and these ramifications were usually located in the apical third of the root. 3. 27 apical foramens were located directly on the root apex and 66 foramens laterally. 4. 6 canals showed mesial curvature, 49 canals distal curvature, 11 canals buccal curvature, and 25 canals lingual curvature.

• Restorative Dentistry and Endodontics
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• v.41 no.1
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• pp.68-73
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• 2016

This case report describes a unique C-shaped mandibular second premolar with four canals and three apical foramina and its endodontic management with the aid of cone-beam computer tomography (CBCT). C-shaped root canal morphology with four canals was identified under a dental operating microscope. A CBCT scan was taken to evaluate the aberrant root canal anatomy and devise a better instrumentation strategy based on the anatomy. All canals were instrumented to have a 0.05 taper using 1.0 mm step-back filing with appropriate apical sizes determined from the CBCT scan images and filled using a warm vertical compaction technique. A C-shaped mandibular second premolar with multiple canals is an anatomically rare case for clinicians, yet its endodontic treatment may require a careful instrumentation strategy due to the difficulty in disinfecting the canals in the thin root area without compromising the root structure.

• Restorative Dentistry and Endodontics
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• v.10 no.1
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• pp.183-186
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• 1984

Thirty maxillary lateral incisors were injected with china ink, decalcified, cleared and used in an in vitro study to determine the number of root canals, the frequency and location of lateral canals, the location of apical foramens, the frequency of apical deltas, and the curvature of root canals. The results were as follows: 1. Most of the teeth demonstrated single canal, but 6.7% of the teeth were found to have bifurcated canals. 2. Of the 32 canals studied, 37.5% of the canals were found to have lateral canals and these ramifications were usually located in the and apical third of the root. 3. 9 apical foramens were located directly on the root apex and 21 foramens laterally. 4. 3 canals showed mesial curvature, 20 canals distal curvature, 4 canals labial curvature, and 3 canals palatal curvature.

• Restorative Dentistry and Endodontics
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• v.3 no.1
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• pp.12-16
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• 1977

One hundred human maxillary first molars were injected with china ink, decalcified, cleared, and used in vitro study to determine the number of root canals, the frequency and location of lateral canals, canals per root, and frequency of apical deltas. The results were as follows; 1. The mesiobuccal root was found to contain a single primary canal in 53% of the teeth studied and two canals in 47 % of the teeth studied. 2. In mesiobuccal roots with two canals, the seperated apical foramen appeared 32% of the specimens and the common apical foramen 15% of the specimens. 3. Of the 347 canals studied, 26.9% of the canals were found to contain lateral canals and these ramifications were mainly located in the apical third of the root.

• Restorative Dentistry and Endodontics
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• v.6 no.1
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• pp.83-86
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• 1980

Fifty human maxillary second molars were injected with china ink, decalcified, cleared, and used in vitro study to determine the number of root canals, the frequency and location of lateral canals, canals per root, and frequency of apical deltas. The results were as follows. 1. The mesiobuccal root was found to contain a single primary canal in 62% of the teeth studied and two canals in 38% of the teeth studied. 2. In mesiobuccal roots with two canals, the seperated apical foramen appeared 24% of the specimens and the common apical foramen 14% of the specimens. 3. Of the 169 canals studied, 23.1% of the canals were found to contain lateral canals and these ramifications were mainly located in the apical third of the root.